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Home My WebLink AboutPermit Building 2005-12-15 ~ o 'iFIEL:D 0 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us December 15, 2005 Jeremy Madison PO Box 7582 Eugene, Oregon 97401 Enclosed is a copy of the revised permits to construct a single family residence at 741 South 47th Street, Springfield, Oregon. When you or your contractor obtained the permit, we neglected to properly validate the temporary electrical permit. We have also corrected your mailing address on the permit as indicated on the written application you submitted to the PO Box in Eugene. Thank you, and if you have any questions, please feel free to phone meat 726-3790. Lisa Hopper Building Safety Supervisor encl CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 741 S 47th St ASSESSOR'S PARCEL NO.: 1802051211800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Rocky Road subd lot 7 Owner: MADISON HOME BUILDERS Address: PO BOX 7582 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor JEROMY DON MADISON BILLS ELECTRIC PACIFIC AIR COMFORT INC License 107359 21351 39237 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: 2 Height of Structure 33.00 Type of Heat: orced Air Electric Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a VN 3 I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 5.00 105.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 40.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Residential Phone Number: 541-579-7213 Expiration Date 07/05/2006 04/28/2006 03/25/2006 Phone 541-741-3003 541-501-5650 541-672-9510 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,142 874 520 Hillside 5 Yes 8.20 REQUIRED PARKING Total: 2 Handicapped: Compact: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: stM6hT<f@@~ge piped to stuc provided 10/28/2005 CAS I~t~E~11~ ~~~~~E~!El~~:rZ~: ANY 180 DAY PERIOD. ATTENTION:Oregon taw requires you to fO~I?W ~ules adopted by the Oregon Utility NotIfication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules b calling the center. (Note: the telephone . number for the Oregon Utility Notification Center is 1-800-332-2344). Pa!!:e 1 of 5 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ A.C. - Residen Dwelline:s Gara2e Type .of Construction AC - Residential V Wood Frame Garae:e $ Per Sq Ft or multiplier $4.00 $96.00 $25.00 Square Footage or Bid Amount 2,016.00 2,016.00 520.00 Value Date Calculated Description Total Value of Project $8,064.00 $193,536.00 $13,000.00 $214,600.00 10/26/2005 10/26/2005 10/26/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $610.61 10/26/05 1200500000000001617 -Mechanical Issuance Fee- $10.00 12/13/05 1200500000000001803 + 10% Administrative Fee $138.04 12/13/05 1200500000000001803 + 7% State Surcharge $96.63 12/13/05 1200500000000001803 3 Baths One & Two Family $306.00 12/13/05 1200500000000001803 Addressing Assignment $31.00 12113/05 1200500000000001803 Appliance Not Listed $9.00 12/13/05 1200500000000001803 Building Permit $939.40 12/13/05 1200500000000001803 Curbcut Permit $80.00 12/13/05 1200500000000001803 Dryer Vent $6.00 12/13/05 1200500000000001803 Exhaust Hoods $9.00 12/13/05 1200500000000001803 Furnace - up to 100,000 btu $12.00 12/13/05 1200500000000001803 Gas Fireplace $15.00 12/13/05 1200500000000001803 Gas Outlets 1-4 $4.00 12/13/05 1200500000000001803 Heat Pump $12.00 12/13/05 1200500000000001803 Plan Review Major - Planning $150.00 12/13/05 1200500000000001803 PW Disc - 2nd Permit (Street) $-30.00 12/13/05 1200500000000001803 Sanitary Sewer - Improvement $514.89 12/13/05 1200500000000001803 Sanitary Sewer - Reimbursement $676.89 12/13/05 1200500000000001803 SDC MWMC Administration $10.00 12113/05 1200500000000001803 SDC MWMC Improvement $865.31 12/13/05 1200500000000001803 SDC MWMC Reimbursement $82.03 12/13/05 1200500000000001803 SDC Sanitary/Storm Admin $123.11 12/13/05 1200500000000001803 SDC Transpo Admin $66.15 12/13/05 1200500000000001803 SDC Transpo Improvement $805.70 12/13/05 1200500000000001803 SDC Transpo Reimbursement $182.69 12113/05 1200500000000001803 Sidewalk Permit $80.00 12/13/05 1200500000000001803 Storm Drainage Impervious Area $647.62 12/13/05 1200500000000001803 Temp Power 200 amps or less $50.00 12/13/05 1200500000000001803 Vent Fan $18.00 12113/05 1200500000000001803 Willamalane Single Family $1,000.00 12/13/05 1200500000000001803 Total Amount Paid $7,521.07 Pae:e 2 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review LDAP Review 10/27/2005 10/2612005 LDAP Review 11/21/2005 LDAP Review 11/2912005 LDAP Review 12/09/2005 PlanniU!~ Review 12/0812005 I Plan Reviews I 10/2712005 APP 10/26/2005 10 10 1112912005 10 12/0912005 APP 12/08/2005 APP Pa!!:e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 LLH VRJ Spoke with Jeromy Madison, the general contractor and owner regarding LDAP. Full review required. $600.00 due at issuance. Mr. Madision plans to submit LDAP plans shortly, 10/26/05. Applicant submitted full review LDAP 11/15/05 and application is under review. Applicant revised LDAP plan set. See attached document for memo regarding retaining wall. lh LDAP is at the front counter and ready to issue. LDAP to be issued concurrently with Building Permit. Applicant has been notified that LDAP is ready and $600.00 is due at issuance. Revised site plan received 12/08/05. Place construction fencing around the construction area and trees to be preserved. See site plan for locations. VRJ VRJ TAJ Site plan indicates that 3 or 4 trees are proposed to be removed. A Tree Felling permit is required If more than 5 are removed. Choose street trees from the attached list for street trees to be used for the Hillside Development Zone (Exhibit B) attached to the street tree handout. 5 street trees are required. Existing native trees may be used if within 20' of the ROW. Contact Mike Risely of PW Maintenance if choose this option. Solar setback is based on the hillside adjustment and the perfornmance option: proposed building will shade no more than 20% of the south facing building wall of existing building to the north. Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine: Review 10127/2005 WI Need revised site plan showing the building envelope and trees that are being felled and trees that are being preserved. I spoke to the contractor, Jeremy, today. He said he will get that in a few days. Storm drainage piped to stub provided 10/28/2005 CAS Public Works Review 10/27/2005 10/28/2005 APP CAS Structural Review 10/27/2005 11/15/2005 APP TCM 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. lJeouireCUnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Final Gas: When all gas work is complete. 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. Curbcut - Standard: 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. 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. Drywall: Prior to taping. 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. Pa!!:e 4 of 5 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 225 Fifth Street, Springfield" OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 plumbing 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 if not attached to an appliance. Rough Gas: After line is installed and required testing and ~apped 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 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 the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa!!:e 5 of 5 '.~ +-~~~"'N9;~!l't!j:l:l': ~ :< J ) ., , 'J,' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ l CITY OF SPRINGFIELD' Building/Combination Permit PERMITNO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 " SITE ADDRESS: 741 S 47th St ASSESSOR'S PARCEL NO.: 1802051211800 Springfield TYPE OF Single Family Residence TYPE OF USE: New , PROJECT DESCRIPTION: Single family residence - Rocky Road subd lot 7 :l ,.~ NOnCE: , ; ~ I HI~ t'tnlVIII ~rlMLL r}~~mE lr Tilt: \\'on,~ ~, Owner: MADISON HOME BUll..DERS ' cil1 AUTHORIZED UNDER THlg~eR~~r~~NOt41-579-?213 ,~, Address: 1788 CARRIAGE PL j3~~~ NED FOR 0 ~r SPRINGFIELD OR 97477 . COMMENCED OR IS ABANDO \ \ qj)t 1pO n~ PERlnn ~ nl ,~ D~ - . I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Residential Contractor JEROMY DON MADISON BILLS ELECTRIC PACIFIC AIR COMFORT INC Phone 541-741-3003 541-501-5650 541-672-9510 ., # of Units: Primary Occupancy Group: , Secondary Occupancy ~' P'rimary Construction Type ~ Secondary Construction .; # of Bedrooms: ~~ . ,\(." ;j Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: , " Solar Setbacks: 10.00 5.00 105.00 40.00 Street License 107359 21351 39237 Expiration Date 07/05/2006 04/28/2006 03/25/2006 I BUILDING INFORMATIONI 1 R-3 # of Stories: 2 Lot Size: Height of 33.00 Sq Ft 1st Floor: 1,142 Type of Heat: 'orced Air Electric Sq Ft 2nd Floor: 874 Water Type: '(17178<:-<:88-Q,09-<r~ JalU~~Ft Basement: Rang~~n~~illlON A11l'ln uBl5~W~caLJl J~~jQ0tfl9ge/Carport 520 Ene.rgYat~~6alal aLJl':alONfa}lMa::> &~ gLfiW!Fr: SprI~~I~~lnJ aLU lO saldo::> u~~'qo AeL6>HrJ1'~JCJIcoad: I DEVELOPMENT~INF(i)~TroNj.OO- ~OO-<:S6 l:I'tJO U! '1+Nt tW ~.~ WI'" ,~ 'J81U88 uOile::>!J}lli'QUIRED PARKING Al1llln U058JO 84l Aq p8ldope S81nJ MOllol . , Overl~ RtM:S8Jlnb8J MBI uoEYj~~~~OllN:311~tal: 2 # Street Trees ' 0 5 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 8.20 VN 3 IPUBLIC IMPROVEMENTS' Sidewalk Type: Downspouts/Drains FullV Improved Yes Storm Sewer Available: ,;' Special Instruction: " , .. Curbside 5' , Curb and Gutter ' ~ Notes: Storm drainage piped to stuc provided 10/28/2005 CAS lil: ~~ r 1 of 5 ._.:;ie~J;~~!!I~~Dj '; ~~_ ";)" .,. , ',' ;' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 ;;. - Status: Issued . , 225 Fifth Street, Springfield, OR : 541-726-3753 Phone :: 541-726-3676 Fax ,~ 541-726-3769 Inspection Line ,lr". ".. ,>- ) I Valuation Description I A.C. - Residen Dwelline:s Garae:e Type of Construction AC - Residential V Wood Frame Garae:e $ Per Sq Ft or multiplier $4.00 $96.00 $25.00 Square Footage or Bid Amount 2,016.00 2,016.00 520.00 Value Date Calculated Description il -' Total Value of Project $8,064.00 $193,536.00 $13,000.00 $214,600.00 10/26/2005 10/26/2005 10/26/2005 L Fees paidJ . ~., Amount Paid Date Paid Receipt Number , Fee Description '" Plan Review Residential $610.61 1 0126/05 1200500000000001617 1 -Mechanical Issuance Fee- $10.00 12/13/05 1200500000000001803 :;~ + 10% Administrative Fee $138.04 12/13/05 1200500000000001803 + 7% State Surcharge $96.63 12/13/05 1200500000000001803 3 Baths One & Two Family $306.00 12/13/05 1200500000000001803 Addressing Assignment $31.00 12/13/05 1200500000000001803 Appliance Not Listed $9.00 12/13/05 1200500000000001803 Building Permit $939.40 12/13/05 1200500000000001803 Curbcut Permit $80.00 12/13/05 1200500000000001803 Dryer Vent $6.00 12/13/05 1200500000000001803 Exhaust Hoods $9.00 12/13/05 1200500000000001803 Furnace - up to 100,000 btu $12.00 12/13/05 1200500000000001803 Gas Fireplace $15.00 12113/05 1200500000000001803 Gas Outlets 1-4 $4.00 12/13/05 1200500000000001803 Heat Pump $12.00 12/13/05 1200500000000001803 Plan Review Major - Planning $150.00 12/13/05 1200500000000001803 PW Disc - 2nd Permit (Street) $-30.00 12/13/05 1200500000000001803 Sanitary Sewer - Improvement $514.89 12/13/05 1200500000000001803 Sanitary Sewer - Reimbursement $676.89 12/13/05 1200500000000001803 \. SDC MWMC Administration $10.00 12/13/05 1200500000000001803 :'t SDC MWMC Improvement $865.31 12/13/05 1200500000000001803 SDC MWMC Reimbursement $82.03 12113/05 1200500000000001803 SDC Sanitary/Storm Admin $123.11 12/13/05 1200500000000001803 SDC Transpo Admin $66.15 12/13/05 1200500000000001803 SDC Transpo Improvement $805.70 12/13/05 1200500000000001803 SDC Transpo Reimbursement $182.69 12/13/05 1200500000000001803 Sidewalk Permit $80.00 12/13/05 1200500000000001803 Storm Drainage Impervious Area $647.62 12/13/05 1200500000000001803 , Temp Power 200 amps or less $50.00 12/13/05 1200500000000001803 I Vent Fan $18.00 12113/05 1200500000000001803 , Willamalane Single Family $1,000.00 12/13/05 1200500000000001803 Total Amount $7,521.07 2 of 5 ~;..: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review LDAP Review 10/27/2005 10/26/2005 ''l. LDAP Review 11/21/2005 LDAP Review 11/29/2005 LDAP Review 12109/2005 Plannine: Review 12/08/2005 . ~,~ it I Plan Reviews I 10/27/2005 APP 10/26/2005 10 10 11/29/2005 10 12/09/2005 APP 12/08/2005 APP 3 of 5 CITYOFSPRINGJ11ELD' Building/Combination Permit PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 LLH VRJ Spoke with Jeromy Madison, the general contractor and owner regarding LDAP. Full review required. $600.00 due at issuance. Mr. Madision plans to submit LDAF plans shortly, 10/26/05. Applicant submitted full review LDAP 11/15/05 and application is under review. Applicant revised LDAP plan set. See attached document for memo regarding retaining wall. Ih LDAP is at the front counter and ready to issue. LDAP to be issued concurrently with Building Permit. Applicant has been notified that LDAP is ready and $600.00 is due at issuance. Revised site plan received 12/08/05. Place construction fencing around the construction area and trees to be preserved. See site plan for locations. VRJ VRJ TAJ Site plan indicates that 3 or 4 trees are proposed to be removed. A Tree Felling permit is required If more than 5 are removed. Choose street trees from the attached list for street trees to be used for the Hillside Development Zone (Exhibit B) attached to the street tree handout. 5 street trees are required. Existing native trees may be used if within 20' of the ROW. Contact Mike Risely of PW Maintenance if choose this option. Solar setback is based on the hillside adjustment and the perfornmance option: proposed building will shade no more than 20% of the south facing building wall of existing building to the north. Status: Issued CITY OF SPRINGFIELD' BuildinglCoombination Permit PERMIT NO: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line jJ." : Plan nine: Review 10/27/2005 WI Need revised site plan showing the building envelope and trees that are being felled and trees that are being preserved. I spoke to the contractor, Jeremy, today. He said he will get that in a few days. Storm drainage piped to stub provided 10/28/2005 CAS Public Works Review 10/27/2005 10/28/2005 APP CAS Structural Review 10/27/2005 11/1512005 APP "TCM 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Final Gas: When all gas work is complete. 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. Curbcut - Standard: 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. 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. Drywall: Prior to taping. 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. 4 of 5 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: COM2005-01519 ISSUED: 12/13/2005 APPLIED: 10/26/2005 EXPIRES: 06/13/2006 VALUE: $ 214,600.00 ~.. * 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 plumbing 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 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 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 OCCUP ANCY 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 l' 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 ., ar~1l times during con~~i~n. _ _ / "', .".-\)j~ vTJ1.d~ (9:/ner or Co~ors Signature J?/f.~/(rE5 D'ate --/ ,t 5 of 5 r ~ . CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN..;t~ORKSHEET JOURNAL OR JOB NUMBER: COM2005-01519 NAME OR COMPANY: 0 Jeromy Madison LOCATION: 741 S 47th St TAX LOT NUMBER: 1802051211800 , DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 2016 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 2005.00 $0.323 = I $647.62 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. Ix I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I. I $0.323 I, I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$647.62 I 24179 r:/) ~ (:l o u I~ ,f-< r:/) ..... o 6a DISCOUNT $0.00 $647.62 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 27 B. IMPROVEMENT COST: NUMBER OF DFU's ' x 27 COST PER DFU o $25.07 $676.89 1091 0$19.07 $514.89 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,191. 78 , I 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x 9.57 , I NUMBER OF UNITS x I I 1 I COST PER TRIP $19.09 x NEW TRIP FACTOR 1.00 $182.69 1093 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP 9.57 1 'I $84.19 ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39 4. SANITARY SEWER - MWMG A. REIMBURSEMENT COST: ' INUMBER OF FEU's I x I 1 I X INEW TRIP FACTOR I ' 1.00 $805.70 1094 ICOST PER FEU I $82.03 = $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I 1 x . COST PER FEU $865.3.1 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA TNE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , = $865.31 1055 $0.00 1054 $10.00 1056 $957.34 I $3,785.13 I CHARGE $189.26 0 123.11 1079 $66.15 1078 ., , TOTAL SDC CHARGES =, $3,974.39 :So ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE I $3,785.13 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 10/28/2005 PREPARED BY DATE ~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNT AJN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH 1 ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER 1 MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG 1 WATER STATION / ETC. 0 0 1 = 0 !RECEPTOR FOR COM. SINK 1 DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL 1 WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 1 1000 CREDIT RATE $0.00 x $5.29 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 1 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT r 225 FIFTH STREET . SPRINGFIELD, 0, R97477. P8,(541)726-3753 . FAX, (541)726-3689 ::.:f?,~,,~~~'\C;?r~ ~~~O:::~Pfi5\t!:\ttCATION D.te 19t:f3ro??r~ )U\ I. ':iOGA1101l0FlNSi'!1iLA1/0Ri-;.ti'loj 3. ~-eOMPiETEFiE-SCH~~VufE~B~"~'" ~\-~ -~-'i' t "~f\"=' ="..-."' ~" __ld ,~,----=-~- _____,M' ',v =r- ---' --- '=~-'- 4. \ tn..clh 411+h .f:j;- ='-a' . ,-;-__ ---:~'~=1')Qf~-", ,.____~_., _" 0,_" "_ 0__ '_~_' LEGAL DESCRIPTION A. !iNe""Residenti~I+Sillgle'~r~ll1lthf~niilyperdweIHngullit.,., ' \ ~01.1J5\'2. \ \'?Ij) s:;:~:-~:c~':ded ' '" ,0 =, .. ,\:='~ "~_"".""'='d~oo,~ J B DESCRIPTION Pe,m;lwen J':~~:~nd~~:L;s not started within 180 days of issuance or if work is Suspended for 180 days. :".'.-"-c",.,.",."....'....,.,..'.,.,.."?C""!...,..".',,.,..,"'"."T7,..P".., ...'...,.......\....,"....'.....,....~c;'Yj,.,'.'..,-.'...71...... 2'CONTRACTORINSTALI.ATIONj'P'ft1I"X'., -';~,_'2,.:c_" ;,......i......~..~;.;... .....;.L.... .,"-,' "-',. _..... .".....,,-v, """,<.,. ...... -< -, '-- <". . ':"<iL_:;;:':;d~L..;;.J.'" '::.,:" Ele trical Contractor / City 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation \ ~ ~ _'::\ 200 Amps or less $ 50.00 -=::I ')~ 20 I Amps to 400 Amps $ 69.00 \ 401 Amps to 600 Amps $100.00 Expiration D e ~~TTl=N~'ON:or~~~~illIf@!>.ed{el~ ~~e":'~~~~~~ve. ,_ _, of Supervising Electrician . ?W ~U e6 adqlp,tsiJJab'dJheiQl'dm3on Utifitl/ i otI1~a~~~_g;;toe1~t.~-fi~~~~!ij-;;rif~t~~r ~;:e~o --..--- - Ul U I muoh uAR 952-001 ()()Q() v,:,'..' 'llay ob{),~e Ircult' f $ 43.00 ~"i th t 'E'~~ <A'Ydlffb'n2i ~~@Ur~~im) '\. if J..~en ~eJJ';f:gf&:}fMJ~one $ 3.00 Owners N~ r \ .erot\\\,1 I ~t Ilfl)lh~. Or~go'l Uti./ity NotificatiOr:l, . ._ -,0 _, _ " Address tiJ ~ ~ '2- 0 Center 1~1 ~~~~aneb~~tr~~~e!f~~d~_r,_llot ill~lu~~~) -Eacl~ Installation ': City t iX\ ene Phone Dtl - L L-\3 OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~ :!J .$Q 5D~ 'S~~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 1-030doc i2;~5 Fifth Stre'et"". ~'~I)fingfield, Oregon '97477 S~.t -726-3759 Phone '( ~,P.~IN, J,)<,~-ii--','-,',',- " ;0.'"',, war. 1 I ~. ~~, >'_"" ~ ~o.",!I' ..............""""'-:--M,..'-O-:'.". ,.-. 'ity of Springfield Official Receipt .aJevelopment Services Department Public Works Department Job/Journal Number COM2005-0 1519 COM2005-01519 COM2005-0l519 COM2005-0l5l9 lCOM2005-0l5l9 !o, 0 'CbM2005-0l519 CbM2005-0l5l9 COM2005-0l5l9 COM2005-0 1519 'C~M2005-0l5l9 o 'C1DM2005-0l519 'dbM2005-0 1519 ,\ c:1?M2005-0l519 , C;pM2005-0l5l9 COM2005-01519 COM2005-0l5l9 COM2005-01519 COM2005-0l519 COM2005-0l5l9 COM2005-0l5l9 COM2005-0l5l9 ld.OM2005-01519 '~.bM2005-0l5l9 COM2005-0 1519 COM2005-0l5l9 ,COM2005-0l5l9 :CI9M2005-0 1519 , :f." ~CbM2005-01519 I, GOM2005-0l519 II d~M2005-0l5l9 r:9P2005-00222 , Payments: Type of Payment Check !\ :i '1 t : ~,. r ~\ " il i\ 1~ \j' :,7 12/13/2005 RECEIPT #: 1200500000000001803 Date: 12/13/2005 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Sidewalk Pennit Curbcut Pennit PW Disc - 2nd Pennit (Street) Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transpo Admin Building Pennit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump Appliance Not Listed -Mechanical Issuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee LDAP Short Fonn Impacted New Paid By Received By MADISON HOME BUILDERS ddk I of I Item Total: Check Number Authorization Batch Number Number How Received 7038 In Person Payment Total: 9:06:55AM Amount Due 31.00 1,000.00 50.00 80.00 80.00 (30.00) 647.62 676.89 514.89 182.69 805.70 82.03 865.31 10.00 123.11 66.15 939.40 306.00 12.00 18.00 9.00 6.00 4.00 15.00 12.00 9.00 10.00 150.00 96.63 138.04 600.00 $7,510.46 Amount Paid $7,510.46 $7,510.46