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HomeMy WebLinkAboutPermit Building 2010-1-15 Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541. 726.37691nspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00015 , ISSUED: 01/15/2010 APPLIED: 01/05/2010 EXPIRES: 07/15/2010 VALUE: $ 224,817.00 SITE ADDRESS: 617 68TH PL ASSESSOR'S PARCEL NO.: 1702352309100 PROJECT DESCRIPTION: New single family dwelling ~nN' nreaon law requires YOU.t.o. " n -"opted by tne uregulI tlltl.!) follOW ru e.. IllU Th e rules are set forth Phone Number: NotiflcatIO~:e~10 ~:oU9h OAR 952-001- In~ieSOfthe rules by 9~~~_:n Contractor License Expiration Date GARV KONOLD 52796 03/07/201 I STEVE HAUCK 147618 04/30/2011 ASHLlE HEATING 174821 03/16/2011 COMPLETE PLUMBING LLC 163794 03/21/2011 BUILDING INFORMATION I Owner: Address: KONOLD GARV 3169 WOLF LANE EUGENE OR 97408 CGntractor Type Ger.eral Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: SPRINGFIETVPE OF WORK: Single Family Residence TVPE OF USE: New Residential 541-342-4819 Phone 541-342-4819 541.221'2665 5416530297 541.688.0355 I # of Stories: 1 R.3 Height of Structure 19.00 U Type of Heat: orced Air Electric VB Water Type: c" ' ~Iectric ~~~'~i~MfiWr~ype:.' ~~J:~~~r COMI ANY 180 DAY PERIO 18.00 Overlay Oist: 7.00 # Street Trees Rqd: 18.00 Paved Drive Rqd: 45.00 % of Lot Coverage: 5.60 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 8,276 2,127 500 REQUIRED PARKING Total: 2 Handicapped: Compact: -2 Ves 31.27 I PUBLIC IMPROVEMENTS ~ Sidewalk Type: DownspoutslDrains: 'Setback 5' Curb and Gutter Fully Improved ..J Ves::::,' , , STORM DRAINS TO CURB Aiom GUTTER Notes: Paee I of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20I0-000I5 ISSUED: 01/15/2010 APPLIED: 01/05/2010 EXPIRES: 07/1512010 VALUE: $ 224,817.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V aluation D~scriDtion ~ Gara2e/Misc SF/Duplex U VB Utilitv R-3 VB 1&2 Familv $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage Of Bid Amount 500.00 2,127.00 Value Date Calculated Description Tvpe of Construction Total Value 01' Project $18,860.00 $205,957.41 $224,817.4] 01/07/20]0 01107/2010 ~ Fe~ Description PI~n Review Residential SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Impro'vement SDC MWMC Reimbursement Amount Paid Date Paid Receipt Number $635.29 $10.00 $22.63 $1,333.57 $101.97 1/5/10 1/15/1 0 1/15/10 1/]5/]0 1/]5/10 120]000000000000005 2201000000000000042 220]000000000000042 2201000000000000042 2201000000000000042 Total Amount Paid $2,103.46 I Plan Re~iews I Initial Review 01/06/20]0 01/071200' ; APP LLH Plannin2 Review 01/07/20]0 01/07/20]0 APP DDK Structural Review 01/07/20]0 01/08/20] 0 WI CJC Approved as noted on plans- wating for PW approval Pub]jc Works Review 01107/2010 01/13/2010 APP BJG STORM DRAINS TO CURB AND GUTTER Structural Review 01115/20]0 01115/20]0 APP KLK To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~eollirecUnsnections ~ Erosion/Grading Inspection: Prior to ground distnrbance and after erosion measures are installed. Ul'er Electrical Ground: ]nstall gronnd rod at:filOtipg.jmd call for inspection in conjunction with footing and/or .,,}I >.' ... foundation inspection. Footing: After trenches are excavated. Pa2e 2 of 4 ,.. .' CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2010-000I5 ISSUED: 01/15/2010 APPLIED: 01/05/2010 EXPIRES: 07/15/2010 VALUE: $ 224,817.00 225 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 1I00r insulation or decking. Floor Insulation: I'rior to decking. Shear Wall Nailing: Before covering sheathing with Iinish 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. Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. "/' Perimeter Foundation Drains: AftCl' gravel and tilter cloth is installed but prior to backlill. Underlloor Plumbing: Prior to insulation or decking. Undertloor 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 reqnired testing. . Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required priorJo 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. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Curbcut - Standard:. After forms are erected but prior to placement of concrete. Pa~e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-000]5 ISSUED: 01/]5/20]0 APPLIED: 01/05/20]0 EXPIRES: 07/]5/20]0 VALUE: $ 224,8] 7.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furthe,' certify that any and all work performed shall be done in accordance with the Ordiuances 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. O'~ner or co~~n~r~~ hts- 10 Date !J Page 4 of 4 225 Fiftb Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 _~~,;,~":._;.,,,i-,'.,;,~~..,,;..,,:r.i.-;;;;;~::;.:o;~~~~. . ,:;:,f)![)Ef>ARTMENJ~USE;0N~YF~~' ~~"'.'( .!~ ,,_., ':' "~;".'-J;;."i~i,,"l--3~ff~"l'~~.t:-~'&'. Penn it no. cJ '2()(!J -JctYS- This permit is issued under OAR 918-309-0000. Permits are nontransferable..Permits expire if work is not started within 180' days of issuance or if work is suspended for 180 days. ~~I!:.O:c.~~GQV;ERt;.lMEf:ij1";$J~~P'R.QV~@j:~1i Zoning approval verified? DYes DNa ~~~timE;G:PRY;/lQF.i!lG.oN.s}"R.l!J~mfQt;l~i\M o Residential 0 Government 0 Commercial ~.crBlslflfE~lril jD.R.M'.(\iI]IO.N1fANDiJI(~f~A']t~N~fl'fl Job site address: ciJ b PL, ~~~R~oeER:r:,yi[0WNER.%~~~f~"'i Name: . A-7Z. f:::.df'/()LD Address: 71 (g:; {l(/tlL..r f'1..t:;:/-1;J)a.;Jf. L../1VL City: (;:U e'Vt:-- State:/;L- ZIP: 17 y r.J Phone:!''' ('-5'1;2. q J' 17 Fax: E-mail: This installation is being made on residential or fann property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: ~G:<;jt;lmMGjrtoRl1;It;.l$M~~~mIQt;l~~'\:l'lt'!(,l Business name: STEvE Hft~ Address: ,0. lSol<" 1-136/ City: Fu. State: 0f2- ZIP: 7'Nol Phone: _5'<, - ~I- Glt'.~ Fax: -s." - 141-109S E-mail: SStfllvcJ.-@.COM0151 0 M=-r eCB license no.: /'-1'11,/8 BCD license no.: 20- '11"2, C '51-1.5 $iEUf Signing supervisor's license no.: p"int name of signing supervisor: Signature of signing supervisor: lk.JC- ~0WJ.~ ~ ~~ ~ ~<0 \~o/ ~~ 440-2584-1 (9/08/COM) ~~~~~EE~SC8E08~~~ ",~,,,'W!Ji,." .,!fiiM':~,'I::IN:~._.."L~._.m"'''_..~_.,__.,_.. _._...... _ ,._-c:-'~ ~ ~~(;{~"A;:' , ~~~~~;>~-'~*"'S ~~->l"'. '"""'w-;.;~! [\N.~riibl1lf,ins~eciion~=(;')~ Qry,,: ~~~iI ~%~~ ~;;;-.:~~:';;.}::~~~. ~~:::'$~';~ . '.. __~^:l.B Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $Lo/ . Each additional 500 sq. ft. or portion ~ $ 25.00 $1~' thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 53.00 $ dwelling service or feeder (2) Services or feeders: instal/ation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) l $ 63.00 $\~ 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee; Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: servj~e or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited.energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ a~~~"iiW-<<p.P,il~]If~llis~~~ (A) Enter subtotal of above fees ~~.V ~ (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AD $:;~ .lo ~ (e) Technology Fee (5% of [AD $/!-JJ.f, TOTAL fees and surcharges (A through q: $1') I~ ~:"'\ VIU''''''. cP (j.J r:fJ -~ ~ - ~ . . '" "t " .....:.J..... s;.... ;S. CITY QF'SPRIN9FII;:LD:,,oREG01'F~~',!",,::' / '.:~:: ,,': ',', ~tructural Permit Application 2;tFifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54I)726-3689 .. ',,- DEPARTMENT USE orili:( 5PIFlINQ....l!LO ~ JA.~ -~~ Permit no. (J ~ ;2D 10 -(}O:J ;) Date: / )' zc:>/D This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. , ,"};i'I'itb~AL:9QYEI3.N M.ENf6'.@i~Q:V ;';l1t;~~H.4<1i;i:1<~:;;-i; This project has final land-use approval. Signature: This project has DEQ approval., Signature: Zoning approval verified: DYes D No Property is within flood plain: 0 Yes 0 No f~~~rl~{~{G'At):9_Q'~XliQ.'Ei\G:6NSt~U.,C[i:~:ij~.~~~~{~~1~~f-:~.,: S,Residential l.D D Government D Commercial ~)1il'~~:,>i!i9Ej;:~ltE1INif6kMi>.'f!ON.'!JANR~1.:9~Afi9:~~Vl;elf,~lw:l 1O~t!:> Pl~c::e.., State: Clre- Date: Date: zlPcn<t-'8 '23 Reference: Taxlot:11 0'2.352.309100 _" :"P.ROPERTY milNER"" ...." Name: G'dV KoNoW Address: "3 \ b 9 "-10 \ ' \""\ed dou29 City: CU -WrIe. State:CY' ZIPt::'\'1~ Phon64l- ~2- % 19 Fax:S4t 0+2.-~" (,,'2- E-mail: fue.\<...cNol.-1YP 'G!. CAorn This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: B \"",\c~ City: g Subdivision:t1IVI"5 CONTR TOR INSTAL:LATIIJNk ,,:, 0-' ~_ . _,_ ., ' "_"_' _ .." . " Business name: '?Jol~ Mea Ld\")~ State:~ zu'll4<::.S Fa64f - 54-2..' "5" (, '2.- Q. eo...... Print name: Signature: D ~~?~~i:~r}~=!}~~Sl.JB'':.G0~jl;RAGttOR::I.NG.OJ:tI\1:AlJQ~~J!i~~!.~t6~f~~*,\~i.I Name CCB License Number Phone Number Electrical'" eve- ~i::... 'Z:Z.I"~5 Plumhing '. lq",~ '5 '2.0 '12..1 Mechanical As lie> (;53 -0'2..- t I><. /J:) CA. ,~ '..,0\. ~~ t>(\!.J . ";0; ':".',~!C"",.-, ""'~"iFEE'sC::I-lEDULEP""!';!':''- .", ',i"'i, -' -'. ";"":):;;"'".'- '." .:..,,' ", '~i::Va.~4~'('iB~~-ri~torm'titi9-n~:::1f})t~~*'t~;f;;;~- -~~~~~~:~{;}t.::.\;f:';_70~.iJ?~S~,#i~~i~, (a) Job description: ",c-4AI 5Fr> Occupancy te../\A... Construction type: 1/~ Square feet: I ~27 /SVo C~'ft;~c:' Cost per square foot: I Other infonnation: Type of Heat: CFIt jlf:cl"\ ~ ?-v\.jY\...i' . Energy Path: fA-- ~ew D alteration D addition (b) Foundation-only pennit? D Yes 0 No Tot.1 valuation: ~ I&/'.(){)(J E;-]l) $ f~7}:-jj.U tt~ipg:;.fe~si~~~~~t;~\~"'~~~~r{~;K~tJ~\i/,g,i:i:.~,\\~~\~,,~.;j\{~.:(~,;:i ;'(}(~\_S/s (a) Permit fee (use valuation tahle): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (,12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2. through 2d): $ '!i3\'1'P.I"'''''~f"'~'',~'';r~~i~:t''>;:;!1.'~~'t~~\~,t'J:'~!;il-;.:.::\~~~~~;q:'i}~:t\t.\ 1:; _,'j !,..a,~\~~y!.~~:._~~s~::;.~ijtir."y:1' !i";"i:isi:<"5tp1'dlr~~', t"""'~ ~.- ,1_,,,i.1:f ,.~i';,."{i!;;l;';'g", fJJ0'! (a) Plan review (65% x permit fee [2a]): $ r4J'i ::::r. (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3. and 3h): S ~~~~'Mi~se.~~~'~J((~s;'f~~~~~:$!?~it~~;'~~;SI2i~7~;;~_;~:?;~:f~~?!;~~,t!~~~X6..~1t1~:.rt:'E~;-:~.' (a) Seismic fee. 1%(,01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): S ~ Cf)0 ~\ .~ 2~ willamalane t'W Park and Recreation District Job. No. fiO -\'2> SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June30, 2010 NAME: PHONE:~ ~~2 -~ Iq ADDRESS: 3\ CITY e~STATE:L2QzIP: Cf14..go OUJ ~ Lt--. . LOCATION OF PROPOSED BUILDING SITE: . . Street Address: t Q\fl laP')~ 9\ 0 ~ > Plat Name~ ll,\,,\m fu.o.--> Tax Lot Number: \~~~2Q 0=\. \DO 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. SinQle-Family Detached NO. OF UNITS l X $2,858 per unit = . $~sP-,.cP B. SinQle-Family Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Family Apartment. NO. OF UNITS X $2,641 per unit = $ D. SinQle Room Occupancy NO. OF UNITS X $1,321 per unit = $ E. Accessory DwellinQ Unit NO. OF UNITS X $1,550 per unit = $ $~6~~ fr , $ 'lflJ EB [XJ . -~}j-W \0 Date ~~ t>\~ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approvaL) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) Development Services City of Springfield 5 6/9/2010 11:20:20AM . City of Springfield Development Services Department Public Works Department Transaction Log For Date: 05/17/2010 Line Items: Job/Journal Num~ Tran Cod ne~erintion Revenue Account No COM20 10-000 I 5 1061 Plan Review Residential 224-00000-425602 COM20 10-000 I 5 1020 Addressing Assignment 224-00000-425602 , COM20 10-000 15 1074 WiIlamalane Single Family 821-00000-215023 COM20 10-000 I 5 1004 Residence Wiring 1000 Sq Ft 224-00000-426102 COM20 I 0-000 15 1003 Temp Power 200 amps or less 224-00000-426102 COM20 10-000 I 5 9111 Fire SF Fee - Residential 100-00000-424005 COM2010-00015 1231 Plan Review Major - Planning 100-00000-425002 COM201O-00015 1002 Building Permit 224-00000-425602 COM2010-00015 1005 2 Baths One or Two Family 224-00000-425603 COM201O-00015 1006 I stAppliance 224-00000-425604 COM2010-00015 1006 Vent Fan 224-00000-425604 COM20 10-000 I 5 1006 Exhaust Hoods 224-00000-425604 COM20 10-000 I 5 1006 Dryer Vent 224-00000-425604 COM20 10-000 I 5 1006 Heat Pump 224-00000-425604 COM20 10-000 I 5 1142 Sidewalk Permit 201-00000-428060 COM2010-00015 1141 . Curbcut Permit 201-00000-428060 COM2010-00015 1141 Curbcut - 2nd Curbcut 201-00000-428060 COM20 10-000 I 5 1178 Storm Drainage Impervious Area 440-00000-448028 COM20 10-000 I 5 1183 Sanitary Sewer - Reimbursement 442-00000-448024 COM20 10-000 I 5 1184 Sanitary Sewer - Improvement 443-00000-448025 Page 8 of35 Amount Paid $156.09 $38.00 $2,858.00 $134.00 $63.00 $106.35 $211.00 $1,217.50 $337.00 $79.00 $27.00 $13.00 $9.00 $17.00 $88.00 $88.00 ($45.00) $] ,064.41 $666.84 $507.07 c TrnnsactionLog. rpt COM20 10-000 I 5 COM20 10-000 I 5 COM2010-00015 COM2010-00015 COM20 10-000 I 5 COM2010-00015 COM20 10-000 I 5 Payments: Method CreditCard Transaction Log For Date: 05/17/2010 1173 1174 1190 1175 1004 1099 2099 SDC Tran-Reimburs~Residential SDC Trans Improvement-Resident SDC Sanitary/Storm Admin SDC Transportation Admin Residence Wiring Ea Addtl 500 + 12% State Surcharge + 5% Technology Fee Paid By Received Rv Nn Check GARY KONOLD dib Page 9 of35 6/9/2010 11 :20:20AM City of Springfield Development Services Department Public Works Department 446-00000-448026 447-00000-448027 719-00000-426604 719-00000-426604 224-00000-426102 821-00000-215004 100-00000-425605 $211.21 $931.65 $160.51 $81.96 $100.00 $239.58 $116.93 $9,477.10 Line Item Total: How Amount Paid Aimroval # 023847 D~".-l In Person $9,477.10 $9,477.10 Payment Total: cTransactionLog.rpt GP;GP; jI Wt City .of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 2201000000000000042 Date: 01/15/2010 2:03:45PM Job/Journal Number COM20 1 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM2010-00015 Payments: Type of Payment CreditCird cReceintl Description SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC MWMC Compliance Charge Amount Due 101.97 1,333.57 10.00 22.63 $1,468.17 Paid By GARY KONOLD Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KLK 069426 In Person Payment Total: $1,468.17 $1,468.17 Page 1 of I 1/15/2010 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00015 ISSUED: 01115/2010 APPLIED: 01105/2010 EXPIRES: 11/07/2010 VALUE: $ 224,817.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~~ :--. ~ '..' '. SPRINGFIETYPE OF WORK: Single Family Residence SITE ADDRESS: 617 68TH PL ASSESSOR'S PARCEL NO.: 1702352309100 . ",!: TYPE OF USE: New PROJECT DESCRIPTION: New single family dwelling Owner: KONOLD GARY Address: 3169 WOLF LANE EUGENE OR 97408 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION . Contractor License GARY KONOLD 52796 STEVE HAUCK ,'- ,.... " 147618 ASH LIE HEATING 174821 STEVEN R JOHNSON 65065 . I BUILDING INFOR~~ 11'1 leo,{;' e90(\ \\01\'(\ I #~~\fj~e 01 e.le se r:f:!" 1 R-3 ~OW qJ~ lJ~ $\!~Ill:'fU~'" 9::;es 'Ct!J,OO ~~€ (u\e5 9.~~~ 6l'~~tl9'(\ 'MI<\~Av;r:lV~ctric ~~'ll el.iO(\ C~,~1<~~\~;?\~~'(\e \I'l\e~iC~!ec'tric ~O\<<~o. 9~'2..olfi*~~~0\1'l' '\i\~ ~o\ Electric \~O""\(our.t~IP'ff/Y~ ~\-'2.~~~I' r:fJ9\~\(\Q, \"~f-~9Q~~_!lJfilllillg No ~ 8,\0: \'" ~VM.,t6PMENT INFORMATION . ." # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .Street Improvements: Storm Sewer Available: Special Instruction: Notes: 18.00 7.00 18.00 45.00 5.60 Overlay Dist: # Street Trees Rqd; Paved Drive Rqd:: % of Lot Coverag~: Residential Phone Number: 541-342-4819 Expiration Date 03/07/201 I 04/3012011 03116/20 II 03/1212012 Phone 54 I -342-4819 541-221-2665 5416530297 541-342-3765 Lot Size: 8,276 Sq Ft ist Floor: 2,127 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 500 Sq Ft Other: Occupant Load: REQUIRED PARKING 2 Yes 31.27 Total: Handicapped: Compact: 2 . I PUBlJIC IMPROVEMENT~J . ~\\\t. \~ ~\1 \~ ~'^.';,;\ Fullv Improved ~O~\C t.~~~~ ~~~~~t.\) r~~ ::">;~tback 5' Yes ,\\\S? \It.~~\~lb''f'llJ''''alUS: '.... Curb and Gutter STORM DRAINS TO CURB AND GUTr~\\Q\\ Ct.\) Q\\ Q\). CQW.w.t.~ \)!>.'{ ?t.\\~ . !>.~'{'\?,\) '. , , ; ;-; ':.p~., " n' : " ",., -\Vtl 1':~\{ )7',- , ~~".;, .P'l. Pa2e I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DescriPtion Tvpe of Construction Gara2e/Misc SF/Duplex U VB Utility R-3 VB 1&2 Familv Fee Description Plan Review Residential SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut - 2nd Curbcut Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Heat Pump Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer ~ Improvement Sanitary Sewer - Reimbursement SDC'Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Wilhimalane Single Family Total Amount Paid ,:~ .' , . I t:;' . I.:,L;,'" I Valuation Description ~ $ Per Sq Ft or multiplier $37.72 $96:83 . ,""~' . " ';; Square Footage or Bid Amount 500.00 , 2,127,00 ""i'lltai Value of Project , ~ Amount Paid $635.29 $10.00 $22.63 $1,333.57 $101.97 $239.58 $116.93 - '.' I' $79.00 : $337.00 $38.00 $1,217.50 $-45.00 $88.00 $9.00 $13.00 , $106.35'11,1:,:: ,~ i" $17.00,'':!~ $211.0.0""" $156.09-", ; $134.00 $100.00 $507.07 $666.84 $160.51 $211.21 $931.65 $81.96 $88.00 $1,064.'11 $63:QO: $27.00 $2,858.00 ,to; . '.. $11,580.56 ,':~;';;.I +-'-' Date Paid 1/5/10 1/15/10 1/15/10 , 1/15/10 1/15/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 ,5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 ,5/17/10 5/]7/10 Pa2e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00015 ISSUED: 01115/2010 APPLIED: 01/05/2010 EXPIRES: 11/07/2010 VALUE: $ 224,817.00 Value Date Calculated $18,860.00 $205,957.41 $224,817.4 ] 01/07/2010 01/07/20 I 0 Receipt Number 1201000000000000005 2201000000000000042 2201000000000000042 2201000000000000042 2201000000000000042 1201000000000000469 1201000000000000469 , ] 20 I 000000000000469 1201000000000000469 ]201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 ]20]000000000000469 ]201000000000000469 ]20]000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 1201000000000000469 ,\ ! ~ t CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00015 ISSUED: 01/1512010 APPLIED: 01/0512010 EXPIRES: 11/0712010 VALUE: $ 224,817.00 !.) ._~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews ~, Initial Review 01/06/20 I 0 01/07/2010 APP LLH Plannine Review 01107/2010 ",01/07/2010 APP DDK DPA Structural Review 01107/2010 01108/2010 WI CJC Approved as noted on plans- wating for PW approval Pnblic Works Review 01/07/2010 01/1312010 APP BJG STORM DRAINS TO CURB AND GUTTER Structnral Review 01/15/2010 01/15/2010 APP KLK -' .t. To Request an inspection call the 24 hour r~c9rding at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. l..ReouirerUnsnections ~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install gronnd rod at footing and call Cor inspection in conjnnction with footing and/or foundation inspection. Electric Service: Approval reqnired prior to utility'company energiziug service. "t Final Electric: When all electrical work is complete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prio'r to placement of concrete. Footing: After trenches are excavated. Foundation: After forms are .erected but prior to concrete placement. Post and Beam: Prior to floor insulation or d,~cking: ;. :;~ Floor Insulation: Prior to decking. .", .~'" Shear Wall Nailing: Before covering sheat~-rU'i(.wiih"I1'nish 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. Masonry: 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. Paee 3 of 4 I"~ CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . t,~':!: '.'~' PERMIT NO: COM2010-00015 ISSUED: 01/15/2010 APPLIED: 01/05/2010 EXPIRES: 11/07/2010 VALUE: $ 224,817.00 Status Issued 1 ;{l: i., Underfioor Plumbing: Prior to insulation or decking. Underfioor 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 plumbing work is complete. Underfioor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover By signature, I state and agree, that I have carefully'ex'amined 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 tlie,State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structtite '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. 8CUC:J KO\~ Owner or Contractors Signature 5"'\'-10 Date . ) i '-'l t('b: . ",~!. .,(.j j, 'if., i[\;' Iv;l.'\'i;'. ':/:':!, " \",.\("'i' Pa2e 4 of4 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Serviees Department Public Works Department RECEIPT #: 1201000000000000469 Date: 05/17/2010 11 :38:27 AM Job/Journal Number COM2010-00015 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM2010-00015 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM2010-00015 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM2010-00015 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM2010-00015 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM20 I 0-000 15 COM20 1 0-000 15 COM20 I 0-000 15 Payments: Type of Payment CreditCard cReceintl Description Plan Review Residential Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Major - Planning Building Pennit 2 Baths One or Two Family 1st Appliance Vent Fan Exhaust Hoods Dryer Vem Heat Pump Sidewalk Permit Curbcut Permit Curbcut - 2nd Curbcut Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Sanitary/Storm Admin SDC Transportation Admin Residence Wiring Ea Addtl 500 + 12% State Surcharge + 5% Technology Fee . f'. Paid By GARY KONOLD Re.~,~!~ed By. djb Check Number Batch Number :',,-,' , .,. . _0'....,. ..-,_ ....~ ~.. P~~e 1 of i Item Total: Authorization Number How Received Amount Due 156.09 38.00 2,858.00 134.00 63.00 106.35 211.00 1,217.50 337.00 79.00 27.00 13.00 9.00 17.00 88.00 88.00 (45.00) 1,064.41 666.84 507.07 211.21 931.65 160.51 81.96 100.00 239.58 116.93 $9,477.10 Amount Paid 023847 In Person Payment Total: $9,477.10 $9,477.10 5/17/2010 ~ \(). Ol~ i!I"RINO"''I1U...D'~ i ~A~"~ ~""- t@ ~ APPLICATION TO DEFER FEES AND CHARGES AND CONSENT TO ASSESS LIEN j~e owners of the property shown below hereby apply to the City of Springfield to pay the fees and charges Of$~ 1-1-1-, 1.8 deferred until final building occupancy is requested. Such fees and charges include System Development Charges assessed on the property for the City and Willarnalane Park & Recreation District. lh the event that the real property on which the fees have been' deferred pursuant to Ordinances 6233 and 6231 is sold or conveyed, the fees or charges deferred shall become immediately due and payable to the City of Springfield. Sale or conveyance includes either actually selling, conveying or assigning any or all of the property or an.x or all of the owner's interest in the property. The owners hereby apply for and consent to the voluntary imposition ofa lien for $~1?r. ].. @.upon the following descn'bed land in the City of Springfield, Lane County, Oregon: MAP AND TAX LOT ~2- 352-391 Hk7SITE ADDRESS (; H - /; 8 (.f+ fL--/rC13. CTIY, STATE, ZIP 5'f' IZ_:r::;1)&-~F t-9, 01'....... 171-'rr I SEE ATTACHED LEGAL PROPERTY DESCRIPTION BILLING NAME G-!J(a~l Y...O~? L- t::> BILLING ADDRESS U;, '1 I D /-F CITY .l?Uc;....~ STATE 01'...... /VI P-It'.PaUS t-.A-N E--- . ZIP Cf7--40 8 TOTAL LIEN $~Fl-. te- $ }-7--, Le $cr j Q1-.7. te- / FEES AND CHARGES DEFERRED RECORDING FEES In addition to the fees and charges indicated above, we agree to pay the fees associated with recording the lien and removal of the lien at Lane County Deeds and Records. Weare all of the legal owners of the described land or all of the contract purchasers of record of the descn'bed land to which these fees and charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise, in any proceedings to impose, calculate and collect these fees and charges, and in the imposition and collection of the lien consented to in this application. We promise to pay these fees and charges when final building occupancy is requested or at such time the real property is sold or conveyed. The charges may be paid in full at any time without penalty. We understand that if there is a subsequent failure to pay the fees and charges the City shall have the right to enforce payment of the amount due in any manner provided by the general law of the State of Oregon, or by the Springfield Municipal Code, including but not limited to foreclosure of the land. We acknowledge that the City has an interest in the property to collect these fees and charges, including System Development Charges, and that the City has the authority to lien the property to collect those fees and charges. In the event of any proceeding to enforce collection or to foreclose, the entire unpaid balance and aily fees shall be' considered delinquent and due. We also agree to pay the city's cost of collection or foreclosure and any attorney fees necessary for such collection or foreclosure. l:rAf!..,V KnAJOLD !;JeJ-,.~K'o.~ \-IS-IO 34'2.-4819 Print Name of Owner Signature cl(9wner' Date Phone # Print Name of Owner Signature of Owner Date Phone # Print Name of Owner Signature of Owner Date Phone # Print Name of Owner Si ature of Owner Date Phone # OFFICiAl SEAL lATH,". E REEDER STATE OF OREGON ) NOTARY PUBLlC.oREGON ) COMMISSION NO. 443126 County of Lane ) MY COMMISSION EXPIRES OCT 4. 2013 t was executed before me this J 7i dayof . \o..LJ ,~D\u . v:\common\accnting\assessmt\Deferred fees contractdoc