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Home My WebLink AboutPermit Electrical 1996-1-4 Tho following project .s submitted hIlS lhefo!!ow\, zoning, and dOGS not require spGcific land use .ppro~'al., 1/)0' / Zonmg . rA/F--/ Dale - ~ /t::J ' 97477 /I 726'J.<>",,~,JSlgnatUrtl -;L? A-/ '"' ...:' Job Number e:J'.:5'/?,c,? ( .. 3. COMPLETE FEE SCHEDULE BELOY Dr. A. New Residential-Single or * Mul ti-Family per dwelling uni t., " Service Included: , I.tems Cost um , .,' 225 FIITH STREET SPRINGFIEW, OREGON INSPECTION REQUEST: OFPICE: 726-3759 1. LOCATION OFe INSrALLATI~ ' ..4- , 9 r..{ ~ VIA I( (?A-V~fJL l..Ju.AjI LEGAL DESCRIPTION /?~ ~'""?4.-~~_ ....,/~ 3 '- , JOB DESCRIPTION,') , c:;f....\t '" n \,V'~vJ \ ~ Permits are non-transferable and expire if york is not started within' 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 6~~t:yofs ,B. /1./ ' F, , Address qq;) City F[~ rL.Ji. I - Supervisor License o { I V /"0:- Phone .J1(l(-8;)87 Number Expiration Date Const,r Contr. Number G 71:{ (S~ Expiration Date 7/1.::1 / '1c.. , I' signa~eADf superv~n)1Electrician ;a;1/ ~ ,/&Ah.U-- Ovners Name~Ue \'1A..~( 0\1 Address_ 35'93 R;ue( ,17. I Dr. City Clu~--..Q.. ct Phone~~S -J( 70 r OVNER INSTALLATION , . The ins talla t ion is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: /- 7'--% /~Z~ / ELECTRICAL PERIlIT APPUCATION 1000 sQ.ft. or less Each additional 500 sq. ft or portion the reo f Each Manuf'd Home, or Modular, 'Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 " ,. $ 50.00 " $ 60.00 $100.00 $130.00 $300.00 '$ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see IIBII above " " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 " $ 2.00 " . not includ~d) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline LightinV Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .'. . , $ 40.00 $ 40.00 c $ 20.00 $ 36.00 ~ v r?~. coO ~ ~ . e>o . .6~ :2;./ ' C(;;) .. e- JOb.NO.~131~ NAME: SYSTEM DEVELOPMENT CHARGE WORKSHEET ' ~duM ~ ~W PHONE: 4-tS.?J\llo LOCATION OF PROPOSED BUILDING SITE: Street Address: q 41J - \\~ ' Plat Name: \{\\~ Tax Lot Number: llO'3-?~?n()\bO\OtB 1. DEVELPPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t ype definitions are on the back.) A. SinolA-Filmilv Detached . NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ -1(11) .CO \ Single Family home \ B. .sinale-Fa~Attachec;i NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. MlinufacturArl HomA PilrK 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willarnalane Credit approval. See sac Credit Worksheet. $ $ tf\ffi.CD ff $ \N'f) .ff) NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) lili\) rt'{) \0 LJ Development servi~~~ Department City of Springfield I I Date .~ ~~ q4.-Z- 'n1.t.. ~U- ~ lJ -:7::] RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: /7 D' LOT: " OWNER: ADDRESS: CITY: 3593 River EUl!ene SpnINc.r:IELU "..... aNUMBER 95/3r: 2- A 225 Fifth Street Springfield, Oregon 97477 ~ TAX LOT: /H,r River Glen BLOCK: Future B Homes Pointe Drive STATE: Orel!on SUBDIVISION: PHONE: 485 - 3176 ZIP: 97408 DESCRIBE WORK: (-" AfI14 9- .s:..,,~ l'jrllfllv ~~Il~e- ADD~TION DEMOLISH NEW X REMODEL OTHER ~ V PHONE 485-3176 CONTRACTOR'S NAME GENERAL: Future B Homes CONST. ADDRESS CqNTRAq'OR # 3593 River Pointe Dr.. En gene. OR 97408 36499 EXPIRES 5-18-96 PLUMBING: Custom Plnmbing 3248 Kenllvood. Engene. OR 9740i 81994 5-6-96 485-1146 MECHANICAL: Rolrs Heating P.O. B0166. Dexter. OR 97431 20240 2-14-96 741-0002 ELECTRICAL: Bob Fisher Elect. 180 Kingsburv Ave.. Eugene. OR 97404 96275 QUAD AREA: # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER: -OFFICE USE- LAND USE: # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: 1-25-96 689-7973 FLOOD PLAIN: ZONING CODE: # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To r~que5t an in~pection. you mu~t call 726-3169. This is a 24 hour recording. 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. D D TClllpornty ElcClIlc Site InSflccliol1 - To be made alter excavntlon. but prior to seltlng forlllS. D Ullderslllb Plumbing I Electr lenl' Mechanical - PrIor to cover. [KJ rooting - Alter trenches are excavated. o Ml1soruy - Steel locallon, uond beams, groullr.19. !Xl Foundation - ^'l,~r lorms are erecled bul prior 10 concrele placement. o Underground Plumbing - Prior to fllllnQ trench. D Underfloor Plumblng/Mechanlc"1 - PrIor to Insulallon or decldng. D Post Dnd Bcull~ - PIlar to floor Insulation or docl<ing. o Floor Insulation - Prior. 10 decking, o Sanitary Sewer - Pllor to fHllng trench. !Xl Storm Sewer Ilench. Prior 10 filling o Waler LillO Irenetl. I'llor 10 III ling o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D nough Mechanical ~ Prl.or. to cover. (XJ Rough Eleclr~cal - Prior to cover. . I I Eloclrlcal Servlco - Must be approved to oblaln permanenl electrical power. o Fireplace - Prior to facing materials and. framing Insp. 1><1 Fral11.lng - Prior to cover. D Wall/e'olllng Insulation - Prior to cover. o Drywall - Prior 10 laplng, o Wood Stovo - Alter Installation. o 'nserl - After fireplace approvlll and Installallon of unit. - D Curbcut & Approach - Alter forms ale erected bul prior to plac€lmont of concrete. D Sidewalk & Driveway - After excavation Is compiete, forms and sub-base material In place. o Fence - When completed. o Slreel Tro06 - Whon all"reQulred trees are planted. D Final Plumbing - When 011 plumbing w~HI< Is complet.e. o Final Elechlcal - When all eleclrlcal work Is complele. o Flnol Mcchunlcal - When all mechanical worl< Is complele. IZJ Flnnl Illllldlng - Wllon all required Inspections have been approved and building 19 compfetod. DOthor MOBILE HOME INSPECfIONS o Olocklng and Set.Up - When all blocl<lnU Is complete. D Plumbing Connections - When homo has been connecled to water and sewer. D Electrical Connection - Wtlen blocl<lng, set-up, and plumbing Inspecllons have been approved and Ihe home Is connected to the service panel. o Flnar - Aller all required Inspections are approved and porches, skirting, decks, and venting have been Installed. ! ~ ---! Lot coverage I Topography ! Tolal helghl I I BUILDING PERMIT sO'ln, Lol faqes Lol Typo . Inlerlor LOI sq, IIg, Corner Panllandle Cul'de,sac ITEM X $/$0, FT, M"ln Gmago , J/?- I I I ..L~rO Carporl TOlnl Value Building Porml! Fee Slate Surcharge TOlal Fee (A) Fixtures Rcsldenllal Bath(s) NG Sanllary Sewer FT, Waler FT, FT.< ~ ' Storm Sewer Mobile Horne P,L. Selbacks HSE GAR ACC ;. THE PROPOSED WORI( IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " yes, Ihls appllcallon musl be signed and approvod by Ihe Hlslorlcal Coordlnalor prior to permit Issuance. N --L- __ ~--- LE___ , VALUE " .7..?/L FEE ~" PlumbIng Permit Slate Surcharge "7 ~~..,.,,- ;~ I.~~ ??~' TOlal Charge (C) MECHANICAL !PERMIT Furnaco Exhaust Hood Vont Fan N' Wood SloveflnserlfFlroplaco Unll Dryor Vent Mechanical Permll Issuance Slnlo Surcharge Tolal PermIt (0) 1 MISCELLANEOUS PERMITS I Mobllo I-Iome State Issuance Slale Surcharge Sldewall< II I r I I I lolal Mlscellaneou~ Permlls (E) I TOmL AMOUNT DUE (excluding oleclrlcal) , (A, B, C, 0, and E Cpmblned) , Curbcul Demolition Slale Surcharge ~~9~ APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrmllls W:JnI0(] on 1110 express concllllon IIl<llll1o said construction shall, In clll respects. confolln 10 1110 O"Jlnflnce adoplod by Ihe Cily 01 Sprlnollolcl, Incluellng Ihe Dcvolopllwnl.Codc. rC~JlIl~lIng tile cOI)slrucllon flnd use 01 bulldlnns, nnd may be suspended or revoked ill any lime upon violation of any proVisions of said ordlnancos. #53 Dale pald:,__,/.r~5.:F_.._, Recelpl NUlllbO"__..../~ /~~d~~-; '~~~-~ Plan CI1CC\< Fee: Syslerns Development ChiHge Is due 'on nIl undeveloped properties wIthin tho City lImHs which ille baing ImplQved. ADDITIONAL COMMENTS ~._- --~----_.._-_._._"--,. .'"-.--- By signature, Islate nnd ngreo. thalllla'lo cDlc(ully examIned Ihe completed appllcallon and do hereby certify 1I1at nil lnrorrnatlon hereon Is Irue and correct, and I further cerllfy Ihat any and all worl< porfol/nod sllall be dono In f1ccoldilnce with the OrdInances ollho City of Sprlngfiold, nnd the L~ws of the Slalo of Oregon perlnlnlng to tho worl< described heroin, and that NO OCCUPANCY will be mado of any structure without permission of Ihe Bulltllny Safoty Division, I further cerllly IIlal only contractors and employees wllo tHO In compliance with ORS 701.055 wIll be used on tills prolocL I further agreQ tll eflSUIQ Ihi1l All loqulrc<l lnspocllons me rOQuestod nt the proper tlmP., lhn.l ODch ntldloss Is roadoble from tho slreel, that Ihe ponnl! C<lrd Is locnted 01 the fronl of the property, nnd tho approved set 01 plans wtll remain on the site at all limes during construction. Slgnalure h.~~_ rob ~ Dale I D O~ I c(S- Cfa- VALIDATION: RECEIPT NUMBER /93.:;(3 DArE I'AID -----4:?/05, . AMOUNT RECEIVED _.____.220 f( _ d~ RECEIVED BY . Tn. following project sa oubmlltod J;:","d ~OVAng zoning. and does not require &pee n u[;provo!. , :I ~ IL Zonmg_ 97t.J.i /()_c1-tf5 7~6~~70~ ~ Authortzoo Slgnaturo-,_-(' 3. 225' FIFTH STREET. ' SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. Loet~ OUltW\L0U~j) ~ ~ A. m1<~Fr)ONo\m~ . :~.~:~~2.Q,~.~: if work is not started within 180 days of issuance or if work is suspended for \ 180 days. 2. CONTRACTOR INSTALLATION ONLY /B. E~~rical Contractor ~ Addre~' / City '" Phon~ Supervisor L~nse N~r Expiration DateX Constr contr.~umber"'- EXPiratio~ate '" Si~~ of Supervising El~~ ~ners Na~ I tw j) ~YNt;JJlQp D. Address (~~6 ( J~-J.\'1QfJtij[/L Ci tyO 11PJJ2 j Phone 4fSS'\.::S~ OVNER(jNSTALLATION ELECTRICAL PERMIT APPLICATION City Job Number l{C(l \~l.d2...- COMPLETE FEE SCHEDULE BELOII 2f New Residential-Single or Multi-Family per dwelling unit. Service Included: Temporary Services or Feeders Installation, Alteration or Relocation 4.0 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amrs to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits I t'ems Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 volts $ 40.00 $ 55.00 $ 80.00 see liB" above " New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting '''\. ~~ rs Signature: Limi ted Energy/Res \~ \ ,~~Limited Energy/Comm ~(t--~ -i\--q~~c-~----- ---~ 5. SUBTOTAL OF ABOVE DATE) \.. \/ '. 'J ') , -,c} 5% State Surcharge RECEIPT 1I:. --:''''--li,'J?:, //c11-,')y 3% Administrative Fee ~CEIVED BY:~ .. TOTAL The installation is being made on property I own which is not intended for sale, lease or rent. $ 40.00 $ 40.00 $ 20.00 $ 36.00 j:p,93 , i ',.!J.-/l, "'T'c -<, . !;J-( ~ , , i '... . . JOB NO, 7'5 /'3~Z- A ( CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ~I..lr":ZC "~ H(,I"E.::. LOCATION: , "t'll. M c~ ZIt: C.eE.ST nil. DEVELOPMENT TYPE: Al>Dmot-l- GfV-IIC,'C BUILDING SIZE: .LOT SIZE SQ, Ft, 1, STORM DRATNAGF IMPERVIOUS SQ, FT. o / 17 )<' 32 X $0,21 PER SQ, FT, ci"i I '-I t.;i- ') '-- .-/ 2, SANTTARY SFWER-CTTY NO. OF PFU'S (See Reverse) X $43,43 PER PFU G-) ------ ,./ 3, TRANSPORTATTON NO OF'UNITS X TRIP RATE X COST PER TRIP X , X $437,93 ((- ........ ) -- " 0, X X $437.93 $ X X $437.93 $ 4, SANITARY SFWFR-MWM( NO, OF PFU'S x $18,75 PER PFU + $10 MWMC ADMIN. FEE (Use PFU Total From Item 2 Above) $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAl -MWMr. sor. SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ~ $ 1I'1-z.j. 5, AOMTNTSTATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X ,05 /_"i~ ($ :::> - ) '- ---- 112o:!l t'l'f1LlI SlCrL T ray MeA 11 i ster SDC Coordinator Date: ltJ/3!QS I I TOTAl SOr. 'IS' $ 1\9- , FHHURE UNIT CALCUlIl TION TABLE: Number of New Fi.es X Unit Equivalent = Fixture Units, , " (NOTE: For remodels, calculate o~he NET additional fixtures) NUMBER OF UNIT FIXTURE NEW FIXTURES EQUIVALENT UNITS .. FIXTURE TYPE Bathtub""",.".".""""""."..,....,.",.,.....""""",."",.", , Drinking Fountain",.."""..."""""..""" ......,.........,..., Floor Drain,......." ....,.....,.'....,....:.".. ........,..,.. ,....... ....", Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/-7'-uto Wasl'/Etc.................. Laundry T ub/Clotheswasher,."....,.",..,.."."..."....... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeralOr/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....................................,........... Shower, Gang... ..... .........,..",.. ....., ......, ..... ............... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall,....""""""".,.."........."......,."".",." Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private......................;.............................,.. Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = Based on assessed value. If improvements occurred after annexation date in table. CREDIT CALCULATION TABLE: fCUlate cre:~~~:rates, ,I II Rate per $1,000 Assessed Value $3.47 3.39 3,33 3.21 3.06 2.92 2.74 2.46 :; 1979 or before 1980 1981 1982 1983 1984 1985' 1986 .I Credit for Parcel or Land Only If Applicable Improvement (if after annexation datel Year Annexed 1987 1988 1989 1990 1991 1992 1993 1994 X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = = CREDIT TOTAL = $ Rate per $1,000 Assessed Value $2.13 1.76 1.35 0,95 0.58 0.41 0.29 0.14 II I II . .' SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. ..L,o<;ATION OF INSTALLATION /) . ' ..,...q. 2- M c.. ILtlA"%..l L LY'u-f LEGAL DESCRIPTION 11 ()'2, 2.. ~od' TL: ~/() 0 I 003 JOB DESCRIPTION SIV'lQ lQ.., -f'dYV\lll.. V'~"ldCLV\C.Jt...... .. ' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ELECTRICAL PERMIT APPLICATION City Job Number q 613'- 2. COMPLETE FEE SCHEDULE BELOY ~ New Residential-Single or Multi-Family per dwelling unh. , " Service Included: Items Cost' Sum 3. A. 1000 sq.ft. or less - $ 85.00 ~..S~'" Each additional 500 sq. ft or portion thereof $ 15.00 75.Ov Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION QNLY B. Services or Feeders f) '" I (':() --;1-, Installation, Alterations Electrical Contractor On Ii nt"fAl-J~-VJla",;" -;r,.,.. or Relocation: Address LS<o rL IJ::j,~J,,'Y l( g w- City l~v7<~'- Phone btj, 17'in Supervisor Licen.se Number 7;l q7\ ) Expiration Date 10,- I -'I ') Constr Contr. Number c; t. J.-7~ Expiration Date I -"J.-5" -9<:; Signature of Supervising Electrician_ --(~J r,vU{v</ t4Mn~ .. Owners Name t:=""v6VYl. ~ ~OM.\Ls. Address ~ '5'\ ~ ~\,,'-V' '?o\V\lo.. Ci ty ~u..q t.'^-'- -'\-8S - ~nc.. Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------r~~--~---------------- DATE: /D/2/X) RECEIPT #: .. /19/7'? RECEIVED BY: ~/;?;::, -< \ 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D., Branch Ci rcui ts $ 40.00 " J{~fif:trq!; $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circui ~ Each Additional Circui~ or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. $ 40.00 $ 40.00 $ 20.00 $ 36.00 SUBTOTAL OF ABOVE O:'o~ ~ 5% State Surcharge ,~ F ~ .. :? TOTAL :>"h ~4S', .J .....,CT~~,[J.Q . '>.. ()P /7~ ~ 5. j ,l . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / RESIDENTIAL) Name or Company: FUTURE B HOMES Location: 942 MCKENZIE CREST DR Developement Type: R Building Size: Job No,: 951362 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 5033 X 0.210 Per Sq Ft = 2. SANITARY SEWER . CITY Number Of PFUs 21 X 43,43 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X X Cost Per Trip 437,93 = $442,31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 21 Per PFU + 18,750 + MWMC Admin Fee 10,00 X X MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: TROY MCALLISTER Date: 08/24/95 Page 1 Sq Ft $1,056,93 $912,03 $442,31 $403,75 $0,00 $403.75 $2,815.02 $140,75 $2,955.77 '. J ,.~ . Job Number: 951362 . Page 2 FIXTURE UNIT CALCULATION TABLE Fixture Type Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/water Station/Etc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Stall Shower, Gang Sink, Bar, Commercial Urinal, Stall/Wall Wash Basin/Lavatory, Single Water Closet, Public Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS Number of New Fixture Unit Equivalent Fixture Units 1 o o o o 1 o o o 2 o 1 o 3 o 2 o 2 1 2 3 6 2 6 1 3 2 2 o o o o 2 o o o 4 o 2 o 3 o 8 o 2 2 1 6 4 21 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : o X 0,00 0,00 o X 0.00 = 0,00 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate,) RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951362 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 942 MCKENZIE CREST DR Assessors Map #: 17032300 Lot: 11 Block: Tax Lot #: 01003 Subdivision: RIVER GLEN Owner: ,u,uAE B HOMES Phone #: 485-3176 Address: 3593 RIVER POINTE DRIVECity/State/Zip: EUGENE, OREGON 97408 Describe Work: S.F. RESIDENCE NEW Const. Contractor Contractor # Expires Phone General: FUTURE B HOMES 0036499 05/18/96 485-3176 3593 River Pointe Dr Eugene OR 9740 Plumbing: CUSTOM PLUMBING 0081994 05/06/96 485-1146 3248 Kentwood Dr Eugene OR 97401000 Mechanical: R 0102455 10/04/95 937-2688 PO Box 66 Dexter OR 974310000 Electrical: BOB FISHER ELEC 0096275 01/25/96 689-7973 180 Kingsbury Ave Eugene OR 9740400 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E SQ FOOTAGE: 3321 OFFICE USE n LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 4 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: P1 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated, FOUNDATION - After forms are erected but prior to concrete placement, UNDERFLOOR PLUMBING - Prior to insulation or decking, UNDERFLOOR MECHANICAL - Prior to insulation or decking, POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SANITARY SEWER LINE - Prior to filling trench, STORM SEWER LINE - Prior to filling trench, WATER LINE - Prior to filling trench, ROUGH MECHANICAL - Prior to cover, ROUGH ELECTRICAL - Prior to cover, FRAMING - Prior to cover, INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping, ELECTRICAL SERVICE - Must be approved to obtain permanent power, ROUGH GAS - after line is installed and capped if not attached to an appliance FINAL GAS - When all gas work is complete, CURBCUT - After forms are erected but prior to placement of concrete, SIDEWALK - After excavation is complete, forms and sub-base material in place, Page 1 . Job Number: 951362 Page 2 FINAL PLUMBING - When all plumbing work is complete, FINAL MECHANICAL - When all mechanical work is complete, FINAL ELECTRICAL - When all electrical work is complete, FINAL BUILDING - When all required inspections have been approved and the building is complete, Lot Faces: WEST Topography: 2 Solar Approved: Y Lot Sq. Ft.: 16439 Total Height: 23,5 Lot Type: INTERIOR Setbacks S W E 57' Lot Coverage: 20 t Setbk From NPL: 33 House Garage N 10' 13' 20' Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 2525 798 $/Square Feet 56,20 14.10 = Value 141,905,00 11,252,00 153,157,00 Building Permit Fee Surcharge/Admin 554.50 44,37 TOTAL FEE (A) 598.87 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,955.77 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160,00 Plumbing Permit Surcharge/Admin 160,00 12,80 TOTAL CHARGE (C) 172.80 - - - MECHANICAL PERMIT - - - Furnace Exhaust Hood Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent 3 6,00 4,50 9,00 15,00 3.00 Mechanical Permit Issuance Surcharge/Admin 42,50 10,00 3,41 TOTAL PERMIT (D) 55.91 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC ELECTRICAL PERMIT 0,00 21. 25 14,50 1,000,00 172,80 TOTAL MISCELLANEOUS PERMITS (E) 1,208.55 Job Number: 951362 Page 3 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,991.90 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 361.89 Date Paid: 09/07/95 Received By: Plans Reviewed By: DUANE HUSSEY Date: 09/29/95 Building Site Reviewed By: LISA HOPPER Receipt Number: 18948 - - - ADDITIONAL COMMENTS ADDRESS SUBJECT TO CHANGE PENDING DRC DECISION ON STREET NAME NO OCCUPANCY UNTIL INFRASTRUCTURE IS APPROVED BY CITY ENGINEER PATH 1 DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project, I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. \, _":'\ ~Ar-.<Q Si~atu~ \i lO/"2-/QS Date --- VALIDATION Date Paid: }'7/ 7 '3 /~~J 1'79/; "70 A'P~ -( Receipt Number: Amount Received: Received By: ~u 'r.. g?p,r;#I$"'7-~ ~.,.~, ..'.Z)?,rc ~-7'_ "l37 ~~~ ~ .' ,~tJ\?ML ""'\ , CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY , \ '\ '\ ''\ "\ "" '\ AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMENT is entered into this ~~ day of ~~~~~~ ' 19~~by and bet1.leen the Ci ty of Springfiel~ ,a a f'.ur:i_ci~ 'tqr.l'~^t~'\ or the Sta te "OI Oregon, hereinafter called City, and '<UI~" \~ ~),'~ ,hereinafter called the Applicant. ,--' VHEREAS, the applicant has applied to the City Community Services Building Division for issuance of certai7\se~, t~~~l\~Fm~s f~ ~~lopment improvements to be located at v..'TL- r 0 \'J\Or~r ~. Springfield, Oregon or 1.Iithin the City'S Urban "Grovt JYf.1S lctiOJ\l A~rf\~e County Assessor's Map and Tax Lot number \1 ~:t.aoo rn-UlULO VHEREAS, the applicant has asked the City to authorize the Applicant to immediately commence development improvements without a completed plan review or subsequent approval as required by the Springfield Building Safety Code Administrative Code section 303(a). VHEREAS, the Applican t has submi t ted to the Ci ty a completed permi t applica tion, 3 (three) sets of construction drawings, specifications, and other data required for the City to complete the necessary plan review of the proposed development improvement. YHEREAS, the intended development improvement is of a nature that requires no other reviey approval from other State or local agencies and is exempt from the criteria established by the Building Safety Division, attached as Exhibit A of this Agreemen t. VHEREAS, the City has not revieved or approved the submitted materials for the development improvement, ,the City is therefore unable to confirm at this time whether the permit applicatic~ submitted viII be Epproved, and 1.Inether the ~equired construction permits can be issued. VHEREAS, the applicant has requested the City to provide expedited authorization to proceed vith certain phases of construction prior to the completion of the City'S reviev of the permit application. VHEREAS, the City's fee for the administrative services rendered in providing expedited authorization is $150.00. .. NOV, THEREFORE, in consideration of the foregoing recitals and of the mutual promises contained herein, the City authorizes immediate commencement of the development improvement specified in the permit app~ication subject to the folloving terms and conditions: , . . Authorization to Proceed Agreement Page 2. 1. City agrees that the Applicant may immediately commence with the development improvements set forth in the permit application. City's authorization to proceed is conditionep ho~ever, upon Applicant's agreement that the project will be constructed as set forth in the attached submitted drawings and specifications, except as may be modified' by City, and ~ill comply with all applicable laws and ordinances. Applicant's immediate commencement of construction is at Applicant's own risk. The City makes no assurance that the development or construction improvements vill be approved or tbe required construction permits vill later be issued.' 2. City agrees to review Applicant's permit application in the normal revie~ process and to thereafter: . a) issue Applicant the appropriate construction permits; or b) advise Applicant of deficiencies in the proposed construction which must be remedied before permits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions ~ith which Applicant must comply ~ith before City can issue the permit. 3. Applicant agrees that if City finds Applicant'S permit application and submitted materials inadequate or deficient in any manner including but not limiteQ to, the application or the proposed construction do not comply ~ith all applicable statutes, ordinances or code provisions, Applicant ~ill expeditiously cure the deficiencies so that the City may issue the required permits. Should Applicant fail to expeditiously correct submitted materials, or should correction prove impossible, City may in it's discretion, take any or all of the following actions: a) stop all further construction of the project in the manner prescribed in the Springfield Building, Safety Code Administrative Code (BSCAC), SECTION 201 (d) b) order disconnection of serving utilities in a manner as prescribed'in BSCAC, SECTION 201 (f) c) issue a NOTICE ~,~ ORDER for removal of all such vork in a manner as prescribed in BSCAC, SECTION 204. ABATEMENT OF UNSAFE, SUBSTANDARD OR DANGEROUS BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon receipt of such notice, Applicant shall immediately remove the work specified in the Notice and Order. 4. Applicant agrees, if the issuance of the permit is denied: . a) to remove, at the Applicant's sole cost and expense, all completed construction or improvements; and b) to restore the site or structure to it's pre-agreement condition and free of all hazards .~ . . -' . . Authorization to Proceed Agreement Page 3. 5. Applicant agrees that until Applicant's permit application is approved, construction viII not to proceed beyond the point of authorization approved by the City's Building OffiCi~t's Point of Authorization is ~ 6. Applicant agrees that all work performe\ under this agreement shall be accessible and exposed for inspection purposes and that neither the Building Official nor City shall be liable for the expense entailed in the removal or replacement of any material necessary to allov inspection. 7. Applicant agrees that any or all'deficiencies identified during the necessary inspections viII be promptly remedied, at Applicant's sole cost and expense before proceeding vith any further construction. Applicant also agrees that these inspections do not replace the required plan reviev nor do they imply any approval of the submitted materials. 8. Applicant agrees that no vork shall be done on any part of the building or structure beyond the point indicated in each successive inspection without first obtaining the approval of the Building Official. Such approval shall be given only after an inspection has been made of each successive step in the construction as indicated on the attached Exhibit B. 9. Notvithstanding any other provisions of this Agreement, this Agreement shall ,terminate upon issuance of a building permit or thirty (30) days from the date of this Agreement, whichever first occurs. Applicant understands that all work on the project shall immediately cease vithout any notice from the City if this Agreement terminates before a building permit is issued. This agreement shall terminate on 10. Applicant agrees to defend, indemnify and hold City harmless from any and all costs (including attorney fees), liability or damages of any kind or nature vhatsoever, for personal injury and property damage arising from the Applicant's early commencement of construction and the vork undertaken or completed. 11. The terms of this Agreement shall extend to and be binding upon the parties hereto and t~eir heirs, successors and assigns. ~ 12. If any suit, action or other proceeding, or an appeal therefrom, is instituted to obtain, establish, enforce, or compel any right or obligation resulting from this Agreement, the prevailing party shall be entitled to recover from the adverse party, in addition to costs and disbursements, such additional sums as the courts, both trial and appellate, may judge reasonable attorney fees. . .- '. . . -\ Authorization to Proceed Agreement Page 4. BEFORE SIGNING THIS AGREEMENT, PLEASE READ AND UNDERSTAND THE MEANING OF EACH PARAGRAPH OF THIS AGREEMENT. IT AFFECTS YOUR INTERESTS IN THE PROPERTY AND, IN THE EVENT,OF DEFAULT, IT PLACES YOU PERSONALLY AT RISK AND THE SUBJECT PROPERTY AT RISK OF FORECLOSURE FOR COSTS AND EXPENSES INCURRED BY THE CITY IN ENFORCING THE TERMS OF THIS AGREEMENT. IN THE EVENT THAT YOU DO NOT UNDERSTAND ANY TERMS OR CONDITIONS OF THIS AGREEMENT, PLEASE SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU MAY.DESIRE. CITY APPLICANT City of Springfield ~y: PL?16~G'" Buildi~ Offici,af ~ 4?'I'Ft-'ve#7'_ Contractor ~~~nl\ ~eL Business Name ~JWre . ~ 'r\r)0'\p.~ Address ~~,~ Q.\\IP~tt' ~ (J( CC Registration # ~\ol\C\q LAND/PROPERTY OVNER(S) I/VE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/VE UNDERSTAND VHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE LAND/PROPERTY OVNERS. I/VE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE AGREEMENT. ~~~\J~,-,st~~~ Address ~\ ~~;. 0-0-> Q ~ ",,\, ~ &1' ..--JI, G'1 'fo g , Name , ~ . F:EViE\'.Jt::1 [!~ l-'.P?F:CVt::D f. ~ -n F- -" .'\ 1'- 0r::':l \ \ ..:-'....??~"..,...J L~"'.I C/:,E: h=." Vi, \ "\ q, ~ C::=Fi~:.: C;~ ellY ATTOi-;:",~:::V .. C~.l'~' ::.;: ~.~..;:: ~:.: :.::~! ~LD . . ~ . . , , i , EXHIBIT A Purpose The purpose of this agreement is to allov 'certain development improvements to occur prior to obtaining plan review approval from the Springfield Community Services Division. Scope The use of this agreement shall b~ limited to certain one and two-family dwellings not complex in nature as determined by the Building Official and minor alterations or modifications to existing commercial and industrial buildings vhich are of a non-structural'"type and do not adversely affect any structural member of the building or any part of the building having fire resistant construction. One and two-family dwelling plans for structures that are complex in nature that have been prepared by an Oregon licensed architect or engineer and accompanied by a letter of review prepared by said architect or engineer, stating that the submitted material is in compliance vith the One and Two-Family Dwelling Specialty Code, may be considered eligible fo~ this agreement. The folloving items include but are not limited to certain conditions of development identified as ineligible for this agreement: a) development requiring site approval vhich has not been obtained; b) new development located on land with over six-percent slope; c) lots having expansive (clay) soil; d) development located vi thin flood hazard areas; e) development located vi thin vetland areas; f) pole buildings or other such type of structure that is not of conventionai construction. ~ .