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HomeMy WebLinkAboutPermit Building 2006-3-27 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 11/30/2006 VALUE: $ 242,270.00 Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeCtion Line Owner: Address: ANSLOW & DEGENEAUL T INC 1953 GARDEN AVENUE EUGENE OR 97403 Springfield TYPE OF WORK: Single Family Resid'~~ce 1\ .' ,,' ,:~,l,~~r. 1 . :.. .1 'rt~: '. lGI.n "; C,TYPE'OF, USE: 0 l:New' ,:1 C,\r \ ,,.,').qUsidential Single family residence - Mt Gate lot 26~;J, Yull m~;y obtain CC,JocS oi tila rUI~':; by c<:lIin[] the center. (Nota: the telephone number Tor tne urpnoll UlllllY I....VllllvCllIVII C t ' 1 ~hone.Number: 541-484-0070 en er IS -uUU..:l.:l,,-""....J. SITE ADDRESS: 421 Mountaingate Dr ASSESSOR'S PARCEL NO.: 1702343403700 PROJECT DESCRIPTION: I CONTRACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor License Expiration Date Phone ANSLOW & DEGENEAULT INC 49169 10/16/2008 503-484-0070 BURGHARDT & ZHUN INC 160508 07101/2006 541-434-6491 DIVERSIFIED ELECTRONICS 144685 06/23/2008 541-484-9078 MARS HALLS INC 25790 12/23/2009 541-747-7445 ABSOLUTE PLUMBING SERVICES INC. :67664 07/1 1/2007 541-345-3055 BUILDING INFORMATION li::'ILL l:'~P:RE IF THE WORK ;' ; '':'"\''' ~NDER THIS PERMIT IS NOT # ofStories::~!~I'.'IEf'.IL.ED OR IS I~BA~!it&!z~ea FOR Height ofStructureU U,\y PE~Ml2J, Sq Ftlst Floor: Type of Heat: Heat Pump Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path I Sq Ft Other: Sprinkled Building: n/a Occupant Load: I R-3 U VN 10,019 2,130 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 880 3 , DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 8.00 10.20 34.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 31.80 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: To Storm Sewer Notes: No hook-up to City infrastructure uutil Puhlic Improvements accepted by the City; storm drainage piped to stub provided 2/24/2006 CAS Paee I of 5 ~Li::. - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential V Wood Frame Garaee A.C. - Residen Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 80/0 State Surcharge 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Appliance Vent Backflow Device Building Permit Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Gas Fireplace Gas OuUets 1-4 Heat Pump Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Slorm Sewer Each Addtll 00' Temp Power 200 amps or less Vent Fan . I Valuation Descrintion I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,130.00 2,130.00 880.00 Total Value of Project "pp, Pii.ILI Amount Paid $650.75 $10.00 $163.54 $130.83 $254.00 $31.00 $8.00 $6.00 $14.00 $1,030.40 $40.00 $80.00 $6.00 $9.00 $15.00 $4.00 $12.00 $1,375.62 $150.00 $19.01 $t06.00 $95.00 $514.89 $676.89 $10.00 $865.31 $82.03 $162.93 $62.73 $805.70 $182.69 $14.00 $50.00 $12.00 Date Paid 2/23/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3127/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 Paee 2 of 5 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 11/30/2006 VALUE: $ 242,270.00 Value Date Calculated $8,520.00 $210,870.00 $22,880.00 $242,270.00 03/22/2006 02/23/2006 02/23/2006 Receipt Numher 1200600000000000194 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000t55 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 1l/30/2006 VALUE: $ 242,270.00 . ~U::. -... Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line Willamalane Single Family Curbcut - Additional Driveway + 10% Administrative Fee + 8% State Surcharge Low Voltage - Residential Low Voltage - Residential $t,OOO.OO $40.00 $4.50 $3.60 $20.00 $25.00 3/27/06 4/27/06 5/30/06 5/30/06 5/30/06 5/30/06 Total Amount Paid $8,742.42 I Plan Reviews I Initial Review 02/24/2006 02/24/2006 APP SKG Initial Review 03/07/2006 03/07/2006 APP LLH LDAP Review 03/08/2006 03/08/2006 APP VRJ Plannine Review 02/24/2006 03/23/2006 APP TAJ Public Works Review 02/24/2006 02/24/2006 APP CAS Structural Review 02/24/2006 03/23/2006 APP DLM 3200600000000000155 2200600000000000528 2200600000000000675 2200600000000000675 2200600000000000675 2200600000000000675 Revised plans for engineering. LDAP at the front counter and ready to issue. $600.00 due at issuance. Coverage calculations area based on use of pervious concrete. Use of pervious concrete needs to be approved by PW Engineering. Fence the Vegetation Easement with orange construction fencing. No construction activity is allowed in this area. Fence to the dripline of the 20" DF on the west side property line with orange construction fencing. No construction activity allowed in this area. Follow the tree preservation guidelines in the allached "MtGate Development Plan Restrictions". No hook-up to City infrastructure until Puhlic Improvements accepted by the City; storm drainage piped to stub provided 2/24/2006 CAS See documents for Plan review comments. To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rpnllirpl'l 'n(',npr~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curhcut - Standard: After forms are erected but prior to placement of concrele. Paee 3 of 5 . .CITY OF SPRINGFIELD' Building/Combination Permit . Status Issued PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 11/30/2006 VALUE: $ 242,270.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 t -726-3676 Fax 541-726-3769 Inspection Line Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior 10 Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Curbcut - Overwidth: After 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 foundation inspection. Footing: After lrenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumhing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Paee 4 of5 . . CITY OF ~rtUl~t.J<lI!.LD Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02123/2006 EXPIRES: 11/30/2006 VALUE: $ 242,270.00 Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 701.005 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 lhe street, that the permit card is located at the front of the property, and the approved set of plans will remain on the sile at all times during construction. Owner or Contractors Signature Date Page 5 of5 . ~ WI: <a of Springfield Official Receipt _Iopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1656 COM2005-0 1656 COM2005-0 1656 COM2005-0 1656 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000000676 Date: 05/30/2006 Description Low Voltage - Residential Minimum! Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By ALAN R. WOOSTER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 063417 In Person Payment Total: Page I of I 9:53:09AM Amount Due 25,00 20,00 3.60 4,50 $53.10 Amount Paid $53.10 $53.10 5/30/2006 . 6CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 10/24/2006 VALUE: $ 242,270.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 421 Mountaingate Dr ASSESSOR'S PARCEL NO.: 1702343403700 Springfield TYPE OF WORK: Single Family[Residence! \0 , . '. ~> . :' ':: 0':[":; Ullhty . ',' ,'0\1,...., '.- 1- TYPE OF USE: Ne~', 'rn Ille,; (;: ~esidimtial . ' ., 'I 1'10.,v 1 ." 001 \ ' ~~ ~~, 0 \hlou\f,l QAH Q~",' lJ' .' " , . I v l ,I _ ...~ ,....f tht=' rU\8S Y ,', " .'_'. \\;\ I 'll;Ph~~'~',N~~-b'~r: th54:1~484t~{fo70 II.."" \Ill Cc Ie'''. ~'~~LJtI\ity Nu\l1l.:nlion \\llr,ll:~r lor \\\0.0: CI:l~OO_332.2344). r-"n\pr I!; \- PROJECT DESCRIPTION: Single family residence - Mt Gate lot 26 Owner: ANSLOW & DEGENEAULT INC Address: 1953 GARDEN AVENUE EUGENE OR 97403 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License Expiration Date Phone ANSLOW & DEGENEAULT INC 49169 10/16/2008 503-484-0070 BURGHARDT & ZHUN INC 160508 07/01/2006 54t-434-6491 MARSHALLS INC 25790 12/23/2009 541-747-7445 ABSOLUTE PLUMBING SERVICES INC 67664 07/11/2007 ~~1;J45-3055 BUILDING INFORMATION I '/..,?I\'It Ir W\: ~~61 ~u \ \'- ,.' :'i S\-If>-I.I. t '"IS '?t\'lMI:'i # of Stories: '\\-IIS 1'\:.\',\\:\, \It\,\\)t.I2o1.~ii~i''r\\'\tO rO\'l Height of Slructure, t~ UO\-\lh8:000o 'S!lIF,tJlstIFloor: f.\u \ {l ....r:\\ '"' I.... Type of Heat: O,1-leat'RUinp c~"!I'''t 2nd Floor: C \\j\\~l"" '?l. \'h:!':)' Water Type: '\ \';\l '9"'s q Ft Basement: Range Type: f>-\'\'/ Gas Sq Ft Garage/Carport Energy Path: Path I Sq Ft Olher: Sprinkled Building: < n/a Occupant Load: I R-3 U VN 10,019 2,130 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 880 3 I DEVELOPMENT l"rv",,1ATlON I Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Sethacks: 18.00 8.00 10.20 34.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 31.80 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: DownspoutslDrains: To Storm Sewer Notes: No hook-up to City infrastructure until Public Improvements accepted by the City; storm drainage piped to stub provided 2/2412006 CAS Paee I of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential V Wood Frame Garaee A.C. - Residen Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 8% State Surcharge 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Appliance Vent Backflow Device Building Permit Curhcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets 1-4 Heat Pump Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Adminislration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Sewer Each Addtll 00' Temp Power 200 amps or less Vent Fan . I Valuation Descriotion I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,130.00 2,130.00 880.00 Total Value of Project l<pp< P~ilIJ Amount Paid $650.75 $10.00 $163.54 $130.83 $254.00 $31.00 $8.00 $6.00 $14.00 $1,030.40 $40.00 $80.00 $6.00 $9.00 $15.00 $4.00 $12.00 $1,375.62 $150.00 $19.01 $106.00 $95.00 $514.89 $676.89 $10.00 $865.31 $82.03 $t62.93 $62.73 $805.70 $182.69 $14.00 $50.00 $12.00 Dale Paid 2/23/06 3/27/06 3/2 7/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 Paee 2 of5 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 10/24/2006 VALUE: $ 242,270.00 Value Date Calculated $8,520.00 $2 t 0,870.00 $22,880.00 $242,270.00 03/22/2006 02/23/2006 02/23/2006 Receipt Number 1200600000000000194 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02123/2006 EXPIRES: 10/24/2006 VALUE: $ 242,270.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Willamalane Single Family $1,000.00 3/27/06 Total Amount Paid $8,649.32 I Plan Reviews I Initial Review 02/24/2006 02/24/2006 APP SKG Initial Review 03/0712006 03/0712006 APP LLH LDAP Review 03/08/2006 03/08/2006 APP VRJ Planuine Review 02/24/2006 03/23/2006 APP TAJ Public Works Review 02/24/2006 APP CAS 02/24/2006 Structural Review 02/2412006 APP DLM 03/23/2006 3200600000000000155 Revised plans for engineering. LDAP at the front counter and ready to issue. $600.00 due at issuance. Coverage calculations area based on use of pervious concrete. Use of pervious concrete needs to be approved by PW Engineering. Fence the Vegetation Easement with orange construction fencing. No construction activity is allowed in this area. Fence to the dripline of the 20" DF on the west side property line with orange construction fencing. No construction activity allowed in this area. Follow the tree preservalion guidelines in the attached "MtGate Development Plan Restrictions". No hook-up to City infrastructure until Public Improvements accepled by the City; storm drainage piped to stub provided 2/24/2006 CAS See documents for Plan review comments. To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I I;>pn~tion.1 Erosion/Grading Inspection: Prior to ground disturhance and after erosiou measures are installed. Curhcut - Standard: After forms are erected but prior to placement of concrele. Gas Service: After line is installed and line has been counected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Paee 3 of5 . .CITY OF ~rtOr~'-'t<IJ!..LD Building/Combination Permit Status Issued PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 10/24/2006 VALUE: $ 242,270.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curhcut - Overwidth: After forms are erected hut prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Walllnsulalion: Prior to cover. Ceiling Insulation: Prior to cover. Firewall: Located and constructed according 10 plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to hackfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumhing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumhing: When all plumhing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped ifnot attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Paee 4 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 10/24/2006 VALUE: $ 242,270.00 By signature, I state and agree, thai 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 lhe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of lhe property. and the approved set of plans will remain on lhe sile at all times during c struction. ~ ~/( /~~/./UP /"./' ~r_contr';tors Signature ~7 i Paee 5 of5 (){J,27o(o Date 225 Fifth Street Springfie'ld,Oregon 97477 541-726-3759 Phone . ~ Wit: iiiiM' of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 2200600000000000528 Date: 04/27/2006 8:59:39AM Payments: Type of Payment Paid By CreditCard GORDON ANSLOW Item Tntal: Check Number Authorization Received By Batch Number Number How Received rbk 013252 013252 In Person Payment Total: Amount Due 40.00 40.00 $80.00 Job/Jonrnal Number COM2006-00496 COM2006-00214 Description Curbcut - Additional Driveway Curbcut - Additional Driveway Amount Paid $80,00 $80.00 cReeeintl Page I of I 4/2712006 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line -. SITE ADDRESS: 421 Mountaingate Dr ASSESSOR'S PARCEL NO.: 1702343403700 . CITY OF SPRINGt<l.t.LU Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 09/27/2006 VALUE: $ 242,270.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence - Mt Gate lot 26 - Owner: ANSLOW & DEGENEAUL T INC Address: 1953 GARDEN AVENUE EUGENE OR 97403 ~ Contractor Type General Electrical Mechanical Plumbing TYPE OF USE: New I CONTRACTOR INFORMATION I Contractor ANSLOW & DEGENEAULT INC BURGHARDT & ZHUN INC MARSHALLS INC ABSOLUTE PLUMBING SERVICES INC # of Un Us: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type , Secondary Construction Type: # of Bedrooms: > Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I R-3 U VN 3 License 49169 160508 25790 67664 BUILDING INFORMA nON I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I 28.00 Heat Pump Gas Gas Path I n1a I DEVELOPMENT INFORMATION I 18.00 8.00 10.20 34.00 0.00 Overlay Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential Phone Number: 541-484-0070 Expiration Date 10/16/2008 07101/2006 12/23/2009 07/11/2007 Phone 503-484-0070 541-434-6491 541-747-7445 541-345-3055 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 10,019 2,130 880 REQUIRED PARKING Hillside 3 Yes 31.80 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Street Improvements: Fully Improved SiJlewiill<!l1fp'e: Oregon law requires you to . !"II"", n ,I,," ~rlnnted by tr." Q'"nnr. I llllil" Storm Sewer Available: Yes DO"'l)sp~utslDraIDs: To Storm SeWer Y Speciallnstr\l~tloA:CE' Notification Center. Those rules are set lortl " I'IIU II . C;H LL EXPIRE IF THE WORK in OA~ ?52-001-001 0 through OAR 952-00,1 Notes: No r;li\l~-f.f.~~ikif.l'&~W'~fflrr'F't..'11l!\fP~!lG\JOiProvements accepted 6'f)fhe (!ltY;rsto'rriirdililhiige'1pliie'il~ itilstiili1es b\ pro~\jJd1iJ%lik'o\l6'<!:}\ - ONED FOR calling the center, (Note: the telephone . COMMENCED OR S ABAND number for the Oregon Utility Notification . ANY 180 DAY PERIOD. Center is 1-800-332-2344). Paee I of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax " 541-726-3769 Inspection Line '. , Description Tvpe of Construction AC - Residential V Wood Frame Garaee A.C. - Residen Dwelllnes Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge ~ 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Appliance Vent Backflow Device Building Permit Curbcut - Additionat Driveway Curbcut Permit Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets 1-4 Heat Pump Mountalngate Impervious Area Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 ~ Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Sewer Each AddtllOO' Temp Power 200 amps or less Vent Fan . I Valuation Oescriotion I $ Per Sq Ft or mnltiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,130.00 2,130.00 880.00 Total Value of Project l<Pp< PiilLI Amonnt Paid $650.75 $10.00 $163.54 $130.83 $254.00 $31.00 $8.00 $6.00 $14.00 $1,030.40 $40.00 $80.00 $6.00 $9.00 $15.00 $4.00 $12.00 $1,375.62 $150.00 $19.01 $106.00 $95.00 $514.89 $676.89 $10.00 $865.31 $82.03 $162.93 $62.73 $805.70 $182.69 $14.00 $50.00 $12.00 Date Paid 2/23/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27106 3/27106 3/27/06 3127/06 3/27/06 3/27/06 3127/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3/27/06 3127/06 3/27/06 3/27/06 3/27/06 3/27106 3/27/06 3/27/06 3/27106 3/27/06 3/27/06 Paee 2 of5 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 09/27/2006 VALUE: $ 242,270.00 Value Date Calculated $8,520.00 $210,870.00 $22,880.00 $242,270.00 0312212006 02/2312006 02/2312006 Receipt Number 1200600000000000194 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 3200600000000000155 Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 09/27/2006 VALUE: $ 242,270.00 . .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Wlllamalane Slngte Family $1,000.00 3127/06 Total Amount Paid $8,649.32 I Plan Reviews I Initial Review 02/24/2006 02/24/2006 APP SKG Initial Review 03/07/2006 03/0712006 APP LLH LDAP Review 03/08/2006 03/08/2006 APP VRJ "' Plannlnl! Review 02/24/2006 03123/2006 APP TAJ Public Works Review 02/24/2006 02124/2006 APP CAS '" Structural Review 02/24/2006 03/23/2006 APP DLM . I I CITY OF SPRINGN~L1J . 3200600000000000155 Revised ptans for engineering. LDAP at the front counter and ready to Issue. 5600.00 due at issuance. Coverage calcutations area based on use of pervious concrete. Use of pervious concrete needs to be approved by PW Engineering. . Fence the Vegetation Easement with orange construction fencing. No construction activity Is allowed In this area. Fence to the drlpline of the 20" DF on the west side property line with orange constrnctlon fencing. No constrnctlon activity allowed In this area. Follow the tree preservation guidelines in the attached "MtGate Development Plan Restrictions". No hook-up to City Infrastructure until Public Improvements accepted by the City; storm drainage piped to stub provided 2/24/2006 CAS See documents for ptan review comments. To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~Irlln~,nectinns I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curhcut - Overwldth: After 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 foundation Inspection. Footing: After trenches are excavated. ~ Paee30f5 . . CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2006-00214 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 09/27/2006 VALUE: $ 242,270.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Walllnsutation: Prior to cover. Ceiling Insulation: Prior to cover. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to ptacement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building Is complete. Perimeter Foundation Drains: After gravet and filter cloth is installed but prior to backfIll. Underfioor Plumblug: Prior to Insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and Including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all ptumbing work Is comptete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped If not attached to an appliance. Rough Gas: After line Is installed and required testing and capped if not attached to an appliance. Gas Service: After line is Installed and line has been connected to a minimum of one appliance Including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Etectric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to ntillty company energizing service. Final Electric: When all electrical work Is complete. Paee40f5 . . CITY OF :srKlf"ltinELD Status Issued Building/Combination Permit PERMIT NO: COM2006-002I4 ISSUED: 03/27/2006 APPLIED: 02/23/2006 EXPIRES: 09/27/2006 VALUE: $ 242,270.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wlll 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 tocated at the front of the property, and the approved set of plans will remain on the site at all " time~on. Owne(or Contractors Signature .:1/2- 7 /06 Dati " Pal!e 5 of5 CITY OF _INGFIELD SYSTEMS DEVELOPMEAORKSHEET JOURNAL OR JOB NUMBER: COM2006-00214 NAME OR COMPANY: Anslow & DeGeneault LOCATION: 421 MountainGate Dr TAX LOT NUMBER: 1702343403700 DEVELOPMENT TYPE: SINGLE I' AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 3257 LOT SIZE (SF): I. STORM I)RAINAGE 10008 = I I~ 10 10 I~ ,~ 16 ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x I COST PER S.F, CHARGE I I 4258,90 I $0,323 I = I $1,375.62 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I I $0.323 I I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC I $1,375.62 ~ 2. SANITARY SEWER - nTY DISCOUNT $0.00 $1,375.62 I 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x 27 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 27 I COST PER DFU $25.07 $676.89 11091 I $19.07 $514.89 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1.191.78 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR I I 9.57 I I I $19.09 I 1.00 8. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER 101' UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I $84.19 I 1.00 I ITEM 3 TOTAL-TRANSPORTATION SDC = I $988.39 $182.69 1093 $805.70 ' 1094 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I 8. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $82.03 ICOST PER FEU I $865.3\ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1.2,3, & 4) ~ , ~. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE 1= $4.513.13 I 5% , TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 2/2412006 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FlXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE " NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 6 iDRINKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 2 0 2 = 4 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER ST AnON / ETC, 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 3 0 1 = 3 I URINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 .EDU (EQuivalent Dwellinl!. Unit) is_a dischar~e eouivalent to a sim.!!e family dwellin~ unit (20 DFU's) set at 167 ~Ions per day . . MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 199" 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2,73 $2.25 $1.80 $1,59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 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 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 ~ , / CREDIT FOR IMPROVEMENT (IF AFTER/ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 SO.OO o TOTAL MWMC CREDIT = $0.00