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Home My WebLink AboutPermit Building 2008-9-17 Status IsslIed 225 Fifth Street, Bpringfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspeetion Line' CITY OF ~rJ:Ul~GFIELD . Building/Combination Pennit PERMIT NO: COM2007-01854 ISSUED: 09/1712008 APPLIED: 12/1412007 EXPIRES: 03/1712009 VALUE: $ 380,844.00 SPRINGFIETYPE OF WORK: Single Family Residence SITE ADDRESS: 901 SUNSET DR ASSESSOR'S PARCEL NO.: 1703341106311 TYPE OF USE: New , Residential PROJECT DESCRIPTION: Single family residence Contractor OWNER OWNER aU \0 VICEROY HOMES II \'O-:lleC\U\I~S ~ U\iliW OWNER NIlaN', Otegod b'l \\le Oleg~ set tanh OWNER p.::~: ~Il\es ad~?:e 1hOse lll\e~ ~h 952-00~. I.~. ..."., \ '''.':: RM'A\\""''\.' ttl'le IU\"~ ~:I ~~~~~'fNG'<<'\~.B r~\e\epl'lo~e . III ill ma'l 0 ~l'Io\e:, "o\iliea\lon 0099!'pf t\W~ll\el. 1901l U\i\i\'I;",I~<1A ~3 Lot Size: ell-\''' tt0f ~Q~e!.eOo_332-2,~1l:O.0 Sq Ft 1st Floor: IIllfYpe 'd'dil\il:IS breed Air Eleetric Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Ei~ctrie Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Oecupant Load: Owner: DANIEL BRENNAN Address: 2801 GREENTREE WAY EUGENE OR 97405 Contractor Type General Electrical Engineer Mechanieal Plumbing # of Units: Primary Oecupaney Group: Seeondary Oceupancy Group: Primary Construetion Type Secondary ConStruetion Type: # of Bedrooms: Frontyard Setback: Side 1 Setbaek: Side 2 Setbaek: Rearyard Setbaek: .Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 18.00 11.00 11.00 36.00 0.00 Phone Number: 541-912-1587 I CONTRACTOR INFORMATION. ,- . License . Expiration Date Phone 800-387-5145 1 R-3 U VB 7,405 1,533 915 840 696 372 3 I DEVELOPMENT INFORMATION' '>'1 REQUIRED PARK'NG . Overlay Dist: ,Hillside ~o ~O?~ 2 # Street Trees Rqd: 'I 2...~ '\ I{1!!.I\Ii01 Paved Drive Rqd: 1. r~'\" 't.~ J~\\ % of Lot cov~1:\C ~\SI\\ S~~~W1~\S ~ ()~'t.() fIJ \~\S ~:Q\1.'t.() U~~ \~ t-.'Ot>-~() ,,fu:J) ,- C~U '0. t\\) I PUBLIC IMPROVEn'~li;rn~~ . 1'1 ~'t.?>\v . ~. ,\0.0 t)f>i . . f..~'/ u, Sidewalk Type: , Downspouts/Drains: Notes: Storm water shall be piped to publie storm line in Sunset Blvd. Aecording to sewer maps, a tap is not provided; therefore, an encroachment permit will be required to make the connee'don. . . Page 1 of5 ':"'~~tNqF;IE!:;!), ~ , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01854 ISSUED: 09/1712008 APPLIED: 12/14/2007 EXPIRES: 03/1712009 VALUE: $ 380,844.00 Status IsslIed 225 Fifth Street, Springfield, OR' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeetion Line' I Valllation Oescriotion , A.C. .. Residen Dwellings Garage _ Patio/Poreh Tyoe of Construetion AC - Residential V Wood Frame Garae:e . Use Bid Amount $ Per Sq Ft or mnltiplier $5.00 $105.00 $27.00 $1.00 Square Footage or Bid Amount " 3,288.00 3,288.0'0 696.00 372.00 Value Date Calculated Description Total Value of Projeet $16,440.00 $345,240.00 $18,792.00 $372.00' $380,844.00 01/23/2008 01/23/2008 01/23/2008 01/23/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,005.21 12/14/07 } 3200700000000000808 -Mech Iss 2+ Applianees- $40.00 9/17/08 1200800000000000974 + 10% Administrative Fee $257.86 9/17/08 1200800000000000974 + 12% State Surcharge $283.30 9/17/08 1200800000000000974 + 5% Teehnology Fee $132.54 9/17/08 1200800000000000974 3 Baths One & Two Family $337.00 9/17/08 1200800000000000974 Addressing Assignment $35.00 9/17/08 1200800000000000974 Boiler/Comp 3-15 UP $25.00 9/17/08 1200800000000000974 Building Permit $1,628.82 9/17/08 1200800000000000974 Curbcut Permit $85.00 9/17/08 1200800000000000974 Dryer Vent $7.00 9/17/08 1200800000000000974 Exhaust Hoods $10.00 9/17/08 1200800000000000974 Fire SF Fee - Residential $2]7.80 9/17/08 1200800000000000974 Furnaee.. more than 100,000 $17.00 9/17/08 1200800000000000974 Plan Review Major - Planning $205.00 9/17/08 1200800000000000974 Plan Review Residential $53.52 9/17/08 1200800000000000974 Refund - Sail Sewer SDC Reimb $-403.26 9/17/08 1200800000000000974 Residence Wiring 1000 Sq Ft $117.00 9/17/08 1200800000000000974 Residenee Wiring Ea Addtl 500 $126.00 9/17/08 1200800000000000974 Sanitary Sewer - Improvement $469.29 9/17/08 1200800000000000974 Sanitary Sewer - Reimbursement $617.17 9117/08 1200800000000000974 SDC MWMC Administration . $10.00 9/17/08 1200800000000000974" SDC IV1WMC Improvement $990.39 9/17/08 1200800000000000974 SDC MWMC Reimbursement $95.35 9117/08 1200800000000000974 SDC Sanitary/Storm Admin $135.86 9/17/08 1200800000000000974 SDC Transpo Admin $63.97 9117/08 1200800000000000974 SDC Transpo Improvement $862.25 9/17/08 1200800000000000974' SDC Transpo Reimbursement $195.48 9/17/08 '1200800000000000974 Storm Drainage Impervious Area $1,159.86 9/17/08 1200800000000000974 Storm Sewer Each Addtl100' $32.00 9/17/08 1200800000000000974 Vent Fan $28.00 9/17/08 1200800000000000974 Willamalane Single"Family $2,303.00 9/17/08 1200800000000000974 Wood Stove/Insert $33.00 9/17/08 1200800000000000974 Paee 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01854 ISSUED: 09/17/2008 APPLIED: 12/1412007 EXPIRES: 03/17/2009 VALUE: $ 380,844.00 _SIJ!~tJJ!!=lIjIIil!:-:!=!:' i' ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726,3676 Fax 541,726-3769 Inspection Line Total Amount Paid $11,175.41 Plan Reviews , Initial Review 12/17/2007 APP LLH 12/17/2007 Publie Works Rev,iew 12/17/2007 12/18/2007 APP TS~ Plan nine Review 12/22/2007 WE TA'J 12/17/2007 Planninf! Review 03/05/2008 03/05/2008 i APP . TAJ Structu ral Review 02/14/2008 APP DLM 03/1 0/2008 Storm water shall be piped to public storm line in Snnset Blvd. According'to sewer maps, '3 tap is not provided; therefore, an eneroachment permit will be required to make the connection. On Hold until issues regarding plot plan aecuraey, grading, retaining walls and height can be resolved. -Left a message for Dan Brennan on 1/16/08. Don Moore and I would like to meet with him and probahly someone from LDAPs too. Met with Dan on 1/22. He will be providing me with revised elevations showing the actual grade so lean caleu\ate the height. Height is 30' as measured from the mid-point of the gable withont hillside bonus. Solar exempt based on 40% slope facing west. The development on this site is at tht maximum coverage. This is based on 2786 sf of impervious surface on a 7768 sf lot. This calculates to 35.8% lot eoverage. No other additions or covered structures can be allowed. Reeeived revised drawings 2/14/08 dlm.approved 022708 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 following work day. ;: Page 3 of 5 " )i " ! CITY OF 1'lYKJJ'l\.JtJELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01854 .ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 03/17/2009 VALUE: $ 380,844.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line' Ueouire<unsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbeut - Standard: After forms are ereeted but prior to placement of concrete. Ufer Elcetrieal Ground: Install ground rod at footing and call for inspection in eonjunetion with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are ereeted but prior to conerete placement. Post and Beam: Prior to noor insulation or deeking. Floor Insulation: Prior to deeking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to eover and after all rough in inspections have been approved. Wall Insulation: Prior to eover. Ceiling Insulation: Prior to eover. Drywall:' Prior to taping. Hold Downs Installed: Speeiallnspeelion performed prior to plaeement of eonerete. Provide report to City Building Inspector. Final Building: After aU required inspeetions have been requested and approved and the building is eomplete. Perimeter Foundation Drains: After gravel and tiJter cloth is installed but prior to baekfill. Underslab Plumbing: Prior to filling the treneh and including reqnired testing. Undertloor Drain: Prior to eover or plaeement of eonerete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: Prior to filling trench. final Plumbing: When all plumbing work is eomplete. Rough Meehanieal: Prior to Cover Final Meehanical: When all mechanieal work is eomplete. Wood Stove: After Installation. Rough Eleetric: Prior to Cover Eleetric Serviee: Approval required prior to utility company energizing serviee. Final Eleetrie: When all electrical work is complete. Page 4 of5 rS!I?~".N.,......p.,...'3:Ilj!!:.!,!, .,' '., [.'.., 111;:,' '. ',' . '.. >" ~ " i! :.._,~.:.,.-. .. ',. Ii CO",,,..,.__.,..,,;_...,..,.,",,,,,..,,,,,' -:". ,-,.,,,'- '- '. )~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01854 ( ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 03/17/2009 VALUE: $ 380,844.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the eompleted applieation and do hereby eertify that all information hereon is true and eorrect, and 1 further eertify that any and all work performed shall be done in aeeordanee with the Ordinanees of the City of Springfield and the Laws of the State of Oregon pertaining to the work deseribed herein, and that NO OCCUPANCY will be made of any strueture without permission of the Community Services Division, Building Safety. I further certify that only eontraetors and employees who are in eomplianee 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 eard is located at the front of the propCl"ty, and the approved set of plans will remain on the site at all tt :Jon~c~, 1//:r jg ~ Owner or Contractors Signature Date Page 5 of 5 ~<; , . "'.lJ'~~ - --., . -, ~ - . ..,,: "~;,:.~n:'.Y,QIJ{~~~~P.; 9~q9~' ,:~:~~,,: SPRINGFIELD ZON ~ INITIALS \\lY'\ 7 . . .6!.. DATE C:j -1'\ /0 b \iiU' SOURCB,( 'i\,HtI ./ Date ~t\'1\oR 225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number _~~? -t'J/e,5"~ 1. 1t.:L...O.....CA:...-T..-,.fO.. ,i','o':V-m' "S"T.-:A "t:i;';(.rfO':~;.::.~;;'."~1..,t~ ,...,." - . .... .....~....' _.... ..... .......... ~.. .,.,~ ....... '.. "i}J' . .' H' ..,. H' H -^', " 3. :.COMP.,'EET..' ...'Ei.fl'J'~S..C,''HE..D,lJLE......BEW, :!V:l~~$li'."'l!,~./". ':~.",'" """..."._,.=.,_....."'~,_""'"~""'_.!i"._....,~_......_"'.._.._n.__.'.,.,. ___~"""."''''''-'=_,,__,~,..:;;;c'!'.'''~_..:"'' . . '_.....n.. ...._._'- __ _. ,. __=_..;;::;=_m..__ ;:;. ;:;. = '__.. ,'... _._ ..... __ . 90/ 5/./",/c~ LEGAL DESCRIPTION: /7/J ~ -(11/ 067'3.../1 JOB DESCRIPTION: 9lJ4fc~A.~, fq~ A. .Nt~4R~ld~Wti:r~siit0-~;t'6fJMW~ti~F:~i,i~f~~~'~fiitrtti1i:i't1~~~ " '. ... .. .,..,.'.. ...",."k.,......g ....,_.......~L__...y.p. .......,.........g . .." ......'!l Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof / c; $117.00 J,/7dz? $ 21.00 /2h ().4> , Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issu.ance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 2. 1~1?~~%~1!:w~t~gn9MQ~~1 'Iou \~. t~~8:'i~~r;fSil~~~!ij1i~J~~Hi::~ilr!!1~Ji?1i.!~lli~i!~~~Z~. V1leo.u\le l' 'J\\\\'C'f . ' . Electrical Contractor ~ ,=""O,Ol' Ia:. e Ole;~ set \O~O Amps or less I'-li'i:.\-I"'(\U' ~c\0?\e~ v 'se IIl\e~I'-\>I952.o~6~1 Amps to 400 Amps Address '~\\OVlIIl\~S ('.en\el:, ,r,IOIl9t1 ~I \tle lll\e~~o I Amps to 600 Amps . 'j' a"'" -, .I)v' - ?,..- - \e?"O" \-10\1 IC\>I95Z-OO lail' CO Ie'. \tle \e ~~ica\\Gl1ll Amps to 1000 Amps il' ~~. '{lW1S\\~~",,\el. \.~~ \\~). Ov~r 1000 AmpsIVolts U\J~ allil'9 \tle \\le Ole\!oO~?- Reconnect ,Only ~Illl\'oel :l'\el is '1-6 . Supervisor License Number C. $55,00 City $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 . Expiration Date Constr. Contr. N Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Expiration Date Over 600 Amps or 1000 Volts see "B" above. ~1'.<;).\llY"1'i;)~'"_-..;"'~~f-,,t;''''lj1lwJ'\_~~F'; " D. . B!",nch-.~!r~Ults. ,..E~" .- Signature of Supervising Electrician The installation is being made on property I own which ~;K;;'k=:- New Alteration or ~on Per Panel . ~~ ~O\ ~\\~.~tt~lt\'it or with Owners Name 'lM-AJ/eC '.d-,~~f;.~n~~~ ~i~.~~~."~~",.,_."'''_..._=''''''''-~=~:~:._._"_.._,,,,._~ .-,.... ~/ /' 11 _":'~~.v\ ,.Ib'~llffii=uii'(Service/teede"rJio't:inclu'ded).'!.Each.IDsiallation'i Address /_~. C-;-:t.(-':~~-~t..\)i ~O ;13\1."= .~. ". ....-,..-". ""._.~".."."._.=-"".._.. .. City f!!u.:r, Phone S"1/ #~ ~ ~p or irrigation $ 55.00 . f'.~'1 '\ . SigniQutline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. ili,_'s;UBTo1'mOE,'M!!O',.'tR"(J'iiiiIFmlllJi'. '"~" -.1",;w.,',~1lI1l~,..J, A' 7 trO ~"*c,",,,.,,,,,c;1,""""'o,",,,~1~_.~~183rili;S0;j&8:U 2.{....}, 12% State Surcharge .2. 7. /~ 10% Administrative Fee "74. J 0 5% Technology Fee J 7-..1 ~ roUL ~a~~( Shared Drive(r.)/Building FonnsIElectrical Permit Appl'ication HJ8.doc $ 48.00 OWNER INST ALLA TlON Inspectioo Request: 726-3769 ConstructioJj Contractors Board .700 Summer St NE Suite 300 PO Box 14140 Salem OR' 97309-5052 Phone, 503-3784621 . Weh Address, www.ccb.state.or.us .' . Permii #: C/J'!'1~7 - OIl55" 1- :'Address:~1 /)to.%C7~ ])d, . " . . Issued by: ']A' ~. Date: '7./;710% \ I '/ ., Statement: Information Notice to- Property Owners .About Construction ResP9nsibilities ' ~ . . Note: Oregon Law, ORS' 701. 055(4) requires residential conftruction permit applicants who are not 'licensed~With' the ConstrUction'. Contractors Board to sign the "following statement before a building ., permitcan iJe issued. This statementis I;equiredforresidential building, electrical, mechanical and . 'plumbing permits. Licensed architect and engineer applicants, exemptfromZicensing under OR,S 701:010(7), need notsubmit this statement. Th~s .stateme!lt will be filed with the permit. . . .. .' '. ~ . Fill in t\J.e appropnafe blanks and initial boxc;s 1 and.2,and either bo~ 3A~~; 3B: '.. . . '.' .- , ~ 'bIoWn,.reside in,o~ will teside.in the compl~t~d structure: '; " , :i _ .~ I understand' that I must become licensed as aconstructiori' contractor if the structure is sold or . offered forsale before or on completiOli.1 .~2: h. o '3,'\. My general contractor is ~ame) . (CCB #) . I will instruCt my ge~eral contractor that all subcontractors who ~.ork on th~ stiuct}u-e ID)lst be . lic.ensed with the Construction Contractors Board. , "." . .' '. '. .: J OR t2( 3B.. I will):>.e my own generaJ contractor. Iff hire subcontractors, I will hire only subcontractors licehsed with the Construction Contractors Board'. If I change my mind and hire a general contractor,:1 will'contract with a contractor who is licensed with the CCB and will iriunediately notify the office issuing this building permit of the . ' name of the cOD,tractor. I hereby certify that the aboveJnformationis correct and. that) have read and do understand the Infor'mation Notice to Property Owners about Construction Responsibilities on the'reverse side of this form. ,><'\~ K~ '. . . ..! '.' 9fl7;S7 ..../ (Signature of permit applicaI)t) .I (Date) (White c;PY. to issuing agency permit file, pink~opy to applicant.) . --" . f " 1\ . Ii' Property_owner.doc 06-01-04 '. . \. j! - ~, ~ ~ Willamalane . t~ . Park & Recreation District Job. No. . ~--[6~4 . . SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME: Ut'U\'wO h-..Q1\n(l'~^--- PHONE:JiL0~...1~1 ADDRESSJJf')\ 6..wlfttrPe ~)11~' STATE:nlLzIP~ Cf1{()S' LOCATION OF PRO~SEDBUIL81~G ?TE:' ... Street Address: \;\\)\. d.U~ ~t \Jnuv Plat Name: ~ \0.. Tax1:ot Number: 1103-%\'10 to3lJ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Familv Detached NO. OF UNITS \ X $2,303 per unit = $ l)1b3PU B. Sinale-Familv Attached NO. OF UNITS X $2,426 per unit = $ . C. Multi-Familv Apartment NO. OF UNITS X $2,0;32 per uflit = $ D, Sinale Room Occupancy NO. OF UNITS X $1151 :50 per unit::: $ WILLAMALANE SDC $ 2...303 p? 2. SDC CREDIT (If applicable) SDC payer must furnish proof of {.7' Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET S ASSESSED 2/!f)3 cp ~C 0\d for cred~ $ 7 /~J.j 2DC>Y Development servic~merit Date City of Springfield C'-. , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET COM2007-01854 Daniel Brennan 90 I Sunset 17-03-34.11-06311 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF: 2262 JOURNAL OR JOB NUMBER: . . NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS LOT SIZE (SF): 7405 'r;; 115 10 I~ I~ ._~ r:.FJ o ~ 1. STORMTlRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I 'IMPERVIOUS SF x I COST PER S.F. CHARGE 1 3352.00 1 $0.346 I - I $1,159.86 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS. 1 IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE I:,', I , I 0.00 I. I $0.346 1 50% '= I DISCOUNT $0.00 ITEM I TOTAL - STORM DRAiNAGE SDC 2. SANITARY SEWER - CITY A. RElMBURSEMENTCOST: I NUMBER OF DFUs I x 23 I B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x I 23 $1,159.86 I:, , !I $1,159.86 ! 1070 COST PER DFU $26.83 i I $617.17' 11091 I $469.29 1 1092 I COST pER DFU $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC . J. TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRlP RATE 1 x I 9.57 1 B. IMPROVEMENT COST: I. ADT TRIP RATE I x 1 9.57 I ~ I $1,086.46 I NUMBER OF UNITS 1 x 1 1 I 1 1 x INEWTRlP FACTORI . 1 1.00 I ~ , COST PER TRIP 20.43 $195.48 I 1093 I NUMBER OF UNITS 1 I I I x I COST PER TRIP x 1 NEW TRIP F ACTORI I $90.10 I 1.00 1 ~ , $862.25 11094 = , $1,057.73 ~ ' J I = $95.35 1054 . ITEM 3 TOTAL - TRANSPORT A nON SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBEROF FEU's I x I I I B. IMPROVEMENT COST: INUMBER OF FEU's I . x I I I ICOST PER FEU I $95.35 ICOST PER FEU 1 $990.39 = , $990.39 1055 ~ , ($403.26) 1054 ~ I . $10.00 11056 _I l - I I .1 135.86 11079 I $63.97 J 1078 =, $4,196.36 MWMC CREDIT IF APPLICAB~E (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $692.48 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ I 5 AI1MINISTRATIVE FEE: '. ISUBTOTAL x ADM. FEE RATE I~ I $3.996.53 . . 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $3,996.53 CHARGE. $199.83 .'i !r '. . Todd Singleton TOTAL sn<;: CHARGES PREPARED BY I'thr< h:f DATE' 'I' '., :: : "., L " ).. " ...'; t DRAINAGE FIXTURE UNIT (DFU) CALCULATlON.TABLE - -----1. NUMBER OF NEW FIXTURES x UNIT EQUrv ALENT = DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS ...--- I BATHTUB 2 0 3 = 6' -I IDRlNKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 jINTERCEPTORS FOR GREASE / OIL! SOLIDS / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH /ETC. 0 0 6 = I 0 ILAUNDRY TUB 0 0 2 = [ 0 ICLOTHESWASHER / MOP SINK 0 0 3' = [ 0 ICLOTHESW ASHER - 3 OR MORE (EAI 0 0 6 = I 0 IMOBlLE HOME PARK TRAP (I PER TRAILER) 0 0 12 = [ 0 IRECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0' 1 = [ 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = I 0 [SHOWER SINGLE STALL 1 0 2 = [ 2 ISHOWER GANG (NUMBER OF HEADSI :1 ,0 0 2 = [ 0 SINK: COMMERCIAURESIDENTIAL KITCHEN i 1 0, 3 = I 3 SINK: COMMERCIAL BAR I 0 0, 2 = I 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 1 0 2' = I 2 SINK' SINGLE LA V A TORY/RESIDENTIAL BAR I 1 0 1 = I 1 URINAL. STALL / WALL I 0 0 5 = I 0 TOILET. PUBLIC INSTALLATION I 0 0': 6 = ,I 0 TOILET. PRIVATE INSTALLATION I 3 0 3 = i 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S .' 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 1 "'EDU (Equivalent Dwelling Unit) is a dischar~ equivalent 10 a single family dwelling unit (20 DFtfs) set at 167 gallons per day ~ MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR ANNEXED 1 BEFORE 1979 1 1979 1 f 1980 I 1981 [ 1982 [ ]983 1 1984 1 1985 I 1986" i 1987 1 1988 [ ]989 [ 1990 I 1991 1 1992 I 1993 [ 1994 [ 1995 [ 1996 I 1997 I 1998 [ 1999 [ 2000 [ 2001 - Ij IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? fEnter 1 for'yes, 2 for No) . BAS~, YEAR 1979 I' I I I I I [ [ I. CREDIT FOR LAND (IF'APPLICABLE) VALUE / 1000 . CREDIT RATE $76.23 x $5.29 . , = , $403.26 . " CREDIT FOR iMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 ,CREDIT RATE $0.00 x $5,29 o ~, - TOTAL MWMC CRED'IT = '. I $403.26. " ',1 , , '. . . 1 I, " ': \~..:..;.t ~ . : ,;,..'". ',' . ", .:.... ' , . ~. .' v.;... . ,".' ". " """C. "-, ;. ~ . , .(1 i' Community Services t)ivision . M BuildingSafeiylBuildingCodes SPFi)NGFIELD ~f1ilfJ'tIIlfJ];I";'t:j./I.'It:f;tt:tIfB/llf!?li(:(f:iWJ/~ DEVELOPMENT SERVICES DEPARTMENT Name ofOwner_TI-M( t p;{ Notice to Permit Applicant Soils stabilization required for s~bdivision sites . 1 M6( Jt JAV- Permit: _ C 'i - /13 5 + S#A:))'E;'f ^ 10/ Address of Project: Tax Map: /~3-s~// Tax Lot: tJbg// Subdivision The building site at the above address is located on property that has soils prone to shrink-swell or' other potential movement. Excavations, placement of fill materials and drainage for this site must. be done under the direct supervision of a properly licensed Professional Engineer or Architect to. verify the stability of the resulting building pad and the site. The owner, or the owner's qualified agent, is responsible to obtain the services of the appropriate professional engineer or architect (design professional). The design professional shall provide direction for the stabilization methods to be used for the building pad (and surrounding site, when site stabilization is also necessary). The geotechnical report, which was prepared for this subdivision, may be utilized to provide appropriate gllidance'for the methods of stabilization and required compaction for the specific site. The engineer or architect shall prepare a report to be submitted to the City stating how the soil stabilization is being accomplished, inclllding requirements not yet completed (if any). A signed and stamped report from the engineer or architect must be received and avvroved bv this office before footin!? or foundation insDection aDDroval will be !?ranted bi! the Citv Buildin!! InsDector. ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for soil stabilization, including excavation, fill, soil compactiop and drainage, as provid~d in the geotechnical report for the~. The stabilization will be accomplished under the direction of a licensed professional engineer or architect as noted above. X s;gn,~,b~vf ~~,~ Name ~ y\ t e r I> r e", cAP""- Affiliation to owner Date S e (.(! 1/;1/0 f 225 Fifth Strect SpringfieIcl, Orcgon 97477 541-'726-3759 Phone 8P.'.~"':.!!I'l~'~,_. -il-"', iI, ......... -'j" '-' . _i1..;.. ; .' -~..-~..: -'---,-. .. '- -~ ",' '-' City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number LDP2008-00033 LDP2008-00033 COM2007-0 1854 COM2007 -01854 COM2007 -01854 COM2007-0l854 COM2007 -01854 COM2007 -01854 COM2007-0 1854 COM2007-0 1854 COM2007-0 1854 COM2007-0 1854 COM2007-0 1854 COM2007 -01854 COM2007-0 1854 COM2007 -01854 COM2007 -01854 COM2007 -01854 COM2007-01854 COM2007-0] 854 . COM2007-0 1854 COM2007 -01854 COM2007-0 1854 COM2007-0 1854 COM2007 -01854 COM2007-0 1854 COM2007 -01854 COM2007 -01854 COM2007-0 1854 COM2007-0 1854 COM2007-01854 COM2007-0] 854 COM2007-0 1854 COM2007-0 1854 Payments: Type of Payment CreditCard Cheek cReceintl RECEIPT #: Date: '09/17/2008 1200800000000000974 Description LDAP Short Form Impacted New + 5% Teehnology Fee Addressing Assignment Willamalane Single Family Curbeut Permit Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo improvement SDC MWMC Reimbursement SDC MWMC lmprovemeni SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Refund - San Sewer SDC Reimb Plan Review Residential Fire SF Fee - Residential Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - more than 100,000 Boiler/Comp 3-15 HP Vent Fan Exhaust Hoods Dryer Vent Wood Stove/Insert -Mceh lss 2+ Applianecs- Plan Review Major - Planning Residenee Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By DANIEL R BRENNAN DANIEL R BRENNAN Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 123 07861 B In Person In Person Payment Total: Page I of2 . 10:58:19AM Amount Due 900.00 45.00 35.00 2,303.00 85.00 1,]59.86 617.17 469.29 ] 95.48 862.25 95.35 990.39 10.00 135.86 63.97 (403.26) 53.52 2]7.80 1,628.82 337.00 32.00 17,00 25.00 28.00 10.00 7.00 33.00 40.00 205.00 ]]7.00 126.00 132.54 283,30 257.86 $11,115,20 Amount Paid $9,500.00 $1,615.20 $11,115.20 9/17/2008 RECEIPT #: 1200800000000000974 Date: 09/17/2008 1O:58:19AM . Job/Jotirnal Nu~ber Description Amount Due LDP2008-00033 LDAP Short Fonn Impacted New 900.00 LDP2008-00033 + 5% Teehnology Fee 45.00 COM2007-0 1854 Addressing Assignment 35.00 COM2007-0 1854 Willamalane Single Family 2,303.00 COM2007-0 1854 Curbcut Pennit 85.00 COM2007-0 1854 Stonn Drainage Impervious Area 1,159,86 COM2007-0 1854 Sanitary Sewer - Reimbursement 617.17 COM2007 -01854 Sanitary Sewer - Improvement 469.29 COM2007-01854 SDC Transpo Reimbursement 195.48 COM2007-0 1854 SDC Transpo Improvement 862.25 COM2007-0 1854 SDC MWMC Reimbursement 95.35 COM2007-0 1854 SDC MWMC Improvement 990,39 COM2007-0 1854 SDC MWMC Administration 10,00 COM2007-0 1854 SDC Sanitary/Stonn Admin 135.86 COM2007-0 1854 SDC Transpo Admin 63.97 COM2007 -01854 Refund - San' Sewer SDC Reimb (403.26) COM2007-01854 Plan Review Residential 53.52 COM2007-0l854 Fire SF Fee - Residential 217:80 COM2007-01854 Building Penn it 1,628.82 COM2007-0 1854 3 Baths One & Two Family 337.00 COM2007-0 1854 Stonn Sewer Eaeh Addtl 100' 32.00 COM2007-0 1854 Furnace - more than 100,000 17.00 COM2007-0 1854 Boiler/Comp 3-15 HP 25.00 COM2007-0 1854 Vent Fan 28.00 COM2007-0 1854 Exhaust Hoods 10.00 COM2007-0 1854 Dryer Vent 7.00 COM2007 -01854 Wood Stove/Insert 33.00 COM2007-0 1854 . -Meeh Iss 2+ Appliances- 40.00 COM2007 -01854 Plan Review Major - Planning 205.00 COM2007-0 1854 Residenee Wiring 1000 Sq Ft 117.00 COM2007-0 1854 Residenee Wiring Ea Addtl 500 126.00 COM2007-0 1854 + 5% Teehnology Fee 132.54 COM2007-0l854 + 12% State Surcharge 283.30 COM2007-0 1854 + 10% Administrative Fee 257.86 Item Total: $11,115,2U Payments: Check Number .Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard DANIEL RBRENNAN djb 07861B In Person $9,500.00 Check DANIEL R BRENNAN djb 123 . In Person $1,615.20 > Payment Total: $11,1I5.2U 1 cReceinll Page 2 of2 9117/2008 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01854 ISSUED: 09/1712008 APPLIED: 12/14/2007 EXPIRES: 09/30/2009 VALUE: $ 380,844.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 901 SUNSET DR ASSESSOR'S PARCEL NO.: 1703341106311 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: DANIEL BRENNAN Address: 2801 GREENTREE WAY EUGENE OR 97405 Phone Number: 541-912-1587 I CONTRACTOR INFORMATION I Contractor Type General Electrical Engineer Mechanical Plumbing Contractor License BRANDON SCOTT DEVERS 150457 t CRAWFORD Ef,Cfl'q:I1"",.\_,!!t>~on law req~~~~ili~ VICEROY HOl\ll1il$>w rules adopted by the Oreg t f ih . OWNER . Notification Center. ThhOSe rUhleOsAaRre9S;2_g~1. ~?-11fli-no10t roug RS PLUMBINu: ~';R" V9'1:~q.r;.,~t~i~ rnpies oH1Ul(i,les by 3v;~~i,W,i~~~1l!I'lNrp}tMATIoJ.ll~~~t~;n num~er rlJ, u.d J""v,. -., 0il6t~.i~iJs~OO-332-2344). 3 Height of Structure .38.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Elcctric Energy Path: I'ath I Sprinkled Building: nla Expiration Date 02119120 I 0 1110912010 Phone 541-607-6970 503-767-5001 800-387-5145 01104/20 I 0 541-461-4714 3 Lot Size: 7,405 S'I Ft 1st Floor: 1,533 . Sq Ft 2nd Floor: 915 Sq Ft Basement: 840 Sq Ft GaragelCarport 696 Sq Ft Other: 372 Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type SecOlidury Construction Type: # of Bed rooms: I R-3. U VB I DEVELOPMENT INFORMATION I REQUIRED I'ARKING 2 Froutyard Setback: Side I Setback: Side 2 Setbuck: Rearyard Setback: Solar Setbacks: Overlay Dist: Hillside Total: # Street Trees Rqd: 2 Handicapped: Paved Drive Rqd: .Yes Compact: % of Lot Coverage: . 35.80 Q'r-'f.. -'r.e. \y \\\~ ~ t..\Q\ I PUBLIC IMPR(jI,'f~~s.J:,\\r>.\.\.'c.:~\S?'t.'r-~~\6'r- I ?t.r'''' ~D~'r- '~ll~'t.v \\\~~\\O'r-\l't.D D\) Q'r- \~'It: } e: ~ \-J\'t.~c.t: 't.\l-~.pouts/Drains: c.O\-J\ ,a\) D~ ? r>.~'{ ,u . . Storm water shall be piped to public storm line in Sunset Blvd. According to sewer mups, a tap is not provided: therefore, an encroachment permit will be required to make the connection. . 18.00 11.00 11.00 36.00 0.00 Street Improvements: Storm Sewer A vail"ble: Special Instruction: Notes: Page I of 5 _S~AJ!'i~F.I"""~{ ;' . . '0' ,. ! ~ Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726'3769 Inspection Line Description Tvpe of Construction AC - Residential V Wood Frame . Garaee Use Bid Amount A.C. - Residen Dwellines Garaee Patio/Porch Fee Description Plan Review Residential -Meclt Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 3 Baths One & Two Family Addressing Assignment Boiler/Comp 3-15 H~ Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee'- Residential Furnace - more than 100,000 Plan Review Major _- Planning Plan Review ResidentiaJ Refund - San Sewer SDC Reimb Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC hnprovement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement. Storm Drainage Impervious Area Storm Sewer Each Addtll 00' Vent Fall WiIlamalane Single Family Wood StovelInsert CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: ..COM2007-01854 ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 09/30/2009 VALUE: $ 380,844.00 I Valuatio~DescriDtion I $ Per Sq Ft or multiplier . $5.00 $105.00 $27.00 $1.00 Square Footage or Bid Amount 3,288.00 3,288,00 696.00 372.00 Value Date Calculated $16,440.00 $345,240.00 $18,792.00 $372.00 $380,844.00 01/23/2008 01/23/2008 01/2312008 01/23/2008 Total Value of Project ~ Amount Paid $1,005.21 $40.00 $257.86 $283,30 $132.54 $337.00 $35.00 $25.00 $1,628.82 $85.00 $7.00 ' $10.00 $217.80 $17.00 $205.00 $53.52 $-403.26 $117.00 . $126.00 $469.29 $617.17 $10.00 $990.39 $95.35 $135.86 $63.97 '$862.25 $195.48 $1,159,86 $32.00 $28.00 $2,303.00 $33.00 Date Paid Receipt Number 12114107 9/17/08 9117/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 . 9/17/08 9/17/08 9/17/08 9/17/08, 9117/08 9/17/08 9117/08 9/17108 9/17/08 9/17/08 9/17/08. 9/17/08 9/17/08 9/t7/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08' 9/17108 Paee 2 of 5 3200700000000000808 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 . 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 100/0 Administrative Fee + 12% Slate Surcharge + 5% Technology Fee Temp Power 200 amps or less + 12% Stale Surcharge + 5% Technology Fee Fixture Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Initial Review 12/1712007 Public Works Review 12117/2007 Plannine: Review 12117/2007 Plannine Review 03/05/2008 $5.70 $6.84 $2.85 $57.00 $6.84 $2.85 $57.00 $126.22 $165.99 $14.61 $11,621.31 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01854 ISSUED: 09/17/2008 APPLIED: 12/1412007 EXPIRES: 09/3012009 VALUE: $ 380,844.00 10/21/08 10/21/08 10/21/08 10/21/08 412/09 4/2/09 412/09 4/2/09 4/2/09 4/2/09 1200800000000001073 1200800000000001073 1200800000000001073 1200800000000001073 2200900000000000329 2200900000000000329 2200900000000000329 2200900000000000329 2200900000000000329 2200900000000000329 Plan Reviews I 12117/2007 12/18/2007 12122/2007 03/05/2008 APP LLH APP TSS Storm water shall be piped to p'ublic storm line in Sunset Blvd. According to sewer maps, a tap is not provided; therefore, an encroachment permit will be required to make the connection. WE T AJ On Hold until issues regarding plot plan accuracy, grading, retaining walls and height can be resolved. Left a message for Dan Brennan on 1/16/08. Don Moore and 1 would like to meet with him and probably someone from LDAPs too. Met with Dan on 1/22. He will be . providing me with revised elevations showing lhe actual grade so I can calculate the height. APP T AJ Height is 30' as measured from the mid-point of the gable without hillside bonus. Solar exempt based on 40% slope facing west. The development on this site is at lh. maximum coverage. This is based on 2786 sf of impervious surface on a 7768 sf lot. This calculates to 35.8% lot coverage, No olher additions or covered structures can be allowed. Paee3 of 5 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2007-0I854 ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 09/30/2009 VALUE: $ 380,844.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line Structural Review 02/14/2008 03/10/2008 . APP DLM Received revised drawings.2/14/08 dlm.approved 02127/08 Public Works Review 09/2512008 09/25/2008 10 LKW Will be able to put retaining wall ou slope easement, per TSS. Building on the slope easerne~t is at owner's own risk. 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 following work day. I Rr,'\IIirp<!ln<.nections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: Aftcr forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or fonndation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to tloor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to c?ver and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior tn placement of concrete. Provide report to City Bnilding Inspector: Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underslab Plnmbing: Prior to filling the trench and including required testing. Underlloor 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 tilling trench. Final Plumbing: When all plumbing work is complete. Paee 4 of5 CITY .OF SPRINGFIELD . Building/Combination Permit Status Issued PERMIT.NO: COM2007-01854 ISSUED: 09/1712008 APPLIED: 12/14/2007 EXPIRES: 09/30/2009 VALUE: $ 380,844.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover. Final Mechanical: When all mechanical work is complete. Wood Stove: After Installation. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility' Company energizing pole. \ 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 Springtield and the Laws of the State of Oregon pertaining tothe work described herein, and that NO OCCUPANCY will bc made of any structure without permission ofihe Community Services Division, Bnilding 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 ti'b:J c~ition. Owner or Contractors Signature 1/z- I/o 1 Date Pa2e 5 of 5 , , , . CITY, OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: 0 NAME OR COMPANY: 0 LOCATION: 901 Sunset TAX LOT NUMBER: 0 DEVELOPMENT TYPE:' Single Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS SY x I COST PER S.F. CHARGE I I 0.00 I $0.357 I = I '$0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. 1 x I DISCOUNT RATE I I DISCOUNT I 0.00 I I $0.357 I I 50% I ~ I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC I $0.00 I 2. SANITARY SEWER - CI-rx Pc REIMBURSEMENT COST: I NUMBER OF DFU's I x 1 6 I COST PER DFU $27.67 B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x I 6 I COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $292.21 o $0.00 >ZJ ~ o 18 I~ I~ ,f-< >ZJ o ~ I 1070 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: 1 ADTTRIPRATE I 1 9.57 I 1 NUMBER OF UNITS 1 x I 1 0 I I I NUMBER OF UNITS I x I I 0 1 I =, x ITEM 3 TOTAL - TRANSPORT A nON SDC COST PER TRIP 21.06 COST PER TRIP $92.89 $0.00 . x INEW TRIP FACTORI 1.00 I x INEWTRlPFACTORI 1 1.00 1 $165.99 $126.22 $0.00 $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I '0 I leosT PER FEU' $97.90 = $0.00 I 1 1091 I 11092 I I 11093 I 11094 I 1054 I I I I I I I. I I I I I I I II I I I I I I I l ,. II I I I I I I I I I I 'I I I I I I I I I II MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE. YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 I. CREDIT RATE/$l,OOO ASSESSED VALUE .' \ "$5 29 ""',c..'- :.'. ~I: -", . - .' '.;:- ""'. ;:';' '. $5.2~.,':" ": . ,. '.$5.19'"o,.:..n 'i1'~~:c;':,':. .' '$480_ . .,;',$4:63 .,$4.'1:0'",> . '. '_~'> $4,07/,."/ .'... " .:' )~.6?, /'.;:" ,:, . $3.22;,: ' . "., $2:73,/: ' .: <$2,25': '" ''''''$1.80 ,i. ~1.~9:. .., ~,. '.I. ,""" ~i;J~~~~i ffT;,:~i~:~~~7::~i"':':' IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 ~ , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = 1979 SO.OO $0.00 o o o II I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~PRIN~FJELO tij :.A I . ~.. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journlll Number COM2007-0 1854 COM2007 -01854 COM2007-01854 COM2007-0 1854 COM2007-0l854 COM2007-0 1854 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: 2200900000000000329 Date: 04/02/2009 Description Fixture + 5% Technology Fee + 12% State Surcharge Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Paid By DANIEL BRENNAN Item Total: l:heck Number Authorization Received By Butch Number Number How Received djb 04616b In Person Payment Total: Page I of 1 3:12:19PM Amount Due 57.00 2.85 6,84 165.99 J 26.22 14.61 $373.51 Amount Paid $373.51 $373,51 4/2/2009 Status, Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01854 ISSUED: ' 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 10/15/2009 VALUE: ,$ 380,844.00 225 Filth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 901 SUNSET DR ASSESSOR'S PARCEL NO.: 1703341106311 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: DANIEL BRENNAN Address: 2801 GREENTREE WAY EUGENE OR 97405 Phone Number: 541-912-1587 I CONTRACTOR INFORMATION I Contractor Type General Electrical Engineer Mechanical Plumbing Contractor License BRANDON SCC1,Yf~EW~R~Oregon law requit504fr7U,to CRA WFORD Ef~;Iit,<v;r~JreLCQW)!Gld by the OrSB<169Utlilty VICEROY H~Y.1lkation Center, Those rules are set forth OWNER in OAR 952-001-0010 through OAR 952-001- RS PLUMBIN0Cl90.N'iaU\"&llIN,~ai~. ~o,pie~L ~f fM.8J&::~bY Ci::l.I'''~'11~~O-;.~.?\'~'''''~. l~'''':-' ", - " ' nu.1 hBmJ.m,N<r.)~Nii'@RM, J\lTHIlNllcatlon IT.I , .' "1 . Center is -l:lUU-;';',,-'::"''t't}, # of Stories: 3 Height of Struclure 38,00 Type of Heat: 'orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Palh I Sprinkled Bnilding: n/a Expiration Date 02}19/201O 11109/2010 Phone 541-607-6970 503-767-5001 800-387-5145 01/04/20 I 0 541-461-4714 3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport '''S'i!, Ft Other: Occupant Load: 7,405 1,533 915 840 696 372 # of Units: Primary Occnpancy Gronp: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB Fronlyard Setback: Side I Setback: Side 2 Selback: Rearyard Setback: Solar Setbacks: NnTl(,~. TH, K AUTf ORIZED UNDER THIS PERMIT IS NOT 18.00JMMENCED,fgAofflt;l\8ANDONED FOR Hillside I t..MJY 180 DA'IIlil2:f!ltJD:ees Rqd: 2 11.00 Paved Drive Rqd: Yes 36,00 % of Lot Coverage: 35,80 0.00 REQUIRED PARKING Total: Handicapped: Compact: 2 I PU~L1C IMPROVEMENTSI Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: J Notes: Storm water shan be piped to public storm line iu Sunset Blvd. According to sewer maps, a tap is not provided; therefore, an encroachment permit will be required to make the co~nection. Paee 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3769 Inspection Line Descriotion A,C. - Residen Dwellin2s Gara2e PatiolPorch Tvpe of Constrnction AC - Residential V Wood Frame Gara2e Use Bid Amonnt Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Adminislralive Fee + 12% Stale Surcharge + 5% Technology Fee 3 Baths One & Two Family Addressing Assignment Boiler/Comp 3-15 HP Building .Permit Cur-beut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - more than 100,000 Plan Review Major - Planning Plan Review Residential Refund - San Sewer SDC Reimb Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Sanitary 'Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administralion SDC MWMC Improvemenl SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer Each AddU 100' Vent Fan Willamalane Single Family Wood Stove/Insert CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01854 ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 10/15/2009 VALUE: $ 380,844.00 I Valua,t;?n Des~,dntion I $ Per Sq Ft or multiplier $5.00 $105,00 $27,00 $1.00 Square Footage or Bid Amount 3,288.00 3,288.00 696,00 372.00 Value Dale Calculated $16,440,00 $345,240.00 $18,792.00 $372.00 $380,844.00 01123/2008 01123/2008 01123/2008 01/23/2008 Tolal Value of Project fpt~ r:'aLllJ Amonnt Paid $1,005.21 $40,00., $257.86 $283.30 $132,54 $337,00 $35.00 $25.00 $1,628.82 $85.00 $7,00 $10,00 $217.80 $17.00 $205.00 $53.52 $-403.26 $117,00 $126,00 $469,29 $617,17 $10.00 $990.39 $95.35 $135.86 $63,97 $862,25 $195.48 $1,159.86 $32,00 $28.00 $2,303.00 $33,00 Date Paid Receipt Number 12/14/07 9/17/08 ,9/17108 9/17/08 , 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17108 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17108 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 3200700000000000808 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 lio0800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 1200800000000000974 Pa2e 2 of 5 r ;0 Status Issued 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Adminislrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee Fixture Sanitary Sewer - Improvement Sanitary Sewer - Reimbursemenl SDC Sanitary/Storm Admin Total Amount Paid Initial Review 12/1712007 Public Works Review 12/17/2007 Planoin!! Review 12/1712007 Plan nine: Review 03/05/2008 $5.70 $6.84 $2.85 $57.00 $6.84 $2,85 $57.00 $126.22 $165,99 $14,61 $I1,62 1.3 1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01854 ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 10/15/2009 VALUE: $ 380,844.00 10121/08 10121/08 10/21108 10/21108 4/2/09 4/2/09 4/2/09 4/2/09 4/2/09 4/2/09 1200800000000001073 1200800000000001073 1200800000000001073 1200800000000001073 2200900000000000329 2200900000000000329 2200900000000000329 2200900000000000329 2200900000000000329 2200900000000000329 Plan Reviews I 12/17/2007 12/18/2007 12/2212007 03/05/2008 APP LLH APP TSS Storm water shall be piped to public storm line in Sunset Blvd. According to sewer maps, a tap is not provided; therefore, an encroachment permit will be required to make the connection. WE TAJ On Hold until issues regarding plot plan accuracy, grading, retaining walls and height can be resolved. Left a message for Dan Brennan on 1116/08. Don Moore and I would like to meet with him and probably someone from LDAPs too, Met with Dan On 1/22. He will be providing me with revised elevations showing the actual grade so I can calculate the height. APP TAJ Height is 30' as measured from the mid-point of the gable without hillside bonus. Solar exempt based on 40% slope facing west. The development on this site is at th. maximum coverage. This is based on 2786 sf of impervious surface on a 7768 sf lot. This calcnlates to 35.8% lot coverage, No other additions or covered structures can be allowed, Paee 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01854 ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 10/15/2009 VALUE: $ 380;844.00 225 fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structnral Review 02/14/2008 03/1 0/2008 APP DLM Received revised drawings 2/14/08 dlm,approved 02127/08 Pnblic Works Review 09/25/2008 09/25/2008 10 LKW Will be able to pnl retaining wall on slope easement, per TSS, Bnilding on the slope easement is at owner's own risk. Structural Review 04/14/2009 04/09/2009 OK ,RWC plans for cantilevered deck at front of house 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 following work day. ~n.'1r~t~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erecled but prior to placement orconcrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjnnction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Posl and Beam: Prior to 1100r insulation or decking, Floor Insnlation: Prior to decking. Shear Wall Nailing: Before cOl'ering'sheatbing wit~ 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. Drywall: Prior 10 taping. 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 reqnested and approved and the building is complete. Perimeter Foundation Drains: After gravel and tiller cloth is installed bnl prior to backtill, Underslab Plumbing: Prior to filling tbe Irench and including reqnired testing. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to covel' and including required testing, Water Line: Prior to tilling trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including reqnired testing. Paee 4 of5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01854 ISSUED: 09/17/2008 APPLIED: 12/14/2007 EXPIRES: 10/15/2009 VALUE: $ 380,844.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to tilling trench. Final Plnmbing: When all plnmbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Wood Stove: After Installation. Rough Electric: Priur to Cover Electric Service: Approval required'prior to utility cOl]1pany energizing service, Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company ener,gizing pole. Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and I further certify that any and all work performed sball be done in accordance with the Ordinances of the City of Spdngtield and the Laws of the State of Oregon pertaining to the work described herein, and tbat 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 u,sed on this project. I further agree to ensure thai all required inspections are requested at the proper time, thai each address is readable from the I 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 )\{;~1::"~ // cj / ~;G q Owner or Contractors Signature Date Pa2e 50f5 225 Fifth Street Spri&gfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1854 COM2007 -01854 COM2007-0 1854 Payments: Type' of Payment CreditCard cReceintl RECEIPT #: Description Low Voltage - Residential + 5% Technology Fee + 12% State Surcharge Paid By DANIEL R BRENNAN , City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000390 Date: 04/15/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received 069668 In Person Payment Total: Page I of I 3:13:IOPM Amount Due 28,00 IAO 3,36 $32,76 Amount Paid $32,76 $32.76 4/15/2009