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Home My WebLink AboutPermit Building 2003-05-19Ltl Y u-t( srKl]\Glllrl,D Burtdin g/C ombin ation Permit Status: Issued 225 Frtth Street, Springfield, OR 547-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line PERMIT NO: COM2003-00228ISSUED: 0511912003 APPLIEDz 0410212003E)GIRES: 1210312003VALUE: S 158,681.60 SITE ADDRESS: 2299 37th Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1702194309500 TYPE OF USE: pRoJECT DESCRIPTION: River valley Builders Single Family residence Single Family Residence New Residential Phone Number: 541-726-0330Owner: GREG LARKIN Address: PO BOX 2041 CORVALLIS OR 97339 INFORMA Contractor Type General Electrical Mechanical Owner Plumbing Contractor RIVER VALLEY BUILDERS INC G&EELECTRICINC MIDWAY MECHANICAL INC GREG LARKIN MIDWAY PLUMBING INC License 134566 54468 154166 4687 Expiration Date 04/l 5/2005 09/r 5/2003 0l/30/2005 07t2s12004 Phone 541-367-l 6l 8 541-961-7045 541-928-2423 5,ll-726-0330 541-928-7927 # of Buildings: Primary Occupancy GrouP: Secondary Occupancy Primary Construction TYPe Seconda ry Construction # of Bedrooms: I R-3 # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: 2 Forced Air Gas Cas Gas Path 1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area 1,016 964 636 356 VN 3 DEVELO PMENT INFO RMAT ION SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 22.00 24.00 15.00 Overlay Dist: # Street Trees Paved Drive Rqd: o/" of Lot Coverage: 1 Yes 25.00 REQUIRED PARKING Total: 2 Handicapped: Compact: 39.00 25.00 PUBLIC IMPROVEMENTS Street Storm Sewer Available Special Instruction: Fully Improved yes 24ft max. for driveway throat. Sidewalk Type: Downspouts/Drains Curbside 5' Curtr and Gutter Notes: | ^t I It u ILUI l\ G r1.\ lll5_lY!ryJ Lr l Y uI srl(Il\Gr tLLt) Bundin g/C ombin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-00228ISSUED: 05i19/2003APPLIED: 0110212003 EXPIRES: 1210312003VALTIE: $ 158,681.60 Valuation Description Desc ription Dwellines Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $74.60 $19.60 Square Footage or Bid Amount I,960.00 636.00 Value st 46,216.00 s12,465.60 $158,681.60 Date Calculated 04t02t2003 01102t2003 Total Value of Project Fees Paid Fee Description Plan Review Residential -Mechanical lssuance Fee- + l0oh Administrative Fee + 7oh State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets l-4 PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Server - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo lmprovement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + l0oh Administrative Fee + 77o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Paid $492.31 $r 0.00 $r 18.94 $83.26 s306.00 $8.00 s-168.80 s6.00 s757.40 s75.00 s6.00 s9.00 $12.00 $r 5.00 s4.00 $-30.00 $436.54 $s74.34 $r 0.00 $34.83 $332.86 $98.30 $46.91 $709.8t $160.87 $75.00 s8l3.7l $50.00 $24.00 s1,000.00 s18.20 s12.74 $r 06.00 $76.00 Date Paid 4t2/03 sn9t03 5/19t03 5fi9t03 sn9t03 5/19t03 5/19/03 5/19t03 5fi9t03 5/19t03 5/r 9/03 5n9t03 5/l 9/03 5/l 9/03 5/l 9/03 5^9t03 5/l 9/03 5/r 9/03 5/r 9/03 5lt9t03 5/r 9/03 5n9/03 5/r 9/03 5n9t03 s/r 9/03 5/r 9/03 5/19/03 5n9t03 5/r 9/03 s/r 9/03 7nv03 7 nll03 1fiU03 7 fi1t03 Receipt Number 220020000000000068 r l 200200000000001 239 I 200200000000001 239 I 200200000000001 239 l 20020000000000 l 239 l 20020000000000 l 239 I 200200000000001 239 r 200200000000001 239 I 200200000000001 239 I 20020000000000 l 239 l 200200000000001 239 l 200200000000001239 l 200200000000001 239 I 200200000000001 239 r 20020000000000r 239 r 200200000000001 239 l 20020000000000r 239 r 200200000000001 239 1 20020000000000r 239 l 20020000000000 1 239 I 200200000000001 239 I 20020000000000 I 239 l 20020000000000r 239 l 200200000000001 239 I 200200000000001 239 l 200200000000001 239 I 200200000000001 239 I 20020000000000 I 239 r 20020000000000 l 239 1200200000000001 239 220020000000000 l 230 220020000000000r 230 220020000000000 l 230 220020000000000 I 230 ^f .t _____ haed 225 Fifth Stree( Springfield, OR 541-726-3753 Phone 541-726-?:676 Fax 541-726-37 69 Inspection Line PERMIT- ISSUED: APPLIED EXPIRES: VALIIE: NO: COLI2OO3-OO22a o5/19/2003 04t02t2003 12t03t2003 s 158,681.60 Total Amount $6,284.22 ReviewsP Initial Review Planning Review Public Works Review Structural Review 04t0312003 04t0312003 0lt0312003 05/09/2003 APP APP RJB AJD 0s/09/2003 05n312003 APP VRJ 04t03/2003 05/01/2003 APP RJB Hillside Lot-Lot Coverage not to exceed 357o including all impervious surfaces. No oversidth driveway application. 24 Foot max. for drivewaY throat' Talked with Dave Puent 5/15/2003 2:25pm regarding the received and completed date on Permit. I made a mistake on the month, the Permit was reviewed not in APril, but MaY by PW. I have corrected the dates, please see the above received and completed date. 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. I 2 1 Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: After all erosion measures are in place' 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. Founclation: 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 lnsulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special lnspection performed prior to placement of concrete. Provide report to City Building Inspector. flnat guilding: 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. 1 5 6 7 8 9 r0 il t2 13 leouired Insnections l4 l5 l6 t7 l8 l9 20 2l lhtw; \ L,lt Btmding/C, y lJ-s .)fftzY(; t1 ULr-n ombination permitStatas: Issued 111tiftt Shut SpringfieL, oR 541-726-3753 Phone 541-726-3676 Fax 5 4l -7 26-37 69 Inspection Line PERMIT ISSUED: APPLIED: E)PIRES: VALIIE: NO: CONI2OO3-OL228 o5/19/2003 04t02t2003 12t03t2003 $ 158,681.60 22 ,1 24 7i 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 Electric Servicel Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 26 27 28 29 30 3l 32 34 By signature, I state and agree, that I have carefully examined the completed application and do hereby certif that all informafion hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of theCity of Springfield and the Laws of theState of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Seruices Division, Building Safety. I further certifo 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 readahle 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. Orvner or Contractors Signature a -c I Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department 0 ate I coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7%o State Surcharge + l0% Administrative Fee 106.00 76.00 12.74 18.20 Item Total:s212.94 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check G & E ELECTRIC,INC Jmp 6885 In Person Payment Total:$212.94 $212.94 225 FIFTH STREET ' SPRINGFIELD, OR 97477 o PH ELECTRICAL PERMIT APPLICATION ciq"Job Number CI)y(ze] oo'Z78lsps LEGAL DESCRIPTION ri-l0"- \ 1 4b OqEOO JOB DESCzuPTION /\!,0) Permits are non-transferable and expire if work is not started n'ithin 180 days of issuance or if work is Suspended for 180 daYs. A. New Resideutial - Single or Nlulti-Farnity pcr drrelling unit' (541)726-3753 o FAX: i 7-7^ 0 " COMPLE'I-E ITEE Zoning J ..ti;oa c M//4'dae 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 200 Amps or less 201 Arnps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmP Over 1000 Amps/V p1 $106oo /06'OO s le.oo 76 , 0o ss0.00 $ 63.00 .00 $ 50.00 $ 69.00 $ 100.00 $ 43,00 $ 3.00 q INSTALIATION ONLY B. Services or Feedeis - Installarion, Alterations or ReiocatioIl: Eiectrical Contractor 4 F e \e ct(iq Inc CONTRACTOR) \r' box lUAddress Ciry J tt b1.BGZ] Reconnect Only4ttz0sC E E Supervisor License Constr Expiration Si Owners Address Ciry LI L/b 200 201 07 401 Amps D. Brrinch Circuits Over 600 Amps 000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit of Supervis Elecuician Phone tnJr I\{iscellaneo us (S ervic e/feed er n o t includ ed) -I! :r c h In s ta Il a tic, n IS llto0$Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ s0.00 $ s0.00 $ 2s.00 $ 15.00 O\\'NER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Ori,ners Signarure Mi-uimurn Electric Permit Inspection Fee is $45.00 * Surcharges 7oh State Surcharge l0% Administrative Fee TOTAL / 0a, oo / 2,1 a /p ,qFInspection Request: 726-3769 o -(( -oj 4. Shared Driv{T: )/Bui lding Fonns/El:,:rrioal Pennit Appl ication I -0 j.doc I. LOCA'I'ION O1; INSrALI-AIION qq .37 q5+ I Status Issued 225 tr'ifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00228ISSUED: 0511912003 APPLIEDz 04/0212003 EXPIREST 1111912003VALUE: $ 158,681.60 SITE ADDRESS: 2}gg 37th Springfield TYPE OF WORK: Single Family Residence ASSESSORTS PARCEL NO.: 1702194309500 TYPE OF USE: use initials PRoJECT DESCRIPTION: River Valley Builders Single Family residence Owner: GREG LARICN Address: PO BOX 2041 CORVALLIS OR 97339 PhoneNumber: 541-726-0330 Contractor Type General Electrical 0wner Contractor RTVER VALLEY BUILDERS INC G&EELECTRICINC GREG LARKIN License r34s66 54468 Expiration Date 04/15/2005 09/15/2003 Phone 541-367-1618 541-967-7045 541-726-0330 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft 1 R-3 VN 1,016 964 636 3563 Fully Improved yes 24ft max. for driveway throat. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %6 of Lot Coverage: Type: Downspouts/Drains: 22.00 24.00 15.00 39.00 25.00 Compact: Area: PAR]<ING 1 Curbside 5' Curb and Gutter Notes: Page 7 of 4 :. Gas Path Ic.@\No'tr a\ $ 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: COM2003-00228ISSUED: 0511912003 APPLIEDT 0410212003 EXPIRESz llll9l2003VALUE: $ 158,681.60 Description Dwellinss Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + lOoh Administrative Fee + 7o/o State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 14 PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC 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 Tvpe of Construction V Wood Frame Garage Total Value of Project Date Paid Receipt Number 2200200000000000681 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 r200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 120020000000000r239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 1200200000000001239 $ Per Sq Ft $74.60 $19.60 Square Footage 1,960.00 636.00 Value $146,216.00 $12,465.60 $158,681.60 Date Calculated 04t02t2003 04t0212003 Amount Paid $492.31 $10.00 $118.94 $83.26 $306.00 $8.00 $-168.80 $6.00 $757.40 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $-30.00 $436.54 $s74.34 $10.00 $34.83 $332.86 $98.30 $46.91 $709.81 $160.87 $75.00 $813.71 $50.00 $24.00 $1,000.00 4t2t03 sflgt03 5n9t03 sn9l03 5n9t03 sflgt03 sn9t03 5fig103 5n9t03 5n9t03 5fl9t03 sn9t03 5t19l03 sn9t03 sngt03 5lt9t03 5n9t03 sngt03 5fi9t03 5n9t03 sn9t03 5fig103 5n9t03 5n9103 5fi9t03 sngt03 sn9t03 5fig103 sngt03 sngt03 $6,071,28 04t03/2003 APP RJB Pase 2 of 4 tr'ees Peid PIan Reviews fnifial Review 04/03/2003 Valuation Descrintion I Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 InsPection Line Building/Combination Permit PERMIT NO: COM2003-00228ISSUED: 05/19/2003 APPLIEDz 0410212003 EXPIRESz llll9l2003VALUE: $ 158,681.60 Planning Review Public Works Review Structural Review 04t03t2003 05/09/2003 APP AJD 05/09/2003 05/13/2003 APP VRJ o4t03t2oo3 05/01/2003 APP RJB Hillside Lot-Lot Coverage not to exceed 357o including all impervious surfaces. No oversidth driveway application. 24Foot max. for drivewaY throat. Talked with Dave Puent 5/15/2003 2:25pm regarding the received and completed date on permit. I made a mistake on the month, the Permit was reviewed not in APril, but MaY by PW. I have corrected the dates, please see the above received and completed date. 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 10 11 t2 13 I Site Inspection: To be made after excavation but prior to setting forms. 2 ErosionTGrading Inspection: After all erosion measures are in place. 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 Inspectio-n: 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. finat niitOing: 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. Underlloor 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 Paee 3 of 4 l4 15 t6 t7 1E t9 20 2t 22 23 24 25 26 - 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: COM2003-00228ISSUED: 0511912003 APPLIEDz 0410212003EXPIRESt llll9l2003VALUE: $ 158,681.60 27 Final Gas: When all gas work is complete. 28 Final Mechanical: When all mechanical work is complete. 29 Temporary Electric: Approval required prior to Utility Company energizing pole. 30 Rough Electric: Prior to Cover 3l Electric Service: Approval required prior to utility company energizing service. 32 Final Etectric: When all electrical work is complete. 33 Curbcut - Standard: After forms are erected but prior to placement of concrete. 34 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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 OCCUPAI\Cy 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 at the proper time, that each address is readable from the street, that card is located at of the and the approved set of plans will remain on the site at all times Signature Date Pase 4 of 4 - 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield , Development Services Department Public Works Department Oflicial Receipt ' Receipt #z 120020000000000 1 239 Date:0511912003 coM2003-0022S coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-0022S coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 coM2003-00228 Permit Addressing Assignment Willamalane Single Family 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Fireplace Gas Outlets l-4 -Mechanical Issuance Fee- Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit 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 SanitaryiStorm Admin SDC Transpo Admin Arurexed 1979 or Before Temp Power 200 amps or less + 7%o State Surcharge + l0% Administrative Fee Payments: 757.40 8.00 1,000.00 306.00 12.00 24.00 9.00 6.00 6.00 r5.00 4.00 10.00 75.00 75.00 (30.00) 813.71 574.34 436.54 160.87 709.81 332.86 34.83 10.00 98.30 46.91 (168.80) 50.00 83.26 l 18.94 Item Total:$5,578.97 Check RIVERVALLEY In Person Payment Total: 5,578.97 5/19/2003 11:38:28AM djb Page I of I $5,578.97 cReccipt.rpt CITY OF S NGFIELD, OREGON* 225 FIF"TH STREET . SPRINGFIELD, OR97477 o PH:(541)726A7$ o FAX: (541)726-3689 E LECTRI CAL PERM IT APP LI CATIO N City JobNumber (--u ;AZC (-j OC;'ZZ4 Day- 3. LEGAL DESCRIPTIONt7ozllv3 O '-x5OJOB DESCRIPTION A. New Residential * Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 \ $ 19.00-T-ar,^? Z,-ee- a Electrical Contractor ^r o9 ^1o\eu^6\io"" Address Phone or less 400 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only 7%o State Surcharge l0% Adminishative Fee TOTAL 'lr\ $5o.oo s 63.00 s 75"00 sl2s.00 $163.00 s375.00 $ s0.00 or tse un, lrte City e rolt ,ed sho*C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less I $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see :'B" aboye, D. Branch Circuits New Alteration or Extension Per Panel One Circuit S 43.00 Supervisor License Number ,NldExpiration Date tc) Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name Each Additional Circuit or with Service or Feeder Permit $ 3.00 Miscellaneous (Sen,ice/feeder not includetl) -Each InstaAddress ?Gtr zor( / City Cort",+[tir Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for lease or rent. Owners E. Pump or irrigation SigrlOutline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUB'T-O'IAI- OIT ABOVK: s 50.00 $ 50.00 s 25.00 $ 45.00 5 3tu 58Ins726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc 1. I,OCArIO.IYOTT\[9?H.LI,ATION -', -7 t \. -)1L- L L / / / r' i Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. G*. Ltu?;- + ^c\?irs No\ - .'.ii lnstallationo Alterations or Reloctrtion: 5.o !tilitv CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'r vIIORKSHEET JOURNAL OR JOB NUMBER: Com2003-00228 NAME ORCOMPANY Valley River Builders LOCATION 2299 3'7th Street TAX LOTNUMBER:1702t943 tl 9500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE a EIo O & E]Fa o E]d 1070 1091 1092 1 093 1094 I 054 1055 1054 1056 1079 1078 1. STORM DRAINAGE DIRECTRTINOFP TO CIry STORM SYSTEM I IMPERVToLTS s-F. xJ zsss.so COST PER S.F s0.282 CHARGE $813.71 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 x COST PER S.F $0.282 x DISCOLINT RATE 50% DISCOTINT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $813.71 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's 26 x COSTPERDFU s22.09 = I $s74.34 B. IMPROVEMENT COST: NUMBER OF DFU'S 26 x COST PER DFU $ 16.79 ITEM 2 TOTAL. CITY SANITARY SEWER SDC $1,010.88 3. TRANSPORTATION A. REIMBURSEMENT COST: ADTTRIP RATE 9.57 x NUMBER OF UNITS 1 x COST PER TRIP s16.81 x NEW TRIP FACTOR 1.00 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 x NUMBER OF UNITS I x COST PER TRIP s74.17 x NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC $870.68 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBEROF FEU's 1 = I $332.86 B. IMPROVEMENT COST: NUMBER OF FEU'S I x = I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = : I ($168s0) : I $1o.oo $208.89 COST PER FEU s332.86 COST PER FEU s34.83 SUBTOTAL (ADD ITEMS I,2,3, & 4)$2,904.16 5. ADMINISTRATIVE FEE: SUBTOTAL $2,904.16 x ADM. FEE RATE 5% CHARGE s 145.21 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE:I s+o.s t Virginia Jurasevich s113t2003 PREPARED BY DATE TOTAL SDC CHARGES NEW DWELLTNG UNITS 1 _BUILDING SIZE (SF. 2086 LOT SIZE (SF): 10815 l-58if = I $436.s4 l-5?or-5i- x I ffi-o4r;? DRAINAGE FIXTURE UNIT CALCULATION TABLElrtr u NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE LINITS DRAINACE FIXTURE LTNITS NO. OF FIXTURES FIXTURE TYPE NEW OLD (NOTE: FOR REMODELS, CAICULATE ONLY TTIE NET ADDITIONAI FIXTURES) T]NIT EQUIVALENT BATHTUB 1 0 3 3 DRINKING FOUNTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 1 0 2 2 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 1 0 2 2 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIALBAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY I 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 3 0 3 9 MISCELLANEOUS DFU ryPE NUMBER OF EDU'S 20 0 TOTAL DRAINAGE FIXTURE UNITS *EDU lsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/S1,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR I 0 19"19 CREDIT FOR LAND (IF APPLICABLE) VALUE / lOOO s34.31 CREDITRATE s4.92x I s I 68.80 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $4.92 TOTAL MWMC CREDIT BEFORE 1979 $4.92 1979 $4.92 I 980 $4.83 l98 r $4.77 I 982 $4.64 1983 $4.47 1984 $4.30 1985 s4.09 1986 $3.78 1987 $3.41 I 988 $2.98 I 989 s2.52 l 990 $2.06 1991 $1.64 1992 s1.45 1993 $1.31 1994 s 1.13 I 995 s0.97 1996 $0.82 1997 s0.63 I 998 $0.41 t999 $0.22 2000 $0.04 1-d- l-$-ie8-80-'- SPFlI'tGF!ELD DEVELO PMENT SERV ICE S D E PARTMENT November 30, 2001 Interested Agencies RE: SteetAddress Ctanges inAmbleside Subdivisioq FirstAddition The following addresses have been ghanged in Ambteside Subdivision, First Addition Lot Number Current Ad&ess New Address 225 FIFTH STBEET SPRINGFIELD, OR 97477 (541) 726_3753 FAX (541) 726-s689 163 t62 161 t20 119 118 The following agencies are being notifred of these ghanges: Springfi eld Police Departnent Springfield Fire Departnrent U.S. Post Office U.S. West Communications Northwest Nattral Gas TCI Cable United Parcel Service 2299 376 Steet 2297 376 Steet 2293 37e Steet 2288 376 Steet 2296 37tr Steet 2298 376 Steet 3679 Osprey Drive (Lot 118 is a duplex lot and if the development takes access from Osprey Drive, the address will remain the same as originally assigned from Osprey) Springfield Utility Board Lane Council of Govemments 911 Dispatch, Public SafetY Lane County Elections Departnrent Sanipac Rainbow Water District Springfreld News/Register Guard 2295 376 Steet 2293 37e Steet 2287 37h Steet 2284 376 Steet 2288 37n Steet 2294 37h Steet 3679 Osprey Drive This change is effective immediately. If you have any questions, please feel free to phone me at726'3790. Sincerely, Lisa Hopper Buildin g Safety Supervisor lto'4o"w 2t.oo')'40"w 21.O0,1 r'20"E ''20"E 'J5"w 6t.'55"W 6r. i'27"E l1t'27"8 1t .55. '}J"W 27,,'55"W 27 7.5()'l7.so' .5',.r5.w49.29. i'45'W 49.29 4'3, l'5.j 45',45"W 59.82'. 45'4s,,w ss.EfrrS E:59:e8 fi ellWteet cn${IEn 05 =l s 77.t9'25'1il 5.O2' zz.rs'zs.w) (5.02',) 2 of 5 LOTS 6.1-104 Al'lD l5O-14E J of 5 LOTS 121-129 Al.lO t.t9-160 ,t of 5 LOTS 6t-6J. lO5-120 Al{D tOl-172 5 of 5 SUFUEYOR1S CERnRc IE. DECLARAIIO{. TCKNOff.IDGEMENT Ar,ro APPROTA|.S . iEC()ROED ,6-z 2000e0$6ERPRSUBDI - Il.ae,3!.oo ll.eo FOUND R,AILROAD RAIL VPUNCH MARK PER C.S. 25766 AJ.IO J4923 s 87.5E't I 'E 595.Ot.(s. s7.s8.t I "E sgs.ot) s E7.5E.11"E(s az.sa,r r "e JJ5.67.) IRON ROD PER c.s. 6J'1 3'4 60.o5' -d-gt FOUND 5,/8" |RON ROD PER C.S. 25766 AND J492 s 87.58't r"E 26r.J4, (s 87"56'l r"E 26l.Jzr.) I{ SECTION I9, F SECTION 50, TE MERIDIAN ,REGON 1 00' PARruENT r9'J7'1Y 9J.61' 1 rs'sz,,w ss.or.1]* i9'f,7"W i9'J7"$/ I'J7"W 25.O0.__ ,9'J7',W 25.OO'l P. [141.O6', PLS 2267 s 87.58'il"8 [s 67.58'11"E N N O2'O1',49"E 9J.OO' 9J.OO',l[N o2.or'49"E s 87.58'1 r"E t9.J4', [s 87"58',r 1"E\ 19.5,r'] 6 25 \\ cw^I;l...&LJ-frZQtE- oouNwoLERK- - rr.3,6-DrJfru 's;$ri;t IN u 67.27,46,'g 187, [N E7'27'46"E 187 .45' lt 10 BK PG. PRNAIE 5;rt'$t (s 65'1y41"v{c.s. 549 e63.52') BASIS OF BEARINGS PER t5 12 14l5l6 -a\ oooo@@@(r t=NN N o U' N o o4'.54"W 99.67' 4'54,'w 99.87.1-;;tG? ,124 (s BJ'rJ'4r'v) (80.05') ITIAL FOUND 3//t" IRON PIPE PER c.S. 682J. 25766 AND 5,r92J NOTE: THIS SUBDMSION IS SUSJECT TO CCA/ENANTS. CONOMONS Al,lD RESIRICIIONS. AS RECORDED lN 2/+99-R,/981OJ699 ANo AS AMENDEo lN 2 d oo o o9 lZ I Uit'tE COUurv OreO AI.ID MORTGAGE RECORDS. FOUND 3/4" tRoN P|PEc.s. 15777 AND J492J r69t7t ?r% 170 z.&b) 'r 66 Ir68 2Zb2 t67 baD t65 I 6.3F R N t09 ll0 117 87 \h-- I[-dtuI1 55./r7' 86 55.47' 85 n x[&q 0.N N 114 121r06 160B N 99 I O,l t05 c.s.25766 & 34923 159$ 125 128 135t37N71'JJ'39'E t56 132 t30 t58 o. \c N r38 i57$ ETId V, E'lioo A.lEl5rorot Nl 6:o!AA \ A I I HI rrl I E!l/, tri FIo; FAICON DRNIE -'-'1--- --A--a-_-----a- -a_ I I I I I I I I I I I I I ----+- N 47'1 4'5J"E 89.60'A- t50 N,u.N v{fr I i19t48117 a177 r45 111 t /t5 , S 19-+ JO AMBLESIDE MEADOI.IS SUBDIVISION FIRST ADDITION EgUI '4T{'SWUOJEOUUI l8 PER 172 BA ttE 108I t 112 107 eda. 1,lO t 5,a -----'6F-6---