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Home My WebLink AboutPermit 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 0 ,r\t ( Gop \te(' \ZE 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 -siasd- ur5 0ffi,w rb lDto.oo d, \0 \0' \q.p= 5.Q-,.= AdrNn= l0Oo/o il7o frp lb.uD,or; u t\p\\\ o o \\ \N 4Dl" 5. ,lr^a Ft- 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 tH 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