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Home My WebLink AboutPermit Building 2004-09-10Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 2297 37thst ASSESSOR'S PARCEL NO.: 1702194309400 PROJECT DESCRIPTION: Ambleside lst lot 162 - SFR Owner: GREG LARI(N Address: PO BOX 2041 CORVALLIS OR 97339 Building/Combination Permit PERMIT NO: COM2004-00641 09110t2004 )rou to Utility Contractor Type General Electrical Mechanical Plumbing License 134566 54468 I ts4t66 4687 I ose 07t25t2008 541-967-704s 541-928-2423 541-928-7927 Springfield bF for the the Phone Number: 541-726-0330 Phone 541-367-1618 Contractor RIVER VALLEY BUILDERS INC G&EELECTRICINC MIDWAY MECHANICAL INC MIDWAY PLUMBING INC tH THi IS ABA t0D. CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # ofStories: 2 Height of Structure 28.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 u-1 VN 1,210 1,436 704 4 18.00 7.00 15.00 10.00 27.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: ,, Yes 35.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' To Storm Sewer Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved yes Storm sewer is to be directed to stub located onsite. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page 1 of4 L t ul.t lrll\u rl\IiuKlYlA.t!!_rN_l 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: COM2004-00641ISSUED: 0911012004APPLIED: 05/2812004EXPIRES: 03/1012005VALUE: $ 261,597.00 Description Dwellinss Garage Fee Description PIan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 PIan Review - Planning Plan ReviedResidential Hourly PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC I{WMC 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 + l0%o Administrative Fee + 7Yo State Surcharge Total Value of Project Date Paid Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,646.00 704.00 5t28t04 7n3t04 7n3t04 7tr3t04 7n3t04 7tr3t04 7n3t04 7n3t04 7ll3l04 7lt3t04 7lt3t04 7fi3104 7tr3l04 7n3104 7n3t04 7n3t04 7n3t04 7n3t04 7fi3t04 7n3t04 7n3104 7n3t04 7n3t04 7n3t04 7n3t04 7n3t04 7fi3t04 7n3t04 7n3t04 7n3t04 7lt3t04 7n3t04 7lt3l04 9n0t04 9fio104 Value $244,490.40 $17,107.20 $261,597.60 Date Calculated 0st28t2004 05t28t2004 Amount Paid Receipt Number 1200400000000000829 120040000000000r077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 r200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 r200400000000001077 1200400000000001077 1200400000000001077 r200400000000001077 r20040000000000r077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 r200400000000001077 1200400000000001077 3200400000000000246 3200400000000000246 $709.90 $10.00 $152.42 $r06.69 $306.00 $3r.00 $-1s2.11 $6.00 $1,092.15 $35.00 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $71.00 $90.00 $-30.00 $499.09 $656.56 $10.00 $214.23 $314.63 $112.31 $50.62 $727.42 $164.89 $7s.00 $823.89 $s0.00 $24.00 $1,000.00 $20.10 $14.07 Pase 2 of 4 T ffi.1 Valuation Descriotion I Fees ratd I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa,x 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-0064LISSUED: 0911012004APPLIED: 05/2812004EXPIRES: 03/10/2005VALUE: $ 261,597.00 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Total Amount Paid $106.00 $9s.00 $7,506.86 9/10t04 9fiot04 3200400000000000246 3200400000000000246 PIan Reviews Initial Review Planning Review Planning Review Public Works Review Structural Review Structural Review 06t0u2004 06t0u2004 06t0u2004 LLH EMM APP WE 06t22t2004 06t22t2004 APP EMM 06t0u2004 06t08t2004 APP MS 0610u2004 06t28t2004 wE DLM 07t06t2004 07n2t2004 APP DLM Does not meet solar setback. Left message for Greg Larkin doptions to meet. Setbacks changed to 11r on both side setbacks to meet solar setback standard 61812004 - Applicant plans to filI out and submit an overwidth driveway application as per telophone conversation on 6/8/2004. The applicant stated they have an overwidth application, therefore one is not included in this packet. - MAS Lateral analysis does not agree with building plans at rear wall and at upper floor diaphragm. Beam calculations in some locations do not agree with beam information on drawings. Called contractor and designer requesting corrected information. Project is on hold until resolved. 612912004 dlm Builder submitted revised engineered calculations for lateral bracing and beams 716104 dlm To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work day. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Site Inspection: To be made after excavation but prior to setting forms. Reouired Insneet Page 3 of4 T ffi Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00641ISSUED: 0911012004APPLIED: 05/2812004EXPIRES: 03/1012005VALUE: $ 261,597.00 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 finish 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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 lilling 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. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 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. Pre. ,a A rnrJ lJ q o c Owner or Contracto,,Sign irr{Date Pase 4 of 4 L Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 InsPection Line Building/Combination Permit PERMIT NO: COM2004-00641ISSUED: 0711312004 APPLIEDz 0512812004 EXPIRES: 01/1312005VALUE: $ 261,597.00 SITE ADDRESS: 2297 37thst ASSESSORTS PARCEL NO.: 1702194309400 PROJECT DESCRIPTION: Ambleside lst lot 162 - SFR Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS OR 97339 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PhoneNumber: 541'726-0330 Contractor Tvpe General Electrical Mechanical Plumbing G& # of Units: Primary Occupancy GrouP: Secondary OccuPancY GrouP: Primary Construction TYPe Secondary Construction TYPe: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # ofStories: 2 Height of Structure 28.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Co Expiration Date 041151200s 0911512007 01/30/2005 0712512004 Phone 541-367-1618 541-967-7045 541-928-2423 s4t-928-7927 I R-3 u-1 VN 18.00 7.00 15.00 10.00 27.00 1,210 1,436 704 4 REQUIRED PARKING Total: 2Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of ${E $\[\tni.;aPPed: 1 $B Street Improvements: Storm Sewer Available: Special Instruction: Notes: Fully Improved Yes Storm sewer is to be directed to stub located onsite. rs Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer Page I of4 I Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 InsPection Line Building/Com bin ation P er mit PERMIT NO: COM2004-00641ISSUED: 0711312004 APPLIED: 05/2812004 EXPIRES: 01/1312005VALUE: $ 261,597.00 Description Dwellings Garage Fee DescriDtion Plan Review Residential -Mechanical Issuance Fee- + 10o/o Administrative Fee + 7o/o State Surcharge 3 Baths One & Two FamilY Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut - Overwidth APPI Curbcut Permit Dryer Vent Exhaust Iloods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning Plan ReviedResidential HourlY PW Mult Disc - 2nd Permit Sanitary Sewer - ImProvement Sanitary Sewer - Reimbursement SDC NIWMC Administration SDC MWMC ImProvement SDC NTWMC 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 Value of Project Date Paid Receipt Number 1200400000000000829 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 120040000000000r077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 1200400000000001077 Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,646.00 704.00 Value $244,490.40 $17,107.20 $261,597.60 Date Calculated 0512812004 0s12812004 Amount Paid $709.90 $10.00 $152.42 $106.69 $306.00 $31.00 $-1s2.11 $6.00 $1,092.15 $35.00 $7s.00 $6.00 $9.00 $12.00 $15.00 $4.00 $71.00 $90.00 $-30.00 $499.09 $656.s6 $10.00 s214.23 $314.63 $1123r $s0.62 $727.42 $164.89 $7s.00 $823.89 $50.00 $24.00 $1,000.00 5128104 7tr3l04 7n3t04 7tr3l04 7lr3l04 7t13104 7ll3l04 7n3104 7lt3l04 7lt3l04 7tr3l04 7ll3l04 7n3104 7ll3l04 7ll3l04 7tr3l04 7ll3l04 7n3104 7fi3104 7ll3l04 7lt3t04 7n3104 7ll3l04 7lt3l04 7t13l04 7ll3l04 7lt3l04 7ll3l04 7fi3104 7n3104 7n3104 7ll3l04 7ll3l04 ['ees Paid Total Amount Paid $7,271.69 Paee2 of 4 \ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00641ISSUED: 0711312004APPLIEDz 0512812004EXPIRES: 01/1312005VALUE: $ 261,597.00 Plan Reviews Initial Review Planning Review Planning Review Public Works Review Structural Review Structural Review 06t0U2004 06t0U2004 LLH EMM 0610u2004 APP 06t22t2004 06t22t2004 APP EMM 06t0u2004 06t08t2004 APP MS 06t0u2004 0612812004 WE DLM 07t0612004 07112t2004 APP DLM Does not meet solar setback. Left message for Greg Larkin w/options to meet. Setbacks changed to 11' on both side setbacks to meet solar setback standard 61812004 - Applicant plans to fill out and submit an overwidth driveway application as per telophone conversation on 6/8/2004. The applicant stated they have an overwidth application, therefore one is not included in this packet. - MAS Lateral analysis does not agree with building plans at rear wall and at upper floor diaphragm. Beam calculations in some locations do not agree with beam information on drawings. Called contractor and designer requesting corrected information. Project is on hold until resolved. 612912004 dlm Builder submitted revised engineered calculations for lateral bracing and beams 716104 dlm WE To Request an inspection call the24 hour recording at 726-3769. All inspection 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 work day. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Site Inspection: To be made after excavation but prior to setting forms. 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. Paee 3 of4 Reouired fnsnecfions 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: COM2004-00641ISSUED: 0711312004APPLIED: 05/2812004EXPIRES: 01/1312005VALUE: $ 261,597.00 Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 OCCUPAIICY 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 inspections are requested at the proper time, that each address is readable from the street, that card at of the property, and the approved set of plans will remain on the site at all times \7-oI Owner or Contractors Signature Date Page 4 of 4 X]T 225Bifth Street Springfield, Oregon 97 477 541-726-3759 Phone APETN&:I'LD -ity of Springfield Official Receipt -.<revelopment Services Department Public Works Department RECEIPT #: 1200400000000001077 Date: 0711312004 11:16:35AM Job/Journal Number coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 Description Curbcut Permit Curbcut - Overwidth Appl Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC IvtWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1979 or Before Storm Drainage Impervious Area Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets l-4 Gas Fireplace -Mechanical Issuance Fee- + 7%o State Surcharge + l0% Administrative Fee Sidewalk Permit PW Mult Disc - 2nd Permit Plan Review - Planning Plan RevieWResidential Hourly Amount Due 75.00 35.00 656.56 499.09 164.89 727.42 314.63 214.23 10.00 tt2.3t 50.62 (152.1 l) 823.89 31.00 1,000.00 50.00 1,092.15 306.00 12.00 24.00 6.00 9.00 6.00 4.00 15.00 10.00 106.69 152.42 75.00 (30.00) 71.00 90.00 Item Total:$6,561.79 Payments: Type of Payment Paid By unecKNumber Autnorlzatron Received By Batch Number Number How Received Amount Paid CreditCard GREG LARKIN djb 000438 169459 In Person $6,561.79 Payment totat: -56ffif- 7n3t2004 Page I of I : D EV ELO P M ENT SERVICES D EPARTM ENT January 28,2005 Carolyn Winings 2297 37il' Street Springfield,OR 97477 RE: Address Verification DearMs. Winings: SPRll. r.D Springfield Utility Board Lane Council of Governments 9l I Dispatch, Public Safety Lane County Elections Sanipac US West Communications Lane County Assessment & Taxation 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753. FAX (541) 726-3689 www. ci. s p ri n gf i e I d. o r. u s This letter is written to verifr the address of your single family residence on property known as Lane CountyReference Number L7021943, Tax Lot 09400. The structure is commonly known as2297 37th Street, Springfield, Oregon. I will be notiffing the following agencies of this address verification by sending them a copy of this letter: Springfi eld Police Department Springfi eld Fire Department U.S. Post Office U.S. West Communications Northwest Natural Gas AT & T Broadband Rainbow Water District If you have any questions, please feel free to me at726-3790 Sincerely, Lisa Building Safety Supervisor crrY oF Sf,NGFTELD. OREGON t 225 FIFTH STREET . SPRINGFIELD, Ox^97477 o PH:(541)726-3753 a City Job Num PERMIT APPLICATION Y/ out. q -0 I Qc a ')1 4or oi 3alql 3?( St LEGAL i'7 0 8t\qt1+30 -A. 0tt e JOB DES ON A€,W HMSA Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,, Electrical Contractor 6(F E\ect(ic,Ia6 Address ?o box IABC Ciry J'1 Phone 5Yt' Qtot- Be zt 601 Amps to 1000 Amps ou"' l6&T{S[cvolts 4ttzt Supervisor License Number &h0s Expiration Date () Constr. Contr. Number w 5'.1 qb I Expiration Date 06 Signature of Supervising Electrician D. C t O\IT.IER INST The installation is being made on property I own which is not i:rtended for sale, lease or rent, Or*ners Signature 7%o State Surcharge l0% Administrative Fee Recongp({pffbfr t'v1 lT S H ALL EXPtFtFtH DER lHISPERIIII ANY 180 DAY Installation, Alteration or Relocation 200 Amps or less. $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "8" above. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 4oe l&.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 43.00 $ 3.00 C. Z E Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges ao/.oo c Qo.la $ 50.00-----------.r'" $ 50.00 s 2s.00 $ 45.00 4 rorAl 23 f, t-7 Shared Driv{T:/Building Forms/Electrical Pennir Application I -03.doc Inspection Request: 726-3769 l. Oregon $ 63.00 s 7s.00 $ r 25.00 $ 163.00 unit. reoo 95-00 Installation'') 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone nrly of Springlield Official Receipt --evelopment Services Department Public Works Department RECEIPT #: 3200400000000000246 Date: 0911012004 2zttzzePM Job/Journal Number coM2004-00641 coM2004-00641 coM2004-00641 coM2004-00641 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + l%o State Surcharge + l0% Administrative Fee Amount Due 106.00 95.00 14.07 20.10 Item Total:$235.17 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check G & E ELECTRIC,INC.njm 08576 In Person $235.17 Payment Totat: -Sffi 911012004 Page I of I ffiT}E ,"'*'oq ...9 225 FIFTH STREET . SPRINGFIELD, Old-97477 o PH:(541)726-3753 o FAX: (54L\726-3689 E LE CTRI CAL P E RMIT AP P LI CATI O N City Job Number (Ctrt Z*c,.tl -U & Date aI rl 3. brtlo a Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. JOB DESCRIPTION ae:a €?oterV Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling or Feeder rcqdltQB fulBq Reconnect Only per drvelling unit. $ 106.00 $ 19.00 $s0.00 Contractor Address City Supervisor License N Expiration Date Constr. Contr Owners Address Installation, Alteration or Relocation , 200 Amps or less ( 201 Amps to 400 Amps 401 Amps to 600 Amps 1t\t Over 600 or 1000 Volts see "B" above. s 50.00 $ 69.00 s100.00 $ 3.00 not included) -Each Installation $ 50.00 $ 50.00 Yotl -o 3 $ 63.00 $ 7s.00 sr25.00 $163.00 $375.00 $ s0.00 C. SO S D 1) Pump or irrigation Sigrr/Outline Lighting Phone OWNER INSTALLATION The installation is being made on property is not intended for sale, lease or rent. Owners \S 00 2 L.,2.,* Z5 I own which Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges >c-/(7P7Yo State Surcharge l0% Administrative Fee TOTAL SA of Supervising Electrician Inspection uest: 726-3769 4. Shared Drive(T:/Building Forms/Electrical Permit Application l-03.doc E. fi'ET SLBTOTAL OFABOW CITY OF SPRINGFI ELD SYSTEMS DEVELOPM ENTWORKSHEET JOURNAL OR JOB NUMBER: COM2004-00641 NAME ORCOMPANY: LOCATION: TAX LOTNI..IMBER: DEVELOPMENT TYPE: NEWDWELLINGUMTS Larkin 17021943 Tax Lot 09400 SINGLE FAMILY DIRECT RTNOFF TO CITY STORM IMPERVIOUS S.F. x IDI COST PER S.F s0.2901.00 RI.JNOFF ROUTED TO DRYWELL IMPERVIOUS S.F 0.00 ITEM I TOTAL - STORM DRAINAGE SDC A REIMBURSEMENT x COST PER DFU s22.64 B. IMPROVEMENT COST: BUTLDTNG SIZE (SFl 0 LOT SZE (SF): CIIARGE $823.89 AND CONSTRUCTED TO CITY STANDARDS 3 u22 x x x x x x DISCOI.]NTRATE 50% $823.89 DISCOUNT $0.00 ITEM 2 TOTAL. CITY SANITARY SEWER SDC $1,155.65 3. TRANSPORTATION A REIMBURSEMENT COST: NLIMBER OF DFU's 29 ADTTRIP RATE 9.57 COST PER DFU $17.2r NUMBER OF UMTS I COST PER TRIP sr7.23 COST PER TRIP $76.01 $8923r NEW TRIP FACTOR 1.00 NEW TRIP FACTOR r.00 xx xx B.IMPROVEMENT NT'MBER OF UMTS I ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER- MWMC A COST: B. IMPROVEMENT COST: NLIMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REYERSE) MWMC ADMIMSTRATIVE FEE ITEM 4 TOTAL - MvrMC SANITARY SEWER SD( = STJBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: ADM. FEE RATE 5o/o $386.7s CHARGE $r62.93 TOTAL SAI.{ITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIMSTRATION FEE Matt Stouder 6/812004 COST PER S.F $0.290 NUMBER OF DFU's 29 $499.09 $164.89 $727.42 $31 112.31 $3,421.53 1070 1091 1092 1093 1094 1055 1054 1056 1079 1078 a E]ooU HFa E]& rcEIL ADT TRIP RATE 9.57 NTIMBEROFFEU's I COST PER FEU $3 14.63 COST PER FEU $214.23 2s8.60 SUBTOTAL PREPARED BY DATE TOTAL SDC CI{ARGES $3.258.60 x x SF'R!NGFIELD DEVELO PMENT SERWCES DEPARTMENT November 30, 2001 Iaterested Agencies RE: Sreet Address changes in Ambleside Subdivisio4 First Addition The following addresses have been changed in Ambleside subdivision' First Addition LotNumber CurrentAddress New Address 225 FIFTH STREET SPRINGFIELD, OB 97477 (541) 726-3753 FAX (541) 726-s689 163 t62 161 120 119 118 The following agencies are being notified of these changes: Springfield Police DePartaent Springfield Fire DePartnent U.S. Post Offrce U.S. West Communications NorthwestNatural Gas TCi Cable United Parcel Service 2299 376 Street 2297 37n Steet 2293 37b Steet 2288 37e Steet 2296 376 Street 2298 37ft Steet 3679 Osprey Drive (Lot 118 is a duplex lotand if the development takes access from Osprey Drive,.the address will remain the same as originally assigned from Osprey) Springfi eld UtilitY Board Lane Council of Governments 911 Dispatcb, Public SafetY Lane County Elections Deparhnent Sanipac Rainbow Water District Springfreld News/Register Guard 2295 37b Steet 2293 37e Steet 2287 37b Steet 228437h Steet 2288 376 Steet 2294 37b Steet 3679 Osprey Drive This change is effective imurediately. If you have any questions, please feel free to phone me at726'3790' Sincerely, Lisa Hopper Building SafetY SuPervisor N 2 of 5 LOTS 8/t-lo4 Al'lD 130-1/+8 3 of 5 LoTS 121-129 Al.lO 1.+9-160 4 of 5 LOTS 81-8J. 1O5-12O AID l6t-172 5 of 5 SURI/EYOR'S CETIIRCAIE. DECIARAIIoi{, ACKNOW.EDGEMENT AI'ID APPROYAIS . ,eT-L m0e00E35E 0:59:0E flt e2/ll,2eeCnPisuBDl - lca${IER05t-oo.3t.oo. lt.re . <-.-€< FOUND 3,/4"IRON 6825. 25766 AND 54925 SECTION t 9, F SECTION 30, TE MERIDIAN IREGON 1 00' PART}'ENT i9'Ji l..u is'rz,,w ss.or.1]* i9'J7,.W i9'37"W 25.o0. 9'J7"W 25.O0'.-_ ,9'37',W 25.00.1 4'54"W 99.87. 4',54"W 99.87.I4 ?lto'4o"W 2t.OO.)'40,,w 21.O0,1 r'20"E 60.oo''ao.E 60.oo.l-lf '3J.W 61.'JJ',W 6l r27,,E 1 1.55.r'27,,8 l1.ss.I '5f,"WJ3f"w 4'3J"W r'f,J"w 27.50' iECORIIED ot+rJfsLJ-fr,2Qod COUNTY CLERI(. *fua-AAA:l!, "f;S"3"J"'" ls 87.58'll "E JOHN P. TACCHINI, s 87.58'l I "E[s 87'56'r l "E N O2'O1'/tg'E 9J.O0'6 [N 02"01.49,,E gJ.oo'] s E7.58'll"E FOUND RAILROAD RAIL W/PUNCH MARK PER C.S. 25766 Al.lD 34923 s 87.5E't .t "E 595.0r (s. a7.ss.1 r"E sss.br,1 s 67.58.1 r-E(s a2.s6.11.9 J3J.67') NOT IRON ROD PER c.S. 83"1 3'4 60.05' FOUND 5,/8" IRON ROO PER c's' 25766 AND J492 19.34' t 9.J4',l \ Lt N 141 a7'27',+6"E 87'27'+6'e lt 10 IN J7"54'28'El' Ir4r.06'] N lN 187.45' t87 9 12 [N IJl,i15l6 hiroo! 336a ?? F. r. F:. AYN 5509, 27 4 i 59.82'4t w ss.ozTrS =1(s 8J'r3'41"w) (8o.o5').5',45"w i'45"W TTIAL 24 FOUNO 5rl/r,,|RON ptpE c.s. 15777 AND J492J PER NOTE: THIS SUBDMSION IS SU&JECT TO ANO AS DEEDAND s 87.58'r 261 87"58.26rl"E(s .J4') 171 75% 170 %'b r67 r66172 6B t69 SaA t68 Zbz F n N 1 64 t1009 117 r63 t62 I 60.51' E7 so.oo' 108t,l I 55./t7' 86 55.47' 85 107 12'.1 160B N 99 r00 102 l0/t t0s c.s.25766 & J,+925 159B N 121 129134t36 J9"E 158 o. N 15015r1t2 '139 1,10 t57$ OSPRRY DRNIE A EI5rorot E!6:o!AA El.I& E.J" td E<oo II I IFrEI;EII E!artIElrF.l El FAICON DRTVE I - -rA- -_ _ _ _ _ _ _ __---a- - -'----A-A a|--a--_a_ I I i I i I i I I --'--'-*-"-'- N 47'r4'5J"E A- ffi"I /+9 ?Tn4177 147 142 1 ,45 111 1,13 I S 19-+ JO AMBLESIDE MEADOI.IS SUBDIVISION FIRST ADDITION AND AS o5699 18 PG.BK PRNAIE 5 (s BEARINGSOF s65.32') c.s. 54925PER BASIS rr5 155154 152 14E