HomeMy WebLinkAboutPermit Building 2006-08-07Status 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: COM2006-00847ISSUED: 0810712006
APPLIED: 0710712006
EXPIRESz 0512812007VALUE: $ 74,652.00
SITE ADDRESS: 489 S 32ND ST
ASSESSOR'S PARCEL NO.: 1702313402800
PROJECT DESCRIPTION:
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
New garage and existing house foundation repair, abandon septic, add bath and
connect existing structure to city sewer. Install sanitary line stubbed to parcel 1,2 and
3.
PhoneNumber: 541-484-6693Owner:
Address:
EARL MCELHANY
975 WILLAGILLESPIE RD
EUGENE OR 9740I
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
Contractor License
PJ MARTINEZ INC 108907
STEVEN GEISLER 95472
USA HEATING & AIR CONDITIONING INC 154663
SHAD CHASAN SURRETT 158295
NATIONAL CONSTR AND EXCAVATION I7OII2
Expiration Date
04n212007
[u2312006
0311012007
0u1412008
05/09/2008
Phone
54r-sl0-8200
541-726-0618
541-942-1401
541-74r-3553
s4r.942-0859
# 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 ImproYements:
Storm Sewer Available:
Special Instruction:
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlav
# Street
Paved D
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:R-3
U
VN
Sq Ft 2nd
Sq Ft
st
19.60
15.00
1
\S
N?
gs\s0
Yes
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curb and Gutter
97.20
15.00
Fully Improved
Yes
Notes: Single lot sanitary sewer conrection per planning mtgTllS; need counfy sanitarian approval to decommission septic
system; storm water drainage piped to curb face 7121106 CJS
PUBLIC IMPROVEMENTS
Page I of4
cON I RAU r UK tN I UKIVIA r ruN J
BUILI,,TNG IN} UKIVIA I It-,L\ I
rt0
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00847ISSUED: 08/0712006
APPLIEDz 0710712006
EXPIRESz 0512812007VALUE: $ 74,652.00
Description Type of Construction
Bid Amount Use Bid Amount
Foundation Onlv Use Bid Amount
Garage Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 87o State Surcharge
Building Permit
Curbcut Permit
Curbcut Repair
Curbcut Repair
Encroachment Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Sanitary Sewer - lst 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Sidewalk Permit + Addtl Sq Ftg
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Vent Fan
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ lUoh Administrative Fee
+ 57o Technology Fee
Total Value of Project
Date Paid
$ Per Sq Ft
or multiplier
s1.00
$1.00
$26.00
Square Footage
or Bid Amount
56,000.00
3,000.00
602.00
Value
$56,000.00
$3,000.00
$15,652.00
$74,652.00
Date Calculated
08t02t2006
07/07t2006
07t07t2006
Amount Paid Receipt Number
1200600000000001033
I 20060000000000 I 2 I I
120060000000000121 I
1 20060000000000121 1
1200600000000001211
1200600000000001211
120060000000000121 r
1200600000000001211
120060000000000121 I
r20060000000000121r
120060000000000121 I
r 20060000000000 1 2 1 I
120060000000000121 I
120060000000000121 I
1200600000000001211
r20060000000000121 1
120060000000000121 I
120060000000000121 I
1200600000000001211
1200600000000001211
120060000000000121 I
I 200600000000001 2 I r
1200600000000001211
1200600000000001211
120060000000000121 I
120060000000000121 I
120060000000000121 I
r200600000000001480
1200600000000001480
1200600000000001480
1200600000000001480
1200600000000001480
220060000000000r421
2200600000000001421
$115.44
$10.00
$70.33
$s3.8s
$468.15
$90.00
$10.00
$10.00
$130.00
$30.10
$s6.00
$39.00
$112.00
$188.86
$-40.00
$4s.00
$4r5.60
$546.56
$14.00
$10.00
$865.31
$82.03
$113.46
$91.20
$349.7r
$45.00
$6.00
s10.30
$5.15
$8.24
$43.00
$60.00
$6.30
$3.1s
7 t7 t06
8t7t06
8t7106
8t7t06
8t7106
817106
817106
8t7t06
8t7t06
8t7t06
817t06
817106
8t7106
8t7106
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7/06
8t7t06
817106
8t7t06
t0t3t06
t0t3/06
t0t3/06
t0t3t06
10i3l06
t0n0t06
l0/10/06
Paee? of 4
lh
Valuation Description I
Hees Pard I
F
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: COM2006-00847ISSUED: 0810712006
APPLIEDz 0710712006
EXPIRES: 05/2812007VALUE: $ 74,652.00
+ 8olo State Surcharge
Perm Serv/Fdr 200 amps or less
+ lDoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Total Amount Paid
$5.04
$63.00
$s.90
$2.95
$4.72
$4s.00
$14.00
$4,204.35
10/10/06
10/10/06
tu28l06
tu28t06
tu28l06
tu28t06
tt/28t06
2200600000000001421
2200600000000001421
1200600000000001692
1200600000000001692
1200600000000001692
1200600000000001692
1200600000000001692
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Public Works Review
Structural Review
0711212006
07n212006
0711212006
08/03/2006
APP
APP
SKG
TAJ
07n212006 07t2u2006 APP CJS
08t2312006 08t23t2006 wE JLP
07t2u2006 07t2U2006 WE SB
07n2t2006 08t02t2006 APP DLM
The proposed garage does not affect
the tentative partition in process on
the property (SU82006-00050).
Single tot sanitary sewer connection
per planning mtg. 7/18 (see Steve
Barnes for details); need county
sanitarian approval to
decommission septic system; storm
drainage piped to curb face 07121106
CJS
Contacted owner by telephone. Must
have Sanitation Authorization
Notice from Lane County Sanitarian
prior to final approval.
Added two curcut closures and a
curbcut. Added fee for
Encroachment Permit, but still need
application.
See documents for Plan review
comments
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Paee 3 of4
f,l prr rrirpd Insnecfinns
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 08t0712006
APPLIEDz 0710712006
EXPIRES: 05/2812007VALUE: S 74,652.00
Storm Sewer Line: Prior to filling trench.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Shear wall Nailing: Before covering sheathing with finish materials.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
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.
Water Line: Prior to filling trench and including required testing.
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 Communify 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.rrr.. 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 du ction.
I l-zr-az
rOwner
Pase 4 oI 4
Date
225 Fifth Street
Springfielu, Oregon 97 477
541-726-3759 Phone
C;' ' of Springfield Official Receipt
I-r-_ clopment Services DePartment
Public Works Department
RECEIPT #: 1200600000000001692 Date: 1112812006 3:0e:57PM
Job/Journal Number
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
Description
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
+ 5%o Technology Fee
+ 8% State Surcharge
+ l\Yo Administrative Fee
Amount Due
45.00
14.00
2.95
4.72
5.90
Item Total:$72.57
Payments:
Type of Payment Paid By
Uheck Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check PJ MARTINEZ INC djb 4537 ln Person
Payment Total:
s72.57
s72.57
cReceint I Page I of I 11128/2006
225 FIFTH STREET ' SFRINGFIELD, OR 97477 c lH:$aD726-3753' EAX: (54 1)726-3689
Cify Job N ca.v\@06- c)ogLl1
^/
Job Location
Assessors 7oz3t"Y zgooTax
l1Owner
Address 7f ,
OL o(=t <C-te t(g'zipCity
BACKFL0W PRE\TENTION DEVICE PER\,IIT FEE: $55.35
t orJ 10
Contra ctot' I nfitrmation
set
Contractor
City .E
Construction Contractors Registration #
By signing this permiVapplication,
has been installed and is visible for
permit/app lication is cQrrect.
0 ot tho
i$You $aJ
9 zrt ?
Expires v* 5a'd./61
NN\ 1
For Office Use
B
t7 -{-6c
Date of Application
Checked for Historical StatusChecked for Delinquenci ec l/
Shared Drive (T:/Building FormVBackflow PreventionS-06.doc
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A"
.P
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006APPLIED: 0710712006
EXPIRES: 06/0512007VALUE: S 74,652.00
SITE ADDRESS: 489 S 32ND ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702313402800
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: New garage and existing house foundation repair, abandon septic, add bath and
connect existing structure to city sewer. Install sanitary line stubbed to parcel 1' 2 and
3.
PhoneNumber: 541-484-6693Owner:
Address:
Contractor Type
General
Electrical
Landscape
Mechanical
Plumbing
Sewer
EARL MCELHANY
975 WILLAGILLESPIE RD
EUGENE OR 97401
Contractor License
PJ MARTINEZ INC 108907
STEVEN GEISLER 95472
RANDALL HUNTER 11372
USA HEATING & AIR CONDITIONING INC 154663
SHAD CHASAN SURRETT 158295
NATIONAL CONSTR AND EXCAYATION I7OII2
Expiration Date
0411212007
tu2312008
04t30t2007
03n012007
0U1412008
0s/09/2008
Phone
54r-s10-8200
54r-726-0618
541-935-3215
541-942-1401
s41-741-3553
541.942-0859
# 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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Yes
IRE IF THE WORK
lst Floor:
2nd Floor:
Basement:
GarageiCarport
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
U
VN
R-3
97.20
15.00
AI
fol
ill
in
19.60
15.00
S irffi61"16tl0a'
Fully Improved
180 DAY PER'OD
MENCED OR IS AB AND 0fl60tpfi,Yes ts/Drains:Curb and Gutter
Notes: Single lot sanitary sewer connection per planning mtg 7 /18; need county sanitarian approval to decommission septic
system; storm water drainage piped to curb face 7121106 CJS
Page I of4
h T
cuNI[(A(-ruK rNrry..l
BUlLLrrNu rNrullN!ryJ
i raw f€{Utf€S
bythe Oregon
Those rules are
through OAR
F
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: COM2006-00847ISSUED: 0810712006
APPLIED: 0710712006
EXPIRES: 06/0512007VALUE: $ 74,652.00
Description Tvpe of Construction
Bid Amount Use Bid Amount
Foundation Onlv Use Bid Amount
Garage Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 87o State Surcharge
Building Permit
Curbcut Permit
Curbcut Repair
Curbcut Repair
Encroachment Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Sanitary Sewer - lst 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Sidewalk Permit + Addtl Sq Ftg
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Vent Fan
+ l0'/o Administrative Fee
+ SYo Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ l0o/o Administrative Fee
+ 57o Technology Fee
Total Value of Project
Date Paid
$ Per Sq Ft
or multiplier
$1.00
$1.00
$26.00
Square Footage
or Bid Amount
56,000.00
3,000.00
602.00
Value
$56,ooo.oo
$3,000.00
$15,652.00
$74,652.00
Date Calculated
08t02t2006
07t07t2006
0710712006
Amount Paid Receipt Number
1200600000000001033
r20060000000000121 I
120060000000000121 I
I 200600000000001 2 I I
120060000000000121 I
120060000000000121 I
120060000000000121 I
I 200600000000001 2 I I
I 200600000000001 2 I I
120060000000000121 I
I 200600000000001 2 I I
120060000000000121 I
120060000000000121 1
120060000000000r21 I
120060000000000121 I
I 200600000000001 2 I I
120060000000000121 I
120060000000000121 I
120060000000000121 I
120060000000000121 I
120060000000000121 r
120060000000000r21 I
r20060000000000121 I
120060000000000121 r
120060000000000121 I
120060000000000121 I
120060000000000121 I
1200600000000001480
1200600000000001480
120060000000000r480
1200600000000001480
120060000000000r480
220060000000000142 I
2200600000000001421
$115.44
$10.00
$70.33
s53.8s
$468.15
$90.00
$10.00
$10.00
$130.00
$30.10
$56.00
$39.00
$r 12.00
$188.86
$-40.00
$45.00
$415.60
$546.56
$14.00
$10.00
$865.31
$82.03
$l13.46
$91.20
s349.7r
$45.00
$6.00
$10.30
$5.1s
$8.24
$43.00
$60.00
$6.30
$3.15
7 t7106
8t7t06
817106
8t7t06
8t7t06
8t7t06
817106
8t7106
8t7106
8t7t06
8t7t06
8t7t06
8t7t06
8/7t06
8t7t06
8t7t06
8t7106
8t7t06
8t7t06
8t7t06
8t7t06
8t7106
8t7t06
8t7t06
8t7106
8/7t06
8t7106
10/3/06
t0/3/06
t0t3t06
t0t3t06
10/3/06
10/10/06
10/10/06
tr'eps Pnid
Pase 2 of 4
Valuation Descrintion I
G
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIED: 0710712006
EXPIRES: 06/0512007VALUE: $ 74,652.00
+ 87o State Surcharge
Perm Serv/Fdr 200 amPs or less
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
+ lDoh Administrative Fee
+ 5olo Technology Fee
+ 87o State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Total Amount Paid
$s.04
$63.00
$s.90
$2.95
s4.72
s45.00
$r4.00
$4.50
$2.25
$3.60
$14.00
$31.00
10/10/06
l0/10/06
ry28l06
tu28t06
tu28t06
tu28t06
tu28t06
t2t5t06
t2l5l06
t2l5l06
t2t5t06
t2l5l06
220060000000000r421
2200600000000001421
1200600000000001692
1200600000000001692
1200600000000001692
1200600000000001692
1200600000000001692
1200600000000001724
1200600000000001724
1200600000000001724
r200600000000001724
1200600000000001724
$4,259.70
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Public Works Review
Structural Review
07n2t2006
07n2t2006
07n212006
08/03/2006
APP
APP
SKG
TAJ
07n212006 0712u2006 APP CJS
08t23t2006 08t23t2006 WE JLP
07t2u2006 07t2u2006 WE SB
07fi2t2006 08t0212006 APP DLM
The proposed garage does not affect
the tentative partition in process on
the property (SUB2006-00050).
Single lot sanitary sewer connection
per planning mtg. 7/18 (see Steve
Barnes for details); need county
sanitarian approval to
decommission septic system; storm
drainage piped to curb face 07121106
CJS
Contacted owner by telephone. Musl
have Sanitation Authorization
Notice from Lane County Sanitarian
prior to final approval.
Added two curcut closures and a
curbcut. Added fee for
Encroachment Permit, but still need
application.
See documents for Plan review
comments
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Paee 3 of4
Reouired Insnections
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
GFIELD
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006APPLIED: 0710712006
EXPIRES: 06/0512007VALUE: $ 74,652.00
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Storm Sewer Line: Prior to filling trench.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Shear Wall Nailing: Before covering sheathing with finish materials.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
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.
Water Line: Prior to filling trench and including required testing.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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 Safefy.
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 card is located at the front of the property, and the approved set of plans will remain on the site at all
times d
or Contractors Signature
Page 4 of 4
Date
/*y4 {
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci*' of Springfield Official Receipt
L.- elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001724 Date: 1210512006 tt:28:2eAM
Job/Journal Number
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
Description
Backflow Device
Minimum/Adjustment Plumbing
+ 5%o Technology Fee
+ 8% State Surcharge
+ lloh Administrative Fee
Amount Due
14.00
31.00
2.25
3.60
4.50
s55.35Item Total:
Payments:
Type ofPayment
Authorlzatron
Paid By Received By Batch Number Number How Received Amount Paid
Check HUNTERIRRIGATION AND
LANDSCAPE
djb 3844 In Person
Payment Total:
$55.35
$5s.3s
cReceintl Page I of 1 t2lst2006
-c€izttzooa 12:JB FAx s41 oB2 745s LANE CO EN\/ HEALTH nEo'D NflV,0 6 e006
SEPTIC TANK DECOMMI5SION
(ABANDONMENT)
rownship- l?- eongu 0L Seclion/l/4 Tox Lot Zf aO
If you ore connecting to on oreo-wide sewoge collecfion system or you ore replocing your septic tonk,
pleose don't forget to properV deconnission your septic system. An unottended ond forgotten seplic
tonk con become o serious donger f or everyone's sofety. Present Orqon regulolions reguire you to
properly decommission the septic tonk qs descnibed below. Pleose hove this form signed by the
oppropriote people ond return the completed form to:
LANE COUNTY SUBSURFACE SANITATION PROcRAN,I
Public Service Building 125 Eost 8H Ave Eugene, oregon gr4ot
E,Notne ol Property Owner L L ( Cnfruru/* F. /n t€tua
'JY
l.At,tE
CCjLITJT't'
\:, rr:,:1.?|tr,
Septic tonk locoted
Pumped of sludge on
L{
/A-s-a
tva -fr &.7gezt
(Dote)(Signotune of Licensed Crperotor)
License#
VoJK qog ppryDor,r,t. t T? on e1g$ro v u (' U rt* f.C n{+rn rr?z
The septic tqnk locoted ot I €? Sa*3Z** '-sr NP l/t
I
,/nt 14)
w05
bockf illed with sond or cleqn bonk run grovel ofler being purnped of sludge on 4
(Dote)
Signofure of moy be owner)
Oregon Administrotive Rules (340-71-185 Decommissioning of Systems.
l. The owner shalldecornmission o system when:o' A sewerage systern becomas ovoiloble and the building sewer hos been connectedthereto, orb- The source of sewage hqs been permonently erinrinoted
Pro cedur es f or D ecomm issioning:
o' The tonk(s), cesspool or seePogepit sholl be pumped by o licensed sewoge disposol servjceto rernoyol septage
b' The tonk(s), cesspool ot seepage pit sholl be filled wilh rejectsond, bor run grevet, o?
"o'l!;;r:;'"niat approved by the Agent, or the container shall be retnoved ond properly
H: \LMD \ SANIT/ TION\FOAMS \Sepf ic Ionk Deconnis sion f or n do c
Lane *nty gasurfoce Sonitslion Progno6 ra5 Eost 8'^ Ave,Eqgene oR 974o1 (rr1)66?-grg4Fax (F4r) 6az.,g4l
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225 FIFTH STREET . sPRlNGFIELD,ORgT4TT . PH:(541)726-3751 o FAX: (541)726-3689
PERMIT APPLICATION
City Job
ZON UP
INITTALS
DATE T
souRCE t1s€See€
Date / O o OT
CO\VIPLETE FEE SCHEDULE BELOII.
: .: 'l i
: .:l
A. Nerv Residenjial - Single or Nlulti-Family pel dnlelling uni!' .,
Service Included
1000 sq. ft. or less $106'00
Each additional 500 sq. ft. or
portion thereof $ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder $50'oo
. ;i - ,, , :,: :' l tri :
B. services or Feetlers - Instaltation. Alterations or Relocation:
iFIELDsPr Nr trr
I. LOCATION OF5
LEGAL DESCzuPTION
JOB DESCzuPTION
Permits are non-tra le and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
3.
200 Amps or less
201AFpEtq {00AmpB,gu
401{dlmfre to-r608 afl&pte d by the-UTilgoti
Those rui6?-i€
Phone 7 LA 'Cl'6t €o[Do0&qffr$q
in coPieso#tto
ter. (Note
Supervisor License Number ,fcYiLt-5'i-<
. CONTRACTORINSTALI"LTTONOATL}'z.
Electrical contractor <TYU ?OS eteCTAtC
Address ft) l3 ux bbv
Ciry
Expiration Date 7+{
Constr. Contr. Nunrber q7LC7S
Expiration Date -23 -06
S ignature of Supervising Electrician
Owners N ls
4 rq -66
OWNER STALLATTON
The installation is being made on proPerry I own which
is not intended for sale, lease or rent.
Owners Signature:
Installation, Alteration or Relocation
200 Amps or less S 50'00
201 Amps to 400 AmPs $ 69'00
401 Amps to 600 AmPs Sl00'00
Over 600 Arrtps or 1000 Volts see "B" above'
D. Bqanllrfiir9+itl St-tA,tL€XPIR[.lt THE WORK,.,,.,' ,. .,
New\Auei i'tiiin of ' E:kt&EBnTtrdl'g Bfifi M I T I S N 0 T
oneCirqirit:'ri i,) tiR lS ABANDONED F0&.oo
Each Additional Circui3 g1ffih oi.*ila;ir""a"rP.r.lt""" 5 3'oo
N{iscellaneous (Service/feedei not included) -Each Installation
l3 Pump or irrigation $ 50.00
Sign/Outline Lighting S 50'00
Limited Energy,Eesidential S 25.00
Limited Energy/Commercial $ 45'00
Minimum Electric Permit [nspection Fee is $45'00 * Surcharges
$ 63.00
City
8% State Surcharge
l0% Administrative Fee
TOTAL
-3 75
7a .1 '1lnspection Request:'7 26:47 69
4.
Shaled Drivc(T:)/Building Forrns/Electrical Permit Application l -06.doc
thsxTlll-
C.
u Cro
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;-' of Springfield Official Receipt
L- elopment Services Department
Public Works Department
RECEIPT#: 2200600000000001421 Date: 1011012006 3:13:10PM
Job/Journal Number
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
Description
Perm Serv/Fdr 200 amps or less
+ 5%o Technology Fee
+ 8% State Surcharge
+ lDoh Administrative Fee
Amount Due
63.00
3.15
5.04
6.30
Item Totalr $77.49
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard STEVEN GEISLER/STEVEN S
ELECTRIC
njm 161218 Phone s77.49
Payment Total:$77.49
cReceint I Page 1 of I 1011012006
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-126-3676 Fax
5 4l -7 26-37 69 Inspection Line
Buitding/C ombination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIED: 0710712006
EXPIRESz 0411012007VALUE: $ 74,652.00
SITE ADDRESS: 489 S 32ND ST
ASSESSOR'SPARCELNO.: 1702313402800
PROJECT DESCRIPTION: New garage and
connect existing
3.
Springfield TYPE OF WORK: Garage
TYPE OF USE: Alteration
existing house foundation repair, abandon septic, add bath and
structure to city sewer. Install sanitary line stu to parcel 1, 2 and
g)
r0 r"f'.Ul by Lber: 541-484-6693
AR b\
the (u\es
Residential
Phone
54r-5r0-8200
541-726-0618
541-942-1401
541-741-3553
54t.942-0859
Owner:
Address:
EARL MCELHANY
975 WILLAGILLESPIE RD
EUGENE OR 97401
Nfl EN'\
the
the
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
Contractor
PJ MARTINEZ INC
STEVEN GEISLER
USA HEATING & AIR CONDITIONING INC 154663
SHAD CHASAN SURRETT 158295
NATIONAL CONSTR AND EXCAVATTON I7OII2
iration Date
04n2t2007
1u2312006
0311012007
0U14t2008
05/09/2008
# 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:
Sprinkled Buitding: nla Occupant Load:
R-3
U
VN
19.60
15.00
97.20
15.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Yes
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curb and Gutter
Fully Improved
Yes
Notes: Single lot sanitary sewer connection per planning mtg7l18; need county sanitarian approval to decommission septic
system; storm water drainage piped to curb face 7121106 CJS
Pase I of4
to(
95472
#of
Water
Range
1s0 D
Sq Ft Other:Energy
L[!Yt1,LUrlVrl1N r 11\r l(rl\ |
LD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -i 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006APPLIED: 0710712006
EXPIRES: 0411012007VALUE: $ 74,652.00
Description Type of Construction
Bid Amount Use Bid Amount
Foundation Only Use Bid Amount
Garage Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 87o State Surcharge
Building Permit
Curbcut Permit
Curbcut Repair
Curbcut Repair
Encroachment Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Sidewalk Permit + Addtl Sq Ftg
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Vent Fan
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ l0oh Administrative Fee
+ 57o Technology Fee
Total Value of Project
Date Paid
$ Per Sq Ft
or multiplier
$1.00
$1.00
$26.00
Square Footage
or Bid Amount
56,000.00
3,000.00
602.00
Value
$56,000.00
$3,000.00
$15,652.00
$74,652.00
Date Calculated
08t02t2006
0710712006
07t07t2006
Amount Paid
$115.44
$10.00
$70.33
$s3.85
$468.15
$90.00
$10.00
$10.00
$130.00
$30.r0
$56.00
$39.00
$112.00
$188.86
$-40.00
$45.00
$41s.60
$546.s6
$14.00
$r0.00
$86s.31
$82.03
$113.46
$91.20
$349.71
$4s.00
$6.00
$10.30
$5.15
$8.24
$43.00
$60.00
$6.30
$3.15
7t7t06
8t7t06
8t7t06
8t7t06
8t7/06
8t7/06
8/7t06
8/7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7106
8/7t06
8t7106
8t7t06
8t7t06
8t7t06
8/7t06
8t7t06
r0t3t06
t0t3t06
t0t3t06
t0t3t06
t0t3t06
10fiot06
r0/10/06
Receipt Number
1200600000000001033
120060000000000r21 1
120060000000000121 I
120060000000000121 I
120060000000000121 I
120060000000000r21 I
r 20060000000000121 l
120060000000000121 I
r20060000000000121 1
120060000000000121 I
120060000000000121 I
120060000000000121 I
120060000000000121 I
120060000000000121 I
120060000000000121 r
120060000000000121 1
I 20060000000000121 I
120060000000000121 I
r20060000000000121 I
120060000000000121 I
r20060000000000121 I
120060000000000121 I
I 200600000000001 2 I I
r 200600000000001 2 I I
120060000000000121 1
I 200600000000001 2 I I
120060000000000121 I
1200600000000001480
1200600000000001480
1200600000000001480
1200600000000001480
1200600000000001480
2200600000000001421
2200600000000001421
tr'ees Paid
Paee 2 of 4
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
GFIELD
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006APPLIEDz 0710712006
EXPIRESz 0411012007VALUE: $ 74,652.00
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
$5.04
$63.00
$4,131.78
t0n0/06
r0/10/06
2200600000000001421
2200600000000001421
Plan Reviews
Initial Review
Planning Review
Public Works Reyiew
Public Works Review
Public Works Review
Structural Review
07n2t2006
07n2t2006
07n2t2006
08/03/2006
APP
APP
SKG
TAJ
07n2t2006 07t2u2006 APP CJS
08t23t2006 08t23t2006 wE JLP
07t2U2006 07t2U2006 WE SB
07fi2t2006 08t02t2006 APP DLM
The proposed garage does not affect
the tentative partition in process on
the property (SU82006-00050).
Single lot sanitary sewer connection
per planning mtg.7ll8 (see Steve
Barnes for details); need counfy
sanitarian approval to
decommission septic systeml storm
drainage piped to curb face 07121106
CJS
Contacted owner by telephone. Musl
have Sanitation Authorization
Notice from Lane County Sanitarian
prior to linal approval.
Added two curcut closures and a
curbcut. Added fee for
Encroachment Permit, but still need
application.
See documents for Plan review
comments
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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Storm Sewer Line: Prior to filling trench.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
f,l pnrrirod Insnpcfinns
Paee 3 of4
G
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: COM2006-00847ISSUED: 0810712006
APPLIEDz 0710712006
EXPIRES: 0411012007VALUE: $ 74,652.00
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Shear Wall Nailing: Before covering sheathing with finish materials.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to coyer or placement of concrete.
Rough Plumbing: Prior to cover 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 apptication 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
Oct 17 2OOG 1 1 : 54Hl'1 ''a LRSERJET 333O
LOllTl2OOE 11t 48 5417+-/861
p-?
READIY RMTER CT_ thN PAGE 02
Rc.dy RooEr& Chrpmio
9055? r.hk Rd
54t-74/-7991
Eugeac, OR97402ccBfrniu
Sales Receipt
DATE SALEilO.
r(yu/2006 filr50
SHIP ?O
409 S 32nd
Sptuffct4 oR
SOLOTO
P-l.llft,mrlno
79l{. Ddilh vrlley Solool RCotlc Cmrc, OR 97{2{
CHEC ( r{o.PAYilEiITMETH...REP PROJECT
4 >l qtoct RK
]TEiT DESCRPTION OTY RATE AITIOUNT
l*
Mnirran hW
u*irbolrg
otr44l grlfrom@iicr.rt,l&t.5(,ITJ JO
Total $ltt,r0
SPF EIELD
Date
%,DATE
SOURCE225 FIFTH STREET . SPRINGFIELD, oR97477 r PH:(541)726.3753 r FAX: (541 )726-36E9
ELECTRICAL PERMIT APPLICATION
Ciry Job Number C<:UU ?J,66 -06 8141 lh'3'Ob
I. LOCATIAN
+{/ s
3
per dwelling uilit,,l.'.,,A. NewLEGAL DESCzuPTIONaozS3LT OZ
JOB DESCRIPTION
Permits are non-transferable and expire
not started within 180 days of issuance or
Suspended for 180 daYs.
)
\S
'7LL 'cl6tf
$ 106.00
$ 19.00
or ss0.00
$ 63.00
$ 75.00
$ 125.00
+ $ 163.00
$375.00
s 50.00
6.s 50.00
$ 69.00
s 100.00
" above,
Per Panel
/ $ 43.00with Zo $ 3.oo
t0B
P uNo sq. ft. or
N',cED
0N\
Feeder
:: .'
C O NT IL|CT O R IN STALIATI O N OTW. Y
:::. .t:-. .., . . t: .,:.trr::t: ,::.aa:
B. Servicis oi Feeders'- Installation. Alterations or Rgl,cation: ,,,
Electrical Contractor 'CTfuC 200 Amps or less
201 Amps to 400 AmPS
401 Amps to 600 AmPs
601 Amps to 1000 Amps
Over 1000 AmpsAy'olts
Reconnect OnlY
Address fct tStN b bv
Ciry \o
Supervisor License Number q C.
Phone
Expiration Date 7a€
Constr. Contr. Number q7Lqs
Expiration Date tl -23 -06
Signature of Supervising Electrician
OL C
Amps or
Pump or imgation
Sign/Outline Lighting
Limited Energy,Residential
Limited Energy/Commercial
Installation'
200
201
401
D.
rl? "'
ac)
Owners Name
Address
(
0
City Q"{1{{ yrcne LlSq -Lezzt-'tl
OWNER INSTALLATION
The installation is being made on properry I own which
is not intended for sale, lease or rent.
Owners Signature:
s
s
$
$
00
50.00
50.00
25.00
45.00
4.
Surcharges+$45.ISeeFInspectionermitPElectricumMinim
oIFeeAdmilistrative
-06.docApplicationPermitFonns/Electrical)/BuildiDrive(T:Shaled
7o
0%f%
TOTAL
tcc€THII
Inspection Request: 726-37 69
ng
zoN (-Da
rNrrrALS Jgn-\-_
OF INSTALLATION .' '
32^r(
SWTOTALOFENOW .ifie*
8z.1
{ s.tr
aF*H&S.lffiLS
Status Issued
225 Fifth Street, Springfield, OR
511-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
SP
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIEDT 0710712006
EXPIRESz 0410312007VALUE: $ 74,652.00
SITE ADDRESS: 489 S 32ND ST Springfield TYPE OF WORK: Garage
ASSESSOR'S PARCELNO.; 1702313402800
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: New garage and existing house foundation repair, abandon septic, add bath and
connect existing structure to city sewer. Install sanitary line stubbed to parcel 1,2 and
3.
PhoneNumber: 541-484-6693Owner:
Address
EARL MCELHANY
975 WILLAGILLESPIE RD
EUGENE OR 9740I
\t
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
Contractor
PJ MARTINEZ INC
STEVEN GEISLER
USA HEATING & AIR
SURRETTS
Expiration Date
04fi2t2007
tu23t2006
03fiot2007
0U1112008
0s/09/2008
Phone
54r -5 I 0-8200
54 I -726-061 8
541-942-1101
74 I -3553
54 I .942-0859
.,
154663
r s829s
t70lt2NATI
# of Units:
Primary Occupancy Group;
Secondary Occupancy Group:
Primary Construction Type
Seconda ry Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
TION
Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprin
# Street
Paved D
"h of Lot
10
Yes
Sidewalk Type:
Downspouts/Drains:
rport
t Load:
RBQUIRED PARKING
Total:
Handicapped:
Compact:
Curb and Gutter
\$$R-3
trN'\U
VN
19.60
15.00
97.20
15.00
)
Fully Improved
Yes
Notes: Single lot sanitary sewer connection per planning mtg 7/18; need county sanitarian approval to decommission septic
system; storm water drainage piped to curb lace 7l2l106 CJS
PUBLIC IMPROVEMENTS
Page I of4
FIELD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-126-3676 Fax
541 -726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIEDz 0710712006
EXPIRES: 04/0312007VALUE: $ 74,652.00
Description Tvpe of Construction
Bid Amount Use Bid Amount
Foundation Onlv Use Bid Amount
Garage Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 87o State Surcharge
Building Permit
Curbcut Permit
Curbcut Repair
Curbcut Repair
Encroachment Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Sanitary Sewer - lst 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl I00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Sidewalk Permit + Addtl Sq Ftg
Storm Drainage Imperwious Area
Storm Sewer - lst 50 Feet
Vent Fan
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Value of Project
Date Paid
717106
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
t0t3t06
t0t3/06
t0t3t06
t0t3t06
t0t3/06
Receipt Number
1200600000000001 033
120060000000000121 r
120060000000000121 l
1200600000000001 2l r
120060000000000r21 l
120060000000000121 l
120060000000000121 l
120060000000000121 r
l 200600000000001 21 1
12006000000000012r l
120060000000000121 I
1200600000000001 2l I
r200600000000001211
l 200600000000001 2r l
120060000000000121 I
1200600000000001 21 I
120060000000000121 I
120060000000000121 I
120060000000000121 I
120060000000000121 1
120060000000000r 2l l
120060000000000121 I
120060000000000121 I
120060000000000121 r
120060000000000121 I
120060000000000121 l
120060000000000121 I
I 20060000000000 I 480
I 200600000000001480
I 200600000000001 480
r 20060000000000r 480
r 20060000000000r 480
$ Per Sq Ft
or multiplier
$1.00
s1.00
$26.00
Square Footage
or Bid Amount
56,000.00
3,000.00
602.00
Value
$56.000.00
$3,000.00
$15,652.00
$74,652.00
Date Calculated
08t02t2006
07 t0712006
07 t07 t2006
Amount Paid
$115.44
$10.00
$70.33
$s3.8s
$468.15
$90.00
$10.00
$10.00
$130.00
$30.10
$56.00
$39.00
$l r2.00
$188.86
$-40.00
$4s.00
$41s.60
$546.56
$r4.00
$r 0.00
$865.31
$82.03
$l13.46
$9r.20
$349.71
$45.00
$6.00
$10.30
$5.15
$8.24
$43.00
$60.00
TotalAmount Paid $4,054.29
Pase 2 of 4
Valuation Descriotion I
]i'ees Paid I
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541 -1 26-37 69 Inspection Line
OF
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIED: 0710112006
EXPIRES: 04/0312007VALUE: $ 74,652.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Public Works Review
Structural Review
071t212006
07/l2t2006
01n2t2006
08/03i2006
APP
APP
SKG
TAJ
07n212006 07t2u2006 APP CJS
08t23t2006 08t23t2006 WE JLP
0712U2006 07t21t2006 wE sB
07n2t2006 08t02t2006 APP DLM
The proposed garage does not affect
the tentative partition in process on
the property (SU82006-00050).
Single lot sanitary sewer connection
per planning mtg.7/18 (see Steve
Barnes for details); need county
sanitarian approval to
decommission septic system; storm
drainage piped to curb face 01121106
CJS
Contacted owner by telephone. Musl
have Sanitation Authorization
Notice from Lane County Sanitarian
prior to final approval.
Added two curcut closures and a
curbcut. Added fee for
Encroachment Permit, but still need
application.
See documents for Plan review
comments
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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Storm Sewer Line: Prior to filling trench.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Paee 3 of4
nk
Keourred lnspectlons I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006APPLIED: 0710712006
EXPIRES: 04/0312007VALUE: $ 74,652.00
Hold Downs lnstalled: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Shear Wall Nailing: Before covering sheathing with finish materials.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
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 Electricl 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 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
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C"-, of Springfield Official Receipt
r- relopment Services Department
Public Works Department
RECEIPT #: 1200600000000001480 Date: 10/03/2006 l0:4e:0lAM
Job/Journal Number
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5%o Technology Fee
+ 8% State Surcharge
+ 10%o Administrative Fee
Amount Due
43.00
60.00
5.15
8.24
10.30
Item Total:$ r 26.69
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check STEVENS ELECTRIC djb 2084 In Person
Payment Total:
$ I 26.69
-S]1G:6t
cReceint I Page I of I 101312006
eF*tns&1&fi)
FIE
Building/Combination Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIEDz 0710712006
EXPIRESz 0210712007VALUE: S 74,652.00
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
SITE ADDRESS: 489 S 32ND ST
ASSESSOR'S PARCEL NO.: 1702313402800
PROJECT DESCRIPTION: New garage and existing house
connect
3.
Springfield TYPE OF WORK: Garage
TYPE
repair,
: New Residential
septic, add bath and
stubbed to parcel 1' 2 and
PhoneNumber: 541-484-6693
do r1
e ru\es
ote:
-001'
AR952 -001'0
may ob'
010 throt
1u1n coP
,\es J
Owner:
Address:
EARL MCELHANY
975 WILLAGILLESPIE RD
EUGENE OR 97401 0090 You
center (N
No
inC one
ation
u
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
Contractor License
P.I MARTINEZ INC IO89O7
STEVEN GEISLER 95472
USA HEATING & AIR CONDITIONING INC 154663
SURRETTS
NATIONAL CONSTR AND EXCAVATION I7OII2
Expiration Date
0411212007
1U23t2006
03/1012007
05/09/2008
Phone
541-510-8200
54t-726-0618
54r-942-1401
741-3s53
541.942-0859
BUILDII
# 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:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curb and Gutter
R-3
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh 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:nla
119.60
15.00
97.20
r5.00
Notes: Single lot sanitary sewer connection per planning mtg 7 ll8- need county sanitarian approval to decommission septic
system; storm water drainage piped to curb face 7l2l106 CJS
DEVELOPMENT INFORMATION
Page I of4
I
ru\es
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
B uilding/Com bin ation Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIEDz 0710712006
EXPIRES: 0210712007VALUE: $ 74,652.00
Valuation Descriotion
Description Tvpe of Construction
Bid Amount Use Bid Amount
Foundation Onlv Use Bid Amount
Garage Garage
Fee DescriDtion
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 87o State Surcharge
Building Permit
Curbcut Permit
Curbcut Repair
Curbcut Repair
Encroachment Permit
Fire SF Fee - Residential
Fixture
Minimum/Adj ustment Mechanical
PIan Review Minor - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Sanitary Sewer - lst 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Sidewalk Permit + Addtl Sq Ftg
Storm Drainage lmperwious Area
Storm Sewer - lst 50 Feet
Vent Fan
Total Amount Paid
Total Value of Project
Date Paid Receipt Number
1200600000000001033
1200600000000001211
120060000000000121 I
120060000000000121 1
I 20060000000000121 1
120060000000000121 I
120060000000000121 I
1 20060000000000121 I
r2006000000000012r I
1200600000000001211
1200600000000001211
1200600000000001211
1200600000000001211
1200600000000001211
1200600000000001 211
120060000000000121 I
120060000000000121 I
120060000000000121 I
1200600000000001211
1200600000000001 21 I
120060000000000121 I
120060000000000121 I
1200600000000001211
120060000000000121 I
1200600000000001211
120060000000000121 I
120060000000000121 I
$ Per Sq Ft
or multiplier
$1.00
s1.00
$26.00
Square Footage
or Bid Amount
56,0oo.oo
3,000.00
602.00
Value
$56,000.00
$3,000.00
$15,652.00
$74,652.00
Date Calculated
08t0212006
07t0712006
07t07t2006
Amount Paid
$115.44
$10.00
$70.33
$53.8s
$468.15
$90.00
$10.00
$10.00
$r30.00
$30.10
$56.00
$39.00
$112.00
$188.86
$-40.00
$45.00
$415.60
$s46.56
$r4.00
$10.00
$865.31
$82.03
$113.46
$91.20
$349.71
$4s.00
$6.00
7 t7 t06
8t7106
817106
8t7t06
8t7106
8t7t06
8t7t06
8t7106
8t7t06
8t7106
8t7106
8t7t06
8t7t06
8t7t06
8t7106
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7t06
8t7106
8/7106
8t7t06
8t7106
8t7t06
s3,927.60
Plan Reviews
APP SKGInitial Review 07n212006 07n2t2006
Paee 2 of 4
F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
B uilding/Com bin ation Permit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLTED| 07t0712006
EXPIRESz 0210712007VALUE: $ 74,652.00
Planning Review
Public Works Review
Public Works Review
Structural Review
07/1212006 08/03/2006 APP TAJ
07n2t2006 07t2u2006 APP CJS
07t2u2006 0712112006 wE DJB
07n2t2006 0810212006 APP DLM
The proposed garage does not affect
the tentative partition in process on
the property (SU82006-00050).
Single lot sanitary sewer connection
per planning mtg. 7/18 (see Steve
Barnes for details); need counfy
sanitarian approval to
decommission septic system; storm
drainage piped to curb face 07121106
CJS
Added two curcut closures and a
curbcut. Added fee for
Encroachment Permit, but still need
application.
See documents for Plan review
comments
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Storm Sewer Line: Prior to filling trench.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Shear Wall Nailing: Before covering sheathing with finish materials.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Page 3 of4
red Insnections
,t,
T ffi'=
G
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 InsPection Line
Final Plumbing: When all plumbing work is complete'
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete'
orC ature
B uilding/ C o mb in atio n P e r mit
PERMIT NO: COM2006-00847ISSUED: 0810712006
APPLIEDz 0710712006
EXPIREST 0210712007VALUE: $ 74,652.00
7--
Date
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 furthlr certify that any uno
"tt
work performed shall be done in accordance with
the ordinances of the Cify 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 inspeciions are requesteo at ttre proper time, that each address is readable from the
street, that the permit card is located at the fiont of the property, and the approved set of plans will remain on the site at all
times during construction.
a
Pase 4 of 4
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'I ,JORKSHEET
JOURNAL OR JOB NT]MBER:
NAME ORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UMTS
x
B. IMPROVEMENT COST:
NLIMBER OF DFU's
2l
489 S. 32nd St.
1702313402800
SINGLE FAMILY RESIDENCE
BUILDING SIZE LOT SZE (SF):
DISCOUNT
$0.00
7
'16552.8
DIRECTRUNOFF TO CITY STORM SYSTEM
x
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER. CIry
COST PER S.F
$0.336
COSTPER S.F
$0.336
COST PER DFU
$26.03
$19.79
NUMBEROFUMTS
0
NUMBER OF LINITS
0
ADM. FEE RATE
5%
CHARGE
$349.71
DISCOUNT RATE
50%
$349.71
IMPERYIOUS S.F x
1042.00
ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
A.
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBL]RSEMENT COST:
x
x
x
x
$962.16
COST PER TRIP
$ 19.81
COST PER TRIP
$87.39
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
r.00
ADTTRIP RATE
9.s7
B.IMPROVEMENT
SUBTOTAL
$2,269.21
xx
x
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A COST:
B. IMPROVEMENT COST:
NLIMBER OF FEt-rs
1
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - IVIWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$957.34
CHARGE
$l13.46
TOTAL SANITARY ADMIMSTRATION FEE:
TOTAL TRANSPORTATION
Carol Stineman 7/2U2006
FEE:
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
2l
$349.71
$546.56
Mls.60
$0.00
$82.03
$86s.31
$r0.00
I13.46
s2,382.67
1070
109 l
1092
1093
1094
1054
1055
I 054
1056
1079
I 078
U)HnoU
&slFa
or!&
ADTTRIP RATE
9.57
NUMBER OF FEU's
I
COST PER FEU
$82.03
COST PERFEU
$865.31
i2,269.21
PREPARED BY DATE
TOTAL SDC CHARGES
xx
225 Fifth Street
Springiield, Oregon 97 477
541-726-3759 Phone
C;-' of Springfield Official Receipt
L elopment Services Department
Public Works Department
RECEIPT#: 1200600000000001211 Date: 0810712006 ttz42z4eAM
Job/Journal Number
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
coM2006-00847
Description
Fire SF Fee - Residential
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Encroachment Permit
Curbcut Permit
Curbcut Repair
Curbcut Repair
Sidewalk Permit + Addtl Sq Ftg
PW Disc - 2nd Permit (Street)
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
Plan Review Residential
Building Permit
Fixture
Storm Sewer - I st 50 Feet
Vent Fan
M inimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Plan Review Minor - Planning
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
30.1 0
45.00
14.00
130.00
90.00
10.00
10.00
91.20
(40.00)
349.71
546.56
415.60
82.03
865.3 I
10.00
113.46
188.86
468. l s
56.00
45.00
6.00
39.00
10.00
I12.00
53.85
70.33
Item Total:$3,812.16
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check PJ MARTINEZ INC djb In Person
Payment Total:
$3,812.1 6.T-8izt6''5456 I I
cReceint I Page I of I 81712006