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Home My WebLink AboutPermit Building 2005-7-25 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00746 ISSUED: 07/25/2005 APPLIED: .06/16/2005 EXPIRES: 01/25/2006 VALUE: $ 243,755.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726..3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 808 55th St ASSESSOR'S PARCEL NO.: 1702331201534 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Johns Way subd lot 5 .'. Owner: TRAVIS COX Address: 808 55TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor G 3 CONSTRUCTION INC OWNER License 140292 I BUILDING INFORMA TIONI # of Units: 1 # of Stories: 2 Primary Occupancy Group:, ,R-3 HeigJJt;\Y{O 32.00 Secondary Occupancy U ~ teo.u~n~~~t: Heat Pump Yrimary Construction Type . Ot~n \a: \ne Ot~rs~t" Electric Secondary Construc~~"f\'\ON. OO?\eo '0'1 tU\eRah~bl~roO'\. Electric # of Bedrooms: ~ \ \!'J tu\es a \et,3\nose r\n&~JJ ~\~f9'o'l Path 1 \0\ 0 'n cen 0 \ntOU';::l ~r1i1&I (l n/a . "\r.,\\\Ca\\<:.,, nO'\ -00'\ . _ ('oo\eS 'r\P'~one \11 O{.\\'\ ~;c 0\a'J O~~:'I~V~~Q~MENfI~'FORMATION. 0090.,., \\"\e cell egO\\"':' _ 34'\)' " ~.\,\(\9 "\(.:1 Ot 0 '1'12 '2: . ' . . C(I,' \ f II ~ ~O -vv Front yard Setback: \\V,(:\\::Je'[,~J2'67r,5,s '\- Overlay Dist: Side 1 Setback: \.)1::1~.00 # Street Trees Side 2 Setback: 16.00 Paved Drive Rqd: Rearyard Setback: 14.75 % of Lot Coverage: Solar Setbacks: 41.50 IPUBLIC IMPROVEMENTS. Street' Storm Sewer Available: Special Instruction: Residential Phone Number: 541-746-7478 Expiration Date 01/07/2006 Phone 541-745-2526 _,..i''f:'C; Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,148 1,097 1,115 841 90 o Yes 29.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Fullv Improved Yes Sidewalk Type:' Downs pou tslDrains To Storm Sewer NOTH~\E: " . '.' ., ' THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR . ANY 180 DAY PERIOD. Notes: Storm drainage piped to stub provided 6/21/2005 CAS 1 of 4 ~~F,r,~~~~~,'-EI~~i"_,, ..,,,,_ ;. ~ 1 I Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line Description Type of Construction AC - Residential Deck V Wood Frame Garal!:e A.C. - Residen Deck/Balconv Dwellinl!:s Gara2:e Fee Description . Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family . Addressing Assignment Appliance Not Listed Building Permit '" Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu 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 MWMC Administration SDC MWMC Improvement SDC MWMC ,Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer Each AddtI 100' Vent Fan Willamalane Single Family Total Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00746 ISSUED:, 07/25/2005 APPLIED: 06/16/2005 EXPIRES: 01125/2006 VALUE: $ 243,755.00 I Valuation Description I $ Per Sq Ft or multiplier $4.00 $17.00 $96.00 $25.00 Square Footage or Bid Amount 2,212.00 90.00 2,212.00 841.00 Value Date Calculated $8,848.00 $1,530.00 $212,352.00 $21,025.00 $243,755.00 06/24/2005 06/24/2005 06/16/2005, 06/16/2005 Total Value of Project Fees Paid I Amount Paid $650.75 $10.00 $164.07 $114.85 $306.00 $31.00 $9.00 $1,033.65 $6.00 $9.00 $12.00 . $12.00 $103.00 $21.12 $106.00 $95.00 $475.28 $625.04 $10.00 $865.31 $82.03 $129.22 $63.08 $7'72.49 $175.13 $840.68 $28.00 $24.00 $1,000.00 $7,773.70 Date Paid. Receipt Number 2200500000000000785 1200500000000001065 , 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 .1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 120050~000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 120050000000000106S 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 1200500000000001065 6/16/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 , 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 ' 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 7/25/05 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00746 . ISSUED: 07/25/2005 : APPLIED: 06/16/2005 EXPIRES: 01/25/2006 . VALUE: $ 243,755.00 Initial Review Planninl! Review 06/21/2005 06/21/2005 I Plan Reviews I 06/21/2005 APP 07/11/2005 APP SKG EMM In order to meet solar setback .standard the house must not exceed 32' at the ridge point and the ridge must be setback 411/2 feet from the northern lot line. Storm drainage to stub provided 6/21/2005 CAS Approved as noted on plans Public Works Review 06/21/2005, 06/21/2005 APP CAS Structural Review 06/21/2005 06/23/2005 APP JB . To Request an inspection call the 24 hour recording at 726-3769.' All inspection requested before 7:00 a.m. willbe 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. Vfer 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 a~d approved and the, building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Vnderfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to, cov~r 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. 3 of 4 ;; CITY OF SPRINGFIELD' Building/Combination Permit .:.- ~~~',~~EI~~J.",_.._..,.,.~ 11 '~ \'.' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00746 ISSUED: 07/25/2005 APPLIED: 06/16/2005 EXPIRES: 01/25/2006 VALUE: $ 243,755.00 Underfloor Me,chanicaI. Prior to insulation or decking and including required testing. '. . . Rough Mechanical: ,Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 wiD 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 wiD remain on the site at~;j;;;;~nstr~i~rL ~v: 7/.25//)5 .~ . # Owner or Contractors Signature Date 4 of 4 ,,' V ACA TION REQUEST TYPE IV. V ACA TE PUBLIC UTILIT EASEMENTS ST AFF REPORT AND FINDINGS DATE: September 10,2004 JOURNAL NUMBER: LRP2004-00024, TAX LOTS 1531, 1532, 1533, 1534, 1535 ASSESSORS MAP17-02-33-12 APPLICANT/OWNER: , Joseph D. Bando P. O. Box 717 Springfield, OR 97477 REQUEST:., .. The Springfield City Council shall conduct a pub.1ic hearing (First Reading) Monday, September 20,2004, concerning the vacation of three (3) public utility easements, which were recorded on the 1979 Final Plat of John Way Subdivision; and recommend to approve, approve with conditions, or deny the request. The property owner is requesting the vacation of the 1979 easements. The easements were configured to meet 1970 codes, which required that multiple panhandle driveways each have 20 feet of street frontage. Today's code SDC 16.030(3)(b) states: "In a 11 cases, multiple panhandles shall have a minimum of 26 feet of frontage (two panhandles' shall each have 13 feet of frontage per lot).. .." If the current request to vacate the existing easements is approved, the .applicant will then submit a Serial Property Line application proposal to re-configure the above tax lots and to dedicate the following new easements: Easements along the original south and east property lines of subdivision Lot #4 filed with John Way Subdivision Plat dated 15 January 1979, will no longer be needed for future . development because all utilities will be provided from the 55th street-side 7' P.D.E. , The 14' easement on the western boundary of Lots #3, #4, #5, and #6 will no longer be needed for future development because the City supports the property owner's proposal to reroute 'storm. drainage lines to the streef and to a new easement on the 1 " eastern edge of subdivision Lot #6; which is within the joint use/access panhandle drive of subdivision Lots #5 and #6. The 10' north-south easement bisecting subdivision Lots #2 and #3 will no longer be needed for an open drainage channel because the City supports a proposal to reroute storm drainage lines to the street and also to a new easement on the eastern edge of subdivision Lot #6, which is within the panhandle driveway of subdivision Lots #5 and #6. ,The owner has stated that the vacation of the easements in conjunction with the proposed serial property line adjustments will provide the owner to better utilize the development area of each subdivision lot. SITE AND lJACKGROUND INFORMATION: The application was accepted as complete on August 4, 2004. The property owner initiated the easement vacation proceedings. WRITTEN COMMENTS: Limited Land Use Decisions require the notification of property . owners/occupants within 100 feet of the proposed development, and allow a 14-day comment period prior to the public hearing. There were no correspondences received in response to the August 30, 2004, notification of . surrounding property owners/occupants. In addition, legal notice was published in the Springfield News on September I, 2004. Staff has not received any telephone calls or correspondence in response to this vacation of easement request. . . .. . . SPRINGFIELD DEVELOPMENT CODE ARTICLE 9 , VACATION 9.010 states that the proposal to vacate a public utility easement may be initiated by the City Councilor by petition of abutting and area owners in accordance with ORS 271.080 et seq. and Sections 2-5-1 through 2-5-5 of the Springfield Code. REVIEW: SDC 9.020 requires that Vacations shall be reviewed under Type IV procedures and a complete application together with all required materials shall be accepted by the Director prior to the review of the request as specified in Section 3.050, application Submittal. 2 Finding #1: The Vacation Type IV Application Journal Number LRP 2004- 00024 together with all required materials was accepted as complete on August 4, 2004. SDC 9.030 states that the applicant shall demonstrate that thefollowing criteria have been met in order to approve a Vacation request: (1) The Vacation is in conformance with the Metro Plan including any adopted Street Plans and/or Conceptual Plans; (2) There are no negative effects on access, traffic circulation, and emergency service protection; or any other public benefit derived from the public utility easement (P. U.E.). Finding # 2: The Metro Plan is a general plan" which does not specifically discuss the vacation of easement. Springfield Development Code, Article 9 addresses the process, and application LRP 2004-00024 complies with Article 9 requirements. Finding #3: The Springfield Conceptual Road Network Map, which was adopted July 1997, does not show any provisions for the re-alignment of 55th Street. This request for vacation of easements; therefore, complies with the existing diagram of the Springfield Conceptual Road Network Map. Finding #4: The Transportation Division has reviewed the materials provided with the subject application. The applicant proposes to reduce the width of street frontage panhandles on Lots 5 and 6 from 20 feet to 13 feet as permitted under current SDC 16. 030(3) (b). According to aerial photography records none of the affected lots are developed and no street improvements are constructed. There are no negative effects on access, 3 . traffic circulation, emergency service protection, nor are there any other. public benefits that will we negatively impacted by the vacation of the three ,1979 easements. Finding #5: . The applicant/owner of allfive tax lots has proposed an alternative public utility easement, which meets citycode and has been approved by the City of Springfield Public Works Department. The applicant/owner shall dedicate a 13' P. U.E along thefull easterly property line of Tax Lot 1535 (subdivision Lot 6)for the benefit of both Tax Lot 1535 and Tax Lot 1534 (subdivision Lot 5) in conjunction with the submittal of a serial property line adjustment to reduce the width of the joint use/access panhandle driveway to be shared by both parcels. Condition #1: Prior to Serial Property Line Adjustment approval and building permit approval, the owner of Tax Lots 1534 and 1535 shall file and record by separate document the following dedication of public utility easement for the benefit of both tax lots known as John' Way Subdivision Lot 5 and Lot 6: ' A parcel of land 13 feet in width lying in the northeast one- quarter of Section 333, Township 17 South, Range 2 West of Willamette Meridian, all in Springfield, Lane County, Oregon, said parcel being a portion of Lot 6 John Way, as platted and recorded in File 73, Slide 233, Lane County Oregon Plat Records, in Lane County Oregon, said parcel being more particularly described as . . . . . . . CONCLUSION: The applicant, Joseph Bando, states that the vacation of three (3) 1979 public utility easements on Lots 2 through 6 in Johl! Way Subdivision shall be replaced by City approved P.U.E. in new locations that shall better serve the development and that there are no negative impacts to traffic circulation or emergency service protection or any other public benefit derived from the P.U.E.; and, that the proposal to vacate the public utility easements is in conformance with the vacation criteria of SDC 9.030. Planning staff and Public Works staff concurs with the applicant's proposal. RECOMMENDA TION: Staff recommends that the Springfield City Council approve the proposed vacation of the 1979 P.U.E based on the finding in this report. 4 . ACTION REQUESTED: Review the proposal at the First Reading and public hearing on September 20, 2004, and approve, approve with conditions, by motion arid signature the attached Ordinance at the Second Reading and public hearing on October 4, 2004. ,- PREPARED BY: Kitti M. Gale, Planner II 5 ,- 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 Address: Permit #:. CO/All 2-0...... S- - 007 6tb S S-+k '; \- Date: 7/Z ')/0) f ?(O ~ ' b~ Issued by: Statement: Info. mation Notice to Property Owners' , About Construction Responsibilities Note: Oregon Law, ORS 701.055 (4) requires residential construction permit applicants who are not lice.nsed 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: ~1. ~ 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. QsI: 3A. My general contractor is (j -- '3 (6.A-<;~6t,6~ (Name) Iq02-~2 (CCB #) I will instruct my general contractor that all subcontractors who work on the struc~e must be licerised with the Construction Contractors Board. I hereby certify that the above information is correct and th'at I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side ofthis form. {J/tJIl1Zw 0, tbk 7/~5/05 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 -, Actfhg '3:S-'Y ~lit:'.6'w~ General'C'ontractor?' . .. INFORMA110u~rN01ICIE TO' PROPERTY t>WNERS ABOU;r CONSTRUCTION. RESpoNsIBILITIES' i- .:..... . . " " \ , '\ \ \."~ ; 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 own 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. Empl~yer Respo~sibilities , . You will, in most instan,?es, be ruled to be an "employer" and.the contractors you contract wit~ wiUbe "employees" if you use contractors not licensed with the Construction Contr~ctors Board to do labor. in constructing or to assist in the construction orimpw vement of a residential structure.. .As the ,~mployer, you must" c~mpiy with the following: . . . ";... . ..~. . . . . Oregon's Withholding 'fax 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 more information, call the Department of Revenue at 503-378-4988. ,. Unellllllpioyment Insurance 'fax: As an employer, you are required to pay a tax for unemployment insurance purposes- on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. :--/ The Oregon Business Identification Number (BIN) is a combined ,number for botl:1. Oregop. Withholding ana Unemployment Insurance Tax. To file for a BIN, call 503,-945-80~J or www.dor.state.or.us/formsoav.htmll for the apprdp.riateJOITnS\'1\' ,. ._:,,~ --;.~, J ~I ., ,:) ", <:.. - - ..< Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Cvmpensation Law, and must obt~in workers' cvulpensation insurance for your employees. If you fail to obtain workers' cVUlpensation insurance, yo'ucould be"~ubjec(to penalties and bdiahle for aU claim costs if onebfyourempioye'es is injured on the job. For more information, call the Workers' Compensation Division a:tthe Departnien(df Consumer and Business Services at 503-947-7815. U.S. Internal Rev~nue Service: As an employer, you must withhold federal irtcome tax from employees' wage;:;'" You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at w'wwo'irs,l!ov. ..' --.. . . Other Responsibilitie~ 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. '. ... U \. LiabfiUty 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. ~:- , \ ... :',' " '_':'-J_~ .... Time: Make sure you have sufficient time to supervise your employees'. ' " ~ , " .. ... . h ~ :. J. Expertise: Make sure you have the' skillst6 act as'youi o~general coniractor~'tocoordiriate the work of rough-in and finish trades, arid to notify building 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. l~ I . Property _ owner.doc 06-01-04 c'.' CITY OF ~'~INGFIELD SYSTEMS DEVELOPMEl JOURNAL OR JOB NUMBER: C0M2005-00746 NAME OR COMPANY: Travis Cox LOCATION: 808 55th Street TAX LOT NUMBER: 1702331201534 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE . NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3053 NORKSHEET r:/J P-l Q o u p:: P-l t-< r:/J ....... o ~ LOT SIZE (SF): 9213 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F, CHARGE 2711.87 $0.310 = I $840.68 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I I 0.00 I $0.310 50% = I DISCOUNT $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x. I COST PER DFU I 26 I I $24.04 B. IMPROVEMENT COST: I NUMBER OF DFU's x, I I 26 .1 $840.68 I $840.68 11070 $625.04 1091 $18.28 $475.28 1092 ITEM 2 TOTAL - CIT)' SANITARY SEWER SDC ;3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADTTRIPRATE ' x I 9.57 = 1 $1,100.32 I NUMBER OF UNITS I x I 1 I COST PER TRIP $ I 8.30 x NEW TRIP FACTOR 1.00 = I $175.13 1093 I NUMBER OF UNITS x I 1 COST PER TRIP $80.72 $947.62 x INEW TRIP FACTOR I 1.00 $772.49 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 :1. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 1 I ICOST PER FEU I $82,03 = $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x I 1 ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) . MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE $3,845.96 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 6/21/2005 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIffi NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 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 (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 SI-IOWER, SINGLE STALL 1 0 2 = 2 SI-IOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL! 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 26 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 ]983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$],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 ] for Yes, 2 for No) ]S IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter] for Yes, 2 for No) BASE YEAR 2 2 ]979 CREDIT FOR LAND (IF APPLICABLE) VALUE / ] 000 CREDIT RATE $0,00 x $5,29 =1 $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0,00 = ~\~~ \0\\0 \'(\e '\)se o'(\'3-S \'3-(';0 .,.~e e" s'V ;c" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-375~~;~~b>ffl~26-3689 ' , "". · ~ ELECTRICAL PK1W"I~ ~LICATION . 't:.o~\~;~'3-\ \~~ 'b~~' City Job Number ~'::).. f1. ..0 'O-~Q~ Dl~~ . , \f\~\ , ..-/ \\}~., - . \"V' L LOCATION OF INSTALLATION 3. COMPLETE J3fYk SCpJ3DfiLE BELOWlt. 0fJb 55~ ~tt_ou ,~~\\\O\\ LEG~m3~~ O\~ J~~~. ~f)6 I \ ,amJ.~_ Permits are ~-transferabIe and ex e if work is not started within 180 days ofissuanc r if work is Suspended for 180 days. ~ CONTRAL..l uR INSTALLATION LY 2. Electn al Contractor 200 Amps or less. 201 .;mps to 4q,lbAmps '\"'\'If ~\ATAA 'J9't~~mps p\1\.\' Qr:;eC'f. ,,4. <<'VP.n.or\U~ 'f.<<'~N"'~'-' ,'l, .-'. :,,' :)" t\\QOvA'mps tol~ps E);~ ~c-' ,~<:':(;')_vG' ~ ,toe ~ sertul"'~u one'"",,, ril',C~.):J~ , ""':10SZ@lie!"h1U ~~6Its {0~ no(ll~'" \ ~b..n. vu \, ..' f"" \,.,/V\' -1"'0 Q;Uooe n II ~ 0\' 1\'" ;\C2'10" ra/IOl()\ .ul"",\, ~eS , . . " '. ~;p-C':J 1 -\- , . II COr\3S 01 .\\ ,v one . C'Jl2.l\ ',.0 , . . - , (;'~Ae',1ie." ~er,wces or Feeders . -,' \''' . 10'" al.i\,R~ ; "','.\:" lO\\ IJ'\.\\\W \~A.~ ,- ,":;- ~C)J9~~BUtOllrAlteration or Relocation . \ -;;-.1 ,v' '" 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Address City \ Expiration Date \ \ \ Owners NarK ~\J.~.' to\tw\~r. Chi Address \'L\L\'Q ~ C;~ ~tq~elfpho";14 .141$ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~dJ& \. ' Inspection Request: 726-3769 A. New Residential - Single or Multi-Family per dwelling unit. Service Included $106,00 I Dlo.CO C1Sd> \ ~ $ 19,00 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services or Feeders - Installation, Alterations or Relocation: ~ ,~ $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50,00 $ 50.00 $ 69.00 $100.00 iI ,Over 600 Amps or I 000 Volts see "B" above. D.' Branch Circuits. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial)'1 $ 45.00 ~u': \ill (j'(\l\ 'cMin~~~~ ~~e~~~~~~rif~i~\~\~r~m~ee is $45.00 + SurCharges~ 4':;.:;t~~:~~~ j ~~ ~'?fS.l7 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-G3.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~....:.. '~(1o..~~~...fIi.'...'........ ....'.... lJA.' ~- ~ ....__._..-".,,.-._.~.........- City of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 OOM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 COM2005-00746 CbM2005-00746 COM2005-00746 COM2005-00746 ~:lyments: TyPe of Payment CreditCard , '( " , 7/25/2005 RECEIPT #: 1200500000000001065 Date: 07/25/2005 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 SDC MWMC Administration Plan Review Residential Building Permit 3 Baths One & Two Family Storm Sewer Each Addtll00' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Heat Pump Appliance Not Listed -Mechanical Issuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee SDC Sanitary/Storm Admin SDC MWMC Improvement SDC MWMC Reimbursement Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Storm Drainage Impervious Area SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Paid By CHRISTIAN COX Item Total: Check Number AuthOrIzatIon Received By Batch Number Number How Received djb 460029 In Person Payment Total: I of 1 9:14:34AM Amount Due 31.00 1,000,00 106,00 95.00 10.00 21.12 1,033,65 306.00 28,00 12.00 24,00 9,00 " 6.00 12,00 9,00 10.00 103,00 114.85 164,07 129,22 865.31 82.03 475.28 625.04 840,68 63.08 772.49 175,13 $7,122.95. Amount Paid $7,122,95 $7,122.95