HomeMy WebLinkAboutPermit Building 2007-02-02Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa'x
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00681ISSUED: 0210212007APPLIED: 06/0512006EXPIRES: 08/0212007VALUE: $ 2,500.00
SITE ADDRESS: 587 7th ST Springfield TYPE OF WORK: Foundation
ASSESSOR'S PARCELNO.: 1703351305700
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Foundation for relocated Duplex. (converting to single family dwelling & relocating
shop bldg.)
PhoneNumber: 541-485-4004Owner:
Address:
LAURA FOUMAL
1750 WASHINGTON ST
EUGENE OR 9740I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
THE JAG GROUP LLC
DEREK SHAUN STEPHENS
MARSHALLS INC
TOMS PLUMBING SERVICE INC
License
165141
164124
25790
15942s
Expiration Date
06t02t2007
04t08/2007
1212312009
0511212008
Phone
541-434-1333
541-726-8498
541-747-7445
541-607-8879
CONTRACTOR INFORMATION
BUILI
# 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:
# of Stories:
of Structure:
of Heat:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
1I
R-3
VB
9,600
1,130
.,
Wall Heat
Electric
Electric
IF
16.00
r0.00 4
12.00
ao
Street Improvements:
Storm Sewer Available:
Special Instruction:
Setback 5'
Curb and Gutter
Notes: Storm drainage piped to curb face 6/7
Page I of 5
set Type:
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: COM2006-00681ISSUED: 0210212007APPLIED: 06/0512006EXPIRES: 0810212007VALUE: $ 2,500.00
Descrintion Tvpe of Construction
Bid Amount Use Bid Amount
Foundation Only Use Bid Amount
Foundation Only Use Bid Amount
Fee Description
Plan Review Residential
+ l0oh Administrative Fee
+ 8olo State Surcharge
Addressing Assignment
Fire SF Fee - Residential
Foundation Permit
Plan Review Major - Planning
Sanitary Sewer - lst 50 Feet
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
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Water Line - lst 50 Feet
Willamalane Single Family
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Foundation Permit
Minimum/Adj ustment Mechanical
Plan Review Residential
Plan Review Residential
Plan RevieilResidential Hourly
Total Value of Project
Date Paid
612t06
6n6t06
6n6t06
6n6t06
6n6t06
6n6t06
6fl6t06
6fl6t06
6n6t06
6/16t06
6n6t06
6n6t06
6n6t06
6n6t06
6fl6106
6n6/06
6n6t06
6fi6t06
6n6t06
6n6t06
6n6t06
2t2t07
2t2t07
2t2107
2t2t07
2t2t07
2/2t07
2t2t07
2t2t07
2t2t07
2t2t07
2t2t07
2t2t07
2t2t07
Receipt Number
1200600000000000791
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
r200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200700000000000109
r200700000000000r09
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
$ Per Sq Ft
or multiplier
$1.00
$1.00
$r.00
Square Footage
or Bid Amount
28,000.00
4,500.00
2,500.00
Value
$28,000.00
$4,50o.oo
$2,500.00
$35,000.00
Date Calculated
07t25t2006
06t20t2006
07t2st2006
Amount Paid
$44.46
$25.99
s16.27
$31.00
$s6.s0
$68.40
$198.00
$45.00
$438.61
$s76.61
$10.00
$865.31
$82.03
$108.2s
$67.87
$805.70
$182.69
$s61.37
$4s.00
$45.00
$1,000.00
$10.00
$62.68
$31.34
$50.14
$241.95
$6.00
$9.00
$112.00
$52.80
$18.00
$34.32
$157.27
$40.00
tr'ees Pnid
Pase 2 of 5
Valuation Descrintion
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2006-00681ISSUED: 0210212007
APPLIED: 06/0512006
EXPIRES: 08/0212007VALUE: $ 2,500.00
Plan ReviedResidential Hourly
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Temp Power 200 amps or less
Vent Fan
Total Amount Paid
$90.00
$106.00
$19.00
$s0.00
$12.00
2t2t07
2t2t07
2t2t07
2t2t07
2t2t07
1200700000000000109
r200700000000000109
1200700000000000109
1200700000000000109
1200700000000000109
$6,376.56
Plan Reviews
Initial Review
Initial Review
Initial Review
Plan Review Comments
Planning Review
Public Works Review
Public Works Review
06t05t2006 06t0st2006 wr LLH
06/08/2006 06/08/2006 APP LLH
06t30t2006
Do not issue until Historic Review
has been approved. Scheduled date
for hearing is July 10th. See
attached documents
See attached documents. Email
from Colin Stevens approving
issuance of house move and
foundation permits.
Revisions to original submittal
See attached documents for
conditions for issuance from Kitti
Gale - Historic District
No exterior repairs or remodeling
permitted per Historic Review
DRC2006-00043. House must not br
setback from front property more
than 18', minimum 7'sideyard
setback. Smooth faced CMU block
foundation to be used. Must dig out
footings so that there is no backfill
up against foundation. Maximum
exposure of the CMU block is 20".
Unsure of street tree requirment at
this time - Check with Kitti Gale
after June 19th.
On Hold until August 8th and the
Historic Commission review
DRC2006-00043.
Reviewed resubmitted plans - no
apparent changes to impervious
areas or DFU's; storm drain piped
to curb face (weep hole) 07/05/06
CJS
Received new plan 611212006 Wrong
plan owner will resubmit; not
duplex Storm drainage piped to
curb face; 61712006 CAS
foundation
06t3012006
t0/02t2006
APP LLH
LLHIO
06t06t2006 06fi5t2006 APP EMM
06t30/2006
06t30t2006 0710s12006 APP CJS
06t06t2006 06t0712006 APP CAS
APP RWC
WI
Structural Review 06t06t2006 06n4t2006
Page 3 of5
Plannins Review
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
OF
Building/Combination Permit
PERMIT NO: COM2006-00681ISSUED: 0210212007APPLIED: 06/0512006
EXPIRESz 0810212007VALUE: $ 2,500.00
Structural Review
Structural Review
01n7t2007 0u24t2007 APP DLM
06t30t2006 08t0u2006 WE DLM
08n4t2006 09t26t2006 APP DLM
Designer submitted a revised floor
framing plan resolving the
overloaded floor joist condition.
lll7l07, Review of revision
completed ll24l07 dlm
Sent request for information to
clarify roof support alterations
712512006 dlm
Received revised plans and
designer's information for roof
support 811412006 dlm Reviewed
designer's calcs; they do not appear
to comply with code required
loading. The ceiling joists will only
support a 101b./s.f. storage load.
Floor joists at LR/Kit require add'l
support. Informed designer
9/18/2006 dlm
See documents for plan review
comments.
To Request an inspection call the24 hour recording at 726-3769. 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
work day.
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.
Final Building: Alter all required inspections have been requested and approved and the building is complete.
Post and Beam: Prior to floor insulation or decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Floor Insulation: Prior to decking.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Rerrrrirpd fnsneefions
Page 4 of 5
Structural Review
Building/Combination Permit
Status lssued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.37 69 Inspection Line
PERMIT NO: COM2006-00681ISSUED: 0210212007
APPLIED: 06/0512006
EXPIRES: 08/0212007VALUE: $ 2,500.00
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.
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 Seruices 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.
Owner or Contractors Signature Date
Page 5 of 5
CITY OF GFIELD, OREGON a wrFtr&i{xrtELl}
225IlIlH STREET . SPRINGX"IELD, OR97477 o PH:(541)726-3753 r X'AX: (541)726-3689
E LE CTRI CAL PERM IT APPLI CATI ON
City Job Number Caut t eoo6 - 006&l
I
SE? 7l'1,-
LEGAL DESCRIPTION
l-7 033 -Sr 3 O S7O,)
JOB DESCRIPTION
,1u'->{
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor BEACON ECTRIC
Address 2585 SEVELT BL
City EUGENE Phone 541 -461 -0291
Supervisor License Number 34855
Expiration Date 1ol01 lo7
Constr. Contr. Number 38497
Expiration Date 01 I 1o / os tl?Trn*
rHls
rvC
Signature of
AurH,
t8a
YYrLrL t--azrva
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 or 1000 Volts see "B" abovs.
or Extension Per Panel
Date 2-Z-o7
I $106.00 -l9-e
$ 1e.00 i ?
$s0.00
$ 63.00
$ 75.00
$12s.00
$163.00
$375.00
$ 50.00
$ 50.00
3.
lTso
City bxC<rrfC phone
OWNERINSTALLA
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 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
$ 50.00
$ 25.00
(rJ. (E
A.
B.
C.
/s cL
The installation is being
is not intended for sale,
t-(N - |c:o
t iil w Energy/Commercial
lQrmit Inspection X'ee is $45.00 + Surcharges
Fee
fd*+ ,
$ 45.00
maflp b
Owners Signature:lz{
/c
izs'>6z{
Inspection Request: 726-37 69
hl,
t0
Shared Drive(T:Permit Application 1 -06.doc
@
ila 'ffi&'sg.IIfiD$r;fr ,BEEO**f,ffiafiirff
D.*t[Etli:,e*iitiix
E.
*o il,i-o. 'a.:s.e $'CIr. rt!,ii'$ffi #:I,t'i# lit tiuni'4.11ei$iiot $ :dr, n$,tag"i$a5i=;;:
0R /s
$ 43.00
$ 3.oo
iiotiftlt" )'- 'dn*Miscellaneou's.lfist4tl$tio$
the
t:y-
9Ptsll{G*r6*.b q,$ *:+C
l .-,[j.-s.,..,u, "**,u--;l I
.:f;"Ha"* Qfi,"';i',
ZON
225 FIFTH STREET o SPRINGF-IELD, OR 97'177 r PH:(541)726-3753 ' FAX: (541)726'3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO''ltt 7*o6G - Do (b8 Date Z -Z-o't
E SCHEI)L1LE BELOI'r*3. COMPLETE FE--
A.NewResiclcntial-Singleorl\'lulti-Fanrill'perd'rvellingunit'
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
B.
INITIALS
DATE
SOURCE
$106.00
$ 19.00
$s0.00
1.
S87 1 <tr
LEGAL DESCRIPTION
i7C33Sr3 D s"oo
JOB DESCRIPTION
T5^^e (or-tea
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
2.
Electrical Contractor f.m,
Constr. Contr. Number
Expiration Date 't/r/
Signarure of SuPervi Electrician
7, 200 AmPs or less
201 AmPs to 400 AmPs
401 Amps to 600 AmPs
601 AmPs to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
(]ftEEfipu
c0MMf0l ABSt'lDoNED
DhlbP6,RffiD'*pt
One Circuit
$ 63.00
$ 75.00
$125.00
$ 163.00
$37s.00
$ s0.00
$ 43.00
ec
Address
City t
Owners Name
Address
k
Phone
Supervisor License Number qfr il0rf0
Expiration Date lc/, l,:?'riii
AUTH
i1
L
L
ANY I &0to)Over 600 Amps or l000Volts see "B" above'
D. Branclr Circuits :
New Alteration or Extension Per Panel
&$iil{es y0ulltr-
City ttu<-*n/{Phone l+ 8i - t{o
OWNER TNSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
ry*ie o
GoPiā¬s r
$ 50.00
$ 50.00
$ 2s.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
1'O N
k (
tollow
$ 3.00
s
telePhse-
$glification
,:il 5(r
L.(
8% State Surcharge
i0% Administrative Fee
57o TechnologY Fee
s
ZSO
b(tL
Inspection Request: 726'37 69
4.
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06'doc
(
$ s0.00 5--
$ 69.00
$100.00
53 r Soaj
(
OFABOVE :
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING LNITS
RTINOFF
IMPERVIOUS S.F
0.00
CITY OF STRINGFIELD SYSTEMS DEVELOpMEN r WORKSHEET
coM2006-00681
Laura Foumal
587 7th 589
0
SINGLE FAMILY RESIDENCE
2 BUTLDING SIZE (SF, 1207 LOT SIZE (,iF)
1. STORMDRAINAGE
DIRECTRT-INOFF TO CIry STORM SYSTEM
IMPERVIOUS S.F x
1738.00
ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
COST PER S.F
$0.323
COST PER S.F
$0.323
COST PER DFU
$25.07
$r9.07
NUMBER OF UNITS
2
NUMBEROF T]MTS
2
ADM. FEE RATE
5%
C}IARGE
$561.37
DISCOTINTRATE
50o/o
$561.37
DISCOT]NT
$0.00
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CIry
A. REIMBURSEMENT COST:
ITEM 2 TOTAL. CITY SAMTARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
s1,147.64
COST PER TRIP
$r 9.09
COST PER TRIP
$84. l 9
$1,976.78
NUMBER OF DFU's
26
B. IMPROVEMENT COST:
NUMBER OF DFU's
26
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$5,s90.47
xx
xx
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
2
B. IMPROVEMENT COST:
NUMBER OF FEU's
2
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVEFEE:
$1,904.68
$5,590.47
CHARGE
s279.52
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker 6/712006
COST PER FEIJ
$82.03
$0.00
$10.00
129.61
1070
1091
1092
1093
1094
1054
1055
1054
1056
1079
I 078
a
14aoO
&
rI]Fa
o
14&
IM
COST PER FEU
$865.31
PREPAREDBY DATE
TOTAL SDC CTIARGES
DRATNAGE FD(TURE UNIT CALCULATION TABLE
NTIMBER OF NEW FD(TURES X UNTT EQUIVALENT : DRAINAGE FD(TURE LINTTS
FOR CALCULATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
UNIT
FXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TURE I]NITS
rsa toa mit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTT]RE
UNITS
0
2
2
1979
+EDU
BEFORE 1979
1979
1980
1982
1984
1986
1987
I 988
1989
1990
t99t
1992
1993
1994
1995
1996
1997
1998
1999
$5-29
$5.2e
$5.1 9
$5.12
$4.98
$4.80
$4.63
$4.40
$4.O7
$3.67
$3.22
$2.73
$2.25
$1.80
$0.28
$0.09
$0.05
VALUE / 1OOO
$0.00
CREDITRATE
$5.29
1981
I 983
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
x1985
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
VALLIE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT
2 0 3 6BATHTUB
1 000DRINKING FOT]NTAIN
0 0 3 0FLOORDRAIN
0003INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0 6 0INTERCEPTORS FOR SAND i AUTO WASH /ETC.0
0 0 2 0LAUNDRY TUB
3103CLOT}IESWASHER / MOP SINK
0 6 0CLOTMSWASHER - 3 OR MORE (EA)0
0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)
0 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC.
3103RECEPTOR FOR COM. SINK / DISHWASMR / ETC.
0 0 2 0SHOWE& SINGLE STALL
0 0 2 0SHOWER, GANG GTUMBER OF HEADS)
3 bSINK: COMMERCIAL/RESIDENTIAL KITC}IEN 2 0
0 0 2 0SINK: COMMERCIALBAR
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
0 1 2SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2
0 0 5 0T]RINAL, STALL/WALL
0 0 b 0TOILET, PUBLIC INSTALLATION
TOILET, PRTVATE INSTALLATION 2 0 3 6
26
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE
$0.00
0
$0.00
2000
2001
Construction Contractors Board co - bu68/Permit #:
Address:
Issued by:
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-3784621
lVebAddress: www.ccDdlql@
&
Date: Z Z
Statement: Information Notice to Property Owners
About Gonstruction Responsibi lities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign thefollowing statement before a building
permit can be issued. This statement is requiredfor residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under
ORS 701.010(7), need not submit this statement. This statement will befiled with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38:
n l. I own, reside in, or will reside in the completed structure.
n 2. I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
K 3A. My general contractor is ThuJfrG 6.0 op LtL lbslqT
(Name)(ccB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Constnrction Conhactors Board.
OR
tr 38. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notiff the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice io Property Owners about Construction Responsibilities on the reverse side of this form.
qoa/rry
(Signature of permit applicant)@ate)
(White copy to issuing agency permitfile, pink copy to applicant')
Property_owner.doc 06-0 1 -04
Acting:m-mqr Own General Cbntractor?
"'
"-,ftFbnnmrrgx NoncE To pRopERw owNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing
$tructure, you can preventmtny problerns,bybeirg aware of the'following responsibilities and concerns.
Employer Responsibilities
You will, in most instances, be ruled to be an o'employer" and the contractors you contact with will be "employees" if
you use conhactors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or improvement of a residential structr.lre. As the employer, you must comply with the following:
Oregon's lYithholding Tax Law: As an employer, you must withhold income taxes fiom employee wages at the time
employees are paid. You will be liable for the tax payments even if you don'l actually withhold the tax from your
employees. For more information, call the Departnent of Revenue at 503-378-4988.
Unemployment Insurance Tax; As an employer, you me required to pay a tax for unemployment insurance purposes
on the wages of all employees. For more iaformation, call the Oregon Employment Deparfment at 503-947-1488.
The Oregor: Business Identification Number Gf$ is a combined number for both Oregon lVithholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or wYw.dor.state.or.us/formqBy.h&ll fotthe
"pproi.iut.forms. , - *-.;{
"./ \
Workers' Compensation fnsurance: As an employer, you are subject to the Oregon W'orkers' Compensation Law,
and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation
insurance, you could trb subject to penalties and be liable for all claim costs if one of yotrr emploSrces is injured on the
job. For more information, call the Workers' Compensation Division at the Deparknent of Cdrsumer and Business
Services at 503-947 -7 81 5.
U.S. Internal Revenue Service: As an employer, you rnust withhold feder{l inC-rin1e t Xrffofrl enrployees' wage[.-i
You will be liable for the tax payrnent even if you didn't actually withhold the tax. F'or a Federal EIN number, call fhe
IRS-at'l-800-8294933 orvisittheirwebsiteat{Es/.tfs.gg}. .i' :.
.'1 t ' i'' . :Other Responsibilities and Afeas of Concerns
Code Compliance: As the perrnit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought tg Vlur attention throy&h inspections.
't . _ I
Liability and Property Damage fn$uranct: Contlct jotr insurance agent to see'if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage frorn pipe punctures, fire or
work that must bq redone"
Time: Make sure yoa,have sufficient time to supervise your employees:
Expertise: Make sure yciu havd'the skills to alt'as yo* orini gi:ndral'cbnfractor, trf cobiiiii& the work of rough-in
and finish trades, and to notily building officials as the appropriate times so they can perform the required inspections.
If you have additionai questions call the Consfruction Confractors Board {503-3784621) or write the agency at p0
Box 14140' salem' oR 97309-5052' ,.., ,i rii .,, .Ji. j
Property_rwner.doc 06-0 1 -04
NOTE: This lnformation Natice to Property Owners about Construction Responsibilities was developed by the
Construction Contractars Board in accordance with ARS 7A1.055(5), passed by the 1989 Oregan Legislature.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci- of Springfield Official Receipt
L - clopment Services Department
Public Works Department
RECEIPT #: 1200700000000000109 Date: 0210212007 ll:59:50AM
Job/Journal Number
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
Description
Foundation Permit
Building Permit
Plan Review Residential
Plan Review Residential
Plan Review/Residential Hourly
Plan RevieilResidential Hourly
Fixture
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ lloh Administrative Fee
Item Total:
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check
CreditCard
FIRST AMERICAN TITLE INS
CO
LAURA FOUMAL
djb
djb
1421114 In Person
015615 In Person
Payment Total:
$ l,000.00
$ 102.50
$1,102.50
Job/Journal Number
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
Description
Foundation Permit
Building Permit
Plan Review Residential
Plan Review Residential
Plan RevieWResidential Hourly
Plan Review/Residential Hourly
Fixture
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 57o Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
52.80
241.95
157.27
34,32
90.00
40.00
I12.00
12.00
9.00
6.00
18.00
10.00
106.00
19.00
50.00
31.34
50. l4
62.68
Item Total $1,102.50
Payments:
Type ofPayment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check
CreditCard
cReceintl
FIRST AMERICAN TITLE INS
CO
LAURA FOUMAL
djb
djb
Paee 7 of2
In Person
015615 In Person
Payment Total:$1,102.50
21212007
$1,000.00
$ 1 02.s0
1421114
Amount Due
52.80
241.9s
157.27
34.32
90.00
40.00
112.00
12.00
9.00
6.00
18.00
10.00
106.00
19.00
50.00
31.34
50,1 4
62.68
$1,102.50
City of Springfield
Building Permit & Inspection Summary
113t2006
12:41:4lPM
Job #:
coM2006-00681
Job Address: 587 7th ST Springfield
Scope of Work: Foundation
Description of Work: Foundation for relocated Duplex. (converting to
single family dwelling & relocating shop bldg.)
Citv. State. Zip Phone
225 Fifth Street
541-726-3753 Phone
541-726-3676Fax
Project Status: Issued
Owner & Contractor(s)
Address
I97O 28TH ST
I75O WASHINGTON ST
584 I6TH STREET
Name
CON OWNER
ELC ALERT ELECTRIC INC
OWN LAURA FOUMAL
PLM DOUGLASLEEJONES
SPRINGFIELDOR 97477
EUGENE OR 9740I
SPRINGFIELDOR 97477
54t-747-2213
541-485-4004
541-747-1254
Valuation of Proiect
$
$
$
StaffCost PelSq Ft
Date
Calculated
1.00
1.00
1.00
2006/06120
2006t07125
2006107/25
LKW
DLM
DLM
Occupancv Construction Type
Foundation Only
Foundation Only
BidAmount
Use Bid Amount
Use Bid Amount
Use Bid Amount
Sq Fte Valuation
$4,500.00
$2,500.00
$28,000.00
$35,000.00
4,500.00
2,500.00
28,000.00
Amount Paid
Fees Paid
Date PaidDescription
Plan Review Residential
Plan Review Major - Plaruring
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
Foundation Permit
Addressing Assignment
Willamalane Single Family
Sanitary Sewer - lst 50 Feet
Water Line - lst 50 Feet
Storm Sewer - lst 50 Feet
+ 87o State Surcharge
+ l0o/o Administrative Fee
Fire SF Fee - Residential
Total Amount Paid
0610212006
06116/2006
06116/2006
0611612006
06/1612006
061t6t2006
061r612006
06/1612006
0611612006
0611612006
06/1612006
06n6/2006
06116t2006
0611612006
06/16t2006
061t6/2006
06116/2006
06n6/2006
0611612006
06/r612006
06/r612006
\qo6b\3 DtlXx)
Receipt #
I 20060000000000079 I
1 200600000000000880
I 200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
I 200600000000000880
I 200600000000000880
I 200600000000000880
I 200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
l 200600000000000880
1200600000000000880
1 200600000000000880
1200600000000000880
1200600000000000880
$44.46
$198.00
$s6l .37
$s76.61
$438.61
$ 182.69
$805.70
$82.03
$865.31
$10.00
$108.25
$67.87
$68.40
$31.00
$1,000.00
$4s.00
$45.00
$45.00
$r6.27
$25.99
$56.50
$5,274.06
I of 3
{ffimn
City of Springfield
Building Permit & Inspection Summary
t,73/2006
l2:41:4lPM
Job #:
coM2006-00681
225 Fifth Street
541-726-3753 Phone
541-726-3676Fax
Project Status: Issued
Job Address: 587 7th ST Springfield
Scope of Work: Foundation
Description of Work: Foundation for relocated Duplex. (converting tc
single family dwelling & relocating shop bldg.)
Department
Planning Review
Received
06t3012006
Due Date
0710312006
Plans Reviewed
Completed Result
WI
Reviewer Comments
Initial Review 06105t2006 06/07t2006 06t0s12006 wI LLH
On Hold until August 8th and
the Historic Commission
review DRC2006-00043.
Do not issue until Historic
Review has been approved.
Scheduled date for hearing is
July l0th. See attached
documents
Received new plan 6l12/2006
Wrong plan owner will
resubmit; not duplex Storm
drainage piped to curb face;
617/2006 CAS
See attached documents.
Email from Colin Stevens
approving issuance of house
move and foundation permits.
foundation
No exterior repairs or
remodeling permitted per
Historic Review
DRC2006-00043. House
must not be setback from
front property more than 18',
minimum 7' sideyard setback.
Smooth faced CMU block
foundation to be used. Must
dig out footiags so that there
is no backfill up against
foundation. Maximum
exposure of the CMU block is
20". Unsure of street tree
requirment at this time -
Check with Kitti Gale after
June l9th.
Revisions to original
submittal
Reviewed resubmitted plans -
no apparent changes to
impervious areas or DFU's;
storm drain piped to curb face
(weep hole) 07/05/06 CJS
Sent request for information
to clarify roofsupport
alterations 7 125 12006 dlm
Public Works Review 06t06t2006 06t08t2006 06107/2006 APP CAS
Initial Review 06/0812006 06/1012006 0610812006 APP LLH
Structural Review
Planning Review
06/0612006
06t06t2006
06/1512006
06t08t2006
06114/2006
06lts/2006
APP
APP
RWC
EMM
Initial Review
Public Works Review
06t30/2006
06130/2006
07102/2006
07103/2006
06/30/2006
07/0512006
APP
APP
LLH
CJS
06/3012006 07n0/2006 0810U2006 wEStructural Review DLM
2 of3
rrel
City of Springfield
Building Permit & Inspection Summary
ttl3l2006
l2:41:4lPM
Job #:
coM2006-00681
225 Fifth Street
541-726-3753 Phone
541-726-3676Fax
Project Status: Issued
Job Address: 587 7th ST
Scope of Work: Foundation
Springfield
Stmctural Review 08n4/2006
Description of Work:
08t2412006 0912612006
Foundation for relocated Duplex. (converting to
single family dwelling & relocating shop bldg.)
APP DLM Received revised plans and
designer's information for
roof support 8/1412006 dlm
Reviewed designer's calcs;
they do not appear to comply
with code required loading.
The ceiling joists will only
support a l0lb./s.f. storage
load. Floor joists at LR/Kit
require add'l support.
Informed designer 9 I I I / 2006
dlm
See documents for plan
review comments.
IO LLH See attached documents for
conditions for issuance from
Kitti Gale - Historic District
Plan Review Comments t010212006
Inspections
Rough Mechanical
Final Mechanical
Ufor Electrical Ground
Footing
Foundation
Water Line
Sanitary Sewer Line
Storm Sewer Line
Electric Service
Final Building
Final Site Plan
Inspections Conducted
Comments Date Result Inspector
Call Kiiti Gale for inspection of
foundation placement at
726-3632.
Post and Beam
Floor Insulation
Framing Inspection
3 of 3
lmalu*
RLID Detailed Property Report
LANE COUNTY REGIONAL LAND INFORMATION DATABASE
Site Address: 587 7TH ST
Map & Tax Lot #: 17-03-35-13-05700 Special lnterest Code:
A&TAccount#:0304624
Page 1 of4
lffiltap: view Jql lrqq I
Vicinity Map
X-Coord: 4259709
Site Address lnformation
House Suffix
587
Mailing City
SPRINGFIELD
Create Date: 2006-07-21
Land Use
Predir
Land Use Code and Description
Use Code and Description:
Zoning
Zoning Jurisdiction:
Parent Zone 1:
Boundary lnformation
General
Incorporated City Limits:
Urban Growth Boundary:
Fire Protection Providers:
Node:
Plan Designation:
2000 Census Tract:
2000 Block Group:
Year Annexed:
Annexation #:
2004 Transportation Analysis Zone
MaDetai p
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Site Address State Plane Coordinates
Y-Coord: 878683
Street Name PostDir. Street Type Unit Type Unit
7TH ST
State Zip Code Zip+4 Carrier Route
oR 97477
Update Date:
Land use information has not been field verified.
Code: Description:
1111 SINGLE FAMILY HOUSING
S SINGLE FAMILY
Please verify zoning information with local jurisdiction. Lane County overlay zones are not currently shown in RLID.
Code: Description:
SPR SPRINGFIELD
LD LOW DENSITY RESIDENTIAL
Please verifu boundary information wlth local jurisdiction,
\
SPR
SPR
N
Display Current Metro Plan Map
3300
5
1891
SPRINGFIELD
SPRINGFIELD
49
T a L
http://www.rlid.org/reports/Main_report_rlidstar.cfm?taxlot_id:108796&site_address id:164685&prop_... lll3l2006
Convert to PDF Document
mnrn
ffiffiffi
p-rr_:lffi
[Tl-l,tr
mTtl ffiffi
t-
tf
RLID Detailed Property Report
Approximate Acreage:
Approximate Square Footage:
Environmental Findings
Metro Flood Hazards:
Metro Wetlands:
FEMA Flood Hazard Zones
FIRM Map Number:
flq3_ggtllzE
Code:
x
Soils
Soil Map Unit Number:
76
Schools
District:
Elementary School:
Middle School:
High School:
Service Districts
LTD Service Area:
LTD Ride Source:
City State
EUGENE OREGON
Taxpayer
Iexpeyer Name: FOUMAL LAURA A
SoilType Description:
MALABON.URBAN LAND GOMPLEX
Page 2 of 4
0.21
9,148
Please verify environmental information with local jurisdiction
Note: Some parcels may extend onto adjacent FIRM maps. Registration between parcel boundaries and flood hazard
zones is approximate. Community numbers are based on the current city limits and may not reflect boundaries at the
date of map publication. Consult FIRM maps or appropriate authority.
Community Number: Post - FIRM Date: Panel Printed? (Y/N):
415592 1985-09-27 Y
Description:
Areas determined to be outside of 500-year flood.
Percentage
of Tax Lot:
100
Ambulance District Provider:
Emerald People's Utility District:
SoilWater Conservation District: EAST LANE
Soil Water Conservation District
OZone:
Political Districts
Election Precinct: 102304
County Commissioner District: 2 SPRINGFIELD
County Commissioner: BILL DWYER
State Representative District: 12
State Representative Name: E. TERRY BEYER
City CouncilWard: SP3
City Councilor Name: ANNE BALLEW
State Senate District: 6
State Senator: WILLIAM MORRISETTE
LCC Board Zones: 3
EWEB Commissioner District:
Lane County Assessor's Office I Account Number: 03046241 Map & Tax Lot: 17-03-35-13-05700
Property Owner
Ownerl Name: FOUMAL LAURA A
Owner Address: 1750 WASHINGTON ST
Code:
19
119
584
664
YES
YES
EC ATea: EAST/CENTRAL
Name:
SPRINGFIELD
BRATTAIN
SPRINGFIELD
SPRINGFIELD
Country
UNITED STATES
SPRINGFIELD DEPT OF FIRE & LIFE
SAFETY
Zip Code
97401
http://www.rlid.org/reports/lVlain_report_rlidstar.cfm?taxlot id:108796&site_address_id:164685&prop_... ll1312006
RLID Detailed Property Report
Taxpayer Address: 1750 WASHINGTON ST
City State
EUGENE OREGON
Property Legal Description
Township: 17 Range: 03
Subdivision Type: Subdivision Name
LoUTracVUnit Number: TL 05700
Subdivision Number:
Recording Number:
Property Value and Taxes
Land Value
Real Market
2006 52,702
2005 39,039
2004 37,538
2003 30,519
2002 29,631
2001 29,050
2000 28,480
1999 26,370
1998 23,130
1997 21,420
1996 17,560
1995 16,910
20,657
Taxable Value
Country
UNITED STATES
Section: 35
lmprovement Value
Real Market
780
680
590
560
520
510
530
480
450
450
450
680
0
Exemption Amount Regular (EAR)
Tax Year
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
Page 3 of4
Zip Code
9740'.1
Quarter: 13
Division/Phase:
TotalValue
Real Market Assessed
53,482 20,657
39,719 20,055
38,128 19,471
31,079 18,904
30,151 18,353
29,560 17,8'.18
29,010 17,299
26,850 16,795
23,580 16,306
21,870 15,831
18,010 18,010
17,590 17,590
0
Frozen Assessed Value (FZNPU)
Tax (See Explanation of Tax)
337.19
329.76
323.44
314.15
287.01
281.55
274.75
277.75
270.02
269.01
280.78
276.'.|-o
Explanation of Tax
The tax shown is the amount certified in October, unless a value change has been processed on the property. Value changes
typically occur as a result of appeals, clerical errors and omitted property. The owner either initiates the change, as in the case of
appeals, or is notified by the department, in the case of clerical errors and omitted property. The amount shown is the full amount
of tax for the year indicated and does not include any discounts offered, payments made, interest owing, or previous years owing
Account Status
(5 Active for the 2006 Tax Year
/^ New Account Scheduled to be Active' for the 2007 Tax Year
6 Locally Assessed
http://www.rlid.org/reportsAvlain_report_rlidstar.cfm?taxlot_id:108796&site_address_id:164685&prop_... lll312006
RLID Detailed Property Report
Lendrns Sesll4qsc
Pending Value Change
Delinquency
Delayed Foreclosure
Bankruptcy
Code Split lndicator
Remarks:
Special Assessment Program (if applicable)
Code:
General lnformation
Property Class: 101
Statistical Class: 107
Neighborhood Code: 40740
Property Use Type:
Account Type: RP
Category: LAND AND IMPROVEMENTS
Mortgage Company Name:
Total Acreage for this Account: 0.00
Fire Acres:
RESIDENTIAL, IMPROVED
NON.LIVING UNIT OF RESIDENTIAL VARIETY
Page 4 of 4
Mult Acct?
N
Y
r
C
r
c
C
C
Tax Code Area (Levy Code): 01900 Lane county Assessment and Taxation 2005-2006 Billinq Rates
CITY OF SPRINGFIELD
LANE COMMUNITY COLLEGE
LANE COUNTY
LANE EDUCATION SERVICE DISTRICT
SPRINGFIELD ECONOMIC DEVELOPMENT AGENCY
SPRINGFIELD SCHOOL DISTRICT 19
WILLAMALANE PARK & RECREATION DISTRICT
Sales !nformation
Sales Date: Sales Price: Grantor:
04-28-2006 75,000 BALLEW DEXTER L
01-22.2005 BALLEW GEORGE V
Manufactured Structures
Description
Grantee:
FOUMAL LAURA A
FOUMAL LAURA A
lnstrument #: Analysis Code:
2006- 29616 Y
2006- 29615 I
Search Results lNelfrcpedy$carcI lAoolications Menu
http://www.rlid.org/reportsAvlain_report_rlidstar.cfm?taxlot_id:108796&site_address_id:164685&prop_... ll/312006
WARNING CITATION
DATE ISSUED: l',lovember 27,20A6 CASE#:2006-928
NAME:Laura A. Foumal
1750 Washington Street
Eugene, OR 97401
LOCATION OF VIOLATION: 587 7th Street, Spfld, OR 97477
SPECIFIC VIOLATION: Section 5.002(2) of the Springfield City Code; Section 203 of
the Springfield Building Safety Code Administrative Code and Section 1001 of the
Springfield Housing Code.
The structure is open and accessible creating an attractive nuisance. No person in
charge of property shall permit an open, vacant structure which is attractive, dangerous
and accessible to children or which is used for habitation by trespassers. The structure
must be secured to prevent access, inctuding access und.er the structure.
;
w
s
?,!
11
$hffi;' i
';**"
'*@a*"
t"f
Thank you for your attention to this matter. lf you wish to discuss the violation, or the
required correction, Code Enforcement staff can be reached by calling 726-3680 or 726-
3659 between 7:00-9:00 a.m. Voice mail is available for messages throughout the day.
POTENTTAL SCHEDULED FORFEITURE: $500,00 first offense/$1 000.00 second
offense. Each day a violation continues constitutes a separate offense and citations can
be issued daily.
tF coMpLrANcE rs Nor ACHIEVED WlrHlN SEVEN (7) DAYS OF THE DATE OF
THIS WARNING, A CIVIL INFRACTION CITATICIN WILL BE ISSUED.
copy: Lisa Hopper, Building Safety Management Analyst
Roberl Castile, Building lnspector
Kitti Gale, Planner
City of Springfield
Building Permit & Inspection Summary
tt/312006
12:41:41PM
Job #:
coM2006-00681
Job Address: 587 7th ST Springfield
Scope of Work: Foundation
Description of Work: Foundation for relocated Duplex. (converting to
single family dwelling & relocating shop bldg.)
City, State, Zip Phone
Owner & Contractor(s)
AddressName
CON OWNER
ELC ALERT ELECTRIC INC
OWN LAURA FOUMAL
PLM DOUGLASLEEJONES
1970 28TH ST
1750 WASHINGTON ST
584 16TH STREET
SPRINGFIELDOR 97 477 541-7 47 -2213
EUGENE OR 97401 541-485-4004
SPRINGFIELD OR 97477 541.747-1254
225 Fifth Street
541-726-3753 Phone
541-726-3676Fax
Project Status: Issued
Construction Type
$
$
$
Sq FteCostSo Ft
Valuation of Proiect
Occupancy
Date
ValuatiqE Calculated
l.00
1,00
1.00
Use Bid Amount
Use Bid Amount
Use Bid Amount
2006/06120
2006107125
2006107125
$4,500.00
$2,500.00
$28,000.00
$35,000.00
4,500.00
2,500.00
28,000.00
Foundation Only
Foundation Only
Bid Amount
Staff
LKW
DLM
DLM
Amount Paid
$44.46
$198.00
$561.37
$576.61
$438.61
$ 182.69
$805.70
s82.03
$86s.31
$10.00
$ 108.25
$67.87
$68.40
$31.00
$1,000.00
$4s.00
$45.00
$4s.00
$r6.27
$25.99
$56.50
$5,274.06
Fees Paid
Date Paid Receipt #Description
Plan Review Residential
Plan Review Major - Plaruring
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
Foundation Permit
Addressing Assignment
Willamalane Single Family
Sanitary Sewer - lst 50 Feet
Water Line - lst 50 Feet
Storm Sewer - lst 50 Feet
+ 87o State Surcharge
+ l0o Administrative Fee
Fire SF Fee - Residential
Total Amount Paid
06102/2006
06116/2006
0611612006
06116/2006
061t612006
0611612006
0611612006
06t1612006
0611.612006
06n6/2006
06116/2006
06n612006
0611612006
061t612006
06tr612006
06n6/2006
0611612006
06n612006
06/r6/2006
06t1.6/2006
061t612006
\qosb\j D
I 20060000000000079 l
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
r 200600000000000880
1200600000000000880
1200600000000000880
r200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
l 200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
I 200600000000000880
I 200600000000000880
I 200600000000000880
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I of3
111312006
l2:41:4lPM
Job #:
coM2006-00681
City of Springfield
Building Permit & Inspection Summary
225 Fifth Street
541-726-3753 Phone
54L-726-3676Fax
Project Status: Issued
Job Address: 587 7th ST Springfield
Scope of Work: Foundation
Description of Work: Foundation for relocated Duplex. (converting
single family dwelling & relocating shop bldg.)
Plans Reviewed
Department
Planning Review
Structural Review
Planning Review
Initial Review
Public Works Review
Received
0613012006
Due Date
0710312006
Completed Result
WI
Reviewer Comments
Initial Review 0610512006 0610112006 0610s12006 wI
Public Works Review 0610612006 0610812006 06107t2006 APP
Initial Review 0610812006 0611012006 0610812006 APP LLH
06t30/2006 APP
07105/2006 APP
On Hold until August 8th and
the Historic Commission
review DRC2006-00043.
Do not issue until Historic
Review has been approved.
Scheduled date for hearing is
July l0th. See attached
documents
Received new plan 611212006
Wrong plan owner will
resubmit; not duplex Storm
drainage piped to curb face;
6/712006 CAS
See attached documents.
Email from Colin Stevens
approving issuance of house
move and foundation permits.
foundation
No exterior repairs or
remodeling permitted per
Historic Review
DRC2006-00043. House
must not be setback from
front property more than 18',
minimum 7' sideyard setback.
Smooth faced CMU block
foundation to be used. Must
dig out footings so that there
is no backfill up against
foundation. Maximum
exposure of the CMU block is
20". Unsure of street hee
requirment at this time -
Check with Kitti Gale after
June l9th.
Revisions to original
submittal
Reviewed resubmitted plans -
no apparent changes to
impervious areas or DFU's;
storm drain piped to curb face
(weep hole) 07/05/06 CJS
Sent request for information
to clarify roof support
alterations 7 125 12006 dkn
LLH
06t06t2006
0610612006
06t3012006
06130/2006
0611512006
06t0812006
0611412006
0611512006
CAS
RWC
EMM
LLH
CJS
APP
APP
0710212006
07/0312006
06t3012006 07/10/2006 08/0U2006 v/ESkuctural Review
2 of 3
DLM
225 Fifth Street
541-726-3753 Phone
541-726-3676Fax
Project Status: Issued
Stnrctural Review
Plan Review Comments
Post and Beam
Floor Insulation
Framing Inspection
City of Springfield
Building Permit & Inspection Summary
Job Address: 587 7th ST
Scope of Work: Foundation
Description of Work:
08124/2006 09126/2006
t010212006
Insnections Conducted
Comments Date
Call Kiiti Gale for inspectiou of
foundation placement at
726-3632.
tU3/2006
l2:41:4lPM
Job #:
coM2006-00681
0811412006
Springfield
Foundation for relocated Duplex. (converting
single family dwelling & relocating shop bldg.)
APP DLM Received revised plans and
designer's information for
roof support 8114/2006 dlm
Reviewed designer's calcs;
they do not appear to comply
with code required loading.
The ceiling joists will only
support a l0lb.is.f. storage
load. Floor joists at LR/Kit
require add'l support.
Informed designer 9 I 1812006
dlm
See documents for plan
Io LLH ['J:X':iffilhents ror
conditions for issuance from
Kitti Gale - Historic District
Result Inspector
3 of 3
SFEDICT!ILll
Inspections
Rough Mechanical
Final Mechanical
Ufor Electrical Ground
Footing
Foundation
Water Line
Sanitary Sewer Line
Storm Sewer Line
Electric Service
Final Building
Final Site Plan
RLID Detailed Property Report
Site Address: 587 7TH ST
Map & Tax Lot #: 17-03-35-13-05700
A & T Account #: 0304624
Vicinity Map
Page 1 of4
LANE COUNTY REGIONAL LAND INFORMATION DATABASE
Soecial lnterest Code:
lT*!-a:
Detail Map
l
'l
1I
I
I
I
I
Lt
E
I-
f
E
E
t
E!
.,r,l tffi
ffi
ffi
at
r
rp
X-Coord: 4259709
Site Address lnformation
House Suffix
587
Mailing City
SPRINGFIELD
Create Date: 2006-07-21
Land Use
Predir
Land Use Code and Description
Use Code and Description:
Zoning
Zoning Jurisdiction:
Parent Zone 1:
Boundary lnformation
General
lncorporated City Limits:
Urban Growth Boundary:
Fire Protection Providers:
Node:
Plan Designation:
2000 Census Tract:
2000 Block Group:
Year Annexed:
Annexation #:
2004 Transportation Analysis Zone:
SPR
SPR
N
Display Current Metro Plan MaP
3300
5
1891
fJ= ,rTTI fTl-.-l f-Tf-.FT-rr ffi
Site Address State Plane Coordinates
Y-Coord: 878683
Street Name PostDir. Street Type Unit Type Unit
7TH ST
state ZiP code ziP+4 Carrier Route
oR 97477
Update Date:
Land use information has not been field verified.
Code: DescriPtion:
1111 SINGLE FAMILY HOUSING
S SINGLE FAMILY
please verify zoning information with local jurisdiction. Lane County overlay zones are not currently shown in RLID
Code: DescriPtion:
SPR SPRINGFIELD
LD LOW DENSITY RESIDENTIAL
Please verify boundary information with local jurisdiction'
SPRINGFIELD
SPRINGFIELD
49
II lt_t I
http://www.rlid.org/reports/N4ain_report_rlidstar.cfm?taxlot_id:108 796&site-address-id:164685&prop-... ll1312006
Convert to PDF ViewTax Map
ffiEfiffi
ffiffiffi*ffi
ffi
il-rtfffi
[TItr
mrTf
RLID Detailed Property Report
Approximate Acreage:
Approximate Square Footage:
Environmental Fi ndings
Metro Flood Hazards:
Metro Wetlands:
FEMA Flood Hazard Zones
FIRM Map Number:
41039C1 142F
Code:
x
Soils
Soil Map Unit Number:
76
Schools
District:
Elementary School:
Middle School:
High School:
Service Districts
LTD Service Area:
LTD Ride Source:
CitY
EUGENE
Taxpayer
feXpayg Name
Soil Type Description:
MALABON.URBAN LAND COMPLEX
PageZ of 4
0.21
9,148
Please verify environmental information with local jurisdiction
Note: Some parcels may extend onto adjacent FIRM maps. Registration between parcel boundaries and flood hazard
zones is approximate. Community numbers are based on the current city limits and may not reflect boundaries at the
date of map publication. Consult FIRM maps or appropriate authority.
Community Number: Post - FIRM Date: Panel Printed? (Y/N):
41s592 1985-09-27 Y
Description:
Areas determined to be outside of 500-year flood.
Percentage
of Tax Lot:
100
Code
19
119
584
664
Name:
SPRTNGFIELD
BRATTAIN
SPRINGFIELD
SPRINGFIELD
YES
YES
EC ATea: EAST/CENTRAL Provider:Ambulance District:
Emerald People's Utility District:
Soil Water Conservation District: EAST LANE
Soil Water Conservation District
OZone
Political Districts
Election Precinct: 102304
County Commissioner District: 2
County Commissioner: BILL DWYER
State Representative District: 12
State Representative Name: E. TERRY BEYER
City CouncilWard: SP3
City Councilor Name: ANNE BALLEW
State Senate District: 6
State Senator: WILLIAM MORRISETTE
LCC Board Zones: 3
EWEB Commissioner District:
Lane County Assessor's Office I Account Number: 0304624 |
Property Owner
Ownerl Name: FOUMAL LAURA A
Owner Address: 1750 WASHINGTON ST
SPRINGFIELD DEPT OF FIRE & LIFE
SAFETY
SPRINGFIELD
Map & Tax Lot: 17-03-35-13-05700
State
OREGON
FOUMAL LAURA A
Country
UNITED STATES
Zip Code
97401
http://www.rlid.org/reports/lVIain_report_rlidstar.cfm?taxlot_id:108796&site_address_id:164685&prop_... 1l/312006
RLID Detailed Property Report
Taxpayer Address: 1750 WASHINGTON ST
City State
EUGENE .. OREGON
Property Legal Description
Township: 17 Range: 03
Subdivision Type: Subdivision Name
LoVTracVUnit Number: TL 05700
Subdivision Number:
Recording Number:
Property Value and Taxes
Land Value
Real Market
2006 52,702
2005 39,039
2004 37,538
2003 30,519
2002 29,631
2001 29,050
2000 28,480
1999 26,370
1998 23,130
1997 21,420
1996 17,560
1995 16,910
20,657
Taxable Value
0
Exemption Amount Regular (EAR)
Tax Year
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
Page 3 of4
Zip Code
97401
Quarter: 13
Division/Phase:
TotalValue
Rea[ Market Assessed
53,482 20,657
39,719 20,055
38,128 19,471
31 ,079 18,904
30,151 18,353
29,560 17,818
29,010 17,299
26,850 16,795
23,580 16,306
21,870 15,831
18,010 18,010
17,590 17,590
0
Frozen Assessed Value (FZNPU)
Tax (See Explanation of Tax)
337.19
325.76
323.44
314.15
287.01
281.55
274.75
277.75
270.02
269.01
280.78
276.10
Country
UNITED STATES
Section: 35
lmprovement Value
Real Market
780
680
590
560
520
510
530
480
450
450
450
680
Explanation of Tax
The tax shown is the amount certified in October, unless a value change has been processed on the property. Value changes
typically occur as a result of appeals, clerical errors and omitted property. The owner either initiates the change, as in the case of
appeals, or is notified by the department, in the case of clerical errors and omitted property. The amount shown is the full amount
of tax for the year indicated and does not include any discounts offered, payments made, interest owing, or previous years owing.
Account Status
(e Active for the 2006 Tax Year
New Account Scheduled to be Activet for the 2007 Tax Year
(a Locally Assessed
http://www.rlid.org/reports/Main_report_rlidstar.cfm?taxloild:108796&site_address_id:164685&prop_... 111312006
RLID Detailed Property Report
C Pending Seg/Merge
C Pending Value Ohange
(- Delinquency
C Delayed Foreclosure
(- Bankruptcy
C Code Split lndicator
Remarks:
Special Assessment Program (if applicable)
Code:
General lnformation
Property Class: 101
Statistical Class: 107
Neighborhood Code: 40740
Property Use Type:
Account Type: RP
Category: LAND AND IMPROVEMENTS
Mortgage Company Name:
Total Acreage for this Account: 0.00
Fire Acres:
RESIDENTIAL, IMPROVED
NON.LIVING UNIT OF RESIDENTIAL VARIETY
Page 4 of 4
Mult Acct?:
N
Y
Tax Code Area (Levy Code): 01900 Lane Countv Assessmenl and Taxation 2005-2006 Billing Rates
CITY OF SPRINGFIELD
LANE COMMUNITY COLLEGE
LANE COUNTY
LANE EDUCATION SERVICE DISTRICT
SPRINGFIELD ECONOMIC DEVELOPMENT AGENCY
SPRINGFIELD SCHOOL DISTRICT 19
WILLAMALANE PARK & RECREATION DISTRICT
Sales lnformation
Sales Date: Sales Price:
04-28-2006 75,000
01-22-2005
Manufactured Structures
Grantor:
BALLEW DEXTER L
BALLEW GEORGE V
Description:
Grantee:
FOUMAL LAURA A
FOUMAL LAURA A
lnstrument #: Analysis Code:
2006-29S10 Y
2006- 29615 g
Search Results lNew ProDerty Search lADolications Menu
http://www.rlid.org/reports/\4ain_report_rlidstar.cfm?taxlot_id:108796&site-address-id:164685&prop-... lI13l2006
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00681ISSUED: 0611612006APPLIED: 06/0512006
EXPIRESz 1211612006VALUE: $ 4,500.00
SITE ADDRESS: 587 7th ST Springfield TYPE OF WORK: Foundation
ASSESSOR'S PARCEL NO.: 170335r305700
TYPE OF USE: Addition
PROJECT DESCRIPTION: Foundation for relocated Duplex. (converting to single family dwelling)
Owner:
Address:
LAURA FOUMAL
1750 WASHINGTON ST
EUGENE OR 97401
ATTENTION: Oreg
follow rules adoPted by the Oregon
Notification Center'Those rules are set forth
copies of the rutes bY
ca (Note: the tolephone
nu e
Center is 1
12772
104606
05t22t2007
02n7t2007
Residential
-485-4004
e
s4t-747-2213
541-747-1254
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
ALERT ELECTRIC INC
DOUGLAS LEE JONES
C
# 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy.Path:
Sprinkled Building:
Lot Size;
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
II
1
Wall Heat
Electric
Electric
nla
ARKING
9,600
1,130
716.00
7.00
63.00
35.00
63.00
.,- riili,,llrQLtA]
Overlay DiSti,u ,,..,
# Street Treeo Rod:^ - ^
;x*';ifuffi,'J3i;,',h1
REQUIRED P
I I FXPTRE tFIt{ElryoRt(
r " DtraMhtrl$tflEIa,
5 i,r., 'i,JJOtrjffiffifot:
Ofloo
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Setback 5'
Curb and Gutter
DEVELOPMENT I
PUBLIC IMPROVEMENTS
Notes: Storm drainage piped to curb face 6/7/06 CAS
Page 1 of4
I' U I.I,L'Il\ U T I\ T UKIYTryJ
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00681ISSUED: 0611612006APPLIED: 06/0512006
EXPIRESz 1211612006VALUE: $ 4,500.00
Description Type of Construction
Fee Description
Plan Review Residential
+ l0Yo Administrative Fee
+ 87o State Surcharge
Addressing Assignment
Fire SF Fee - Residential
Foundation Permit
Plan Review Major - Planning
Sanitary Sewer - lst 50 Feet
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
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Water Line - lst 50 Feet
Willamalane Single Family
Total Amount Paid
Total Value of Project
Date Paid
6t2106
6n6t06
6fi6t06
6fi6t06
6n6t06
6n6t06
6n6t06
6n6t06
6n6t06
6t16t06
6fi6t06
6n6t06
6n6t06
6n6t06
6n6t06
6n6t06
6n6t06
6n6t06
6n6t06
6lt6t06
6n6t06
Receipt Number
1200600000000000791
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
1200600000000000880
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount Value Date Calculated
Amount Paid
s44.46
$25.99
$16.27
$31.00
$56.s0
$68.40
$r98.00
$4s.00
$438.6r
$s76.6r
$10.00
$865.31
$82.03
$108.2s
$67.87
$805.70
$r82.69
$s61.37
$45.00
$45.00
$1,000.00
$5,274,06
Faps Paid
Plan Reviews
Initial Review 06t05t2006 06t05t2006 WI LLH
APP LLH
Do not issue until Historic Review
has been approved. Scheduled date
for hearing is July 10th. See
attached documents
See attached documents. Email
from Colin Stevens approving
issuance of house move and
foundation permits.
Initial Review 06/08/2006 06/08/2006
Pase 2 of 4
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
ITY F
Building/Combination Permit
PERMIT NO: COM2006-00681ISSUED: 0611612006APPLIED: 06/0512006EXPIRES: 1211612006VALUE: $ 4,500.00
Planning Review
Public Works Review
Structural Review
06t06t2006 06n5t2006 APP EMM
06t06t2006 06t07t2006 APP CAS
06t06t2006 06n4t2006 APP RWC
No exterior repairs or remodeling
permitted per Historic Review
DRC2006-00043. House must not bt
setback from front property more
than 18', minimum 7'sideyard
setback. Smooth faced CMU block
foundation to be used. Must dig out
fllotings so that there is no backlill
up against foundation. Maximum
exposure of the CMU block is 20".
Unsure of street tree requirment at
this time - Check with Kitti Gale
after June 19th.
Received new plan 611212006 Wrong
plan owner will resubmit; not
duplex Storm drainage piped to
curb face; 61712006 CAS
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.
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.
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.
Electric Service: Approval required prior to utility company energizing service.
Final Building: After all required inspections have been requested and approved and the building is complete.
red Insnecfions
Paee 3 of4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00681ISSUED: 0611612006APPLIED: 06/0512006
EXPIRESZ 12n6t2006VALUE: $ 4,500.00
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 701.005 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.
Owner or Contractors Signature Date
Page 4 of 4
I
CITY OF Sr r{INGFIELD
JOURNAL OR JOB NUMBER: COM2006-00681
NAMEORCOMPA].ry Laura Foumal
LOCATION 587 7th 589
TAX LOTNTIMBER:0
DEVELOPMENTTYPE SINGLE FAMILY RESIDENCE
NEWDWELLINGUMTS
I. STORMDRAINAGE
DIRECTRUNOFF TO CIry STORM SYSTEM
IMPERVIOUS S.F COST PER S.F
$0.323
DISCOUNTRATE
50o/o
$561.37
LOPMET\ ,UORKSHEET
DISCOUNT
$0.00
COST PER S.F
$0.323
COST PER DFU
$25.07
$19.07
NUMBER OF UNITS
I
NUMBEROFUNITS
I
ADM. FEE RATE
5Yo
BUILDING SIZE 1207 LOT SrZE (SF)
CTIARGE
$561.37
9600
ar!ao(J
&HFa
oH&
RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1738.00
IMPERVIOUS S.F
0.00
B. IMPROVEMENT COST:
NUMBER OF DFU's
23
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$3,s22.32
x
ITEM l TOTAL- STORMDRAINAGE SDC
2. SANITARY SEWER - CIry
A.COST:
1070
l09t
1092
1093
1094
1055
1 056
x
ITEM 2 TOTAL. CITY SANTTARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
x
x
x
x
x
x
xx
xx
COST PER TRIP
$19.09
COST PER TRIP
$84. l9
$988.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU'S
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$9s7.34
CHARGE
s176.'12
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE
CherylSlaymaker 611312006
$561.37
$576.61
$438.61
$82.03
$0.00
$10.00
108.25
.87
$3,698.44
NUMBEROFDFU's
23
COST PER FEU
$82.03
COST PER FEU
$865.3 r
522.32
PREPARED BY DATE
TOTAL SDC CHARGES
x
tts.22
NEW
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
DRAINAGE FD(TURE UNIT CALCULATION TABLE
NUMBER OFNEW FD(TURES x UNTT EQUIVALENT: DRAINAGE FXTURE UMTS
FOR CALCULATE ONLY TT]E NET ADDITIONAL
NO. OFFIXTURES
I]NIT
FIXTI]RE TYPE OLD
MISCELLANEOUS DFU TYPE NT]MBER OF EDU'S
TOTAL DRAINAGE FD(TURE T]NITS
isa toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COI]NTY ASSESSED VALUE
20
DRAINAGE
FtxTTIRE
T]NITS
0
2
1979
BEFORE 1979
1979
1980
1981
1982
I 983
1984
1985
1986
1987
1988
1989
1990
t992
1993
1994
I 995
1996
1997
1998
1999
----S15e-
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
2
VALUE / IOOO
$0.00
CREDITRATE
$5.29x
t99t
CREDIT FOR IMPROVEMENT OF AFTERANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
BATHTUB 2 0 3 6
DRINKING FOI]NTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH/ ETC.0 0 6 0
LAUNDRYTUB 0 0 2 0
CLOTT{ESWASIIER / MOP SINK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 I 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3
SHOWE& SINGLE STALL 0 0 2 0
SHOWE& GANG (NT]MBER OF }IEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCTIEN I 0 3 3
SINK: COMMERCIALBAR 0 0 2 0
SINK: WASH BASIN/DOLIBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRTVATE INSTALLATION 2 0 3 6
23
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
0
2000
2001
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$+.+o
$4.07
$3.67
$3.22
$2.73
$2.2s
$1"80
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cie of Springfield Oflicial Receipt
L .;lopment Seruices Department
Public Works Department
RECEIPT #: 1200600000000000880 Date: 0611612006 e:52:51AM
Job/Journal Number
coM2006-006E1
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
coM2006-00681
Description
Fire SF Fee - Residential
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
Foundation Permit
Addressing Assignment
Willamalane Single Family
Sanitary Sewer - lst 50 Feet
Water Line - I st 50 Feet
Storm Sewer - lst 50 Feet
+ 8% State Surcharge
+ l0% Administrative Fee
Plan Review Major - Planning
Amount Due
56.50
561.37
576.61
43 8.61
182.69
805.70
82.03
865.3 I
10.00
108.25
67.87
68.40
31.00
1,000.00
45.00
45.00
45.00
16.27
25.99
198.00
Item Totall $5,229.60
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check NATL PROPERTY
SERVICE-INC
nJm 1757 In Person
Payment Total:
$5,229.60
$5,229.60
cRecernt I Page I of I 6t1612006