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Home My WebLink AboutPermit Building 2000-06-19225 North Fifth Street Springfleld, OR97477 Location Of Proposed Site: 22BO 00036th Ct Spr Assessors MaP#: 17021900 Page I of 4 Job Number: 00-00689-01 Office:726-3759 lnspection Line: 726-3769 NOTICE: raxflq$lpsnCIflf$tnu- EXPI RE lF THE woRK Job# SPNIilGFTELD RESIDENTIAL PERMIT City Of SPringfield CommunitY Services Division Building SafetY SPRtNGFfiEL4 OREGONOFCITY Lol:112 Block: Owner: Dukes & Dukes Construction Co Address: Po Box 71095 Scope Of Work: Single Family Residence Addition:Su Phone Number: City/State/ZiP: New Registration # 65060 117770 Office Use - Land Use: Single FamilY Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric s0phB.f $IQED OR I S ABANDONED FOR B6hrx ffiBfll'fiERr0D Vatue: $145,938 Contractor TYPe GeneralContr ElectricalContr MechanicalContr Plumbing Contr Gontractor Dukes & Dukes Construction Co Po Box 71095, Bend, OR 97401 Eastside Electric lnc 38253 Boscage Ln, SPringfield, OR 97478 Harvey & Son Heating & Air Conditi*, Onin 55682 4680 Main St, SPringfield, OR 97478-6054 Don Lewis Plumbing 33076 500 Greenfield Street, Eugene, OR 97404 1014101 541-741-1499 2126101 541-746-7677 6/10/01 541 -688-1 931 # Of Buildings: I OccupancyGrouP: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1985 Expiration Date 3/16/01 Phone 541-461-5477 resyout( )oon utilil 'irosetltA.fi952{ the rules t.it3phonl !ctificati( rd4). Quad Area: # Of Units: Gonstr. TyPe: Water Heater: 3RNC 1 (VN) Wood Frame Gas To request an inspection callthe 24hour recording at726-37.69.. All inspections requested before 7:00 a.m. will be made the "rr" working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Buitd Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation -To be made after excavation but prior to setting forms. -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. Job# 00-00689-01 Page 2 of 4 Required lnspections Buildi - Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete Electrical I -Approval required prior to SUB energizing pole. -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. -Priortoinrrlrtio# -Prior to cover or placement of concrete. - Prior to cover. -Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -After gravel and filter cloth is installed, but prior to backfill' -When all plumbing work is complete. Mechanical - Prior to insulation or decking. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tet -When all mechanicalwork is complete. t- Ceiting lnsulation Shear Wall Nailing Framing Walllnsulation Drywall FinalBuilding Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalMechanical Curbcut Sidewalk T ____lPublic Works -After forms are ereceted but prior to placement of concrete. Sidewalk Type Additional ROW? Curbside - 5'Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.?[ San Sewer Depth (Ft): 6 - 4 Size Of Line (in): 8 Storm Sewer Available? f Downspouts/Drains: To Storm Sewer Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): 6 Bond Begin DateTime: 00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM Special lnstructions: DRAINS TO STORM SEWER STUB PROVIDED Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPtain? [ Wetlands? [ Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Job# 00-00689-01 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z2 2 Additional Requirements: LDAP Required tr Gtenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Accessory Structure # Of Stories: 2 Height (feet): 27 Current Units: ProPosed Units:1 Census Code: New SF - detached Area (Sq Main:'1985 Accessory420 Total2405 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Additional Plan Check Hourly Plan Review Total Plan Check 06/19/2000 05/10/2000 2211 1 663 269 2 $268.73 $80.00 $348.73 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 06/19/2000 06/1 9/2000 06/19/2000 2211 2211 2211 145,938 $536.s0 $37.56 $16.10 $590.16 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/19/2000 06/1 9/2000 2211 2211 2211 2211 2211 1 3 1 $85.00 $45.00 $40.00 $11.e0 $5.1 0 $187.00 Plumbing Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/19/2000 2211 2211 2211 2211 1 $.00 $192.50 $13.48 $5.78 $211.76 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Mechanical 0611912000 06/19/2000 06/1 9/2000 06/19i2000 06/1 9/2000 06/1 9/2000 1 3 $4.s0 $2.00 $.00 $.sz $6.00 $9.00 2211 2211 2211 2211 2211 2211 3: v r ) I I 1 1 Job# 00-00689-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 06/19/2000 06/19/2000 06/19/2000 06/1 9/2000 2211 2211 2211 2211 1 1 $4.50 $3.00 $10.00 $2.03 $41.90 Public Works New Sidewalk New Curbcut Total Public Works 06/19/2000 06/1 9/2000 2211 2211 70 1 $60.00 $60.00 $120.00 System Development Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development 06/19/2000 06/19/2000 06/1 9/2000 06/1 9/2000 06/19/2000 06/1 9/2000 06/1 9/2000 06/1 9/2000 $543.87 $1,351.56 $491.60 $242.76 $22.05 $10.00 $132.80 $-5.85 $2,788.79 2211 2211 2211 2211 2211 2211 2211 2211 2,344 28 1 1 1 1 15 Willamalane SDC S.F. Residence - Willamalane TotalWillamalane SDC 06/19/2000 2211 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $5,288.34 Checked By Lisa Hopper Steve Templin AlWard Don Moore Date Gompleted 05t22t2000 0512412000 05t25t2000 06/1 5/2000 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 Springfield 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 701.055 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 street, 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 times during construction. Signature Date ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: DWELLING UNITS DUKES & DI.IKES CONSTRUCTION 00-00689-01 2280 36TH COURT t7 -02-19-43-11200 SINGLE FAMILY RESIDENCE I BUILDING SIZE LOT SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT.2344.25 x $0.232 PER SQ. FT $543.87 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 28 x $48.27 PER PFU $ 1,35 l .56 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PERPM PEAK HOURTRIP I x l.0l x M86.73 PER TRIP x x $486.73 PER TRIP $491.60 $0.00 TOTAL TRANSPORTATION SDC $491.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT COST: NUMBER OF FEU's I x x $242.76 PER FEU 522.05 PER FEU TOTAL MWMC SDC 9242.76 $22.05 ($5.8s) $ 10.00 $268.96 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE $2 55.99SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) 9l,ovoTu4"N;"t-ffi x 0.05 0512412000 $132.80 $2,788.79 DATE TOTAL SDC CHARGES PLUMBING FIXTURE I.INIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTF.: FOR RF.MODFLS CAI CI TE ONLY THE NET ADDITIONAI, FIXTI IRF,S) FIXTURES NEW Ot,D LINIT FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WAS}VETC. LAUNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAYALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE $4.47 $ 4.38 s 4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 s 3.38 s 3.03 $2.62 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 $2.18 $ 1.7s $ 1.35 $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.s7 $ 0.39 $ 0.18 1979 or before 1980 198 I t982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.39 IMPROVEMENT (IF AFTER ANNEXATION DATE) 15.000 ALENT PLUMBING FIXTURE UNITS 4 0 4 0 0 0 0 4 0 2 0 2 2 I 2 J 6 2 6 6 I J 2 I 2 2 I 6 4 2 2 2 U 0 0 0 12 0 0 0 TOTAL PLUMBING FIXTURE LTNITS:28 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL I 2 3 x x $s.8s $0.00 CREDIT TOTAL $5.85 S} GFIEL.) OREGONCITY OF SPR 225 FTrIIE,STREET .or9:!i3 ipnrllcrrel^D, oREGoN 97 477'roo|f,'ra\ INSPECTION REQUESTz 726-376P'Y OFFICE: 726-3759 1 ION. Permi ts re non-transfer if vork i of issuan 1.80 days. s not started vit PERHIT APPLICATION City Job 3. COHPI^ETE T'EE SCMDTII.E BELOII A. Nev Residential-Single or MuIti-FamiIY Per dvelling unit' Service Included:Items Cost a and expire n 1B0 days spended for 1 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling SerVice or Feeder Services or Feeders Ins tallation, Alterations or Relocation: 200 20t 401 60r. Over 1000 amPs/volts _- Reconnect OnIY I 3_45 $ 85.00 $ r.s.00 $ 40.00 s s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 Sum 8s ce or if vork is su 2. CONTRACTOR INSTALLATION ONLY B' Electrical contractor EA;TS|D€ €C('C' rNc' Address 3i).s3 Bo 'C.A&C LAke Ci ty -)LD Phone 7 v / -/y'ici Supervisor License Number 3c. /7 t Expiration Date- lO / - Oi C Constr Contr Number )l-/'77t) Expiration Date to-l-C)Q Signa ture of SuPervising Electrician D Ovners Name Add Ci ty Phone OVNER ALT.ATION amps or less ,rrp= to 400 amPs -amps to 600 amPS - amps to 1000 qmps_- TemporarY Ser Ins taIla t ion , vices or Feeders Alteration or Relocation $ 40.00 $ ss.00 $ 80.00 s see rrBrr a Sove- s 40.00 $ 40.00 $ 20.00 s 36.00 The installation is being made on property I ovn vhich is not intended for sale, lease or rent' Omers Signature: E 2oo amps''or l-ess -l-201 amps to 400 amPs --Over 401 to 600 amps - Over 600 amPs or l'000 volt Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional- Circuit or vith Service or Feeder Permit $ 3s.00 s 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation -- Sign/0utIine Lighting- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL DATE: RECEIVED BY: 5 Willamalane Park & Recreation District lu^''.DDbKqdJob. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:NAME: ADD LOCATTON OF PROPOSED BUILDING SITE: Stre Plat et Add 1. DEVELOPMENT TYPE (Check ype delinitions are on the back.) A. Single-Family Detached t Single Family home NO. OF UNITS _ Tax Lot Number: appropriate dwelling(s). SDC calcttlations and dwetling t Manufactured home not in a park x $1,ooo per unit = S '(0rr"r '@ ! NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS X $692 per unlt $ D. Manufaetured Home Park NO. OF UNITS X $699 per unlt WILLAMALANE SDC 2. SDC CREDTT ([ applicable) SDOpayer must fumlsh proof of Wiltamalane Credit approval. See SOC Credit Wotksheot. B. Single-Family Attached X $924 per unit 3. TOTAL WILLAMALANE N C ASSESSED (lf SDC reduced (or Credit) $ $ CD$ $ $ q I ON>@ Dateeve City of II Job# 00-00689-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 SPRINGFIELD TRftN,qS: fi1"-0**3TEI DftTt: ilf[ 0L Xilil,i ftl'lT tEfilt:L t lil.**Funrtrr,d a ErrUllnllul-{iF J,JU flACLJTf trI " f\11iJnrJl lILl\ ! LJ[.L 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2280 00036th Ct Spr AssessorsMap#: 17021900 Lot:112 Block: Addition Job Number: 00-00689-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 03400 Subdivision : Ambleside 1 st ctTY oF SPRINGFIELD, OREGOI' Owner: Dukes & Dukes Construction Co Address: Po Box 71095 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-461-5477 Eugene, OR 97401 Value: $145,938 Contractor Type GeneralContr Electrical Contr Landscape MechanicalContr Plumbing Contr Contractor Registration # Expiration Date Phone Dukes & Dukes Construction Co 65060 311612001 541-461-5477 Po Box 71095, Eugene, OR 97401 Eastside Electric lnc 117770 101412001 541-741-1499 38253 Boscage Ln, Springfield, OR 97478 H & K Landscape Contractors 541-744-1BBs po box 97, Walterville, OR 97489 Harvey & son Heating & Air conditi*, onin 55682 212612001 s41-746-7677 4680 Main St, Springfield, OR 97478-6054 Don Lewis Plumbing 33076 611012001 541-688-1931 500 Greenfield Street, Eugene, OR 97404 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Gas office use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1985 To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day :f the ntlas bY Required lnspections Buildin uullll lL illULll Site Verify Ground Rod Footing Foundation Post and Beam -To be made after excavation but prior to setting forms. -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. Job# 00-00689-01 Page 2 of 4 Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Wall lnsulation Drywall Special Final Building Temporary Power Rough Electrical Electrica! Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Backflow Device Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Mechanical Curbcut Sidewalk Street lmprovement: Fully lmproved Gurb Cut?f tmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Avaitabte? f Special Req.: Security Required: Required !nspections Building -Prior to decking. -Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. -See Plan Review and/or lnspectors Notes. -When all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbi -Prior to insulation or decking. -Prior to cover or placement of concrete. -Prior to cover. -Prior to filling trench. -Prior to filling trench. -Prior to filling trench. -After gravel and filter cloth is installed, but prior to backfill. -After device is installed but before backfilling trench. -When all plumbing work is complete. Mechanical I - Prior to insulation or decking - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te: -When all mechanicalwork is complete. Public Works I -After forms are ereceted but prior to placement of concrete. Sidewalk Type: Additiona! ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Curbside - 5' B To Storm Sewer o Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM Special lnstructions: DRAINS TO STORM SEWER STUB PROVIDED Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPtain? [ Wetlands? Journal numbers ,l: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees 2 3 Additional Requirements: LDAP Required t] Glenwood Area? ! Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Job# 00-00689-01 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z 2 Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? rl Area (Sq Main: 1985 Accessory420 Accessory Structure # Of Stories: 2 Height (feet): 27 Current Units: Proposed Units:1 Census Code:New SF - detached Total2405 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Additional Plan Check Hourly Plan Review Tota! Plan Check 06/1 9/2000 05/1 0/2000 2211 1 663 269 2 $268.73 $80.00 $348.73 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 06/19/2000 06/1 9/2000 06/1 9/2000 2211 2211 2211 145,938 $536.50 $37.56 $1 6.1 0 $s90.16 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/19/2000 2211 2211 2211 2211 2211 1 3 1 $85.00 $45.00 $40.00 $11.90 $5.1 0 $187.00 Plumbing Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing State Surcharge - Plumbing Backflow Prevention Device Administrative Fee - Plumbing Administrative Fee - Plumbing Total Plumbing 06/1 9/2000 1210612000 06/1 9/2000 06/1 9/2000 12t06t2000 12t06t2000 06/1 9/2000 1210612000 2211 3982 2211 2211 3982 3982 2211 3982 1 $.oo $5.00 $192.50 $13.48 $1.05 $10.00 $5.78 $.45 $228.26 Hood and Exhaust One to Four Outlets Mechanica! 06/1 9/2000 06/1 9/2000 1 1 .50 .00 $+ $z 2211 2211 1 Job# 00-00689-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/19/2000 06/19/2000 06/1 9/2000 0611912000 06/1 9/2000 2211 2211 2211 2211 2211 2211 2211 2211 1 3 1 1 $.00 $.87 $6.00 $9.00 $4.s0 $3.00 $10.00 $2.03 $41.90 New Sidewalk New Curbcut Total Public Works Public Works 06/1 9/2000 06/19/2000 2211 2211 70 1 $60.00 $60.00 $120.00 System Development Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/19/2000 06/1 9/2000 06/1 9/2000 2211 2211 2211 2211 2211 2211 2211 2211 2,344 28 1 1 1 1 15 $543.87 $1,351.56 $491.60 $242.76 $22.05 $10.00 $132.80 $-5.8s $2,788.79 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 06/19/2000 2211 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Don Moore Date Completed 0512212000 05t24t2000 05t25t2000 06/1 5/2000 $5,304.84 Comment NO OCCUPNACY UNTIL CITY ACCEPTS INFRASTRUCTURE )z 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 Springfield 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 701.055 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 street, 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 times during construction. :_Z Sigf,ature / <-Date CITY OF SPF"VGFIELD, OREGO'V DEV ELO PM ENT SE RVI C E S D EPARTM ENT SPR. FIELO OFFICE: INSPECTION LIM: 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 BACKFLOV PREVENTION DEVICE PERI.IIT APPLICATION CITY OP SPRINGFIELD BUILDING SAFETY DIVISION 225 FIT'TH STREET SPRINGFIELD OR 97477 726-37s9 726-3769 JoB L0cArroN: Z-D ? L+J <* S;cl,ofi.)J,n& ?zqzz J rAX LOr *: O3qtrASSESSORS MAP #: 0lINER: \.*,* 70 OO (1.o.e,-0 ADDRESS: P,O.9ox ?7 PEOM *: 7 qq - /gg tr CITY:l^l=-\ \-.^t,,i ))e STATE: OL ztpr9z q,5? BACKFLOV PERMIT IS $15.00 + 1.05 (STATE SIIRCEARGE) + .45 (ADI'{IN. FEE) = $16.50 CONTRACTOR:re- ADDRESS:P.u Bnx 9 7 PHOM #:7qy-/?gJ- CITY:l"a ) +*."-; ))"STATE:o{L zrPz ?7Y37 CoNSTRUCTTON CoNTRACTORS REGTSTRATT0N *: GB / {EXPIRES: BY SIGNING THIS PERI,IITIAPPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THB BACKFLOI{ PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION (726-3769). r ALSo STATE TEAT ALL rNFoRl,rATroN 0N TErS PERUTT/APPLTCATToN rS CORRECT. C/* L lL -SfcN/'fuRE ' d DEI-E-7 7 FOR OFFICE USE DATE OF APPLICATTON:/2.GoO RECEIPT #: 3"5 Z ISSIJED BY: roB #: CD 4A 697-0 t TOTAL AMOIJNT COLLECTED:/6f- b4 b:3 --{-+ E:,:{|DD;{11z.rnmtDrf,.. *F(=E .,.. t.IOHt-lp IrJl (3 of,r..c)I.J O(3 r.J L.J. (3..O c:> c) cof3 (3 I'J rl-rfD:E-com-mm{*7).. L"IO"cr..LnH(} - OO 09 : 18A Mort 1 Eng & Bu i I dj ng De, <54 . 4E.4_ 6A59 MORTIER ENGINEERING , P.C. I2.'5 PEARL STREET EUGENE, OFIEGON 9740.t PHONE (541) 484.9O8O. FAX (541)484_6859 rcLr. FREE tN ORECjON 1.877_661.9959 P-O1 STRUCTURAL BUILDING DESIGN . FIRE PROTECTION CODE CONSULTANT . PIAN CHECKING CONSTRUCTION INSPECTION June 15,2000 Dukes & Dukes PO Box 71095 Eugene RE paction Test - BP # 00-00689-01 - W.O. # 12BOZ_TJM As you reque , a compaction inspection of the gravel under the proposed foundationhas been performed on this site in preparation for the construction involving foundations for the proposed residence. The excavation involved the placement of 3/4, minus crushedrock. Please see the site/soils investigation by Mortier Engineering, p.C. dated 5/30/OO formore inforrnation. The compaction of the gravel surface is greater than g5o/o of a standardproctor. per ASTM D698-91. (See attached sheet.) I hope you find this report adequate for your purposes at this time. Thank you for thisopportunity to be of service. Please contact me if you have further questions. Very truly yours, o IN ,00e4PE + Y L <1 b/q* F.rylres Owen Grover, P.E TJM/mm i*'1,,- 2280 36th Street tr.l.-',,.u 1.) ,,t Il(I il \ 9-OO 09:1BA Mort MORTIER ENGINEERING , P.C. I245 PEART STREET [ I.]G€NE OREGOf{ 97401 PHOh,€ (54 r ) 484-9OBO . FAX (5.4 I ) 4E{ 685S TEST NUMBER I TEST LOCATION Eng & Buitding De (_.__r )4t.4_6a59 P_O? STBUCTURAL ^B-UIL.OING DESIGN o FIBE PRoTECTIoN CODE CoNSULTANT o PLAN CHEcKJia CONSTRUCTION INSPECTION - -- Per ASTM D 15S5 w.o # 12_80 DATE OF TEST,lll4,'t.a,, TEST 8Y ll,'IATE R IAL TE STED (By visuat observation) UNIT WEIGHT OF SAND USED FOF THIS SAMPLE Ps (sand) = VOLUME OF CONE (Vr) = g .0389 ft"3 t\ FIELD TEST DATA lnrtial Weighr of Jar + Sand (Wr) Weight of Jar + Sand after fest (Wz) Volume of hole, Wr-Wz _ Vr _ Vz Pt Werght of soil sarnple (Ws) = Moist unit weight of soil pm = Ws * Vz Moisture content of sample, Wy" - (weioht eoist)-(weioht drv) X 1O0 (weight dry) Dry Unit Weight of Soilpo = p- MOISTURE CONTENT R, 1 + W9/" 100 weight of )ar net weight C- ,o)13lr ' 0 o C Wet weight Dry weighl T '4'1 FIELD UN'T WEIGHT. SAruO CONE M ETHOD + ljl , s:e* Jun-19-OO OZ:37p Mortier Eng & Buil ding De (S4t )4a,4_6A59 MORTIER EN GINEERING, PC. P-Ol STRUCTURAL BUILDING DESIGN ' F]RE PROTECTION CODE CONSULTANT . PI.AN CHECKING CONSTRUCTTON INSPECTION 1245 PEARL STBEET EUGENE, OREGON 9740'i FionE (s41) 484-9ogo. FAx (541) 484-5859 TOLL FdEE iru oneooN 1'877'661-995e May 30, 2000 Dukes & Dukes PO Box 71095 Eugene, OR 97401 RE: 22gO 36'n Court, Springfield - Sitelsoils lnvestigation - W.O. #12802-OLG As you requested, a site/soils investigation was performed atthe above noted address on May 25, 2000. Design for the site is as follows: Allfill, vegetation, and unbuildable materialhas been removed to native grade. The native ,o1 i, " ,ity clay ioam with a Unified Soils Classification of ML and a plasticity index.of less than 20. rtris s6it is considered a low to moderately expansive clay (after HolE 1959). The grarer pad for the building site should be a minimum of 4" of compacted crushed rock pir""o iritn " tracked dozer or excavator, and compacted with a vibratory plate or roller. The site should be profiled so that storm water wil! drain off the supporting soils. I hope you find this report adequate for your purposes.at this time. Thank you for this oppi.trnity to be of service. lf you have further questions, please do not hesitate to contact me at 484-9080 Very truly yours, {uo Edrc fiu! 6l Owen Grover, P.E. OLG/mm Stlso.li Stafld.rd , ol pageB >I -l-o I ( C, LJ C}Cpr.Phon., -42+-,'r,) .t Post-lt* brand fax transmittal memo 75n