HomeMy WebLinkAboutPermit Building 2008-7-16
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-00856
ISSUED: 07/16/2008
APPLIED 06/13/2008
EXPIRES: 01/16/2009
VALUE: $ 281,785.00
_...,.~~ siiiI
LMIllllf:1i II
~.,
Status
Issued
225 FIfth Street, SprlOgfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn LlOe
SITE ADDRESS 5722 Pen dot Way
ASSESSOR'S PARCEL NO 1802041401214
Spnngfield TYPE OF WORK SlOgle FamIly ReSIdence
PROJECT DESCRIPTION SlOgle famIly reSIdence
TYPE OF USE New
ReSIdential
Owner SAMUEL PAZ
Address 4127 VIRGINIA A V
SPRINGFIELD OR 97478
Contractor Type
General
Electncal
Mechamcdl
PlumblOg
1 CONTRACTOR INFORMATION I
Contractor LIcense
ADW LLC 172229
VALLEY ELECTRIC CO, LLC 15364
RONS HEATING AND AIR CONDITIONING 169680
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORM~ TION I
# of Umts
Pnmary Occnpancy Group
Secondary Occupancy Group
Pnmary CoustructlOn Type
Secondary ConstructIOn Type
# of BedroolOs
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUIld 109
1
R-3
U
VB
2
2600
Electnc
Electnc
Electnc
Path 1
No
3
I. DEVELOPMENT INFORMATION I
Frontyard Setback
SIde 1 Setback
SIde 2 Setbdck
Rearyal d Setback
Solar Setbacks
1800
700
700
3400
3400
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
1 PUBLIC IMPROVEMENTS I
Street 1m .A.T.J:ENJION' Oregon law requll&ll yvv IV
Ptoflow'iiires adopted byRbulOl1Igflll;lI1lhty
Storm Se>WollflOlllldll<Center. Those rules are aEllsforth
SpCClal InfjrlilAl'lJ\l52-001-001 0 through OAR 952-001-
0090. You may obtain caples of the rules by
Notes St<Oa:lllAgdh~r. (Note' the telephone
number for the Oregon Utlllly Notification
Center IS 1-800-332-2344).
Phone Number 541-736-3873
ExpIratIon Date
09/22/2008
1012412010
04/20/2009
03/0312010
Phone
541-683-3279
503-838-0447
54 I -343-6829
541-926-5300
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupaut LOdd
1,617
960
400
2
Yes
3300
REQUIRED PARKING
Total 2
HandIcapped
Compact
SIdewalk Type
CurbSIde 7'
Curb and Gutter
DownspoutsffiralDS
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa!!e 1 of 4
-Wi:;'~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED:
EXPIRES:
VALUE:
COM2008-00856
07/16/2008
06/13/2008
01116/2009
$ 281,785.00
225 Fifth Street, SprlOgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn LlOe
I Valuahon DescrlOhon I
Dwelhn!!s
Garafre
V Wood Frame
Garaf!e
$ Per Sq Ft
or multJpher
$10500
$28 00
Square Footage
or BId Amount
2,577 00
400 00
Value
Date Calculated
DescflotlOn
Tvpe of Construchon
Total Value of ProJect
$270,585 00
$11,20000
$281,78500
06/13/2008
06/13/2008
~<, pqJ(11
Fee DescriptIOn Amouut PaId Date PaId Receipt Number
Plan RevIew ReSldentldl $828 36 6/13/08 1200800000000000650
-Mecbamcallssuance Fee- $20 00 7/16/08 1200800000000000786
+ 10% AdmlOlStratJve Fee $211 63 7/16/08 1200800000000000786
+ 12% State Surcharge $236 09 7/16/08 1200800000000000786
+ 5% Technology Fee $10862 7/16/08 1200800000000000786
3 Baths One & Two Family $337 00 7/16/08 1200800000000000786
AddresslOg ASSIgnment $35 00 7/16/08 1200800000000000786
Apphance Vent $700 7/16/08 1200800000000000786
BUJldlOg PermIt $1,27440 7/16/08 1200800000000000786
FIre SF Fee - ReSldentJal $148 85 7/16/08 1200800000000000786
FIreplace (LISted) $1700 7/16/08 1200800000000000786
MlO,mum/AdJustment Mechamcal $26 00 7/16/08 1200800000000000786
Pldn ReVIew Major - PlannlOg $205 00 7/16/08 1200800000000000786
ReSIdence WIrIng 1000 Sq Ft $11700 7/16/08 1200800000000000786
ReSIdence WIrIng Ea Addtl 500 $84 00 7/16/08 1200800000000000786
Samtary Sewer - 1st 50 Feet $50 00 7/16/08 1200800000000000786
Samtary Sewer - Improvement $591 72 7/16/08 1200800000000000786
S.mItary Sewer. Reimbursement $778 17 7/16/08 1200800000000000786
SDC MWMC AdmlOlStratlOn $10 00 7/16/08 1200800000000000786
SDC MWMC Improvement $990 39 7/16/08 1200800000000000786
SDC MWMC Reimbursement $95 35 7/16/08 1200800000000000786
SDC SanItary/Storm AdmlO $15429 7/16/08 1200800000000000786
SDC Transpo Improvement $862 25 7/16/08 1200800000000000786
SDC Tr dnspo Reimbursement $19548 7/16/08 1200800000000000786
SDC TransportatIOn AdmlO $69 98 7/16/08 1200800000000000786
Storm DrdlOdge ImpervIOUs Area $962 II 7/16/08 1200800000000000786
Temp Powel 200 dmp' or less $55 00 7/16/08 1200800000000000786
Wllldmalane SlOgle Fdmdy $2,513 00 7/16/08 1200800000000000786
Total Amount PaId $10,98369
I Plan ReVIews I
Imhal ReVieW
Structural ReVieW
06/13/2008
06/13/2008
06/1312008
06/13/2008
APP NJM
APP CJC
Pa!!e 2 of 4
,__~PRINGPJBLiD t."IIII"-',l.lII!I".!
~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-00856
ISSUED. 07/16/2008
APPLIED: 06/13/2008
EXPIRES 01/16/2009
VALUE' $ 281,78500
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
Puhllc Works RevIew
06/1312008
06/17/2008
APP LKW
Stormwater to curb
Planmne RevIew
06/13/2008
07/1112008
APP
EMM
To Request an inspectIOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00
a.m will be made the same working day, mspectlOns requested after 7.00 a.m. will be made the followmg
work day.
I. Rpmnr",j I'WPl'tIoniJ
EroslOn/GradlOg InspectIOn Pnor to ground dIsturbance and after erosIOn measures are IOstalled
Curhcut - Standard After forms are erected but pnor to placement of concrete
SIdewalk - CurbsIde After lorms are erected but pnor to placement of concrete
Uler Electncal Ground Install ground rod at footlOg and call for IOspectlOn 10 conjunctIOn wIth footlOg and/or
foundatIOn mspectlOn
FootlOg After trenches are excavated,
FoundatIOn After forms are erected but pnor to concrete placement
Post dnd Beam Pnor to floor IOsulatlOn or decklOg
Floor InsulatIon PrIOr to decklOg
Shear Wall NaIling Befm e coverlOg sheath 109 WIth timsh matenals
FramlOg InspectIOn Pnor to cover and after all rough 10 IOspectlOus have been dpproved
Wall InsulatIOn Pnor to cover
Cedmg InsulatIOn Pnor to cover
Drywall Pnor to taplOg
Hold Downs Installed Spec..1 InspectIOn performed pnor to placement of concrete PrOVIde report to CIty
BUlldlOg Inspector
FlOal BuddlOg After all reqUIred IOspectlOns have been requested and approved and the bUlldlOg IS complete
Undertloor PlumblOg Pnor to IOsulatlOn or decklOg
Rough PlumblOg Pnor to cover and lOc\udlOg reqUIred testlOg
Water LlOe Pnor to tilllOg trench and lOc\udlOg reqUIred testlOg
Samtar)' Sewer LlOe Pnol to filling trench and lOc\udlOg reqUIred testlOg
Storm Sewer LlOe Pnor to filllOg trencb
FlOal PlumblOg When all plumblOg work IS complete
Rough Mechamcal Pnor to Cover
FlOal Mechamcal When all mechamcal work IS complete
Tempordry ElectrIC Approval reqUIred prIor to UtIlity Company energlzlOg pole
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00856
ISSUED. 07/16/2008
APPLIED. 06/13/2008
EXPIRES: 01/16/2009
VALUE: $ 281,78500
225 FIfth Street, Spnnglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon LlUe
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUIred pnor to uhlIty company energIZIng servIce
FlUal Electnc When all electncdl work IS complete
By SIgnature, I state dnd agree, that I have carefully examlUed the completed applIcatIOn and do hereby cerhfy that all
IUformatlOn hereon IS true and correct, dnd I lurther cerhfy that any and all work performed shall be done IU accordance WIth
the OrdlUances of the City of Spnngfield and the Laws of the State of Oregon pertalUlUg to the work descnbed herelU, and
that NO OCCUPANCY WIll be made of any structure WIthout permISsIOn of the CommuDlty Services DIVIsIOn, BUlldlUg Safety
I further cerhfy that only contractors and employees who are IU complIance With ORS 701 005 wIll be used on thIS project
I further dgree to ensure that all reqUIred IUspectlOns are requested at the proper hme, 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 remam on the SIte at all
hmes dunng constructIOn
~rYJ(' J'~ / !'Pac 7
Owner or Contrac;ors SIgnature
() ";f- ~l ~ - O~
Date
Pa2e 4 of4
ZON L~v
lNITIALS "Y>-. /
DATE ..., - n /{)I:,
SOURCE ()'\f3j1'2J
Dat.( ~ r'f /1101 og
~' I I
rCOMPi1ffE~i1EifscHi:jjvtESBEWW:~W'm illfs~~;jS::fJ
,.ce.... """';:WI.tk"~ M~ :.~ .~. L.._."._.~.._~___~_A_ ~mili~.__~ _Zf:".::-1X_,-~
SPRINGFIELD
~*'
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, :qP{Q~' ~~,~Q~~LD;-,q~'Gq~": ,-"
225 FIFIH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number C.9:',.... >(50
1 ~.z::()q;tI2N~, ++~~~ST~:T:~Ti'()N::~;~!;~2-'SI 3
S / 1 ~ i 0 t1 Jf Lo1-
- . f/ - --
LEGAL DESCRIPTION
\'bPbDt 1401'2-ltf r-'. I-I. /
r\JOB DESCRl(TlOr 'S-t' ~ ~
~ 0 'AY\ 1) ~ 1:1 ,"\1~
. \ -..
PermIts are non-transferable and expIre If work IS
not started wIthm 180 days of Issnance or If work IS
Suspended for 180 days
A. rN;~"B~~l~{;!~~!~~~i~~ti~_~~l!~:;~:[~~Tfi;g\1!1l;~~_j~
ServIce Included
1000 sq ft or less
Each addlllonal 500 sq ft or
portIon thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
IJ 7 DO
'l'1f dV
I
Lj
$11700
$2100
$55 00
B t0s~A1k~~:fl:t~;rii~;Th~'&iiEfi~ri;i~mr~t~~~rR1J:~~~t;i.~'~~
lW,-,wJ&JfuAl;,.:;X1/;,dilm 2-# .';;*0;"'h1/<0",.0i'bi~Wi,*"m;, V~hfuaj;mJjj,,*, ili;;mMiawJ(,~""'h"k0t,,' "
L- -- -.-:;;- "-;;'ff"''ijpM'F~:''''i!!MJ-"\} -i'"'~-~~"/--T~ '" ,,~ -"iiJ "'1" ,~-,~
2 i~P'Ql!!l!dJilJ/l};!f~?'1.+T.T;1!}:ql;k~~}j~
Electncal Contraclor l4t.Lr~ ht!(1!'X! (('if" '4LlC1
Address /91r') 1 h/2A..vI ..k:.z>
$ 70 00
$ 83 00
$13800
$18000
$41300
$ 55 00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Phone (4 n.:}J 93.f3 0411 Over 1000 AmpsIV olts
'- Reconnect Only
City ~ ,u?, / ,rrd:..
C
Supervisor LIcense Number ::? (jJ fl)(<) 5
loll/ In
I C;.=3-2 co -'1
1~/t2"'//D
Installahon, Alterahon or Relocahon
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 VoIls see "B" above
D
ExplfatlOn Date
,~ 5 _(5"'0
I
$ 55 00
$ 76 00
$110 00
Constr Contr Number
Explfallon Date
~~
Owners Name~ ~!lY\ \ uS2 I6_~
Address LtI n V' \ VCf.\!Y\ if.L ~ .--/
c,ty'S-002d 00./ khne i3G ~ S "573-
, V
OWNER INSTALLATION
New Alterallon or ExtenSIOn Per Panel
One Clfcmt
Each AddIllonal Clfcmt or wIth
ServIce or Feeder PermIt
$ 48 00
$ 400
E ~~~~Ihi1:~~~{~~i:;r~g;.?iidt0iirclii:f:;~E~~~~':f~~ti~~
+, _"'~"'W_,"__"_6c___d,,____.s3_1_HUd1b-'g"-''''''';;&C~''''K='''"'"'_ ~_~ ,,3w,_~_,,"--,_ -,'~~,- [( 4
Pump or 1IT1gallon $ 55 00
SlgnlOutlme LIghtmg $ 55 00
Lumted Energy/Resldenllal $ 28 00
Lllmted Energy/Commercml $ 50 00
Mmlmum ElectrIC PermIt IuspectlOn Fee IS $50 00 + Surcharges
4 IFsiJBfoTA1?'OE;:4BOVif~i!!l!!l:',\"dII5i!,li!HiIl. %0 t5D
f&;;=7'-bc1",",,);<m1:0~"M,"::"",--0J~4:1,+,",.ndd- ji3,14~~.Jfl~~1
11.'/0 1'/0 State Surcharge .3 0 {d-
10% Admrmstrallve Fee :;vs ioU
5% Technology Fee I '2 I? 0
52-5 1:;;2-
The InStallatIOn IS bemg made on pwp" ~j I own which
IS not mtended for sale, lease or rent
Owners SIgnature
Inspechon Request- 726-3769
TOTAL
Shared Dnve(T )JBUlldmg ForrnslElectncal Permit ApplicatIOn 7-07 doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY
LOCATION
TAX LOT NUMBER
DEVELOPMEN I TYPE
NEW DWELLING UNI IS
I STORM DRA!NAC;E
--...,
C0M2008-00856
ADW LLC
5722 Pen dot
1802041401214
Smgle Farmly Residence
I BUILDING SI7E (SF 2977
LOT SIZE (SF)
DIRECT RUNOFF TO CITV SlORM SYSTEM
1 IMPFRVIOUS S F x I COST PER S F CHARGE
I 2780 50 I $0 346 I 1 $962 11 I
RUNOFF ROUl ED TO DRYWELL DESIGNED AND CONSTRUCTED lOCI IV STANDARDS
IIMPCRVIOUS S Fix 1 COST PI R S Fix I DISCOUNT RATC I I
o 00 I I $0 346 1 1 50% I ~
ITEM I TOTAL - STORM DRAINAGE SDC
J SANI IARY SEWER - CITY
A RLIMIlURSEMENTCOSI
1 NUMBER OF DFU's I
I 29 I
DISCOUNT
$000
$962 II
x
COST PCR DFU
$26 83
B IMPROVCMCN I COST
[ NUMIlER OF DFU's I
I 29 I
x
COST PCR DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDe
= I
$1,36988
5663
I~
I~
IW-l
E-<
r/J
G
~
, $962 II , 1070
I
, $77817 1091
I
$591 72 11092
I
Ii
J TRANSPORTATION
A RLIMBURSFMENT COST
I ADrTRJPRATE I x
[ 957 I
I NUMBER or UNITS 1 x 1
I I 1 1
B IMPROVEMENT COST
I ADT TR1P RATE I x I NUMBER OF UNITS 1 x 1
1 957 I I I 1
ITEM 3 TOTAL - TRANSPORTATION SDe = I
COS I PER TRIP
2043
x INEW TRJP FACroRI
1 100
$19548
$862 25
1093
I
11094
I
I
i
I
11054
4 SANI IARY SEWER - MWMC
A REIMBURSEMENT COST
[NUMBER OF FEU's 1 x
I I 1
ICOST PER FEU
1 $95 35
B IMPROVEMENT COS I
INUMBER OF FEU's I x ICOST PER rcu
1 1 I $990 39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINIS I RA liVE FEE
ITEM 4TOTAL-MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I
5 ADMINISTRATIVE FEE
1 SUBTOTAL x I ADM FEE RATE 1=
I $4,485 46 I 5% I
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
Kaye Wilson
6/17/2008
PREPARED BY
DATE
COST PER TRIP
$9010
$1,05773
x 1 NEW TRIP F ACTORI
1 100 1
$1,09574
=
$95 35
,
I'
1 1055
I 1054
ill056
1
$4,485 46
CHARGE
$22427
TOTAL SDC CHARGES
=
$990 39
$000
$10 00
15429
$69 98
$4,709 73 I
I
11079
J 1078
"
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT "" DRAlNAGE HXTURC UNITS
(NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGC
UNIT FIXTURE
FIXTURE TYPE NEW OLD CQUIV ALENT UNITS
I BATHTUB 2 0 3 = 6 ----I
IDRINKING FOUNTAlN 0 0 1 = 0 I
FLOOR DRAIN 0 0 3 = 0 I
IINl ERCCPTORS FOR GREASE / OIL I SOLIDS / ETC 0 0 3 = 0 I
IINTERCEP roRS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRCCCPTOR FOR REFRIG / WATER SlATION / ErC 0 0 1 = 0
I RECePTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
ISHOWER, ~INGLE STALL 1 0 2 = 2
ISHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK COMMERCiALiRi::SlDENTIAL KITCHEN 1 0 3 = 3
ISINK COMMERCIAL BAR 0 0 2 = 0
I SINK WASH BASIN/DOUBLE LA V AWRY 1 0 2 = 2
ISINK SINGLE LA V ATORY/RESlDCNTIAL BAR 2 0 1 = 2
IURINAL STALL/WALL 0 0 5 0
II OILL T, PUBLIC INSTALLATION 0 0 6 0
[TOILE I , PRlVA[C INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
.EDU (EqUivalent Dwelling Umt) IS a discharge eqUIvalent to a smgle family dwellmg urnl (20 DrUs) set at 167 ~allons per day
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
]985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
t998
1999
2000
2001
j
CREDIT RATE/$I,OOO
ASSESSED VALUE
~:~ _$529-
'_- ';$529 "'-:'
-'-- $519,,",_,-
~----' ~$5 12 J -c ~~
-:-~- $4 98 -- ~ ~~
" $480. c- ;-
_ 1~:~i_$_4 ,63 j 1 ~ ~'"
$440 :;,-:,
d - ~ ~ $4 07 I ,5~-~C~l-~
~ - I, $3 67_
~r '$3 22 ,-~ ~ -',
~ ""- - ----'-'j-;j.-
'- $273' ,
e-
$225 ~ "
- C ""_ $1 80 _.:.'
" '_ $159 ,
J I I,,~ 9 $145 ,_ 1,-:-1
~ '$1 25'-"-]"'=- eL
-; c-: $1 09i(t ~ l;cio' f
" ,
~ c $0 92,.!i~ "
f"c $~ 72--: 'H'
ql~i :; $O~8 I ~
_ ,-,-,L-"'$028 ~l lH
1 ~>--= $009 _ L-ij~
.". 1 -,-' ='
r -$0050"-,
__ 0..,. ~ ~~ _ "'-"'"
I
I
225 Fifth Street CIty of Sprmgfield OffiCIal ReceIpt
~prmgfield, Oregon 97477 Development ServIces Department
541-726-3759 Phone Public Works Department
RECEIPT #. 1200800000000000786 Date 07/16/2008 I 19 27PM
Job/Journal Number Description Amount Due
COM2008-00856 Fire SF Fee - ReSidential 14885
COM2008-00856 Temp Power 200 amps or less 5500
COM2008-00856 WIlIamalane Smgle Family 2,51300
COM2008-00856 Stonn Dramage ImpervIOus Area 962 II
COM2008-00856 Samtary Sewer - Re,mbursement 77817
COM2008-00856 Samtary Sewer - Improvement 59172
COM2008-00856 SDC Transpo Reimbursement 19548
COM2008-00856 SDC Transpo Improvement 862 25
COM2008-00856 SDC MWMC Reimbursement 9535
COM2008-00856 SDC MWMC Improvement 99039
COM2008-00856 SDC MWMC Adrrumstratlon 1000
COM2008-00856 SDC SamtarylStonn Admm 15429
COM2008-00856 SDC TransportatIOn Admm 6998
COM2008-00856 Bulldmg Penn It 1,27440
COM2008-00856 Addressmg ASSignment 3500
COM2008-00856 3 Baths One & Two family 33700
COM2008-00856 Samtary Sewer - 1 st 50 Feet 5000
COM2008-00856 Apphance Vent 700
COM2008-00856 Fireplace (Listed) 1700
COM2008-00856 M,mmum/AdJustment Mechamcal 2600
COM2008-00856 -Mechamcallssuance Fee- 2000
COM2008-00856 ReSidence W (flng 1000 Sq Ft 11700
COM2008-00856 Res,dence WIrIng Ea Addtl 500 8400
COM2008-00856 Plan ReView Major - Plannmg 205 00
COM2008-00856 + 5% Technology Fee 10862
COM2008-00856 + 12% State Surcharge 236 09
COM2008-00856 + 10% Admmlstrallve Fee 21 163
Item Total $10,15533
Payments Check Number AuthoTlzatlOn
Type of Payment PaId By Received By Batch Number Number How Received Amount Paid
Check HARDWOOD PAZ CO ddk 1183 In Person $10,15533
Payment Total $1U,15533
cRecemtl
Page 1 of 1
7/16/2008
o !~!!~o~l~,~e
Job No ~(--- Q~
SYSTEM DEVECOfMENT CHARGE WORKSHEET FOR 2008
, \/
NAM~JY\ll_& \ ~~ 7_ PHONE
ADDRESsL+IG7 V'] ~l1)'t,a CITY~(~_ ~ STATEoQZIP
LOCATION OF PRopoM BUILDING SITE\ \j
Street Address 57)...~ ~o ))~\ ^-tl~
q/~i
Plat Name
Tax Lot Number
1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definitions are on the
back)
A Smale-Famllv Detached $~ ~L~ C)O
NO OF UNITS X $2,513 per Unit =
B Smole-Famllv Attached
NO OF UNITS X $2,726 per Unit = $ /
C Multl-Famllv Aoartment
NO OF UNITS X $2,323 per Unit = $ /
D Smale Room Occuoancv /
NO OF UNITS X$1,162 per Unit = $
E Accessorv Dwelhno Unit I
NO OF UNITS X $1,257 per Unit = $ OV
$ ;:)SL5 .
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval) $ .--
3. TOT) WILLAMALANE NET SOC ASSESSEO ~5tS, 00
(tf DC reduced for Credrt) $
"- " )p ,q '\) (I hQd 0 I] /& I D<6
I
Date
City 0 Spm gfi d
5
-iijC
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00958
ISSUED: 07/17/2008
APPLIED: 07/01/2008
EXPIRES: 01/17/2009
VALUE' $ 20,000.00
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 945 54TH ST
ASSESSOR'S PARCEL NO 1702331202200
Sprmgfield TYPE OF WORK Smgle FamIly ResIdence
TYPE OF USE
Remodel
ResIdentIal
PROJECT DESCRIPTION Enclose carport and mtellOr remodel
Owner
Address
MICHAEL AKINS
614 72ND ST
SPRINGFIELD OR
Phone Number
541-912-4221
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechdmcal
Plumbmg
Contractor
OWNER
OWNER
OWNER
License
ExpiratIOn Date Phone
BUILDING INF?RM~TION I
# ofUmts
Pnmary Occupdncy Group
Secondary Occupancy Group
Pnmary ConstructIon Type
Secondary ConstructIOn Type
# of Bedrooms
R-3
U
VB
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path'
Sprmkled Bmldmg
1600
Electnc
Electnc
Electnc
Path 1
No
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor.
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
280
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dlst Total
# Street Trees ROdt-E'lTIO" 0 I Handicapped
RI I I' \I tBOOn taw rE'C'jlJ"'O<:' \If'lll to
Paved DrIVe R'IS;low rules ad' Dted b th () Co!"pact
'X 01 Lot Cov a 0, y 1'8 regu" Utility
o 'l~~II,catlon CenhJr Trese rules are set forth
~n_l?!,R 952-001-0010 through OAR 952-001-
NOTICE' """" II'" ""'y u,""au, ~uf,ues OJ me rUles by
I PUBLIC IMPROVEMJi1.~fJili Ihe center (Note the teJeph
Street Improvements THIS PERMIT SHALL tXf'IHE IF THE wbRl~niDei'or th~~Ii\RI1(\IIJ~ty Notlflc~~~n
AUTHORIZED UNDER THIS PERMIT IS NOT Center IS 1-800-3j2-2344).
Storm Sewer AvadabJe'{)MMENCED OR IS ABANDON Downspouts/Drams
SpeCIal InstructIon ANY 180 DAY PERIOD. ED FOR
Front yard Setback
S.de I Setback
SIde 2 Setback
Rearyard Setbdck
Soldr Setbacks
23 80
540
Notes
Paee 1 01 4
-Wi:....,
Status
Issued
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Description
Tvpe of Construchon
EstImate
EstImate
Fee DescrIPtIOn
Plan RevIew ReSIdential
-Mech Iss 2+ Apphances-
+ 10% AdmmlStrahve Fee
+ 12% State Snrcharge
+ 5% Technology Fee
BUlldmg PermIt
Dryer Vent
Exhaust Hoods
Fife SF Fee - ReSIdential
Fixture
Samtary Sewer - Improvement
Samtary Sew.. - ReImbursement
SDC Samtary/Storm Admm
Storm Dramage ImpervIOus Area
Vent Fan
Vent Fan
Vent Fan
Total Amount PaId
Imtlal Review
07/0212008
Pubhc Works RevIew
07/0212008
Planmne Review
07/0212008
Structural Review
07/0212008
CITY OF SPRIN~1'lJi.LU
Building/Combination Permit
PERMIT NO. COM2008-00958
ISSUED 07/17/2008
APPLIED' 07/01/2008
EXPIRES 01/17/2009
VALUE: $ 20,00000
I Vahl,~\"on DescrIotIon I
$ Per Sq Ft
or mulhpher
$100
Square Footage
or BId Amount
20,000 00
Value
Date Calculdted
Total Value of Project
$20,000 00
$20,000 00
07/0112008
Ff'f'~ P"li.IU
Amount PaId
Date PaId
ReceIpt Number
$132 89
$40 00
$4744
$55 25
$23 02
$204 44
$700
$10 00
$1400
$17600
$12622
$16599
$1980
$10381
$2100
$2100
$2100
7/1108
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
2200800000000000997
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
$1,18886
I Plan RevIews I
07/0212008
APP NJM
07/03/2008
APP LKW
Storm wdter ties m to eXlstlOg
system
07/08/2008
APP T AJ
No Planmng Issues
07/15/2008
APP CJC
To Request an Inspection call the 24 hour recordIng at 726-3769. All Inspections requested before 7:00
a.m. wIll be made the same workIng day, InSpectIOns requested after 7:00 a.m. wIll be made the followmg
work day.
Paee 2 of 4
CITY OF ~nuj'ltJ.H~LD'
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-00958
ISSUED: 07/17/2008
APPLIED: 07/01/2008
EXPIRES 01/17/2009
VALUE $ 20,000.00
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Rp'l".rp~ IOSDeChon~
Footmg After trenches are excavated
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Pnol to 1100r msulatlOn or deckmg
Floor InsulatIon Pnor to deckmg
Shear Wall Nallmg Before covenng sheathmg wIth fimsh matenals
Frammg Inspechon Pnor to cover and after all rough m mspectlOns have heen approved
Wall InsulatIOn Pnor to cover
Cellmg InsulatIOn Pnor to cover
Drywall Pnor to tapmg
Hold Downs Installed SpecIal InspectIOn pel formed pnor to placement of concrete ProvIde report to CIty
BUIld 109 Inspector
Bolts Installed m Concrete To be done by a State CertIfied SpecIal Inspector ProvIde mspectIon test reports to
CIty BUlldmg Inspector
Fmal BUlldmg Alter all reqUIred mspectlOns have heen requested and approved and the bUlldmg IS complete
Underl1001 Plumbmg Pnor to msulatlOn or deckmg
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Water Lme Pnor to fillmg trench and mcludmg reqUIred testmg
Samtary Sewer Lme Pnor to fillIng trench and mcludmg reqUIred testmg
Storm Sewer Lme Pnor to fillmg trench
Fmal Plumbmg When all plumbmg work IS complete
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough Electnc Pflor to Cover
Fmal Electnc When all electflcal work IS complete
Paee 3 of 4
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED'
APPLIED.
EXPIRES.
VALUE:
COM2008-00958
07/17/2008
07/0112008
01117/2009
$ 20,000 00
By sIgnature, 1 state and agree, that I have carefully examlDed the completed apphcalIon dnd do hereby cerlIfy that all
IDformatlOn hereon IS true and correct, and I further certlly thdt any and all work performed shall be done ID accordance WIth
the OrdlDances of the CIty of SprlDgfield and the Laws of the State of Oregon pertalDlDg to the work descnbed herelD, and
that NO OCCUPANCY wIll be made of any structure WIthout permISSIon 01 the CommuDlty ServIces DIVIsIOn, BuIldlDg Safety
I further cerlIfy thdt only contractors and employees who are ID comphdnce WIth ORS 701 005 wIll be used on thIS prolect
I further agree to ensure that all requlI ed IDspectlOns are requested at the proper lIme, 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 pldns wIll remalD on the SIte at all
times durmg nstructlOll
~~
Owner or Cont;act'od Slgna~ur; v
)
P dee 4 of 4
Date
'1. Ilr !)~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER Com2008-00958
NAME OR COMPANY MIchael Akms
LOCATION 945 54th Street
TAX LOT NUMBER 1702331202200
DEVELOPMJ:NT TYPE Smgle Farmly Resldencc
NEW DWELLING UNITS 0 BUILDfNG SIZE (SF 280 LO r SIZE (SF)
I STORM DRAINAGE
5227
I
I~
10
II ~
18
~
~
DIRECT RUNOFF TO CITY STORM SYS I EM
I IMPERVIOUS S F x I CO~T PER S F I I CHARGE I
I 29100 I $0357 = I $10381
RUNOFF ROUTCD TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSSF I x I COSTPERSF I x I D1SCOUNTRATE I I
l 0 00 I $0 357 I I 50% ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $10381
2 SANITARY SEWER - CITY
DISCOUNT
$000
$10381
I 1070
A RI:IMBURSEMENT COST
I NUMBER OF DFU's I x
I 6 I
COST PER DFU
$27 67
$16599
,
II
i
11091
B IMPROVEMENT COST
I NUMBER OF DfU's I x COST PER DFU
6 I $2104 $12622 I 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I $29221 J
J TRANSPORTATION I
A REIMBURSEMCNT COST
I ADT TRIP RATE I x I NUMBER OF UNII S I x I COST PCR I RIP x INEW TRIP FACTOR I
I 957 I I 0 I I 21 06 I 100 I $000 ' 1093
B IMPROVEMENT COST
I ADI TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP !-ACTORI
I 957 I I 0 I l $92 89 I 100 I $000 [1094
ITEM 3 TOTAL - TRANSPORT A nON SDC =1 $000 J
4 SANITARY SEWER - MWMC
A REIMBURSCMENT COST
INUMBER ~F FEU's I x ICOST PER FEU
I I $97 90 = $000 1054
B IMPROVEMENT COST
IN UMBER OF FEU's I x ICOST PER FEU
I 0 I I $1,00917 = $000 1055
MWMC CREDI r IF APPLICABLE (SEE REVERSE) $000 11054
MWMC ADMfNlSTRATIVE FEE $000 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $000 I
I
SURTOT AL (ADD ITEMS I, 2, 3, & 4) ~ , $396 02 I
I
, ADMINIS I RA liVE FFE
ISUBroTAL x I ADM FEE RATE I~ CHARGE
I $396 02 I 5% I $1980
TOTAL SANITARY ADMINISTRATION FEE 1980 J 1079
TOTAL TRANSPORTATION ADMfNlSTRATION fCE $000 11078
Kaye Wilson 7/3/2008 TOTAL SDC CHARGES =1 $41582 II
PREPARED BY DATE
.._____.._ _u_ ., _ ..
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
.- -- l
N1J1vffiER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE FOR REMODELS CALCULATE ONLY THE:. NET ADDmONAL FIXTURI:S)
NO OF FIXTIJRES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD [OUIV ALENT UNITS
IBATHTUB 2 1 3 = 3 II
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0 I
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER I MOP SINK 1 1 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBlLE HOME PARK TRAP/I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0
I RECEPTOR FOR COM SINK I DISHWASHER I EYC 1 0 3 = 3
ISHOWER SINGLE STALL 0 1 2 = -2
I SHOWER, GANG (NUMBER or HEADS) 0 0 2 = 0
ISINK COMMERCi.ijJRESIDENTIAL KlTCHEN 1 1 3 = 0
ISINK COl\1MERCIAL BAR 0 0 2 = 0
I>INK WA"H BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK SINGLE LAVATORYIRESIDENTIAL BAR 2 2 1 = 0
IURlNAL, STALL/WALL 0 0 5 = 0
ITOILEI, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PIUVATE INSTALLATION 2 2 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 6
*EDU (EqUivalent Dwelilm~ Umt) IS a discharge equIValent to a smgle Calmly dwelhng umt (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
I 1988
I 1989
1 1990
I 1991
I 1992
! 1993
1994
1995
1996
1997
1998
1999
2000
2001
I CREDITRATE/$I,OOO - )1
I A<<"<<FD VALUE ~
) "t J- $5 29') ~
_,c_, -*-$5 29 -~~
,',_ ) --"-- 1
$519 '.te" l,
,_ '$5 12 r -'~5r~--'
, --r," $4 98_'"~ -
~--;c_ $480 - _
. _ =~' $4 63 {_' .;b~.;;-
~ _j::t-l- __.j.,-.J....!..-.L:.
~ -_$440 -
=$4 07 -;. ..
, -$367'~'~'~
+~ - -' $3 22 9~ ~""It
- '
$273 -;:;
$225 -
$180
_ - $1 59, ~'f,
t ~LI $145' ";
",,_,"'$1 25F _~j
t -:J~-f't $1 O_9~J -c "11'
'1- $0 92 ~
f-,01!. - 1~~ I
Jt~~" r $0 72~ ~_ r
>I ) T' $048-,t.:f<g~I~'
,~c ~ '_-c$O 2_~Y~-i 'Li "
"'- 1'l..'OJj' $0 09 " ,='-",
r $~O-05 -=.k F ""-
- I - - ,
2.-/
I
IS LAND ELGIBLE FOR ANNEXATION CREDIT"
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT"
(Enter I for Yes, 2 for No)
BASE YEAR
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0 00 x $5 29
~I
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON)
VALUE I 1000 CREDIT RATE
$000 x $529
o
TOTAL MWMC CREDIT
$000
=
'-
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
*-
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000001100
Date: 07/17/2008
DescriptIOn
FIre SF Fee - ResIdentIal
Storm Dramage ImpervIOus Area
San'tary Sewer - ReImbursement
Samtary Sewer - Improvement
SDC Samtary/Storm Admm
BUlJdmg PermIt
FIxture
Vent Fan
Exhaust Hoods
Dryer Vent
Vent Fan
Vent Fan
-Mech Iss 2+ Apphances-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
KARKYNN AKINS
Item Total
Check Number AuthorlL;atlOn
Received By Batch Number Number How Received
NJM
045558 In Person
Payment Total
Page] of]
9 43 29AM
Amount Due
1400
103 8]
16599
12622
1980
204 44
17600
2100
10 00
700
2100
2100
4000
2302
5525
4744
$1,05597
Amount PaId
$],05597
$1,05597
7/17/2008
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-00856
ISSUED: 07/16/2008
APPLIED 06/13/2008
EXPIRES: 01/16/2009
VALUE: $ 281,785.00
_...,.~~ siiiI
LMIllllf:1i II
~.,
Status
Issued
225 FIfth Street, SprlOgfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn LlOe
SITE ADDRESS 5722 Pen dot Way
ASSESSOR'S PARCEL NO 1802041401214
Spnngfield TYPE OF WORK SlOgle FamIly ReSIdence
PROJECT DESCRIPTION SlOgle famIly reSIdence
TYPE OF USE New
ReSIdential
Owner SAMUEL PAZ
Address 4127 VIRGINIA A V
SPRINGFIELD OR 97478
Contractor Type
General
Electncal
Mechamcdl
PlumblOg
1 CONTRACTOR INFORMATION I
Contractor LIcense
ADW LLC 172229
VALLEY ELECTRIC CO, LLC 15364
RONS HEATING AND AIR CONDITIONING 169680
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORM~ TION I
# of Umts
Pnmary Occnpancy Group
Secondary Occupancy Group
Pnmary CoustructlOn Type
Secondary ConstructIOn Type
# of BedroolOs
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUIld 109
1
R-3
U
VB
2
2600
Electnc
Electnc
Electnc
Path 1
No
3
I. DEVELOPMENT INFORMATION I
Frontyard Setback
SIde 1 Setback
SIde 2 Setbdck
Rearyal d Setback
Solar Setbacks
1800
700
700
3400
3400
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
1 PUBLIC IMPROVEMENTS I
Street 1m .A.T.J:ENJION' Oregon law requll&ll yvv IV
Ptoflow'iiires adopted byRbulOl1Igflll;lI1lhty
Storm Se>WollflOlllldll<Center. Those rules are aEllsforth
SpCClal InfjrlilAl'lJ\l52-001-001 0 through OAR 952-001-
0090. You may obtain caples of the rules by
Notes St<Oa:lllAgdh~r. (Note' the telephone
number for the Oregon Utlllly Notification
Center IS 1-800-332-2344).
Phone Number 541-736-3873
ExpIratIon Date
09/22/2008
1012412010
04/20/2009
03/0312010
Phone
541-683-3279
503-838-0447
54 I -343-6829
541-926-5300
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupaut LOdd
1,617
960
400
2
Yes
3300
REQUIRED PARKING
Total 2
HandIcapped
Compact
SIdewalk Type
CurbSIde 7'
Curb and Gutter
DownspoutsffiralDS
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa!!e 1 of 4
-Wi:;'~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED:
EXPIRES:
VALUE:
COM2008-00856
07/16/2008
06/13/2008
01116/2009
$ 281,785.00
225 Fifth Street, SprlOgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn LlOe
I Valuahon DescrlOhon I
Dwelhn!!s
Garafre
V Wood Frame
Garaf!e
$ Per Sq Ft
or multJpher
$10500
$28 00
Square Footage
or BId Amount
2,577 00
400 00
Value
Date Calculated
DescflotlOn
Tvpe of Construchon
Total Value of ProJect
$270,585 00
$11,20000
$281,78500
06/13/2008
06/13/2008
~<, pqJ(11
Fee DescriptIOn Amouut PaId Date PaId Receipt Number
Plan RevIew ReSldentldl $828 36 6/13/08 1200800000000000650
-Mecbamcallssuance Fee- $20 00 7/16/08 1200800000000000786
+ 10% AdmlOlStratJve Fee $211 63 7/16/08 1200800000000000786
+ 12% State Surcharge $236 09 7/16/08 1200800000000000786
+ 5% Technology Fee $10862 7/16/08 1200800000000000786
3 Baths One & Two Family $337 00 7/16/08 1200800000000000786
AddresslOg ASSIgnment $35 00 7/16/08 1200800000000000786
Apphance Vent $700 7/16/08 1200800000000000786
BUJldlOg PermIt $1,27440 7/16/08 1200800000000000786
FIre SF Fee - ReSldentJal $148 85 7/16/08 1200800000000000786
FIreplace (LISted) $1700 7/16/08 1200800000000000786
MlO,mum/AdJustment Mechamcal $26 00 7/16/08 1200800000000000786
Pldn ReVIew Major - PlannlOg $205 00 7/16/08 1200800000000000786
ReSIdence WIrIng 1000 Sq Ft $11700 7/16/08 1200800000000000786
ReSIdence WIrIng Ea Addtl 500 $84 00 7/16/08 1200800000000000786
Samtary Sewer - 1st 50 Feet $50 00 7/16/08 1200800000000000786
Samtary Sewer - Improvement $591 72 7/16/08 1200800000000000786
S.mItary Sewer. Reimbursement $778 17 7/16/08 1200800000000000786
SDC MWMC AdmlOlStratlOn $10 00 7/16/08 1200800000000000786
SDC MWMC Improvement $990 39 7/16/08 1200800000000000786
SDC MWMC Reimbursement $95 35 7/16/08 1200800000000000786
SDC SanItary/Storm AdmlO $15429 7/16/08 1200800000000000786
SDC Transpo Improvement $862 25 7/16/08 1200800000000000786
SDC Tr dnspo Reimbursement $19548 7/16/08 1200800000000000786
SDC TransportatIOn AdmlO $69 98 7/16/08 1200800000000000786
Storm DrdlOdge ImpervIOUs Area $962 II 7/16/08 1200800000000000786
Temp Powel 200 dmp' or less $55 00 7/16/08 1200800000000000786
Wllldmalane SlOgle Fdmdy $2,513 00 7/16/08 1200800000000000786
Total Amount PaId $10,98369
I Plan ReVIews I
Imhal ReVieW
Structural ReVieW
06/13/2008
06/13/2008
06/1312008
06/13/2008
APP NJM
APP CJC
Pa!!e 2 of 4
,__~PRINGPJBLiD t."IIII"-',l.lII!I".!
~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-00856
ISSUED. 07/16/2008
APPLIED: 06/13/2008
EXPIRES 01/16/2009
VALUE' $ 281,78500
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
Puhllc Works RevIew
06/1312008
06/17/2008
APP LKW
Stormwater to curb
Planmne RevIew
06/13/2008
07/1112008
APP
EMM
To Request an inspectIOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00
a.m will be made the same working day, mspectlOns requested after 7.00 a.m. will be made the followmg
work day.
I. Rpmnr",j I'WPl'tIoniJ
EroslOn/GradlOg InspectIOn Pnor to ground dIsturbance and after erosIOn measures are IOstalled
Curhcut - Standard After forms are erected but pnor to placement of concrete
SIdewalk - CurbsIde After lorms are erected but pnor to placement of concrete
Uler Electncal Ground Install ground rod at footlOg and call for IOspectlOn 10 conjunctIOn wIth footlOg and/or
foundatIOn mspectlOn
FootlOg After trenches are excavated,
FoundatIOn After forms are erected but pnor to concrete placement
Post dnd Beam Pnor to floor IOsulatlOn or decklOg
Floor InsulatIon PrIOr to decklOg
Shear Wall NaIling Befm e coverlOg sheath 109 WIth timsh matenals
FramlOg InspectIOn Pnor to cover and after all rough 10 IOspectlOus have been dpproved
Wall InsulatIOn Pnor to cover
Cedmg InsulatIOn Pnor to cover
Drywall Pnor to taplOg
Hold Downs Installed Spec..1 InspectIOn performed pnor to placement of concrete PrOVIde report to CIty
BUlldlOg Inspector
FlOal BuddlOg After all reqUIred IOspectlOns have been requested and approved and the bUlldlOg IS complete
Undertloor PlumblOg Pnor to IOsulatlOn or decklOg
Rough PlumblOg Pnor to cover and lOc\udlOg reqUIred testlOg
Water LlOe Pnor to tilllOg trench and lOc\udlOg reqUIred testlOg
Samtar)' Sewer LlOe Pnol to filling trench and lOc\udlOg reqUIred testlOg
Storm Sewer LlOe Pnor to filllOg trencb
FlOal PlumblOg When all plumblOg work IS complete
Rough Mechamcal Pnor to Cover
FlOal Mechamcal When all mechamcal work IS complete
Tempordry ElectrIC Approval reqUIred prIor to UtIlity Company energlzlOg pole
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00856
ISSUED. 07/16/2008
APPLIED. 06/13/2008
EXPIRES: 01/16/2009
VALUE: $ 281,78500
225 FIfth Street, Spnnglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon LlUe
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUIred pnor to uhlIty company energIZIng servIce
FlUal Electnc When all electncdl work IS complete
By SIgnature, I state dnd agree, that I have carefully examlUed the completed applIcatIOn and do hereby cerhfy that all
IUformatlOn hereon IS true and correct, dnd I lurther cerhfy that any and all work performed shall be done IU accordance WIth
the OrdlUances of the City of Spnngfield and the Laws of the State of Oregon pertalUlUg to the work descnbed herelU, and
that NO OCCUPANCY WIll be made of any structure WIthout permISsIOn of the CommuDlty Services DIVIsIOn, BUlldlUg Safety
I further cerhfy that only contractors and employees who are IU complIance With ORS 701 005 wIll be used on thIS project
I further dgree to ensure that all reqUIred IUspectlOns are requested at the proper hme, 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 remam on the SIte at all
hmes dunng constructIOn
~rYJ(' J'~ / !'Pac 7
Owner or Contrac;ors SIgnature
() ";f- ~l ~ - O~
Date
Pa2e 4 of4
ZON L~v
lNITIALS "Y>-. /
DATE ..., - n /{)I:,
SOURCE ()'\f3j1'2J
Dat.( ~ r'f /1101 og
~' I I
rCOMPi1ffE~i1EifscHi:jjvtESBEWW:~W'm illfs~~;jS::fJ
,.ce.... """';:WI.tk"~ M~ :.~ .~. L.._."._.~.._~___~_A_ ~mili~.__~ _Zf:".::-1X_,-~
SPRINGFIELD
~*'
o ~ ..' - . ~ " - . ". '.;..
, :qP{Q~' ~~,~Q~~LD;-,q~'Gq~": ,-"
225 FIFIH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number C.9:',.... >(50
1 ~.z::()q;tI2N~, ++~~~ST~:T:~Ti'()N::~;~!;~2-'SI 3
S / 1 ~ i 0 t1 Jf Lo1-
- . f/ - --
LEGAL DESCRIPTION
\'bPbDt 1401'2-ltf r-'. I-I. /
r\JOB DESCRl(TlOr 'S-t' ~ ~
~ 0 'AY\ 1) ~ 1:1 ,"\1~
. \ -..
PermIts are non-transferable and expIre If work IS
not started wIthm 180 days of Issnance or If work IS
Suspended for 180 days
A. rN;~"B~~l~{;!~~!~~~i~~ti~_~~l!~:;~:[~~Tfi;g\1!1l;~~_j~
ServIce Included
1000 sq ft or less
Each addlllonal 500 sq ft or
portIon thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
IJ 7 DO
'l'1f dV
I
Lj
$11700
$2100
$55 00
B t0s~A1k~~:fl:t~;rii~;Th~'&iiEfi~ri;i~mr~t~~~rR1J:~~~t;i.~'~~
lW,-,wJ&JfuAl;,.:;X1/;,dilm 2-# .';;*0;"'h1/<0",.0i'bi~Wi,*"m;, V~hfuaj;mJjj,,*, ili;;mMiawJ(,~""'h"k0t,,' "
L- -- -.-:;;- "-;;'ff"''ijpM'F~:''''i!!MJ-"\} -i'"'~-~~"/--T~ '" ,,~ -"iiJ "'1" ,~-,~
2 i~P'Ql!!l!dJilJ/l};!f~?'1.+T.T;1!}:ql;k~~}j~
Electncal Contraclor l4t.Lr~ ht!(1!'X! (('if" '4LlC1
Address /91r') 1 h/2A..vI ..k:.z>
$ 70 00
$ 83 00
$13800
$18000
$41300
$ 55 00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Phone (4 n.:}J 93.f3 0411 Over 1000 AmpsIV olts
'- Reconnect Only
City ~ ,u?, / ,rrd:..
C
Supervisor LIcense Number ::? (jJ fl)(<) 5
loll/ In
I C;.=3-2 co -'1
1~/t2"'//D
Installahon, Alterahon or Relocahon
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 VoIls see "B" above
D
ExplfatlOn Date
,~ 5 _(5"'0
I
$ 55 00
$ 76 00
$110 00
Constr Contr Number
Explfallon Date
~~
Owners Name~ ~!lY\ \ uS2 I6_~
Address LtI n V' \ VCf.\!Y\ if.L ~ .--/
c,ty'S-002d 00./ khne i3G ~ S "573-
, V
OWNER INSTALLATION
New Alterallon or ExtenSIOn Per Panel
One Clfcmt
Each AddIllonal Clfcmt or wIth
ServIce or Feeder PermIt
$ 48 00
$ 400
E ~~~~Ihi1:~~~{~~i:;r~g;.?iidt0iirclii:f:;~E~~~~':f~~ti~~
+, _"'~"'W_,"__"_6c___d,,____.s3_1_HUd1b-'g"-''''''';;&C~''''K='''"'"'_ ~_~ ,,3w,_~_,,"--,_ -,'~~,- [( 4
Pump or 1IT1gallon $ 55 00
SlgnlOutlme LIghtmg $ 55 00
Lumted Energy/Resldenllal $ 28 00
Lllmted Energy/Commercml $ 50 00
Mmlmum ElectrIC PermIt IuspectlOn Fee IS $50 00 + Surcharges
4 IFsiJBfoTA1?'OE;:4BOVif~i!!l!!l:',\"dII5i!,li!HiIl. %0 t5D
f&;;=7'-bc1",",,);<m1:0~"M,"::"",--0J~4:1,+,",.ndd- ji3,14~~.Jfl~~1
11.'/0 1'/0 State Surcharge .3 0 {d-
10% Admrmstrallve Fee :;vs ioU
5% Technology Fee I '2 I? 0
52-5 1:;;2-
The InStallatIOn IS bemg made on pwp" ~j I own which
IS not mtended for sale, lease or rent
Owners SIgnature
Inspechon Request- 726-3769
TOTAL
Shared Dnve(T )JBUlldmg ForrnslElectncal Permit ApplicatIOn 7-07 doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY
LOCATION
TAX LOT NUMBER
DEVELOPMEN I TYPE
NEW DWELLING UNI IS
I STORM DRA!NAC;E
--...,
C0M2008-00856
ADW LLC
5722 Pen dot
1802041401214
Smgle Farmly Residence
I BUILDING SI7E (SF 2977
LOT SIZE (SF)
DIRECT RUNOFF TO CITV SlORM SYSTEM
1 IMPFRVIOUS S F x I COST PER S F CHARGE
I 2780 50 I $0 346 I 1 $962 11 I
RUNOFF ROUl ED TO DRYWELL DESIGNED AND CONSTRUCTED lOCI IV STANDARDS
IIMPCRVIOUS S Fix 1 COST PI R S Fix I DISCOUNT RATC I I
o 00 I I $0 346 1 1 50% I ~
ITEM I TOTAL - STORM DRAINAGE SDC
J SANI IARY SEWER - CITY
A RLIMIlURSEMENTCOSI
1 NUMBER OF DFU's I
I 29 I
DISCOUNT
$000
$962 II
x
COST PCR DFU
$26 83
B IMPROVCMCN I COST
[ NUMIlER OF DFU's I
I 29 I
x
COST PCR DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDe
= I
$1,36988
5663
I~
I~
IW-l
E-<
r/J
G
~
, $962 II , 1070
I
, $77817 1091
I
$591 72 11092
I
Ii
J TRANSPORTATION
A RLIMBURSFMENT COST
I ADrTRJPRATE I x
[ 957 I
I NUMBER or UNITS 1 x 1
I I 1 1
B IMPROVEMENT COST
I ADT TR1P RATE I x I NUMBER OF UNITS 1 x 1
1 957 I I I 1
ITEM 3 TOTAL - TRANSPORTATION SDe = I
COS I PER TRIP
2043
x INEW TRJP FACroRI
1 100
$19548
$862 25
1093
I
11094
I
I
i
I
11054
4 SANI IARY SEWER - MWMC
A REIMBURSEMENT COST
[NUMBER OF FEU's 1 x
I I 1
ICOST PER FEU
1 $95 35
B IMPROVEMENT COS I
INUMBER OF FEU's I x ICOST PER rcu
1 1 I $990 39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINIS I RA liVE FEE
ITEM 4TOTAL-MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I
5 ADMINISTRATIVE FEE
1 SUBTOTAL x I ADM FEE RATE 1=
I $4,485 46 I 5% I
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
Kaye Wilson
6/17/2008
PREPARED BY
DATE
COST PER TRIP
$9010
$1,05773
x 1 NEW TRIP F ACTORI
1 100 1
$1,09574
=
$95 35
,
I'
1 1055
I 1054
ill056
1
$4,485 46
CHARGE
$22427
TOTAL SDC CHARGES
=
$990 39
$000
$10 00
15429
$69 98
$4,709 73 I
I
11079
J 1078
"
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT "" DRAlNAGE HXTURC UNITS
(NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGC
UNIT FIXTURE
FIXTURE TYPE NEW OLD CQUIV ALENT UNITS
I BATHTUB 2 0 3 = 6 ----I
IDRINKING FOUNTAlN 0 0 1 = 0 I
FLOOR DRAIN 0 0 3 = 0 I
IINl ERCCPTORS FOR GREASE / OIL I SOLIDS / ETC 0 0 3 = 0 I
IINTERCEP roRS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRCCCPTOR FOR REFRIG / WATER SlATION / ErC 0 0 1 = 0
I RECePTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
ISHOWER, ~INGLE STALL 1 0 2 = 2
ISHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK COMMERCiALiRi::SlDENTIAL KITCHEN 1 0 3 = 3
ISINK COMMERCIAL BAR 0 0 2 = 0
I SINK WASH BASIN/DOUBLE LA V AWRY 1 0 2 = 2
ISINK SINGLE LA V ATORY/RESlDCNTIAL BAR 2 0 1 = 2
IURINAL STALL/WALL 0 0 5 0
II OILL T, PUBLIC INSTALLATION 0 0 6 0
[TOILE I , PRlVA[C INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
.EDU (EqUivalent Dwelling Umt) IS a discharge eqUIvalent to a smgle family dwellmg urnl (20 DrUs) set at 167 ~allons per day
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
]985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
t998
1999
2000
2001
j
CREDIT RATE/$I,OOO
ASSESSED VALUE
~:~ _$529-
'_- ';$529 "'-:'
-'-- $519,,",_,-
~----' ~$5 12 J -c ~~
-:-~- $4 98 -- ~ ~~
" $480. c- ;-
_ 1~:~i_$_4 ,63 j 1 ~ ~'"
$440 :;,-:,
d - ~ ~ $4 07 I ,5~-~C~l-~
~ - I, $3 67_
~r '$3 22 ,-~ ~ -',
~ ""- - ----'-'j-;j.-
'- $273' ,
e-
$225 ~ "
- C ""_ $1 80 _.:.'
" '_ $159 ,
J I I,,~ 9 $145 ,_ 1,-:-1
~ '$1 25'-"-]"'=- eL
-; c-: $1 09i(t ~ l;cio' f
" ,
~ c $0 92,.!i~ "
f"c $~ 72--: 'H'
ql~i :; $O~8 I ~
_ ,-,-,L-"'$028 ~l lH
1 ~>--= $009 _ L-ij~
.". 1 -,-' ='
r -$0050"-,
__ 0..,. ~ ~~ _ "'-"'"
I
I
225 Fifth Street CIty of Sprmgfield OffiCIal ReceIpt
~prmgfield, Oregon 97477 Development ServIces Department
541-726-3759 Phone Public Works Department
RECEIPT #. 1200800000000000786 Date 07/16/2008 I 19 27PM
Job/Journal Number Description Amount Due
COM2008-00856 Fire SF Fee - ReSidential 14885
COM2008-00856 Temp Power 200 amps or less 5500
COM2008-00856 WIlIamalane Smgle Family 2,51300
COM2008-00856 Stonn Dramage ImpervIOus Area 962 II
COM2008-00856 Samtary Sewer - Re,mbursement 77817
COM2008-00856 Samtary Sewer - Improvement 59172
COM2008-00856 SDC Transpo Reimbursement 19548
COM2008-00856 SDC Transpo Improvement 862 25
COM2008-00856 SDC MWMC Reimbursement 9535
COM2008-00856 SDC MWMC Improvement 99039
COM2008-00856 SDC MWMC Adrrumstratlon 1000
COM2008-00856 SDC SamtarylStonn Admm 15429
COM2008-00856 SDC TransportatIOn Admm 6998
COM2008-00856 Bulldmg Penn It 1,27440
COM2008-00856 Addressmg ASSignment 3500
COM2008-00856 3 Baths One & Two family 33700
COM2008-00856 Samtary Sewer - 1 st 50 Feet 5000
COM2008-00856 Apphance Vent 700
COM2008-00856 Fireplace (Listed) 1700
COM2008-00856 M,mmum/AdJustment Mechamcal 2600
COM2008-00856 -Mechamcallssuance Fee- 2000
COM2008-00856 ReSidence W (flng 1000 Sq Ft 11700
COM2008-00856 Res,dence WIrIng Ea Addtl 500 8400
COM2008-00856 Plan ReView Major - Plannmg 205 00
COM2008-00856 + 5% Technology Fee 10862
COM2008-00856 + 12% State Surcharge 236 09
COM2008-00856 + 10% Admmlstrallve Fee 21 163
Item Total $10,15533
Payments Check Number AuthoTlzatlOn
Type of Payment PaId By Received By Batch Number Number How Received Amount Paid
Check HARDWOOD PAZ CO ddk 1183 In Person $10,15533
Payment Total $1U,15533
cRecemtl
Page 1 of 1
7/16/2008
o !~!!~o~l~,~e
Job No ~(--- Q~
SYSTEM DEVECOfMENT CHARGE WORKSHEET FOR 2008
, \/
NAM~JY\ll_& \ ~~ 7_ PHONE
ADDRESsL+IG7 V'] ~l1)'t,a CITY~(~_ ~ STATEoQZIP
LOCATION OF PRopoM BUILDING SITE\ \j
Street Address 57)...~ ~o ))~\ ^-tl~
q/~i
Plat Name
Tax Lot Number
1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definitions are on the
back)
A Smale-Famllv Detached $~ ~L~ C)O
NO OF UNITS X $2,513 per Unit =
B Smole-Famllv Attached
NO OF UNITS X $2,726 per Unit = $ /
C Multl-Famllv Aoartment
NO OF UNITS X $2,323 per Unit = $ /
D Smale Room Occuoancv /
NO OF UNITS X$1,162 per Unit = $
E Accessorv Dwelhno Unit I
NO OF UNITS X $1,257 per Unit = $ OV
$ ;:)SL5 .
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval) $ .--
3. TOT) WILLAMALANE NET SOC ASSESSEO ~5tS, 00
(tf DC reduced for Credrt) $
"- " )p ,q '\) (I hQd 0 I] /& I D<6
I
Date
City 0 Spm gfi d
5
-iijC
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00958
ISSUED: 07/17/2008
APPLIED: 07/01/2008
EXPIRES: 01/17/2009
VALUE' $ 20,000.00
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 945 54TH ST
ASSESSOR'S PARCEL NO 1702331202200
Sprmgfield TYPE OF WORK Smgle FamIly ResIdence
TYPE OF USE
Remodel
ResIdentIal
PROJECT DESCRIPTION Enclose carport and mtellOr remodel
Owner
Address
MICHAEL AKINS
614 72ND ST
SPRINGFIELD OR
Phone Number
541-912-4221
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechdmcal
Plumbmg
Contractor
OWNER
OWNER
OWNER
License
ExpiratIOn Date Phone
BUILDING INF?RM~TION I
# ofUmts
Pnmary Occupdncy Group
Secondary Occupancy Group
Pnmary ConstructIon Type
Secondary ConstructIOn Type
# of Bedrooms
R-3
U
VB
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path'
Sprmkled Bmldmg
1600
Electnc
Electnc
Electnc
Path 1
No
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor.
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
280
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dlst Total
# Street Trees ROdt-E'lTIO" 0 I Handicapped
RI I I' \I tBOOn taw rE'C'jlJ"'O<:' \If'lll to
Paved DrIVe R'IS;low rules ad' Dted b th () Co!"pact
'X 01 Lot Cov a 0, y 1'8 regu" Utility
o 'l~~II,catlon CenhJr Trese rules are set forth
~n_l?!,R 952-001-0010 through OAR 952-001-
NOTICE' """" II'" ""'y u,""au, ~uf,ues OJ me rUles by
I PUBLIC IMPROVEMJi1.~fJili Ihe center (Note the teJeph
Street Improvements THIS PERMIT SHALL tXf'IHE IF THE wbRl~niDei'or th~~Ii\RI1(\IIJ~ty Notlflc~~~n
AUTHORIZED UNDER THIS PERMIT IS NOT Center IS 1-800-3j2-2344).
Storm Sewer AvadabJe'{)MMENCED OR IS ABANDON Downspouts/Drams
SpeCIal InstructIon ANY 180 DAY PERIOD. ED FOR
Front yard Setback
S.de I Setback
SIde 2 Setback
Rearyard Setbdck
Soldr Setbacks
23 80
540
Notes
Paee 1 01 4
-Wi:....,
Status
Issued
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Description
Tvpe of Construchon
EstImate
EstImate
Fee DescrIPtIOn
Plan RevIew ReSIdential
-Mech Iss 2+ Apphances-
+ 10% AdmmlStrahve Fee
+ 12% State Snrcharge
+ 5% Technology Fee
BUlldmg PermIt
Dryer Vent
Exhaust Hoods
Fife SF Fee - ReSIdential
Fixture
Samtary Sewer - Improvement
Samtary Sew.. - ReImbursement
SDC Samtary/Storm Admm
Storm Dramage ImpervIOus Area
Vent Fan
Vent Fan
Vent Fan
Total Amount PaId
Imtlal Review
07/0212008
Pubhc Works RevIew
07/0212008
Planmne Review
07/0212008
Structural Review
07/0212008
CITY OF SPRIN~1'lJi.LU
Building/Combination Permit
PERMIT NO. COM2008-00958
ISSUED 07/17/2008
APPLIED' 07/01/2008
EXPIRES 01/17/2009
VALUE: $ 20,00000
I Vahl,~\"on DescrIotIon I
$ Per Sq Ft
or mulhpher
$100
Square Footage
or BId Amount
20,000 00
Value
Date Calculdted
Total Value of Project
$20,000 00
$20,000 00
07/0112008
Ff'f'~ P"li.IU
Amount PaId
Date PaId
ReceIpt Number
$132 89
$40 00
$4744
$55 25
$23 02
$204 44
$700
$10 00
$1400
$17600
$12622
$16599
$1980
$10381
$2100
$2100
$2100
7/1108
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
7/17/08
2200800000000000997
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
2200800000000001100
$1,18886
I Plan RevIews I
07/0212008
APP NJM
07/03/2008
APP LKW
Storm wdter ties m to eXlstlOg
system
07/08/2008
APP T AJ
No Planmng Issues
07/15/2008
APP CJC
To Request an Inspection call the 24 hour recordIng at 726-3769. All Inspections requested before 7:00
a.m. wIll be made the same workIng day, InSpectIOns requested after 7:00 a.m. wIll be made the followmg
work day.
Paee 2 of 4
CITY OF ~nuj'ltJ.H~LD'
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-00958
ISSUED: 07/17/2008
APPLIED: 07/01/2008
EXPIRES 01/17/2009
VALUE $ 20,000.00
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Rp'l".rp~ IOSDeChon~
Footmg After trenches are excavated
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Pnol to 1100r msulatlOn or deckmg
Floor InsulatIon Pnor to deckmg
Shear Wall Nallmg Before covenng sheathmg wIth fimsh matenals
Frammg Inspechon Pnor to cover and after all rough m mspectlOns have heen approved
Wall InsulatIOn Pnor to cover
Cellmg InsulatIOn Pnor to cover
Drywall Pnor to tapmg
Hold Downs Installed SpecIal InspectIOn pel formed pnor to placement of concrete ProvIde report to CIty
BUIld 109 Inspector
Bolts Installed m Concrete To be done by a State CertIfied SpecIal Inspector ProvIde mspectIon test reports to
CIty BUlldmg Inspector
Fmal BUlldmg Alter all reqUIred mspectlOns have heen requested and approved and the bUlldmg IS complete
Underl1001 Plumbmg Pnor to msulatlOn or deckmg
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Water Lme Pnor to fillmg trench and mcludmg reqUIred testmg
Samtary Sewer Lme Pnor to fillIng trench and mcludmg reqUIred testmg
Storm Sewer Lme Pnor to fillmg trench
Fmal Plumbmg When all plumbmg work IS complete
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough Electnc Pflor to Cover
Fmal Electnc When all electflcal work IS complete
Paee 3 of 4
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED'
APPLIED.
EXPIRES.
VALUE:
COM2008-00958
07/17/2008
07/0112008
01117/2009
$ 20,000 00
By sIgnature, 1 state and agree, that I have carefully examlDed the completed apphcalIon dnd do hereby cerlIfy that all
IDformatlOn hereon IS true and correct, and I further certlly thdt any and all work performed shall be done ID accordance WIth
the OrdlDances of the CIty of SprlDgfield and the Laws of the State of Oregon pertalDlDg to the work descnbed herelD, and
that NO OCCUPANCY wIll be made of any structure WIthout permISSIon 01 the CommuDlty ServIces DIVIsIOn, BuIldlDg Safety
I further cerlIfy thdt only contractors and employees who are ID comphdnce WIth ORS 701 005 wIll be used on thIS prolect
I further agree to ensure that all requlI ed IDspectlOns are requested at the proper lIme, 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 pldns wIll remalD on the SIte at all
times durmg nstructlOll
~~
Owner or Cont;act'od Slgna~ur; v
)
P dee 4 of 4
Date
'1. Ilr !)~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER Com2008-00958
NAME OR COMPANY MIchael Akms
LOCATION 945 54th Street
TAX LOT NUMBER 1702331202200
DEVELOPMJ:NT TYPE Smgle Farmly Resldencc
NEW DWELLING UNITS 0 BUILDfNG SIZE (SF 280 LO r SIZE (SF)
I STORM DRAINAGE
5227
I
I~
10
II ~
18
~
~
DIRECT RUNOFF TO CITY STORM SYS I EM
I IMPERVIOUS S F x I CO~T PER S F I I CHARGE I
I 29100 I $0357 = I $10381
RUNOFF ROUTCD TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSSF I x I COSTPERSF I x I D1SCOUNTRATE I I
l 0 00 I $0 357 I I 50% ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $10381
2 SANITARY SEWER - CITY
DISCOUNT
$000
$10381
I 1070
A RI:IMBURSEMENT COST
I NUMBER OF DFU's I x
I 6 I
COST PER DFU
$27 67
$16599
,
II
i
11091
B IMPROVEMENT COST
I NUMBER OF DfU's I x COST PER DFU
6 I $2104 $12622 I 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I $29221 J
J TRANSPORTATION I
A REIMBURSEMCNT COST
I ADT TRIP RATE I x I NUMBER OF UNII S I x I COST PCR I RIP x INEW TRIP FACTOR I
I 957 I I 0 I I 21 06 I 100 I $000 ' 1093
B IMPROVEMENT COST
I ADI TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP !-ACTORI
I 957 I I 0 I l $92 89 I 100 I $000 [1094
ITEM 3 TOTAL - TRANSPORT A nON SDC =1 $000 J
4 SANITARY SEWER - MWMC
A REIMBURSCMENT COST
INUMBER ~F FEU's I x ICOST PER FEU
I I $97 90 = $000 1054
B IMPROVEMENT COST
IN UMBER OF FEU's I x ICOST PER FEU
I 0 I I $1,00917 = $000 1055
MWMC CREDI r IF APPLICABLE (SEE REVERSE) $000 11054
MWMC ADMfNlSTRATIVE FEE $000 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $000 I
I
SURTOT AL (ADD ITEMS I, 2, 3, & 4) ~ , $396 02 I
I
, ADMINIS I RA liVE FFE
ISUBroTAL x I ADM FEE RATE I~ CHARGE
I $396 02 I 5% I $1980
TOTAL SANITARY ADMINISTRATION FEE 1980 J 1079
TOTAL TRANSPORTATION ADMfNlSTRATION fCE $000 11078
Kaye Wilson 7/3/2008 TOTAL SDC CHARGES =1 $41582 II
PREPARED BY DATE
.._____.._ _u_ ., _ ..
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
.- -- l
N1J1vffiER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE FOR REMODELS CALCULATE ONLY THE:. NET ADDmONAL FIXTURI:S)
NO OF FIXTIJRES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD [OUIV ALENT UNITS
IBATHTUB 2 1 3 = 3 II
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0 I
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER I MOP SINK 1 1 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBlLE HOME PARK TRAP/I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0
I RECEPTOR FOR COM SINK I DISHWASHER I EYC 1 0 3 = 3
ISHOWER SINGLE STALL 0 1 2 = -2
I SHOWER, GANG (NUMBER or HEADS) 0 0 2 = 0
ISINK COMMERCi.ijJRESIDENTIAL KlTCHEN 1 1 3 = 0
ISINK COl\1MERCIAL BAR 0 0 2 = 0
I>INK WA"H BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK SINGLE LAVATORYIRESIDENTIAL BAR 2 2 1 = 0
IURlNAL, STALL/WALL 0 0 5 = 0
ITOILEI, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PIUVATE INSTALLATION 2 2 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 6
*EDU (EqUivalent Dwelilm~ Umt) IS a discharge equIValent to a smgle Calmly dwelhng umt (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
I 1988
I 1989
1 1990
I 1991
I 1992
! 1993
1994
1995
1996
1997
1998
1999
2000
2001
I CREDITRATE/$I,OOO - )1
I A<<"<<FD VALUE ~
) "t J- $5 29') ~
_,c_, -*-$5 29 -~~
,',_ ) --"-- 1
$519 '.te" l,
,_ '$5 12 r -'~5r~--'
, --r," $4 98_'"~ -
~--;c_ $480 - _
. _ =~' $4 63 {_' .;b~.;;-
~ _j::t-l- __.j.,-.J....!..-.L:.
~ -_$440 -
=$4 07 -;. ..
, -$367'~'~'~
+~ - -' $3 22 9~ ~""It
- '
$273 -;:;
$225 -
$180
_ - $1 59, ~'f,
t ~LI $145' ";
",,_,"'$1 25F _~j
t -:J~-f't $1 O_9~J -c "11'
'1- $0 92 ~
f-,01!. - 1~~ I
Jt~~" r $0 72~ ~_ r
>I ) T' $048-,t.:f<g~I~'
,~c ~ '_-c$O 2_~Y~-i 'Li "
"'- 1'l..'OJj' $0 09 " ,='-",
r $~O-05 -=.k F ""-
- I - - ,
2.-/
I
IS LAND ELGIBLE FOR ANNEXATION CREDIT"
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT"
(Enter I for Yes, 2 for No)
BASE YEAR
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0 00 x $5 29
~I
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON)
VALUE I 1000 CREDIT RATE
$000 x $529
o
TOTAL MWMC CREDIT
$000
=
'-
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
*-
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
COM2008-00958
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000001100
Date: 07/17/2008
DescriptIOn
FIre SF Fee - ResIdentIal
Storm Dramage ImpervIOus Area
San'tary Sewer - ReImbursement
Samtary Sewer - Improvement
SDC Samtary/Storm Admm
BUlJdmg PermIt
FIxture
Vent Fan
Exhaust Hoods
Dryer Vent
Vent Fan
Vent Fan
-Mech Iss 2+ Apphances-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
KARKYNN AKINS
Item Total
Check Number AuthorlL;atlOn
Received By Batch Number Number How Received
NJM
045558 In Person
Payment Total
Page] of]
9 43 29AM
Amount Due
1400
103 8]
16599
12622
1980
204 44
17600
2100
10 00
700
2100
2100
4000
2302
5525
4744
$1,05597
Amount PaId
$],05597
$1,05597
7/17/2008