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Home My WebLink AboutPermit Building 2004-7-6 Building/Combination Permit PERMIT NO: COM2004-00652 ISSUED: 07/06/2004 APPLIED: 06/03/2004 EXPIRES: 01106/2005 VALUE: $ 230,194.00 \ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 835 Willacade Ct, ASSESSOR'S PARCEL NO.: 1703341408200 \ CITY OF SPRINGFIELD. L Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Single Family Residence, Willacade Heights lot 9 - SFR Owner: Address: 20~tRI~~~8~E~~~~'~~~~: ' ATtENl tun., "'" h\I the OregO ...... fol\OYIfU'W ~~ - -"1 ,"'es are l:t~l fl... 3'. ~neen~\il~A"ION I OAR 952-001 CO \es 0 t e rUIOi:l ""~ Co=r'ltiU I1\IY obt81nlNO~~ the te'epho~ft,lcense O~nQ the centef. ,\ti\itv NotiiicatiOR __hAftOT~--~~-~- - 1lUI'---eent, ~}f(jKMA TION I Contractor Type General # of Units: ' Primary Occupancy Group: Secondary Occupancy Gro,up: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN # of Stories: 2 Height of Structure - 42.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a 4 I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 5.00 15.00 '37.00 68.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd:' % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: New Residential Phone Number: 541-747-4447 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,099 1,254 522 REQUIRED PARKING Hillside o Yes 23.00 Total: Handicapped: Compact: 2 Partially Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer NOTICE: _ . ~VD\Dt: IC T~.n: WRK . iH\~ "t'""".' ,!J\1'nLl C7'n' . ,- MIl '5 NOT Valuation D II UNDER THIS PER CO~ME 0 OR'S ABANDONED FOR $ Per Sq Ft AN <JMiIlIierfl<<'tptR'OD. Value Date Calculated or multiplier r'"m ~'mount . Notes: Description . Type of Construction Pa!!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellin!!s Gara!!e V Wood Frame Gara!!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut Permit Dryer Vent Encroachment Permit Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning PW Mult Disc - 2nd Permit 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 Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WiIIamalane Single Family Total Amount Paid Initial Review 06/04/2004 $92.40 $24.30 Total Value of Project ~ Amount Paid $644.41 $10.00 $141.74 $99.22 $306.00 $31.00 $-140.29 $6.00 $991.40 $75.00 $6.00 $120.00 $9.00 $12.00 $15.00 $4.00 $71.00 $-30.00 $499.09 $656.56 $10.00 $214.23 $314.63 $118.95 $50.56 $727.42 $164.89 $75.00 $943.66 $50.00 $18.00 $1,000.00 $7,214.47 I Plan Reviews , 06/04/2004 Date Paid 6/3/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 APP LLH Pa!!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00652 ISSUED: 07/06/2004 APPLIED: 06/03/2004 EXPIRES: 01106/2005 VALUE: $ 230,194.00 2,354.00 522.00 $217,509.60 $12,684.60 $230,194.20 06/03/2004 06/03/2004 Receipt Number 1200400000000000842 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 ,_.sWtL..,e91~~~'~' -- -0 "'s;,.._ - "~-" . CITY OF SYKINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00652 ISSUED: 07/06/2004 APPLIED: 06/03/2004 EXPIRES: 01106/2005 VALUE: $ 230,194.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planninl! Review 06/04/2004 06/18/2004 APP EMM Height is 30' tall using definition 2 method for greater than 10' difference in grade from front of home to rear. Public Works Review 06/04/2004 06/08/2004 APP MS 6/812004 - As per telephone conversation on 6/8/2004, the applicant intends to tie into both the storm and sanitary sewer systems within the utility easement located on the subject property. An encroachment permit fee has been added, and a blank form included with the building permit. -MAS Structural Review 06/0412004 06/02/2004 APP DLM 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. ~eouiredJn~nections , Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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 ~ough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Pa!!e 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00652 ISSUED: 07/06/2004 APPLIED: 06/03/2004 EXPIRES: 01/06/2005 VALUE: $ 230,194.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Special: See Plan Review and/or Inspector notes. Temporary Electric: Approval required prior to Utility Company energizing pole. Temporary Electric: Approval required prior to Utility Company energizing pole. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of 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 timcs;z:~~ ~.~ o~r Contractors Signature 7-0-0 tf' / Date Pa!!e 4 of 4 225.Fifth t)treet Springfield, Oregon 97477 541-726-3759 Phone ~=.~ City of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 1200400000000001041 Date: 07/06/2004 1:56:43PM Job/Journal Number Description Amount Due COM2004-00652 Sidewalk Permit 75.00 COM2004-00652 Curb cut Permit 75.00 COM2004-00652 PW Mult Disc - 2nd Permit (30.00) COM2004-00652 Storm Drainage Impervious Area 943.66 COM2004-00652 Sanitary Sewer - Reimbursement 656.56 COM2004-00652 Sanitary Sewer - Improvement 499.09 COM2004-00652 SDC Transpo Reimbursement 164.89 COM2004-00652 SDC Transpo Improvement 727.42 COM2004-00652 SDC MWMC Reimbursement 314.63 COM2004-00652 SDC MWMC Improvement 214.23 COM2004-00652 SDC MWMC Administration 10.00 COM2004-00652 SDC Sanitary/Storm Admin 118.95 COM2004-00652 SDC Transpo Admin 50.56 COM2004-00652 Annexed 1979 or Before (140.29) COM2004-00652 Encroachment Permit 120.00 COM2004-00652 Plan Review - Planning 71.00 COM2004-00652 Addressing Assignment 31.00 COM2004-00652 Willamalane Single Family 1,000.00 COM2004-00652 Temp Power 200 amps or less 50.00 COM2004-00652 Building Permit 991.40 COM2004-00652 3 Baths One & Two Family 306.00 COM2004-00652 Furnace - up to 100,000 btu 12.00 COM2004-00652 Vent Fan 18.00 COM2004-00652 Appliance Vent 6.00 COM2004-00652 Exhaust Hoods 9.00 COM2004-00652 Dryer Vent 6.00 COM2004-00652 Gas Outlets 1-4 4.00 COM2004-00652 Gas Fireplace 15.00 COM2004-00652 ~Mechanical Issuance Fee- 10.00 COM2004-00652 + 7% State Surcharge 99.22 COM2004-00652 + 10% Administrative Fee 141.74 Item Total: $6,570.06 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard JOHN BAUMANN djb 000430 006971 In Person $6,570.06 Payment Total: $6,570.06 7/6/2004 Page 1 of 1 , * ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(54I)726-3753 . FAX, (541)726-3689<,-":~ ELECTRICAL PERMIT APPLICATION 'i1'i1~'Q:~0 'i1~ \.)t City Job Number ~4 .CXJ..r2~ate 6\0C.'~,~0~ ~~ 'i1~ 1. ~'b~ \ LEGAL DESCRIPTION \t~~,+ oW'Jno JOB DESCRIPTION p,,~~-t,~ '~?:i~~~iS not started within 180 days of issuance or if work is Suspended for 180 days. 2. / City Expiration Date re of Supervising Electrician \ ~ Owners Name ~D\\n ~~ Add;~ss IlDl ,.. D( City ~ nO. -'\44r:J OWNER INSTALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. Oo;;L~ (I In~pection Request: 726-3769 .:" '-"'- 3. 'l>\; ':1-0 Scrvicc Included \)"'o~\ rS' 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 !fi) . fX) \ . Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. 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. '?JO.CXJ -:3.~O "S .()() '5~.~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc , .' Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: COLN1 'Z..Ol . 00 b S-Z Address: ~3.) W~ ((Ac.A-Je- c- + Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits; Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: gl. ~2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor ifthe structure is sold or offered for sale before or on completion. o 3A. ,My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ~. 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCBand will immediately notify the office issuing this building permit ofthe name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notic(j,~ Pr~ Owner nt Construction Responsibilities on the reverse side of this form. x!.}-U/VV ~ 0 ~- 3'- 61" (I (Signature of permit applicant) (Date) . (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 03/11/03 . . Acting as )( our Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your O\V'Il contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure., As the employer, you must comply with the following: Oregon's 'Vithholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ID number, can the Business Information Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of aU-employees. For more information, call the Oregon Employment Department at 503-947-1488. 'Vorkers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain ~orkers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You wi11 be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, can the IRS at 866-816-2065 or fax them at 801-620-7115. Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or ' work that must be redone. . ' Time: Make sure you have sufficient time to supervise your employees. . . . . - . Expertise: Make sure you have the skills to act as your o\vn general contractor, to coordi~ate the work of rough-in and finish trades, and to notifybuilding officials as the appropriate times .so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 03/11/03 . " . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENf'3~\:)RKSHEET JOURNAL OR JOB NUMBER: C0M2004-00652 NAME OR COMPANY: John Bauman LOCATION: 835 WilIacade Court TAX LOT NUMBER: 17033414 Tax Lot 08200 DEVELOPMENT TYPE: ' SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF; 2376 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM . IMPERVIOUS S.F. x I COST PER S.F. CHARGE 3254.00 $0.290 I = I $943.66 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT 0.00 ' I $0.290 I 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$943.66 10019 CZl ~ ~ o (:) ~ ~ CZl >-< o ~ $943.66 1070 II 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU I 29 $22.64 = , $656.56 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's x I COST PER DFU I 29 I $17.21 $499.09 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,155.65 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x I NUMBEROF UNITS I x I COST PER TRIP x INEW TRIP FACTOR 9.57 I 1 I / $17.23 I 1.00 = , $164.89 1093 B. IMPROVEMENT COST: ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR 9.57 I 1 I $76.01 I 1.00 = , $727.42 1()94 ITEM 3 TOTAL - TRANSPORTATION SDC =, $892.31 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I .1 $314.63 = $314.63 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x ICOSTPERFEU I I 1 I $214.23 I = , $214.23 i 1055 - MWMC CREDIT IF APPLICABLE (SEE REVERSE) = I ($140.29) 1054 MWMC ADMINISTRATIVE FEE , $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< =, $398.57 SUBTOTAL (ADD ITEMS 1,2,3, &4) =, $3,390.19 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE CHARGE I $3,390.19 5% $169.51 TOTAL SANITARY ADMINISTRATION FEE: 118.95 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.56 1078 I Matt Stouder 6/8/2004 TOTAL SDC CHARGES =, $3,559.70 I PREPARED BY DAlE I Status Issued , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00652 ISSUED: 07/0612004 APPLIED: 06/03/2004 EXPIRES: 03/08/2005 VALUE: $ 246,759.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 835 Willacade Ct ASSESSOR'S PARCEL NO.: 1703341408200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Single Family Residence, Willacade Heights lot 9 - SFR New Residential Owner: BAUMANN JOHN Address: 2062 MORNING VIEW DR EUGENE OR 97405 Phone Number: 541-747-4447 Contractor Type General Contractor OWNER I CONTRACTOR INFORMATION I ""o'f.i~ense o.\,\\~es ., 0\\\\\."I \ ,at" ~~ . ..:~o~ ":v,(I'(~ :s -- l.W' . -:<r N () ',' ~ "1 vP09 OfJ0 0 ~e'5 \.; , ~ ~~~\,\~X'\ 0\ \X'\e ~~'(\0\\8; 2 ~~~I~~~f~~~~e w. ~~~. '3.\\'~B)OO t..'\IJP}".-, ~ ~M'f e.~.~e~AirGaS ~ ~~ ~"y an\j\\\\ f2.~l\~)' Gas ~~C):lO 'ty'!:J~rz.' Electric 4 .....~\Qi e: Path 1 ~ mkIed Building: n/a Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,095 1,861 851 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Hillside ~Total: o ed: Yes \l ~ 2t~~\,,\~,,~\\ fr~~ -f-.' l"v,~\'~~ ~~\~ ;lU(\\\t,~ I PUBLIC IMPRO~~~-\)~\)\~ ~~~\: Partially Improved "\ ~'0"\\\~t...t.~c,t.~\t~\}ype: Yes ('~~\~\ a..~ \)~ownspouts/Drains: '" ~~"" \u ' 4.00 5.00 9.50 38.00 68.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING 2 Street Improvements: Storm Sewer Available: Special Instruction: Curbside 5' To Storm Sewer Notes: I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Deck/Balconv DweIlin!!s Gara!!e Gara!!e Deck V Wood Frame Gara!!e Gara!!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1979 or Before Appliance Vent Building Permit Curbcut Permit Dryer Vent Encroachment Permit Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning PW Mult Disc - 2nd Permit 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 Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WiIIamalane Single Family + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review Minor - Planning Plan ReviewIResidential Hourly $16.60 $92.40 $24.30 $24.30 Total Value of Project ~ Amount Paid $644.41 $10.00 $141.74 $99.22 $306.00 $31.00 $-140.29 $6.00 $991.40 $75.00 $6.00 $120.00 $9.00 $12.00 $15.00 $4.00 $71.00 $-30.00 $499.09 $656.56 $10.00 $214.23 $314.63 $118.95 $50.56 $727.42 $164.89 $75.00 $943.66 $50.00 $18.00 $1,000.00 $5.20 $3.64 $52.00 $59.00 $180.00 Date Paid 6/3/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 9/9/04 9/9/04 9/9/04 9/9/04 9/9/04 Pa!!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00652 ISSUED: 07/06/2004 APPLIED: 06/0312004 EXPIRES: 03/08/2005 VALUE: $ 246,759.00 506.00 2,354.00 522.00 336.00 $8,399.60 $217,509.60 $12,684.60 $8,164.80 $246,758.60 09/08/2004 06/0312004 06/03/2004 09/08/2004 Receipt Number 1200400000000000842 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001041 1200400000000001326 1200400000000001326 1200400000000001326 1200400000000001326 1200400000000001326 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00652 ISSUED: 07/06/2004 APPLIED: 06/03/2004 EXPIRES: 03/08/2005 VALUE: $ 246,759.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $7,514.31 I Plan Reviews I Initial Review 06/04/2004 06/0412004 APP LLH Initial Review 08/2412004 08/24/2004 APP SKG Submitted revised plans Planninl! Review 08/2412004 09/03/2004 APP TAJ Revised site plan is approved for 4' setback from front property line per Mel Oberst based on Hillside Overlay exception. This reflects the 6' ROW dedication Mr. Baumann signed earlier this year. Planninl! Review 06/04/2004 06/18/2004 APP EMM Height is 30' tall using definition 2 method for greater than 10' difference in grade from front of home to rear. Public Works Review 06/04/2004 06/08/2004 APP MS 6/8/2004 - As per telephone conversation on 6/8/2004, the applicant intends to tie into both the storm and sanitary sewer systems within the utility easement located on the subject property. An encroachment permit fee has been added, and a blank form included with the building permit. -MAS Public Works Review 08/24/2004 08/25/2004 APP MS 8/25/2004 - Roof overhang is setback a minimum of 9.5 feet from propert) line on east side as per telephone conversation w/applicant. No portion of roof overhang or eaves may encroach into the PUE. - MS Structural Review 08/24/2004 09/0812004 APP DLM Revised plans. Added entry deck & expanded garage. See revised plan review comments. Structural Review 06/04/2004 06/02/2004 APP DLM 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. 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. Pa!!e 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-00652 ISSUED: 07/06/2004 APPLIED: 06/0312004 EXPIRES: 03/08/2005 VALUE: $ 246,759.00 225 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Special: See Plan Review and/or Inspector notes. Temporary Electric: Approval required prior to Utility Company energizing pole. Temporary Electric: Approval required prior to Utility Company energizing pole. Epoxy Anchors: To be done by Certified SpciaI Inspector. Provide Inspection results to City Building Inspector. 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 con l: uction. /~ 9,-9-o~ er or Contractors Signature Date Pa!!e 4 of 4 225 Fifth Street . Springfield,Oregon'97477 541-726-3759 Phone citv of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 1200400000000001326 Date: 09/09/2004 8:58:34AM Job/Journal Number COM2004-00652 COM2004-00652 COM2004-00652 COM2004-00652 COM2004-00652 Description' Pian Review Minor - Planning Building Permit + 7% State Surcharge + 10% Administrative Fee Plan ReviewlResidential Hourly Payments: Type of Payment CreditCard Paid By JOHN BAUMANN Item Total: Check Number Authorization Received By Batch Number Number' ,How Received djb 055067 In Person Payment Total: Amount Due 59.00 52.00 3.64 5.20 180.00 $299.84 Amount Paid $299.84 $299.84 9/9/2004. Page 1 of 1 SE 1/4 NE 1/4 Sec.34 TI7 S. R.3W.WM. LANE COUNTY III = 100' ,;\ REPLAT \ LOTS 3 - 10 SOL YJ-STA j ':{' S.8904c>'t. ~ llBOq' -~\z 9514 ((;;" S9/s::::~E ~l..l ~ ~ 9508 JI/2I'(' It}...t ,. See Mop 17 03 34 I I 4D' \ ~ ~ ~. RZS' I 151 : ,-) Q. ~ .1/')0 ".8 ..... ..... ~ 'if' I'r) Q ~e f- a ^' -...J ..... L _ ...S/9f'3"S7"r.: c.: 4,q.,,-,,,"' If '" 3Q.SCr :l512 08.5.1' ;',91040'0, 15 " '78 502 , / lo 2-' I~ 00 9900( \~~' ~ () l-J' , ~)~z' 38 ~"-~". 3 4____ --- 9300 000' , ~r ~ \' L- '. ':t ~ Tl17-03-34-14-08200 BARGAIN AND SALE DEED KNOW All BY THESE PRESENTS, that John Baumann Grantor, in consideration of the acceptance by the City of Springfield, Oregon, Grantee, and the use or holding of said property for present or future public use by grantee, grantor hereby grants, bargains, sells and conveys unto the said grantee, its successors and assigns, all the following real property, with the tenements, hereditaments and appurtenances, situated in the County of lane and State of Oregon, bounded and described as follows: A 6.00 foot wide portion of that tract of land described .in a deed from Byan M. Lauber to John Baumann, recorded for publicrecard August 21,2004 at Reception No. 2002-063759, Lane County Deeds and Records, being more completely described-as lot 9 of WiUacade Heights, as platted and recorded in Book 26, Page 10, Lane County Oregon Plat 'Records, in Lane County, Oregon, the portion to be conveyed is described as follows: Beginning at the most Westerly corner of said Lot 9, said point being on the Southeasterly right of way of Willacade Court, Thence along the Willacade Court. right of way, North 520 07' 48" East 30.00 feet to the most Easterly corner thereof; thence leaving Willacade Court right of way, South 370 52' 12ft East, 6.00 feet to a point; thence parallel with the Southeastern right of way line of Willacade Court, South 520 07' 48" West, 32.76 feet to a pOint on the Westerly line of above said Lot 9; thence along the Westerly line of said Lot 9, North ,130 08' 54" West, 6.61 feet to the point of beginning, having and area of 188 square feet more or less. The same hereby and forever dedicated to the public to be used aspublic road. TO HAVE AND HOLD, the above described and granted prell)ises unto the said grantee"its successors and assigns forever. '. , The monetary consideration for this conveyance is)noneL, IN WITNESS WHEREOF, the grantors above named have hereunto set their hands and seals this , t:t17l day of A921t... ,2004. Sate of Oregon ss County of lane ~6~~ . ?) . John Baumann Personally app,eared the above named, John Baumann and acknowledged the foregoing instrument to be his voluntary act and deed. Before me: . OFFlCtALSEAL DENNIS P. ERNST . , NlITARVPUBUC.Oi\EGOH , \.., ' ,/ COMMISSION NO. 378021 vtCO/o!MlSSlON EllPlRES APRIl. 20, 2008 JJ .~ Notary Public for Oregon A912.IL 2.0. 7'?O~ My Commission Expires The conveyance set forth in this instrument conveying title or interest to the City of Springfield, a Municip'al' Corporation of the State of Oregon, is hereby approved , and the title or interest conveyed therein is hereby accepted. City of Springfield: by: -A,/ Iq Lzoa4- Date Dennis P. Ernst - City of Springfield Surveyor ( Division 0' Chle' Depuly Clerk Lane Counly Deeds and Records , , . _I u ......__ '0S7'1242,0..I.J296130010016 04/2312004 10:59:42 AM RPR-DEED Cnl=l Sln=! CASHIER 08 $5.00 $11.00 $10.00 ~~~~.~~~m $26,00 RETURN TO: CITY OF SPRINGFIELD - PUBLIC WORKS DEPT. - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477 Send Tax Statement To: City of Springfield, Finance Dept. 225 FIFTH STREET - SPRINGFIELD, OREGON 97477 !,I .', ,- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT. .JRKSHEET JOURNAL OR JOB NUMBER: COM2004-00652 NAME OR COMPANY: John Bauman LOCATION: 835 WilIacade Court TAX LOT NUMBER: 17033414 Tax Lot 08200 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF; 2376 LOT SIZE (SF): 10019 if1 ~ Q o U ~ ~ E-< if1 ...... o ~ 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x COST PER S.F. CHARGE I 3254.00 $0.290 I $943.66 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE DISCOUNT I 0.00 $0.290 i 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $943.66 $943.66 1070 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I COST PER DFU I 29 I $22.64 $656.56 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's x I COST PER DFU I 29 I $ I 7.2 I $499.09 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,155.65 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x NEW TRIP F ACTORI I 9.57 I I $17.23 1.00 I $164.89 1093 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x NEW TRIP F ACTORI 9.57 I I $76.01 1.00 I $727.42 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $892.31 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I 1 I $314.63 = $314:63 :, 1054 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU 1 $214.23 = $214.23 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($140.29) 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $398.57 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $3,390.19 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE CHARGE I $3,390.19 5% $ I 69.51 TOTAL SANITARY ADMINISTRATION FEE: 1]8.95 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.56 11078 Matt Stouder 8/25/2004 TOTAL SDC CHARGES $3,559.70 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT . FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN. 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY /RESIDENTIAL BAR 2 0 . 1 = 2 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's)set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5,04 $5.04 $4,95 $4,88 $4,75 $4.58 $4.41 $4.20 $3,88 $3,50 $3.07 $2,60 $2,14 $1.71 $1.52 $1.38 $1.19 $1.03 $0,87 $0,68 $0.46 $0.27 $0,09 I $004 II IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $27.84 x $5.04 = I $140.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.04 o TOTAL MWMC CREDIT = $140.29