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Home My WebLink AboutPermit Building 2005-10-17SPRIN Building/C ombination Permit PERMIT NO: COM2005-01328ISSUED: 1011712005 APPLTEDZ 09t28t200s EXPIRESz 0611412006VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR : 541-726-3753 Phone' 541-726-36768ax 541-7 26-37 69 Inspection Line SITE ADDRESS: 4096817TH AVE ASSESSOR'S PARCELNO.: 1703344305800 Eugene PROJECT DESCRIPTION: Convert garage to living area - adding bath TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential PhoneNumber: 541-747-8819- Owner: Address: WELTY VONDA PO BOX 3266 EUGENE OR 97403 otificati on Contractor Type General Electrical Mechanical Plumbing Contractor License PAGE REMODELING & CONSTRUCTION I 68337 G MILLER ENTERPRISES INC 87145 PAGE REMODELING & CONSTRUCTION I 68337 ARPS PLUMBING CO INC 38123 Expiration Date Phone 541-688-8787 541-741-2596 541-688-8787 541484-7246 02t07t2006 11trot2006 02t07t2006 0u24t2006 BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: .. Primary Construction Type Secondary Construction Type: # of Bedrooms: # of storief{0TlCE:Lot Size: Height of Ft lst Floor: Type of Water MMENCEO Energy 180 oAY PEiMI Sprinkled Building:nla Occupant Load: Ri:} VB 5.00 0.00 Range Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: AC Mat No Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: Urban Fringe Sidewalk Type: Downspouts/Drains: REQUIRED PARIilNG Total: Handicapped: Compact: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Connect to existing downspout 9/30/2005 CAS Page I of3 oAB 952_001. I Status Issued 225 Fifth Street, Springfield' OR 54l-726-3753 Phone 541-726-3676Fa,x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01328ISSUED: 1011712005 APPLIED: 0912812005 EXPIRESz 0611412006VALUE: $ 25,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 25,ooo.o0 Total Value of Project Amount Paid Date Paid Value $25,000.00 $25,000.00 Date Calculated 091281200s Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Building Permit Fixture Minimum/Adj ustment Mechanical Plan Review Minor - Planning Sanitary Sewer - lst 50 Feet Vent Fan Water Line - lst 50 Feet + l0o/o Administrative Fee + 7oh State Surcharge Residence Wiring 1000 Sq Ft + llYo Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid $14s.86 $10.00 942.94 $30.06 $224.40 $70.00 $39.00 $8s.00 $4s.00 $6.00 $4s.00 $10.60 $7.42 $106.00 $4.60 $3.22 $43.00 $3.00 9t28105 t0n7los l0n7l05 t0n7t05 t0n7t05 r0n7t05 t0n7l05 t0n7t05 t0lt7l05 t0n7tos t0lt7los 10t24105 10t24t05 10t24t05 12t22t05 12t22105 12t22t05 12t22t05 Receipt Number 1200500000000001421 2200500000000001452 2200500000000001452 2200500000000001452 2200s00000000001452 2200500000000001452 220050000000000r452 2200500000000001452 22005000000000014s2 22005000000000014s2 2200s0000000000r452 r200s00000000001590 1200500000000001590 1200500000000001590 2200500000000001733 2200500000000001733 220050000000000r733 2200s00000000001733 $921.10 Eees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 09t29t2005 10/03/200s APP APP LLH TAJ 09t291200s 0913012005 APP cAs 09t291200s t0n3t2005 APP RJB This is not approved as an additional dwelling unit. No cooking facilities are allowed. No SDC fee septic system 913012005 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. Paee 2 of3 Valuation Descrintion I 09t29t200s 09t301200s Building/Combination Permit Status Issued 225 Fifth Street, Springfield' OR S4l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01328ISSUED: 1011712005 APPLIEDz 0912812005 EXPIRESz 0611412006VALUE: $ 25,000.00 Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. WalI Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signaturer l 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 onty 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 Paee 3 of3 Date L LL. Reouired lnspections I I?,*'l' I "1t'N / fh< 0 LA\)o St 170 Ocr 7rt€eT G;0-*Neu lgrK-ru& 3,9- 6 ,r! -=tsXS l) rv& r\u.rsr \ lo 'rrl \ 5 (g r5 (N) 8d PoaPoseD Ba-rlttoon^ FDDr llb..) (.' t' lot 6 I I \ ( I I I f" MINIMUM SETBACKS - TNTERTOR LOTS A11 neasurements are fron Proper ty Lines THf -vr'lTEtltsALYERA?IQNS trur ,1aril ii;t dA'/t1 BEEII REVIET/E0, WITHrtlf.ATif, CN COLORED PENCIL. CHANGES -Front yard to House 10 feet ' i -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage L0 feet P.U,E. HAY CEANGE SETBACKS OR Allgftr{tiQfsd- ...i...i.,i i'L\ il-lE APPROVED DRA}TINGS OR:PROJ€Cl ..fi {!.: }'.rA IJ,.-iJ.g BELOW SHALL BE APPROVED BY'THE BUIL9INL. JFf iC,IAL. CITY OF SPRINGFIELD, OREGON ,O Jl . E*9n Fre Cr+n-*tE f1^Gi Tr^r) ie rr$ ,g I I I I I t I o t-I q -.':-l 7H7I ST e. Ffr IbErE\){hrot.)31,tl5 o-:T-r'\ ( 'tE=r E-t .s-r ,8FHlHGFI,TLD.City of Springfield Development Services DePartment Community Services Division, Building Safety 541-726-3759 Phone 541-726-3676Fax June 27,2006 WELTY VONDA PO BOX 3266 EUGENE, OR 97403 Date Permit Issued: Permit Number: Location Project DescriPtion: Dear Permit Holder: Sincerel Y, Lisa Hopper Building Safety 1011712005 coM2005-01328 4096817TH AVE Convert garage to living area - adding bath As stated on your permit and/or approved plans, work authorized under the permit issued will expire if the workls not commenced or is abandoned for any 180 day period. Because you did not contact us to request an inspection or to call us to veriff that progress has continued to be made on the project, your permit(s) has expired. This letter is a reminder that the above referenced permit(i) expired on 611412006. Please contact our office at Springfield City Hall, 225 Fifthsireet, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m' and 3:00 p.m. Mondaythrough Friday, excluding holidays prior to continuing work on your projeit. There are additi,onal permit fees that are due in order to complete your project. Dave Puent, Community Services Manager Code Enforcement cc CitY of SPringfield 225 Fifth Street, Springfield, OR 97477 541-726-3759 Phone 541-726-3676 Fa.x May 04, 2006 WELTY VONDA PO BOX 3266 EUGENE Job Number: Location: oR 97403 coM200s-01328 40968,17TH AVE Project Convert garage to living area - adding bath Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 4096 E 17TH AVE which is set to expire on 611412006. Our records indicate that you have not requested an inspection within the past frve (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervtsor ra'r,!no rlroiect as 'c ooes not rer ii.frrt{r* q}r',1 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(54 ELECTKI,PEKMIT APPLICA City Job Num our" lZ 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 iC 200 AmPs or less Over 1000 AmPs/Volts Reconnect OnlY I oF (s4t)726-3 l! INSTALLA/fu T'ION 3.*zd \C5 JOB DESCRIPTION Address City A rhone 55 Supervisor License Number 177o e Expiration Date - l-07/o 5b $ 106.00 $ 19.00rub 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. }2NT'RA1T2RTNST',ALLATTON ONLY' Electrical Contractor M s50.00 B. Services or Feeders - Installation, Alterations or Relocation: I '' ' i l:1:' ' r:i $ $ S 201 Amps to 400 AmPs 40i Amps to 600 AmPs 601 Amps to 1000 AmPs - $,$ZZ3 163.00 375.00 50.00 $ 3.00 S C. Tenrpolary Servigeq,qr-Feeders . ,."r,;'""''r.: ''-: ''- i- rr 'r ,"ff $TftEtlteratio n or Relocatio n ,4r4sry-pdMFr s HALL EXP I REJE-THES&ffi( 'oi'oirqb-rir2Hfinu rn r H ts pEnutr Hflm '%6i?"tilE{'ff?$0d r s nsAI'lB€NE+r0H' 00 ow[rfpqsooAYPgBl0$-see"B'lbove',,..:,. . : .,, .D. Branch Circuits : Constr. Contr. Number Expiration Date 1-r -o of Supervi clan Owners New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with / Service or Feeder Permit E. Nliscellaneous (Service/feeder not inclutled) -Each $ 43.00 43.do-*s.e AJcn Installation r?"H' 1Lt1 -{8 n Pump or inigation 4. SUBTOTAL OIIABO\'E 7% State Surcharge 10% Administrative Fee TOTAL $ 50.00 o 97.-/o3 Sign/Outline Lighting Limited EnergY,lResidential s 25.00 s 50.00 OWNER ALLATION The installation is being made on property I own which is not intended lor sale, lease or rent' Owners Signature: Limited Energy/Commercial $ 45'00 Minimum Electric Permit lnspection Fee is $'15'00 + Surcharges od -) Inspection Request: 726-37 69 Shared Drive(T:.1/Building Fonns/Electdcal Penlit Application l-03'doc ).- CO NII'LEI'E I- EE SCH E D ULE BELO'\T obtain uy- LEGAL 3 ?25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ^ity of Springfield Oflicial Receipt --Jevelopment Services Department Public Works Department RECEIPT #: 2200500000000001733 Date: 1212212005 11:45:02AM Job/Journal Number coM200s-01328 coM2005-01328 coM2005-01328 coM2005-01328 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard lt .i SCOTT E. CARTER/TURBO CARTER ELECT njm 022474 In Person Payment Total: $s3.82 $s3.82 ); 121221200s Page I of 1 {&I'lsaI&& CITY OF SPRINGFIEI.D, OREGON ollov,ing Proiect as not requ ire 225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)726-3753 oFAX: (54 ELECTRICAL City Job Number I APPLICATION Date !0?6 c /1TA e /6 - Z</-oS r..:tr,-r r-EC SlgnatUfg Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof E WORK NOT 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsAr'olts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps above. bryl 3 \) Ius LEGAL JOB DESCRIPTION Dt t -fe'r,ce 0J tRt,J.3 Permits are non-trrnsferable and expire if not started within 180 days of issuance or if Suspended for 180 days. 2. A. IGE: PERMI AU HORIZE MENC 180 $106.00 $ 19.00 $s0.00 /o( -oo City ( ld Phone 7q/-2s?< Supervisor License Number 36.s( S C. Expiration Date -/6 ^/ 47 Electrical Contractor Address Signature of Supervising Electrician Qe*"d €(eil EN t" Rd $ 63.00 $ 7s.00 $125.00 $ 163.00 $375.00 $ s0.00 $ s0.00 $ 69.00 $100.00 Constr. Cont. Number 8z rq{ Expiration Date - /o -o<401Amps low rul D. New Alteration or Extension Per Panelt z'/or-^ o"r-rr-l-2'* tn 00 City h,tqqrw ffiJ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Circuit $ 43.00 $ 3.00 Each Additional Circuit or with E. Pump or irrigation $ s0.00 Sigr/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges o Yo bx'U?.torp th Owners N Address 7%o State Surcharge 10% Administrative Fee TOTAL 7.+2- t? 4,c 2-Inspection Request: 726-37 69 4. Shared Drive(T:)/Building FormVElectrical Permit Application l-03.doc Feeders - Installation, Alterations or Relocation: Temporary Services or Feeders to \lnnAn n k [{er Service or Feeder Permit SUBTOTALOFABOVE t0b fl Ce per dwelling unit.orNewSingle Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-7263676F'ax 541:7 2637 69 Inspe ction Line CITY OF SPRIN Building/Co mbination Permit PERMITNO: COM2005-01328ISSUED: 1011712005 APPLIEDz 0912812005 E)GIREST 0412412006VALUE: $ 25,000.00 SITE ADDRESS: ' 4096 E 17TH AVE ASSESSOR'S PARCEL NO.: 1703344305800 Eugene PROJECT DESCRIPTION:Convert garage to living area - adding uA&0TlCE: TYPE OF TYPE OF USE: Single Family Residence Remodel Residential Owner: Address: Contractor Type General Electrical Mechanical Plumbing WELTY VONDA PO BOX 3266 EUGENE OR 97403 RIZEO UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Contractor License PAGE REMODELING & CONSTRUCTION 1168337 G MILLER ENTERPRISES INC 87145 PAGE REMODELING & CONSTRUCTION IM8337 ARPS PLUMBING CO INC 38123 Expiration Date 0210712006 tut0t2006 02t07t2006 0u24t2006 Phone s41-688-8787 541-741-2596 541-688-8787 541484-7246 CONTRACTOR I # of Units: Primary Occupancy Group: Secondary Occupancy Piimary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Paved Drive Rqd: %o of Lot Coverage: e set torth AR .:rMQIIIRED PAR]flNG Total: Handicapped: Coryilct: R3 VB # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled iaseboard Electric Electric Path I Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: se rules ar s.00 0.00 AC Mat No Sidewalk Type: DownspoutVDrains PUBLIC IMPROVEMENTS Notes: Connect to existing downspout 9/30/2005 CAS l of 3 X,,L". I,U I l .-l-rll\t rNI U.twl\] Status: Issued 225 Fifth Street, Springfield, OR 54t:7263753 Phone 541-72636768ax 541:7 26-37 69 I ns pe ction Line CITYOF PRIN Buildin g/C o mbination Permit PERMIT NO: COM2005-01328ISSUED: 1011712005APPLEDz 0912812005E)PIRESz 0412412006VALUE: $ 25,000.00 Description Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0%o Administrative Fee + 7o/o State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning Sanitary Sewer - lst 50 Feet Vent Fan Water Line - lst 50 Feet + l0o Administrative Fee + 7oh State Surcharge Residence Wiring 1000 Sq Ft Total Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 25,000.00 Total Value of Project Amount Paid Date Paid Value $25,000.00 $25,000.00 Receipt Number 1200500000000001421 2200s00000000001452 22005000000000014s2 2200500000000001452 2200500000000001452 2200500000000001452 2200s000000000014s2 2200500000000001452 2200s00000000001452 2200s000000000014s2 2200500000000001452 1200500000000001s90 1200500000000001590 1200500000000001590 Date Calculated 09t28t2005 $145.86 $10.00 $42.94 $30.06 $224.40 $70.00 $39.00 $8s.00 $45.00 $6.00 $45.00 $10.60 $7.42 $106.00 $867.28 9l28l0s t0n7t05 t0n7t05 t0lt7l05 10fl7t05 t0n7tos t0n7t05 t0n7t05 t0lt7los t0n7tos t0n7t05 r0t24t05 10t24t05 t0t24t0s Fees Pa Plan Reviews Initial Review Planning Review Public Works Review Structural Review 09t29t200s 09t30t200s 09t29t2005 09t29t2005 09t29t200s 10/03/200s 09/30/200s 10n3t2005 APP APP APP APP LLH TAJ CAS RJB This is not approved as an additional dwelling unit. No cooking facilities are allowed. No SDC fee septic system 913012005 CAS To Request an inspection call the24 hour recording at 7264769. 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. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Reouired Insnecfions 2of3 ***x!.T Valuation Descrintion I Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676F'ax 541:7 26-37 69 I ns pe ction Line Building/Co mbinatio n Permit PERLIT NO: COM2005-01328ISSUED: l0ll7l200sAPPLED: 0912812005E)GIRESz 0412412006VALUE: $ 25,000.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 certiff 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 structwe without permission of the Community Services Division, Building Safety. I further certiff 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 3 of 3 225Bifth Street Springfield, Oregon 97 47 7 5^1J26-3759 Phone City of Springfield Official Receipt ;velopment Services Departm ent- Public Works Department RECEIPT #: 1200500000000001590 Date: 1012412005 e:28:32AM Job/Journal Number coM2005-01328 coM2005-01328 coM2005-01328 Description Residence Wiring 1000 Sq Ft + 7oh State Surcharge + l0o/o Administrative Fee Amount Due 106.00 7.42 10.60 Item Total:$124.02 Peyments: Tlpe of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard GARY MILLER ddk 289277 In Person $124.02 Payment Total: -STIil7 t0/24/200s lofl ryI I checl(Number Auflrorization Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01328ISSUED: 1011712005 APPLIEDT 0912812005EXPIRES: 0411712006VALUE: $ 25,000.00 SITE ADDRESS: 4096817TH AVE Eugene TYPE OF WORI(: Single Family Residence ASSESSORTS PARCEL NO.: 1703344305800 TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Convert garage to living area - adding bath Al1EJ\lf lON: Oregon law youto Owner: Address: WELTY VONDA PO BOX 3266 EUGENE OR 97403 Notif;6211on Center. Those rules are set forth Contractor Type General Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: . Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor License PAGE REMODELING & CONSTRUCTION I 68337 G MILLER ENTERPRISES INC 87145 PAGE REMODELING & CONSTRUCTION I 68337 ARPS PLUMBING CO INC 38123 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: Expiration Date Phone 02t07t2006 tUt0t2006 0210712006 0u24t2006 s41-688-8787 541-741-2596 s41-688-8787 541484-7246 REQUIRED PARI(NG Total: Handicapped: Compact: R3 VB LL EXPIRE IF IHE WORK # of storie$uTH0RtzED UNDER THILBf&l0lT tS NoT Height orsfi[I[flENCED 0R lS ABAtqHEn f0&, Type of HoAt{Y !8&&U BERI0O. sq Ft 2nd Ftoor: Water Type: Electric Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Path I Sq Ft Other: Sprinkled Building: nla Occupant Load: s.00 Sidewalk Type: Downspouts/Drains: 0.00 AC Mat No CONTRACTOR INFORMATION Notes: Connect to existing downspout g/30t2005 CAS Pase I of3 - r i l'al -, Li i r i v ilu [t itCatiot'l Urban Fringe IJLY T,LI.JTNIEI\ I II\T(,,I!YIAII(-,I\ I FIELD 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: COM2005-01328ISSUED: 1011712005 APPLIEDT 0912812005EXPIRES: 0411712006VALUE: $ 25,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount$1.00 25,ooo.oo Total Value of Project Amount Paid Date Paid Value $25,000.00 $25,000.00 Date Calculated 09t28t200s Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 77o State Surcharge Buitding Permit Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning Sanitary Sewer - lst 50 Feet Vent Fan Water Line - lst 50 Feet Total Amount Paid $145.86 $10.00 $42.94 $30.06 $224.40 $70.00 $39.00 $85.00 $4s.00 $6.00 $4s.00 9128t05 t0n7t05 t0n7t05 t0n7t05 10fi7t05 t0lt7t05 t0fi7tos tolt7t05 t0lt7t05 t0n7t05 t0n7t05 Receipt Number 1200500000000001421 2200500000000001452 2200500000000001452 2200s000000000014s2 2200s000000000014s2 2200s000000000014s2 2200s000000000014s2 2200500000000001452 22005000000000014s2 2200s000000000014s2 2200s000000000014s2 $743.26 tr'ees Pa Plan Reviews Initial Review Planning Review Public Works Review Structural Review 09t2912005 09/30/2005 09t29t2005 09t29t2005 09t29t2005 r0/03/2005 09/30/200s 10/13/2005 APP APP APP LLH TAJ CAS RJB This is not approved as an additional dwelling unit. No cooking facilities are allowed. No SDC fee septic system 913012005 CAS APP To Request an inspection call the24 hour recording at 726-3769. AII 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. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Paee 2 of3 Renlrired fnsnpctinns Valuation Descriotion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01328ISSUED: 1011712005 APPLTED-. 09t28t2005 EXPIRESz 0411712006VALUE: $ 25,000.00 Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that alt required inspections are requested at the proper time, that each address is readable from the street, that the permit at the front of the property, and the approved set of plans will remain on the site at all during Owner or Contractors Date 7 Pase 3 of3 Owner's Responsibility Form Date Property Owner Uao"b,S [p r-+t^,q>OSITE ADDRESS Twnshp l-T .Range O , Section 7 ,%Section;]1 ,It^r-W I certifu that I have personally investigated the existing sewage disposal system on the above referenced property and have identified the exact location of all parts of the septic system, including the: o Septic tank o Distribution box or drop boxes o Drainfield lines associated treatment units ( e.g. sand filter, and future septic system replacernent area) The attached plot plan is an accurate representation of the location of the septic system, existing structure(s) and proposed structure(s) on the propertyl and, I have verified that the proposed development meets all minimum setback requirements from the existing septic systern and the future system replacemant area (OAR 340-71-220 Table I), including, but limited to: I further certifu that I have, to the best of my abilities, thoroughly inspected the septic system and found no evidence of any failure. The system to be in a satisfactory manner at this time. SIGNATURE (Property owner or agent) Name (please print):,fgtq TD?fsL v Address:l-oJQ c)c.,6 OL 71 voy Lane County Land Management Division On-Site Sewage Program 125 East 8th Avenue Eugene OR 97401 I:\Forms\Owners Responsibility form.doc Ll;(? Cc.,e JOURNAL OR JOB NUMBER: NAME ORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING TNITS I. STORMDRAINAGE DTRECT RUNOFF TO CITY STORM SYSTEM CITY OF Sr -.,NGFIELD SYSTEMS DEVELOPMEN ,ORKSHEET coM2005-0r328 Vonda 4096 E lTth Ave r 703344305800 SINGLE FAMILY 0 BUlLDING SIZE LOT SIZE (SF):0 RLTNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 NUMBER OF DFU's 0 B. IMPROVEMENT COST: NUMBER Ol'DFU's 0 SUBTOTAL $0.00 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $r 9.07 NUMBER OF TINITS 0 NUMBER OF LTNITS 0 ADM. FEE RATE 5% CHARGE $0.00 DISCOUNT RATE 50o/o $0.00 DISCOTINT $0.00 IMPERVIOUS S.F 0.00 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBI.IRSEMENT COST: x x x x x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBT]RSEMENT COST: $0.00 COST PER TRIP $ r 9.09 COST PER TRIP $84.1 9 $0.00 NE,W TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ADT TRIP RATE 9.s7 B. IMPROVEMENT COST: ADT TRIP RATE 9.s7 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's 0 x x xx B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SAMTARY SEWERSDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMIMSTRATIVE FEE: $0.00 $0.00 CHARGE s0.00 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIMSTRATION FEE: CherylSlaymaker 9130/200s COST PER FEU $82.03 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/O! $0.00 1070 1091 1092 1 093 1094 1 056 r079 1078 a rrlno() &HFa r!& COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES x x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x T]NIT EQUTVALENT: DRAINAGE FXTURE LTNITS FOR CAICULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES TINIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRATNAGE FXTURE UNITS tsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE LINITS 0 2 2 1979 +EDU BEFORE I979 1979 I 980 t98l t982 I 984 I 985 I 986 1987 I 988 '1989 I 990 1992 1993 1994 1995 1996 1997 I 998 1999 $5.29 $5.1e $5.12 $4.98 $4.80 $4.63 $+.+o $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE/ IOOO $0.00 CREDITRATE $5.29 IS LAND ELGIBLE FORANNEXATION 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)r983 x 1991 CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOTINTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 TNTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAT]NDRY TTIB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (1 PER TRATLER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER" SINGLE STALL 0 0 2 0 SHOWE& GANG OTUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCI{EN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK:SINGLE LAVATORY/RESIDENTIAL BAR 0 0 I 0 uLrLrAL, STALL/WALL 0 0 5 0 1 OILET, PUBLIC INSTALLATION 0 0 6 0 PRIVATE INSTALLATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 2000 2001 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000001452 Date: l0ll7l200S t:22:S5pM Job/Journal Number coM2005-01328 coM2005-01328 coM2005-01328 coM2005-01328 coM200s-01328 coM2005-01328 coM2005-01328 coM2005-01328 COIv{2005-01328 coM2005-01328 Description Plan Review Minor - Planning Building Permit Fixture Water Line - lst 50 Feet Sanitary Sewer - lst 50 Feet Vent Fan -Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 1Yo State Surcharge + l0Yo Adminishative Fee Amount Due 85.00 224.40 70.00 45.00 45.00 6.00 10.00 39.00 30.06 42.94 Item Total:$s97.40 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number IIow Received Amount Paid CreditCard DIANE M PAGE njm 051223 In Person $597.40 Payment fotal: ---597h- { t0/17t2005 Page I of I