HomeMy WebLinkAboutPermit Building 2006-04-05Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
OF PRIN LD
Building/Combination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006
APPLIED: 03/0312006
EXPIREST 1212212006VALUE: $ 116,127.00
SITE ADDRESS: 406 S 42nd Pl
ASSESSOR'S PARCELNO.: 1702323300601
PROJECT DESCRIPTION: Single family residence
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-741-1707
License Expiration Date Phone
Owner:
Address
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
C & S ELECTRIC
OWNER
SPFD EUGENE HABITAT FOR HUMANITY
PO BOX 488
SPRINGFIELD OR 97477
t\on 09/01/2008 541-741-2236
\1Ut '
# 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:
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Rqd:
Paved
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
0ccupant Load:
I 2
24.00
Wall Heat
Electric
Electric
Path I
nla
R-3
VN
17.00
5.60
12.60
58.60
587
s86
3
rrf\trK
10.70
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Drywell - Provide
Drywell Engineering
0
oh of Lot
\SN
r0R\\
Partially Improved
No
Notes: Stormdrainage to drywell. Drywell approved by Matt S.3/f 4/06JLP
)PMENT INFORMATION
PUBLIC IMPROVEMENTS
Page I of4
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006APPLIED: 03/0312006
EXPIRESz 1212212006VALUE: $ 116,127.00
Valuation Descrintion
Description
Dwellines
Type of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$99.00 1,173.00
Total Value of Project
Amount Paid Date Paid
Value
$116,127.00
$116,127.00
Date Calculated
03/03/2006
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 87o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Minimum/Adj ustment Mechanical
Plan Review Major - Planning
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ l0o/" Administrative Fee
+ 87o State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
+ l0"h Administrative Fee
+ 87o State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
$403.59
$10.00
$96.99
$77.s9
$2s4.00
$31.00
$620.90
$6.00
$9.00
$r8.00
$150.00
$324.19
s426.t9
$10.00
$86s.31
$82.03
$73.88
$73.2s
$80s.70
$182.69
s246.45
$50.00
$12.00
$1,ooo.oo
$r2.50
$10.00
$106.00
$19.00
$r2.50
$10.00
$106.00
$19.00
3t3106
4t5t06
4t5t06
4tst06
4t5t06
4t5t06
4t3t06
415106
4t5t06
415t06
4t5t06
4tst06
4t5t06
4tst06
4t5106
4t5t06
4t5t06
4t5t06
4t5106
4t5t06
4t5t06
4tst06
4ts/06
4tst06
7n4t06
7n4t06
7n4t06
7n4t06
8tu06
8nt06
8nt06
8fit06
Receipt Number
1200600000000000245
1200600000000000414
1200600000000000414
r2006000000000004r4
r200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
12006000000000004r4
12006000000000004r4
r 200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
2200600000000000980
2200600000000000980
2200600000000000980
2200600000000000980
r 200600000000001 173
120060000000000r r73
I 200600000000001 I 73
1200600000000001 173
Total Amount Paid $6,123.76
Pase 2 of 4
l ees Pard I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
FIE
Building/C ombination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006APPLIED: 03/0312006EXPIRES: 1212212006VALUE: $ 116,127.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
03t06t2006
03/0712006
03t07t2006
03t28t2006
APP
APP
LLH
TAJ
03t0712006 03n4t2006 APP JLP
03t07t2006 04t03t2006 OK RJB
Condition I of the partition's
approval (SU82004-00027) states
that: Prior to occupancy of any
buildings on-site, the applicant shall
be required to install a structural
and/or vegetative screen along the
northern property line for the full
length of the panhandle driveway.
This screen shall be constructed in
accordance with the standards set
forth in SDC Section 31.160 and
shall adhere to all Vision Clearance
Area standards.
Drywell approved by Matt S.
3ll4l2006JLP Plan shows drywell
for storm, LUD says pipe to storm
stub called Habitit for answer
3/10/2006 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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Rennired Insnections
Pase 3 of4
OF SPRIN
Building/Combination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006APPLIED: 03i0312006
EXPIRESz 1212212006VALUE: $ 116,127.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
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.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signaturen 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
Pase 4 of 4
225 Fifth Slreet
Springfield, Oregon 97477
541-726-3759 Phone
Ci+', o1 Springfield Official Receipt
L _ elopment Services Department
Public Works Department
RECEIPT#: r200600000000001173 Date:08i01/2006 8:16:28AM
Job/Journal Number
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ 10%o Administrative Fee
Amount Due
106.00
19.00
10.00
12.50
Item Total:$147.50
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard HABITAT FOR HUMANITY djb 610154 In Person
Payment Total
$ 147.s0
-sim-
cReceint I Page I of I 8n12006
225 Fifth Street
Springfield, Oregon 97 477
511-726-3759 Phone
ratn$a&fitN;&$C:*o of Springfield Official Receipt
. elopment Services Department
Public Works Department
RECEIPT #: 2200600000000000980 Date: 0711412006 l2:03:3ePM
Job/Journal Number
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
t 06.00
19.00
10.00
t2.50
Item Total $147.50
Payments:
'l'ype of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard C & S ELECTRIC ddk 219661 In Person
Payment Total
s 147.50
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c Recer nl I Page I of I t0t3/2006
\st
C & S E/ectric lnc.
Seruing Oregon Since 1917
214 s. lgth street
Springfield, OR 97477
(541) 741-2236 Fax: (541) 741-2473
ccB # 3849
September 25,2006
City of Springfield
Lisa Hopper
225 Fifth st
Springfield, OR97477
Re: Permit # COM2006-00266
Lisa-
I would like to request a refund for the above permit. We will not be performing
the work.
Sincere
Melissa G
C & S Electric
LLJOb
ilo,--s€
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
$lIfrt$*$ts!glp
$106.00
$ 19.00
$ 63.00
$ 75.00
$125.00
$163.00
$37s.00
$ 50.00
u:
225 FIFTH STREET o SPRINGFIELD, OR 97477 o PHz(541)726-3753 o FAX: (541)726-3689
E LE CTRI CAL P E RMIT APP LI CATI ON
City Job Number COI-I Db. o!,- 1Z Date
I 3
40L s.4z Pz.
LEGAL DESCRIPTIONPoz3z33 bo60 I
JOB DESCRIPTION
NrEq
A.
/o6
t7
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
)B.
Electrical Contractor QOS4 f , P.
Address tsqq 76 "l / ap4
Eubeuq Phone CFC. oclzl:i
Supervisor License Number t,<68 S C.
Expiration Date lO. l'o 7
Constr. Cont. Number 5445t
Expiration Date 1-zo-06
Signature of Supervising Electrician D
o
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
$50.00
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
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
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" above.
owners Name ft An<rrAa
Address Po Qa )(u8y E.
City SPfj\ Phone aW- l?9'7 Pumporirrigation $ s0.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
l7\
&/o Stut" surcharge /o
Sign/Outline Lighting
Limited Energy/Residential
l0% Administrative Fee
TOTAL
s 50.00
$ 25.00
t zr"
tq7 '>Inspection Request: 726-37 69
4.
Shared Drive(T:/Building Forms/Electrical Permit Application l -03.doc
CITY OF SPRIhIGFIELD, ORECON
A-t -AL
City
\tP,('j\tY
C'd't'
n\)fi
lr*
225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL P ERMIT APPLI CATI ON
Ciq, Job Number CD*tZaeC- oo
"
66 Date 7 /z o 6
n .lq
y\\0{
I
Ltob 5, qz*
3
Service Included
1000 sq. ft. or less
.1 -
Each additional500 sq. ft. or
K.E\. portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
frc.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
New Alteration or,Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pemit ----=-
E.
A.LEGAL DESCRIPTION
l1 oL3 233 0060 (
/o6.IOI} DESCRIPTION $ i06.00
$ 19.00
$s0.00
(n/ ttt^c- ' 3'^r,le ]*'*';l'I
Permits are non-transferable and expire :if IS
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Constr. Contr. Number
Adrlress 2O-fux tr>
n Phone 79't *)
Supervisor License Number L/K? I'S C.
Expiration Date lO-o)*?CO 7
3sy I
Installation, Alteration or Relocation
200 Amps or less $ 50.00
20t Amps to 400 Arnps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 \/olts see "B" above.
B.
$ 63.00
$ 75.00
$12s.00
$ 163.00
$375t00
$ 50.00
1-t - )rxt KExpiration Date
of Supervising Electrician
owners N"*" SPtr ) Fl+6, f/4 f
Ad,Jress )o Bo,rr '-l $
ciqv sPtt)\ Phone 7q/- l7o7
OWNER INSTALLATION
The installation is being made on property L own which
is not intended for sale, lease or rent.
Limited Energy/Residenhal $ 25.00
Limited Energy/Cornmercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
lL{
$Yo srur"Surcharge
l0% Administrative Fee
TOTAL
l.7so
1y
D.
s 43.00
$ 3.00
Pump or inigation
Sigr/Outline Lighting
$ 50.00
$ s0.00
GFIE,LD" OREGON aCITY OF
Inspection Request: 7 26-37 69
4.
Shared Drive(T:),Euilding Foms/Elecbical Permit Application l -03.doc
d.
BEL0W' ,:,'
t?
rLl are set forth
Ou'ners Signature:
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
S4l-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006APPLIED: 03/0312006EXPIRES: 1212212006VALUE: $ 116,127.00
SITE ADDRESS: 406 S 42nd Pl
ASSESSOR'S PARCEL NO.: 1702323300601
PROJECT DESCRIPTION: Single family residence
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-741-1707
Phone
Owner:
Address:
Contractor Type
General
Electrical
Plumbing
SPFD EUGENE HABITAT FOR HUMANITY
PO BOX 488
SPRINGFIELD OR 97477
Contractor
OWNER
C & S ELECTRIC
OWNER
, Cenl
541-741-2236
# 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:
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:
587
s86
I
R-3
VN
3
)
24.00
Wall Heat
Electric
Electric
Path I
nla
17.00
5.60
12.60
58.60
30.00
0
10.70
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Drywell - Provide
Drywell Engineering
Partially Improved
No
Notes: Stormdrainage to drywell. Drywell approved by Matt S.3/14/06JLP
DEVELOPMENT INFORMATION
Page I of4
@
It
00-3(](
E
I
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E
1
L
RE
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: COM2006-00266ISSUED: 0410512006
APPLIED: 03/0312006
EXPIRESz 1212212006VALUE: S 116,127.00
Description
Dwellings
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 87o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Minimum/Adj ustment Mechanical
Plan Review Major - Planning
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ l0oh Administrative Fee
+ 87o State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Total Amount Paid
Tvpe of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$99.00 1,173.00
Total Value of Project
Amount Paid Date Paid
Value
$1 16,127.00
$116,127.00
Date Calculated
03/03/2006
$403.59
$10.00
$96.99
$77.59
s254.00
$31.00
$620.90
$6.00
$9.00
$18.00
$150.00
$324.19
$426.19
$10.00
$86s.31
$82.03
$73.88
$73.25
$805.70
$182.69
$246.4s
$50.00
$r2.00
$1,000.00
$12.50
$r0.00
$106.00
$19.00
3t3106
4t5t06
4t5t06
4tst06
4tst06
4t5t06
4t5t06
4t5t06
4t5t06
4t5106
4t5t06
4t5t06
4t5t06
4t5t06
4t5106
4tst06
4tst06
4tst06
415t06
4t5t06
4t5106
4t5106
4t5t06
4t5t06
7n4106
7n4t06
7n4t06
7n4t06
Receipt Number
r20060000000000024s
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
r200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
r200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
r200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
2200600000000000980
2200600000000000980
2200600000000000980
2200600000000000980
$5,976.26
Plan Reviews
APP LLHInitial Review 03t06t2006 03t07t2006
Page 2 of4
F'ees Paid I
Vafuation Oescri
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: COM2006-00266ISSUED: 0410512006APPLIED: 03/0312006
EXPIRESz 1212212006VALUE: $ 116,127.00
Planning Review
Public Works Review
Structural Review
03t07t2006 03t28t2006 APP TAJ
03t07t2006 03n4t2006 APP JLP
03t07t2006 04t03t2006 0K RJB
Condition I of the partition's
approval (SUB2004-00027) states
that: Prior to occupancy of any
buildings on-site, the applicant shall
be required to install a structural
and/or vegetative screen along the
northern property line for the full
length of the panhandle driveway.
This screen shall be constructed in
accordance with the standards set
forth in SDC Section 31.160 and
shall adhere to all Vision Clearance
Area standards.
Drywell approved by Matt S.
3ll4l2006JLP Plan shows drywell
for storm, LUD says pipe to storm
stub called Habitit for answer
3/10/2006 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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to coYer.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Renuired Insnecfions
Pase 3 of4
ilr
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: COM2006-00266ISSUED: 0410512006
APPLIED: 03/0312006
EXPIRESz 1212212006VALUE: $ 116,127.00
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 Springfield and the Laws of the State of Oregon pertaining to the work described hereinn 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
Ci' of Springfield Official Receipt
D. ;lopment Services Department
Public lVorks Department
RECEIPT #: 2200600000000000980 Date: 0711412006 2:51:07PM
Job/Journal Number
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 8% State Surcharge
+ lloh Administrative Fee
Amount Due
106.00
r 9.00
10.00
12.50
Item Total:$147.s0
Payments:
Type of Payment Paid By
Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard C & S ELECTRIC ddk 219661 In Person
Payment Total:
$ 147.50
-Fim''
cReceint I Page I of I 71t4t2006
F'
Building/Combination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006APPLIED: 03/0312006
EXPIRES: 10/0512006VALUE: $ 116,127.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
SITEADDRESS: 406S42ndPl
ASSESSOR'S PARCEL NO.: 1702323300601
PROJECT DESCRIPTION: Single family residence
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
Owner:
Address:
SPFD EUGENE HABITAT
PO BOX 488
SPRINGFIELD OR 97477
FOR HUMANITY
w {equ\{e5!(
egofl
'rrl \Phone Number: 541-741-1707
Expiration Date Phone
616455-2223
e0sf\\ne
,e
o{e
G
-001 LicenseContractor Type
General
, # 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:
f$a\J f\te{
17.00
s.60
12.60
s8.60
30.00
Partially Improved
No
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o 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:
Type:
Downspouts/Drains:
PARKING
2
Drywell - Provide
Drywell Engineering
R-3
YN
2
24.00
Wall Heat
Electric
Electric
Path 1
nla
587
586
3
Notes: Stormdrainage to drywell. Drywell approved by Matt S.3/14I06JLP
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valuation Description
Description Type of Construction
Page 1 of4
Value Date Calculated
\na \e
\\cr\$
Ul, Y lrL(Jf lYl.l!l\ I ll\ -t! (JIUYIA r r(rl\
Status Issued
225 Fifth Street, Springlield, OR
541-7264753 Phone
- 541-726-3676 Fax
541-7 26-3769 InsPection Line
Building/Combination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006APPLIED: 03/0312006
EXPIRES: 10/0512006VALUE: $ 116,127.00
Dwellings V Wood Frame
Fee DescriDtion
Plan Review Residential
-Mechanical Issuance Fee-
+ l0Vo Administrative Fee
+ 87o State Surcharge
2 Baths One or Two FamilY
Addressing Assignment
Building Permit
. Dryer Vent
Exhaust Hoods
- Minimum/Adjustment Mechanical
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC NIWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Temp Power 200 amps or Iess
Vent Fan
Willamalane Single Family
Total Amount Paid
$99.00 1,173.00
Total Value of Project
Date Paid Receipt Number
120060000000000024s
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
12006000000000004r4
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
1200600000000000414
$116,127.00
$116,127.00
03/03/2006
Amount Paid
$403.s9
$10.00
$96.99
$77.s9
$254.00
$31.00
$620.90
$6.00
$9.00
$18.00
$150.00
$324.19
$426.19
$10.00
$865.31
$82.03
$73.88
$73.25
$805.70
$182.69
$246.45
$s0.00
$12.00
$1,000.00
3t3t06
4t5t06
4tsl06
4t5t06
4t5t06
4tst06
4tst06
4tsl06
4t5t06
4t5t06
4tst06
4tst06
4tst06
4t5t06
4tst06
4t5106
4tst06
4t5t06
4t5t06
4tst06
4t5t06
4t5t06
4t5t06
4t5t06
$5,828.76
Fees Paid
Plan Reviews
Initial Review 03t06t2006 0310712006 APP LLH
Paee 2 of 4
\l
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Plannins Review 0310712006 0312812006 APP TAJ
Public Works Review 03107t2006 0311412006 APP JLP
Structural Review 0310712006 04t0312006 OK RJB
B uilding/Combin ation Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006
APPLIED: 03/0312006
EXPIRES: 10/0512006VALUE: $ 116,127.00
Condition 1 of the partition's
approval (SUB2004-00027) states
that: Prior to occuPancY of anY
buildings on-site, the applicant shall
be required to install a structural
and/or vegetative screen along the
northern property line for the full
length of the panhandle drivewaY.
This screen shall be constructed in
accordance with the standards set
forth in SDC Section 31.160 and
shall adhere to all Vision Clearance
Area standards.
Drywell approved bY Matt S.
3ll4l2006JLP Plan shows drywell
for storm, LUD says PiPe to storm
stub called Habitit for answer
3/10/2006 CAS
To Request an inspection call the24 hour recording at 726-3769. All inspection requested
will be made the same working day, inspections requested after 7:00 a.m. will be made the
day.
before 7:00 a.m.
following work
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved'
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Page 3 of4
!w
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00266ISSUED: 0410512006APPLIED: 03/0312006EXPIRES: 10/0512006VALUE: $ 116,127.00
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 certiS 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
Pase 4 of 4
,
DRAINAGE FXTI.]RE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES X UNIT EQUIVAI.ENT = DRAINAGE FXTURE UNITS
FOR CALCUI-ATE ONLY THE NET ADDMONAL
NO. OF FIXTLIRES
UNIT
FIXTURE ryPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FXTI.]RE UNITS
lsa toa unit
^t
167
MWMC CREDIT CALCULATION TABLE: BASED ON COI]NTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
I]MTS
0
2
2
1979
*EDU
BEFORE I979
1979
1980
l98t
1982
1983
I 984
1985
1986
1987
1988
1989
1990
1992
1993
1994
1995
1996
1997
l 998
1999
.29
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
$5.29
$5.1
$5.1
I
2
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE / 1OOO
$0.00
CREDITRATE
$5.29x
t99t
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MIYMC CREDIT$1.59
$1.45
$1.2s
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
3103BATHTUB
0 1 0DRINKING FOLTNTAIN 0
0 0 3 0FLOOR DRAIN
3 000INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0 b 0TNTERCEPTORS FOR SAND / AUTO WASH / ETC.0
0002LAI.INDRY TTIB
3 310CLOTHESWASHER / MOP SINK
0 0 6 0CLOTTMSWASHER - 3 OR MORE (EA)
00012MOBILE HOME PARK TRAP (I PER TRAILER)
1 0RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0
0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0
0002SHOWE& SINGLE STALL
2 0SHOWE& GANG (NUMBER OF HEADS)0 0
0 3 3SINK: COMMERCTAL/RESIDENTIAL KITCHEN 1
0 0 2 0SINK: COMMERCI-ALBAR
0SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2
0 1 2SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2
0 0 5 0URINAL, STALL/WALL
6 0TOILET, PUBLIC INSTALLATION 0 0
2 0 3 bTOILET, PRTVATE INSTALLATION
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALT]E
0
2000
2001
CITY OF SPR,..GFIELD SYSTEMS DEVELOPMENT WURKSHEET
JOURNAL OR JOB NUMBER: COM2006-00266
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLINGTINITS
Habitat for
406 S. 42nd St
17023233009601
SINGLE FAMILY RESIDENCE
I. STORM DRAINAGE
DIRECTRTINOFF TO CITY STORM SYSTEM
COST PER S.F
$0.323
BUTLDING SrZE (SF. 604 LOT SrZE (SF):
CHARGE
i129.20
5463
IMPERVIOUS S.F x
400.00
RLNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
726.00
NUMBER OF DFU'S
17
B. IMPROVEMENT COST:
NUMBER OF DFU's
t7
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.s7
SUBTOTAL
$2,942.56
COST PER S.F
$0.323
COSTPER DFU
szs.07
$ r 9.07
NUMBER OF LNITS
I
NUMBER OF'UNITS
I
ADM. FEE RATE
5v,
DISCOUNTRATE
50v,
$246.45
DISCOLINT
$117.25
x
x
x
x
x
x
x
x
ITEM 1 TOTAL. STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $750.38
3. TRANSPORTATION
A. REIMBTIRSEMENT COST:
xx
xx
COST PER TRIP
$ 19.09
COST PER TRIP
$84. I 9
$988.39
NEW TRIP FACTOR
I.00
NEWTRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NUMBEROF 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 t, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
$957.34
CHARGE
$r47.r3
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker 3/1412006
PREPAREDBY DATE
COST PER FEU
$82.03
M26.r9
$182.69
70
$82.03
$86s.31
$10.00
73.88
$3,089.69
1070
t09l
1092
1 093
1094
105 5
1 054
1056
1079
I 078
a
rI]aoO
&
rI]
Fra
oH&
COST PER FEU
$865.3 r
TOTAL SDC CHARGES
x
t42.56
the tollowingIhe iollowinij Proiect as
3
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX:
Auil rul iZgO Stgn
ELECTRICAL *'w3f(frffrroN
City Job Number
DESCRIPTION
Permits are
not started within
Suspended for 180 days.
2
Contractor
Address
and expire
days ofissuance work is
Phone
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
Date
or Extension Per Panel
$50.00
$ 63.00
$ 7s.00
$ 12s.00
$ 163.00
$37s.00
$ 50.00
$ s0.00
$ 69.00
$100.00
lHE W OR 43.00
R M]T-ISNO
3
axpl A.
C.
Each
$106.00
$ 19.00
Cify
Supervisor
Expiration
N
Installation, Alteration or
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
N,
Constr Number
Date
gnature of Supervising Elechician
Owners
Address
City Phone t
OWNER TALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners
Over 600 Amps or 1000 Volts see "B" above.
D. Btatrch *lrc$it*
$
It_RE IF
A AND ONEFFgg_
$ 3.00
E.
Pump or irrigation $ s0.00
Si grr/Outline Li ghting $ 50.00
Limited Energy/Residential $ 2s.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4.O
8% State Surcharge
10% Administrative Fee
TOTALInspection Request: 726-3769
Shared Drive(T:)/Building Forms/Electrical Permit Application l-06.doc
COIfT'r.AffOR
26r' - and dO€s not
colwr}trtr?lg :ff rr,sc}tsl) utr$ .Bxtro}{/
- Single or IIulti-Family per drvelling unit.
rules
t.op
B.Alteratirxs or Reloc{ticil:
$erviccs ot Seeders
np-
not irckded) -Each kstallation
225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
-ity of Springfield Official Receipt
-levelopment Services Department
Public Works Department
RECEIPT #: 1200600000000000414 Date: 0410512006 1:38:46PM
Job/Journal Number
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266, coM2006-00266i 'covrzooo -00266
: Cbuzooo-oozoo
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266
coM2006-00266' coM2006-00266
cbM2oo6-00266'(
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
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
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Exhaust Hoods
Vent Fan
Dryer Vent
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
31.00
1,000.00
50.00
246.4s
426.t9
324.19
182.69
805.70
82.03
865.31
10.00
73.88
73.25
150.00
620.90
2s4.00
9.00
12.00
6.00
10.00
18.00
77.59
96.99
Item Total:$5,425.17
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check
I :(_
HABITAT FOR HUMANITY djb 552761 In Person
Payment Total:
s5,425.17
$5,425.17,i
{.
;1J
(.
I
4t5/2006 Page I of I
aslEni.D