HomeMy WebLinkAboutPermit Building 2003-04-17F SPRTN FIELD
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00219ISSUED: 0411712003
APPLIED: 03/2812003EXPIRES: 11/0112003VALUE: $ 150,718.00
SITE ADDRESS: 2388 35th St
ASSESSOR'SPARCELNO.: 1702194300800
PROJECTDESCRJPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-726-0330Owner:
Address:
Owner:
Address:
RIVER VALLEY BUILDERS
PO BOX 2041 CORVALLIS OR 97339
GREG LARKIN
PO BOX 2041 CORVALLIS OR 97339
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
RIVER VALLEY BUILDERS INC
G&EELECTRICINC
MIDWAY PLUMBING INC
RIVERVALLEY BUILDERS
MIDWAY PLUMBING INC
License
134s66
54468
4687
4687
Expiration Date
04n5t200s
09n512003
07t25t2003
Phone
541-367-1618
541-967-7045
541-928-2423
07t2st2004 541-928-7927
)RMATTON
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
1
R-3
u-1
vtl
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
42.00
15.00
1
Yes
23.00
Fultv Improved Sidewalk rype: curbside 5r
No Downspouts/Drains: Curb and Gutter
30 ft overwidth driveway approved with the condition that the driveway does not interfere with the
City's ability and access to the storm drain for maintenance.
18.00
20.00
5.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase I of4
__r
L(rt\ It(ALIlrl( L\rrryJ
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00219ISSUED: 0411712003APPLIED: 03/2812003EXPIRES: 11/0112003VALUE: $ 150,718.00
Description
Dwellings
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
$74.60
$19.60
Square Footage
1,910.00
420.00
Value
$142,486.00
$8,232.00
$150,718.00
Date Calculated
03t28t2003
03t28t2003
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7o/o State Surcharge
3 Baths One & Two Family
Annexed 1997
Building Permit
Curbcut - Overwidth Appl
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets l-4
PIan Review - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC IUWMC Administration
SDC IVIWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ l0oh Administrative Fee
+ 7Yo State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Amount Paid
Total Yalue of Project
Date Paid Receipt Number
1200200000000000908
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
120020000000000r022
r200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
120020000000000r022
120020000000000r022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
r200200000000001022
1200200000000001022
2200200000000000917
2200200000000000917
2200200000000000917
2200200000000000917
$47s.41
$10.00
$114,24
s79.97
$306.00
$-18.91
$73r.40
$3s.00
$7s.00
$6.00
$9.00
$12.00
$4.00
$s9.00
$-30.00
$436.s4
$574.34
$10.00
$34.83
$332.86
$88.39
$s0.02
$709.81
$160.87
$7s.00
$527.90
$s0.00
$24.00
$1,000.00
$16.30
$rr.4l
$106.00
$57.00
3t28103
4n7t03
4n7t03
4n7t03
4n7t03
4n7t03
4fi7t03
4n7t03
4n7t03
4n7t03
4lt7t03
4n7t03
4n7103
4n7t03
4n7t03
4n7t03
4n7t03
4n7t03
4n7103
4n7t03
4n7t03
4n7t03
4n7t03
4n7t03
4n7t03
4n7t03
4lr7t03
4n7t03
4n7t03
5t23t03
5t23103
st23t03
5t23t03
['ees Pn
Total Amount Paid $6,133.38
Pzee2 of 4
I
Valuation Description I
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Initial Review
Planning Review
Public Works Review
Structural Review
Building/Combination Permit
PERMIT NO: COM2003-00219ISSUED: 0411712003
APPLIEDz 0312812003
EXPIRES: 11/0112003VALUE: $ 150,718.00
04t0u2003
04t0u2003
04t0y2003
0410u2003
04t0712003
04/08/2003
04n612003
RJB
AJD
DJW
TCM
APP
APP
APP
APP
Plan
To Request an inspection call the24 hour recording at 726-3769. All inspection requested
will be made the same working day, inspections requested after 7:00 a.m. will be made the
day.
before 7:00 a.m.
following work
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underfloor Plumbing: Prior to insulation or decking.
15 Underfloor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to {illing trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
2l Underfloor Mechanical. Prior to insulation or decking and including required testing.
22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
23 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
24 Rough Mechanical: Prior to Cover
25 Final Gas: When all gas work is complete.
26 Final Mechanical: When all mechanical work is complete.
27 Temporary Electric: Approval required prior to Utility Company energizing pole.
28 Rough Electric: Prior to Cover
29 Final Electric: When all electrical work is complete.
Paee 3 of4
L
I
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Building/C ombination Permit
coM2003-00219
0411712003
0312812003
11/01/2003
$ 150,718.00
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
By signature'I state and agree'that I have carefullY examined the comPleted application and do herebY certifY that all
information hereon is true and correct'and I further certifY that anY and all work performed be done in accordance withshall
the Ordinances of the City of SPringfield and the Laws of the State of Oregon pertaining to the work described herein, and
thatNO OCCUPANCY will be made of anY structure without Permission of the CommunitY Services Division, Building SafetY'
further certifY that onlY contractors and emPloYees who are in comPliance with ORS 701.005 will be used on this Project'
I further agree to ensure that all required inspections are requested at the ProPer time, that each address is readable from the
that the permit card is located at the front of the propertY, and the approved set of Plans will remain on the site at all
street'
times during construction.
Date
Owner or Contractors Signature
Pase 4 of 4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #z 22002000000000009 I 7 Date: 0512312003
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7oh State Surcharge
+ l0%o Administrative Fee
106.00
57.00
I l.4l
16.30
Item Total:$r9u.7t
,.r-""
. Prymlt Tot l:
-ffi:rf
s12312003 l0:21:00AM Page I of I cReceipt.rpt
225 FIFTH STREBT ' SPRINGFIELD, OR97477 ' PH:(541 )726-3753 r FAX: (51r)726-3689
ELECTRICAL,
City Job Number
LEG DES
JOB DESCzuPTION
a 0 3 6fi^.t
@,
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft' or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
/ $10600 /09 gO
3 $reoo SJgA
TION
Date
E-)\)O 003
iE SCHEDULE BELA\Y3. COMPLE'TE FL
A. New Residentiat - Single or Nlulti-Faurity lcr dn'elting unit'
n 4,
Per
not
e Ilo
star d rvi 0 days
Suspended for 1 days.
expire if work is
,ance or if work is
ra
J C O I{T R*ACT O P. I N S TAL LATT O N ONLY B. Services or FeeCers
200 AmPs or less
- Install:rticn, Alteraticns o:' Re iccllticn:
$50.00
$ 63.00
$ 75.00
s 125.00
$ I 63.00
$37s.00
$ s0.00
Electrical Contractor {F e\e tf( ic I,^ c
?CB OX fuBG
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
Service or Feeder Pemrit
7o/o State Surcharge
l0% Adminisffative Fee
TOTAL
Address
Ciry h:c r,r Pho ne 5Yt Qtol BGzl
4ttzt
Supervisor License Number
Expiration Date
Constr. Contr. Number @ ;'l q
Expiration Date U
/)
Signarure of Supervis
Owners
A
Ciry Phone
O\\t{ER INSTALLATION
The installation is being made on property I own which
is not intended for sale, Iease or rent.
Owners Signature:
IIOIIGE:
hca C. Temporary Services or Feeders
Installation, Alteration or Relocation
ppd Amps,or less $ 50'00
gbPldnq hv4Ot{t pB' $ 6e'oo
4{lhdJYJg4,t|#,ic $loo oo
Over 600 Amps or 1000 Volts see "B" above'
D. Ilranclt Circuits
Nerv Alteration or Extension Pe r Pancl
One Circuit S 43 ()tl
Each Additional Circuit or u,itf i
0
s 1.00
E. tr{iscellaneous (Sen'ice/feeder not irrcluded) -E,ach Installa tion
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Comrnercial
Miuimum Electric Permit Inspection Fee is $45.00 t Surcharges
$ 50.00
$ 50.00
s 2s.00
s 4s.00
/bz, oA
//,?/
6.'EC
a
E WORK
,,,, 0..,, ffi ffi tHT^Hifii$lf*tut
AITY IEI OAY PERIOO.
4.
Shared Drivc(T:)/Building Fonns/Electrical perrnit Application i -0l.doc
t
r the
tu,
t-00
.A D/e,
LA /.\ /
I
i
SITE ADDRESS: 2388 35th St
,q.SSrSSOn'S PARCEL NO': 1702194300800
PROJECTDESCRIPTION: SFR
owner: RIvER vALLEY BUILDERS^
Add."r., pO SOX ZOal CORVALLIS OR 97339
Owner: GREG LARKIN
Address: io sox z0a1 coRvALLrs oR 97339
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fa,x
541-726'37 69 InsPection Line
Contractor TYPe
General
Mechanical
Owner
Plumbing
# of Buildings:
Primary OccuPancY GrouP:
SecondarY OccuPancY GrouP:
Primary Construction TYPe
SecondarY Construction TYPe:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Contractor
RIVER VALLEY BUILDERS INC
MIDWAY PLUMBING INC
RTVERVALLEY
MIDWAY PLUMBING
Building/C ombination P ermit
PERMIT NO: COM2003-00219
ISSUED: 0411712003
APPLIED: 03/2812003
EXPIRESz 1011712003
VALUE: $ 150,718.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-726-0330
Date Phone
541-367-1618
541-928-2423
'$04/1s/200s
0712512003
0712512004 54r-928-7927
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Impervious Surface Area:
PARKING
2
Compact:
Sidewalk Type: Curbside 5,
Downspouts/Drains: Curb and Gutter
Springfield
Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved
o/o of Lot
R-3
u-1
VN
VN
\$
18.00
20.00
5.00
42.00
15.00
Fullv Improved
No
30 ft overwidth driveway approved with the condition that the driveway does not interfere with the
City's ability and access to the storm drain for maintenance.
Notes:
Pas,e 1 of 4
\t
F
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Building/C ombination Permit
PERMIT NO: COM2003-00219ISSUED: 0411712003
APPLIEDz 0312812003
EXPIRESz 1011712003VALUE: $ 150,718.00
Description
Dwellings
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 1oh State Surcharge
3 Baths One & Two FamilY
Annexed 1997
Building Permit
Curbcut - Overwidth APPI
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets 1-4
PIan Review - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC IVIWMC Administration
SDC lltWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft Square Footage
$74.60 1,910.00
$19.60 420.00
Total Value of Project
Amount Paid Date Pai
Value
$142,486.00
$8,232.00
$150,718.00
Date Calculated
0312812003
0312812003
$475.41
$10.00
$114.24
$79.97
$306.00
$-r8.91
$731.40
$3s.00
$7s.00
$6.00
$9.00
$r2.00
$4.00
$59.00
$-30.00
$436.54
$574.34
$10.00
$34.83
$332.86
$88.39
$s0.02
$709.81
$160.87
$7s.00
$s27.90
$50.00
$24.00
$1,000.00
3t28t03
4n7103
4n7103
4n7103
4n7t03
4n7103
4n7103
4n7103
4n7103
4n7103
4n7103
4n7103
4fi7103
4tr7t03
4n7t03
4n7t03
4tr7t03
4n7t03
4n7t03
4n7103
4n7t03
4n7103
4tr7t03
4n7t03
4n7t03
4n7t03
4lt7t03
4fi7t03
4n7t03
Receipt Number
1200200000000000908
1200200000000001022
r200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
r200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
120020000000000r022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
r200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
1200200000000001022
$5,942,67
Plan Reviews
Initial Review
Planning Review
04t0u2003
04t0U2003
APP
APP
RJB
AJD04t07t2003
Paee2 of 4
tr'ees Paid I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ra'x
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-00219ISSUED: 0411712003APPLIED: 0312812003
EXPIRESz 1011712003VALUE: $ 150,718.00
Public Works Review
Structural Review
04t0u2003
04t0u2003
04t08t2003
04n6t2003
DJW
TCM
APP
APP
To Request an inspection caII the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
1
2
3
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with {inish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
4
5
6
7
8
9
10
ll
t2
13
t4
15
t6
t7
t8
t9
20
2t
22
23
24
25
26
27
28
29
Reorrired fnsneefions
Pase 3 of 4
FIELD
Building/C ombination Permit
PERMIT NO: COM2003-00219ISSUED: 0411712003APPLIED: 0312812003
EXPIRESz 1011712003VALUE: $ 150,718.00
F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all are requested at the proper time, that each address is readable from the
street, that the card is of the property, and the approved set of plans will remain on the site at all
times
(-e
Owner or Date
Pase 4 of 4
4/t7/2003
2:45:07pM
City of Springfield
Development Services Department
public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
ReceiPt #z 12002000000000 01022
I)ate: 0411712003
Items:
Job/Journal Number
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
Plan Review - Planning
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth APPI
PW MultDisc - 2ndPermit
Storm Drainage ImPervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - ImProvement
SDC TransPo Reimbursement
SDC TransPo ImProvement
SDC MWMC Reimbursement
SDC MWMC ImProvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC TransPo Admin
Amount paid
59.00
7s.00
75.00
35.00
(30.00)
527.90
574.34
436.54
160.87
709.81
332.86
34.83
10.00
88.39
50.02
Page I of3 cneceioy/
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
4/77/2003
2:45:O7pM
Developm.r, a#il^of SPrinSfi eld
Public wl'-":t DePartmen torks Departmenf
Officiat Receipi
Receipt # z 12002000000000 01022
Date: 0411712003
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
coM2003-00219
Annexed 1997
Building Permit
3 Baths One & Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
Temp Power 200 amps or less
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Willamalane Single Family
(l8.er)
731.40
306.00
24.00
9.00
6.00
4.00
10.00
12.00
50.00
79.97
t14.24
1,000.00
Line Item Total:$5,467.26
Page 2 of3
cReceipt.rpt
a
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4/17t2003
2:45:07PM
City of Springfield
Development Services Department
Public Works Department
Oflicial Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #z 12002000000000 01022
Date: 0411712003
Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check RIVERVALLEY BUILDERS djb In Person 5,467.26
Total:
Page 3 of3 cReceipt.rpt
yments:
)
ication For a Second or Overwidth Dri
Applicant (PropertY Owner):
(Max, 30'I Second drivewaY
Received By:Application Fee:$35.00
Address of Property Owner:,q4 '84 2c4l (6rra<- ( (,\
35',ry 5F,Address of Property for Driveway Permit:
d,.
Z9
No:
oarc, Z'28'd5
?z 3's?
Buitding Permit v"' (LvnzlaT- a,t7l1
Please sketch the proposed driveway. lnclude the following applicable items: house or bu
i;;[A-;';;;.i;;; ",id
measurements to property lines, roid intersections and bordering r
ilding, proposed driveway, and street names'
driveways. (See attachmont
for an example)
C,E o/dVnng/te/d
t
All applications outside the city limits o{ Springfield that are within the Urban Growth Boundary require a Lane County Permit.
Note: The City of Springfield will not grant a second drivaaay permit on an Arterial or Colledor Skeet.
Over width driveways up to 3oft may be approved by the UansporEtion planning engineer provided that safety and trafiic guidelines are met.
Driveways over 30' in width require a Land Use Decision and are not handted on this application.(Contact the Ptanning DepL)
The application fee is not refundable.
-_--..-.-_-
f-
Singb FamilY Dwetling DuPlex +5
t. Property tYPe:
fum which steet?
e The proPosed drwewaY witltake access
to the nearest comer (measured to the curb return)
3. The distance ftom the edge ol the driveway
4. The second driveway will give access to: Garage- Carport
-
Side Yard-Other,
feet.
s.rhe distance rrom the propbrty rine to the sarage, carport, fence, wall or other (where the vehiCie iS tO bg pafkgd) tS ifi lggt,
I
-
6.-Will the proposed parking / storag_e area create a vision obstruction to adjacent property driveways or to any vehicular
movement on a public street? (See vision clearance attachment) _ /1,1O
A permit will .require that the applicant meet city and/or colf nty standards, specifications, and codes. Generally this means that the
area behind the sidewalk shall be surfaced to the property line and also a minimum of 18 feet behind the propeity line.
the , the applicant
reapply.
btain a curbcut/driveway permit from the Public Works Depart-When this application is approved by
ment, Engineering Division within 60
a'
Propeny owner' s
Approved by:Date:
staff comments: A?YFov€o Witt4 fuo &Ngt(io+ "Tt-tt\T THg ?AVEwrtt Do€+Nor l*tTe€EeYe Wlfi4 T46 e-LT'{tg A(3it-l1-.( ryAilp Accelr -i'c, .Tti€ 9twr4PKntsl'@ MAt N"a.ETJ +*ttZi,
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CITY OF S-TRINGFIELD SYSTEMS DEVELOPMEN, WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00219
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
River Valley Builders
2388 35th Street
1 702 r 943TL00800
BUILDINC SIZE (SF) O LOT SIZE (SF)6970
ar!
t-.1oU
&r!Fa
r!il
1070
l09l
1092
1093
1094
1054
1055
t054
1056
t079
I 078
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I TMPERVIoLTs s-F. x
J r szz.oo
COST PER S.F
$0.282
CHARGE
$527.90
R ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED CITY STANDARDS
x COST PER S.F.
$0.282
x DISCOUNT
$0.00
ITEM l TOTAL - STORM DRAINAGE SDC $s27.90 [ $5z7.so
IMPERVIOUS S.F.
0.00
DISCOUNT RATE
507o
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
26
x COST PER DFU
s22.09 = I $s74.34
B. IMPROVEMENT COST:
NUMBER OF DFU's
26
COST PER DFU
$ r6.79 = f $436:.54
ITEM 2 TOTAL - CITY SAMTARY SEWER SDC 010.88
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADTTRIP RATE
9.s7
x NUMBER OF UNITS
I
x COST PER TRIP
$ r 6.81
x NEW TRIP FACTOR
1.00 = I $160.87
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
x NUMBER OF UNITS
I
x COST PER TRIP
$74.17
x NEW TRIP FACTOR
1.00 = | $709.81
ITEM 3 TOTAL. TRANSPORTATION SDC $870.68
4. SANITARY SEWER. MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
I
x
= F$:rz.so
B. IMPROVEMENT COST:
NUMBER OFFEU's
I = I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC =
= I ($18.91)
= f J1o.00
$358.78
COST PER FEU
$332.86
COST PER FEU
$34.83
SUBTOTAL (ADD ITEMS I,2,3, & 4)768.24
.5. ADMINISTRATIVE FEE:
SUBTOTAL
$2,768.24
x ADM. FEE RATE
5Vo
CHARCE
138.41
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
I 88.3E
l-550-5t-
D. Wright 4t8t2003
PREPARED BY DATE
TOTAL SDC CHARGES t-$40d6"0s
x
x
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
MWMC CRBDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
NUMBER OFNEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS
(NOTE: FOR REMODET-S, CAI-CUI-ATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE TYPE NEW OLD
UNIT
EQUIVALENT
FIXTURE
UNITS
1 0 3 3
DRINKING FOUNTAIN 0 0 'l 0
FLOOR 0 0 3 0
FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
FOR SAND /WASH / ETC.0 0 6 0
1 0 2 2
ASHER / MOP SINK 1 0 3 3
ASHER-3ORMORE 0 0 6 0
HOME PARK I PER 0 0 12 0
FOR REFRIG / WATER STATION /0 0 1 0
RECEMOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SINGLE STALL 1 0 2 2
GANG OF 0 0 2 0
KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
WASH BASIN/DOUBLE LAVATORY 1 0 2 2
Y/RESIDENTIAL BARSINK: SINGLE LAV 2 0 1 2
STALL / WALL 0 0 5 0
PUBLIC TION 0 0 6 0
PRIVATE INSTALLATION 3 0 3 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20
TOTAL DRAINAGE FIXTURE UNITS
*EDU rs a toa unit set at 167
YEAR
ANNEXED
CREDIT RATU$1.OOO
ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENTELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
I
0
1997
CREDIT FOR IMPROVEMENT (IF AF|ER ANNEXATION)
VALUE/ IOOO CREDIT RATE
$0.00 x $0.63
TOTAL MWMC CREDIT | $l8.el
BEFORE 1979 $4.92
1979 $4.92
1980 $4.83
l98l $4.77
1982 $4.64
1983 $4.47
t984 s.l.30
198-5 $4.09
1986 $3.78
1987 $3.41
1988 s2.98
l 989 $2.s2
1990 $2.06
l99l $ 1.64
t992 $1.45
1993 $1.31
1994 $r.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
1999 s0.22
2000 $0.04
CREDIT FOR LAND (IF APPLICABLE)
VALUE/ IOOO CREDITRATE
$30.02 x $0.63 l-FiT3,'i-
l-----d-
l
225 FIFTH STREET ' SPRINGFIELD' OR 97
E LE CTKI CAL P E RIWIT AP P LI CATI A N
CityJobNumber b"tZ*';'C'(o Z* Date
1. LACA T'roN O*'?'IO}r
{
LEGAL DESCRIPTION o o86()?OL l7Ll 3
JOB DESCRIPTION
-Tel,L (p >, c'tJ c: IL
477 o PH:(541\726-3753 r FAX: (541)726-3689
prolect as $ubmitted has the tollowing
3. 1aMPLETE:E,F,:f,ffqBwatw rBfifrit#cnic land use
Zoning
A. New Reside[tial -
Service Includ&"
T lollcwlng
Permits are non-transferable and expire if work is
,roi ,,u.t"a within 180 days of issuance or if work is
1000 sq. ft. or less
Each additional 500 sq' ft' or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 AmPs or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
; r.c Slgrlalure
$106.00
$ 19.00
s50.00
Suspended for 180 daYs'
C O NT RAC:T O R IN ST ALLAT'ION l',Services or Feedcrs - Installation, Alterations or Relociltion:
Over 1000 AmPs/V \o
$ 63.00
s 75.00
$ 125.00
$163.00
$37s.00
$ s0.00ReconnectJ
o
B.
glectri\al Conffactor
\
,
City
Address
Supervisor License N
Expiration Date
Constr. Contr. Nun.rber
Expiration Date
Signature of Supervising Electrician
Fhone
\(\o {sU
$ s0.00
$ 69.00
$ 100.00
43.00
00
50-e2-
1000 Volts see "B" above.
C'ircuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
owners Nu "6 L-..hl
Address o.c E.ed) -Each Installation
$ s0.00
$ s0.00
$ 2s.00
$ 4s.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
AF ABOVE Eo.w
Ynone 7%-OV4
I own which
OWNER INSTALLATION
The installation is being made on
ls not for sale, lease or
s4.
1Yo State Surcharge
I0% Administrative Fee
TOTAL sts.9
asoEs-
Inspection uest: 726-3769
Sharcd Drive(T: )/Building Fonns/Electdcal Perrnit Application I -03.doc
CITY OF ffii$'trffis
\s
,7j,81 JS-tr J-toV"u lt'."
CertairileedEl
Builders Statement
lnsulSafe.4
Fiber Glass Blowing lltstllation
rilnlltuoilr.EilEllrE
trtgrtt O$t g?l0
Builden Bord lfinnber 85
lnsulsafeo4 has heen installed with the
manufactuer's recommendations lo
provide a valtle of R trsing,
hags of insulation to cover
square feet of area at a nrinimrtnr
thickness of inches.
lnstaller Conlractrlr (sigrt)
-Home -Insulatlon Cont '
(.onrpany Narne
IililtNlAlt'tRI()llN'lAN(tAlIl(lll()\\'lN('All'tt(AIl()N
. lrr ar-c'rrlance wilh the < hart below, yotr mtrst install the minimunr number of bags
1x'r 1,(X)o st1. fr. of net area for each R Valtre listod'
. I lrc rnaxirnrrrn nct c()verag,e rnust rlol exceetl tlrat -specifie.d for each R-Value'
. Ihe irrstallerl insrrl;rtiorr rrrrrsl he at or alrovo ttre slrcifincl minimtlrn thickness for
oa< lr R Valttt'.
. Iailrrrt'to install tlrr: rerlrrirorl rnirrimutn wcighl Jrer v1. ft. of insulalion at or above
tlrc tninitntrtn lhit'kness will rr:strlt itl rcrltrct'rl R.Valtro'
Lnglti. l,rrxlrul slrorrlrl rrot Irc rnixetl wilh otlrt'r lrlrrwn instllations or the thermal
, lairls rvill bc< t,rtte irrvalirl.
1- - l/.zerb
r--'^'' "'Yl-rooifr
Company Name
E ! v,l!_u_t
Trr oblain a
Ihnrnral Resislanrr
(R) of:
R60-.n4,,
R26
Ir l?
! 1r-
R t9
RA( is Pt R
I (l!q !Il: Il
Rags;rer-
I (){)0 s(l lt
of nrt artl
r6.5
2,1.6
?!,1 _
2 ).8
rB.0
! i,s
1l I
11.t
loist 5izo
r";;'
Nlr^Jlftrt J[t wEl(;] l1
rotrNt)s ltR s(J. rI.
Werglrl per sq ft. o{
irrqtrlled insrrlation sh^uld
nrrl be less than: (lbs )
0.986
0.800
I'lAXll'1t l^1
sll: f LI'!R !,1(;
( r)nlenls ()f ba8
should nol covcr
u,,,tp 1[11; (sr1. ft )
'27
N{ININtUTl
TI]ICKNI,SS
t4
[)ate
Batts and Blankets
Fiber Glass batls or rolls have been
installed in accordance with the
manufaclurer's recommnndation to
provide an R-valrre of in theceiling, in lhe erterior walls,
in thp floor or rrarvl sltar e perimenler.
lnstaller ( onlrar tor (<irr,ri
Hone,Insulatlon(-ompany Narno
Cont
[)at e
Builrler (sign)
a;",p;,t N;;;
ori..
IB ql?_
0.615_44 .-
56
65
0.48 5
0.418
9,']1 1
!,lgl
0.209
{t t 7q
R.v.rlrres are rlettrrninerl irr a<.corclance witlr ASlM ( tr87 and 5,l8.
('orrrlrlies r,t,ittr ASIM (- 764 as Tylle I instrlatiorr.
"R" nreans resislarrce t. [reat flow. The higher the R-Value, the greater the
irrsrrlating I)()wer. 1o gr:t the marked R-Value, it is essenlial thatihe
instrlation is installed glroJrerly.
t)Al"lGER: Rt(-tssED l-l(lt lI llxrtlRES -t( ) t'RtvFNI ( )vERr-1EATrNC,
tx) N()I tNSUI nTE C)N T()p ( )ti wtrl ilN t,, ()t- sL,cl.tl)[vt( ES. D()FS N()T n t'pt_y r() 1y1'J t( t t(;t,t t t-txTt]RFS
( )R T() rLt,r()RFS(,F-NT flXTt lRr ,, ra711H I I tFRN,ln I ty
t,R( )TF(-TEt) t]At t ASTS.
IF,s,rrN<, Arllt ,\ rNlt N r
T, cornpensato filr frami6g menrbers the nrrrnher of bags per 1000 sq. ft
of nel area shoulrl he rerJtrr.ed as follows.
Bags to deduct/l 000 sq. fr
,oists t6" o,C.
Brp to dcducl/t000 so. ft.
loists 24" O.C.
05 0.1
05
2' r B"
2" x l0'
0.8
ia)-
i.l o.7
0.9
R-Value
---r3F
- R-lo
_&ll____
R-13
R 2r
R.19
R 22
R ll
lnstrlalion
g rr tlr1k11s
I ()", t 2"
s,,rl". 1!, -_
611t,
) tt
)th
,'/,"
9t/t
3t/)"
22',
Should not be
less lhan;
(i nrhes)
r 8vi'
r 6?i'
t2
5yi'
CodB No. 30.24,233
t
1998 Cerlaineed Corporation 7/9g
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