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Home My WebLink AboutPermit Electrical 1998-9-29 . , & .",- nO. fI/i . L~o",nl_ l~-- O'fiCE: C....q.1 'Ii/SPCRM,' - - n"'^ !lUrk r'SIt - AUlllonacl Sogn....ro_ ~. \ - ----u - ~l: 'ljLL € 225 FIITH STREET A OMMclVcz- OUIVDcR XP/Rc/Fr, ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9747?NYIR cO OR 'Ii/S HCIA~ 0 INSPECTION REQUEST: 726-3769(1[l4Vpf, /S!l8!l1V. PCRM/,/l~JOb Number ctoo 61/0 OFFICE: 726-3759 R/OO 'DON&:, SIVa.,. 3. COM~E FEE SCHEDULE BELOV 1. LOCATION ~F INSTALLATION q')..1, Q,fu~wf/ L-A/ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION /7033/./// 0(,.(,1) ~,~~Q6\67~'t'(l--- V ~ - Permi are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contractoae"" I}/,,/ ~L Address~7,5 ~D)(' ~o~ ~A. Ph~ne .!tf?~- ;;"i 72- Number-=?t;7.!?- S ..... Ci ty J?vgLM L Supervisor License 10 -"Jr; Constr Contro Number '73953 7-9~ Expiration Date Expiration Date --------------------~--~-------------- DATE: 4/211'ftt RECEIPT #: 'J ' /I 02,/,11./ RECEIVED BY: a {,AIM! 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: . 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only , , Items Cost Sum $ 85.00 g'J'- ~ 9o~ ---L f;J $ 15.00 . $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 . $ 40.00 $ 55.00 $ 80.00 see "B" above Si~~~~f S;~;;Jrician , r ~ \'\ :l. '"'\_ \/ D Branch Circui ts Owners Name_b,.).Q, f\,\\ ~ \\ rl~;r- ~ . Address QDrj}J/t1Jl{1(}ft; rrrl/U ? ~ 1'l4/:' 7!t:U One Circuit Ci ty Phone' l{.I' / , outo Each Addi tional ATTENTION:OregonI8 sy .. Circuit or with Service o INSTAfoMww.IllsadoptedbytheOregonUllhty hor Feeder Permit $ Notification Center. Those rules are set fO~ The ins talla t il?roAR.W081~etbroUgh OAR 9!j?-oOM'iscellaneous (Service/ feeder property I own' ~g3~foJ;;l1li\}'&bMirteopiHl;oftherUleSQtach installation for sale, leas2 o~irl1grlhecenter,(Note:thetelepho~epump or irrigation $ c ~ rlorthe Oregon Utility NotilicatlOrsign/Outline Ligh ting $ Owners Signatur~m e C nteris1-800-332-2344), Limited Energy/Res $ e Limi ted Energy/Comm $ volts " New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 2.00 not included) 40.00 40.00 20.00 36.00 f 7:;-<1- ~,?< ~_J..~ t~ ...,...,... .. Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980640A 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 ~!> Location of Proposed Work: ~ PRESCOTT LN Assessors Map #: 17033411 Lot: Block: Tax Lot #: 06615 Subdivision: Owner: DENNIS NOWAK Address: 901 PRESCOTT LANE Phone #: 746-7951 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: BASEMENT NEW QUAD AREA: lRNW OFFICE USE LAND USE: 1111 ZONING CODE: LDR Total Height: 28.75 Solar Approved: Y Item Main Garage BASEMENT Total Value -.. BUILDING PERMIT --- Square Feet x $/Square Feet ATTENTION:Oregon law requires you, ~o follow rules adopted by the Oregon Utility Notification centen4bose rules are set forth15. 36 in OAR 952.001.0010 through OAR 952-001- 0090, You may obtain copies of the rules by calling the center. (Note: the tel~~ho~e number for the Oregon Utility Notification Center is 1.800-332-2344). Value 0.00 0.00 21,965.00 21,965,00 Building Permit Fee Surcharge/Admin 152.50 12.21 TOTAL FEE (A) 164.71 PLUMBING PERMIT Item Fixtures I\lOi/OO: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENOED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Fee 30.00 Plumbing Permit Surcharge/Admin 30.00 2.40 TOTAL CHARGE (Cl 32.40 MISCELLANEOUS PERMITS --- Surcharge/Admin ADD'L CITY SDC PLAN REVIEW FEE 0.00 346.48 120.00 TOTAL MISCELLANEOUS PERMITS (E) 466.48 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 663.59 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. . Job Number: 980640A Page 2 - - - ADDITIONAL COMMENTS REVISING UNDER FLOOR CRAWL AREA IN NEW S,F,R. TO A FULL BASEMENT FOR SHOP/STOR. ADDING FULL BATH IN BASEMENT. BASEMENT NOT INTENDED FOR FUTURE HABITABLE SPACE/NO SLAB INSULATION 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 701.055 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 ~~:.:~~~""'"' """","""","". Dat ~~/~~ Signat11'f"'e Y c-1 - -- VALIDATION Date Paid: ()g.6 q2.~ 7 !:Lf(1rri tt 3 57 /7 aPW~ Receipt Number: Amount Received: Received By: \ , . JOURNaQR JOB NO. 9..f.i??40A. ATTACHMENT A ., CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . LOCATION: DF Nt.! ': M I'ItJ../A 1/ q 2.. ~ ~12.~ Sr ,,"TT' NAME OR COMPANY: DEVELOPMENT TYPE: ~ ~ 12. - Ann B",<.el'orl5-JV1' BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT, o X $0,227 PER SQ, FT. $ C 2. SANITARY SEWER-CITX NO. OF PFU'S (See Reverse Side) / , X $47.14 PER PFU $ ? ZCf,qll, 3. TRANSPORTATIOti NO OF UNITS X TRIP RATE X COST PER TRIP X X $475.32 X X $475.32 4. SANITARY SEWER-MWMC A, REIMBURSEMENT COST: NO, OF FEU'S X PER FEU B. IMPROVEMENT COST: NO, OF FEU'S X PER FEU $ -G-- $ $ $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ . > $ 10.00 TOTAL-MWMC sac $ c:; SUBTOTAL (ADD ITEMS 1,2.3 & 4) 5. ADMINISTRATIVE FEE~: BASE CHARG?,(~TOTAL ABOVE) X .05 j"-it:.-, Date: 7-z...Q-Qg- SDC Coordinator ATIACWA,WPD $ 32."7'. 9~ $ 1c'.S'O TOTAL sac $ ~4(.,.+8- ........., . FIXTURE UNIT CALCUIAfION TABLE: Number of New Fi.S X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate on.e NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.""....."."."."..,."."..."....,.,.,.........".,.....,.".,. , Drinking Fountain,..................,....,....,............,.,.,...... Floor Drain..............,............,....,.........,.".......".,....... Interceptors For Grease/Oil/Soli.ds/Etc................. Interceptors For Sand/Auto Wash/Etc..............,.., Laundry Tub/Clotheswasher.,........,....................,.,. Clotheswasher - 3 Or More......,.............................. Mobile Home Park Trap (1 Per Trailer)....,............, Receptor For Refrigerator/Water Station/Etc..,...., Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL....,...,...,.............."...,............." Shower, Gang.......,...,..,..............,..........,......,.,........ Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/WaiL.....,........,.......,............,.........,........ , Wash Basin/Lavatory, Single.......,......,.................., Toilet, Public Insta!lation...,.....,...,.....,...,.,.,..........., Toilet, Private.......,...,..,..,....................,........,......, Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value, calculate credits separates, If If improvements occurred after annexation date in table, - Year Rate per $1,000 Annexed Assessed Value 1989 $1,98 1990 1.55 1991 1.15 1992 0,96 1993 0,83 1994 0,67 1995 0,52 1996 0,38 1997 0,21 II Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4,27 4,18 4.12 3,99 3,83 3,68 3.48 3,18 2.82 2.42 Credit for Parcel or land Only If Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purpo'ses Only) Residential................,..,......, 0.4 CommericaL.....,.....,...,..,...., 0.9 Industrial......,................,.... 05 Governmental................,..,.. 0.5 FIXUNIT.wPD IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT , . .. SPRINGFIELD, 1 -- ~~,(q' In '/(!J.j) f ilIIIi!f <liT/" u, ),&J.il ~ ;raNi:. NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PEFlIJR1tljSIfID1AL PERMIT APPLICATION CITY OF SPRINGFIELD COMMENCED OR IS ABANDONEQl~ITY SERVICES DIVISION ANY 180 DAY PERIOD, BUILDING SAFETY Page 1 Job Number: 980640 225 North Fifth Street Springfield, OR 97477 .' , Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 917 PRESCOTT LN Assessors Map #: 17033411 Lot: Block: Tax Lot #: 06615 Subdivision: Owner: DENNIS NOWAK Address: 901 PRESCOTT LANE Phone #: 746-7951 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F. RESIDENCE NEW Contractor Canst. Contractor # Expires Phone '. General: NOWAK 0103605 901 PRESCOTT LANE SPRINGFIELD OR 97 12/19/98 746-7951 QUAD AREA: 1RNW # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: HP INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: E SQ FOOTAGE: 2508 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE RANGE: E 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, REQUIRED INSPECTIONS --- SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking, UNDERFLOOR MECHANICAL - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench, STORM SEWER LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover, ROUGH ELECTRICAL - Prior to cover, ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials, FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping, FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: W Topography: 14 Solar Approved: Y Lot Sq. Ft.: 7037 Total Height: 30 Lot Type: INTERIOR Setbacks S W E 5 26 5 10 Lot Coverage: 32.16t Setbk From NPL; 42 N House 14 Garage / . . tt SP~ . ~ ~ '" q IbXl.E,W jj/jIN['iiJ/ '1 il 'M. Iii itrol.;J,i Job Number: 980640 Item Main G~rage PORCH Total Value BUILDING PERMIT --- Square Feet x 1950 558 175 $/Square Feet 64,66 16.27 11. 04 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT .-- Item Residential Bath(s) 3 Plumbing Permit Surcharge/Admin TOTAL CHARGE --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan 4 Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT (D) - - - MISCELLANEOUS PERMITS -'-- Surcharge/Admin WILLAMALANE SDC CITY SDC PLAN'REVIEW ADJUST. I, ' TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- Page 2 (A) = Value 126,087.00 9,079,00 ., 1,932.00 137,098.00 518.50 41. 49 559.99 Fee 192.50 192.50 15.41 207.91 12.00 4.50 12,00 15.00 3,00 46.50 10.00 3.73 60.23 0.00 1,000.00 2,414.34 40.00 3,454.34 4,282.47 (C) This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. . . .."'~ . ~;;~ ~,.~;tq fi//J.!.l2'- iilII/;'[ '1i!tfU~A(oJii fr{olA'll Job Number: 980640 Page 3 Plan Check Fee: Received By: Plans Reviewed By: DON Building Site Reviewed 334.10 Date Paid: OS/28/98 Receipt Number: 30072 MOORE Date: 06/30/98 By: LISA HOPPER .' .-- ADDITIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED USING ADJOINING DRIVEWAY BY ACCESS AGREEMENT D~IVEWAY REQUIRED TO BE PAVED 2 . STREET TREES REQUIRED 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 ORB 701.055 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 wn~=;~ "/J;;;:;("d"' ooo"'~o"O". t /:40// S1~~~ Date 1 - -- VALIDATION Date Paid: ()S"O.Yt2 C/?oJ I)' r , . 'I. 2- '/j?. ;7 Il 'dtJ~ Receipt Number: Amount Received: Received By: r' , '. . . ' JOB NO. '1RD04CJ ,ATIACHMENT A'. - CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ,f)~AhIJJ'" N,..,U.JAk" LOCATION: 9 J 7 P/l.(!!.$(",.., 77" LAJ <hR.... . DEVELOPMENT TYPE: BUILDING SIZE lOT SUI' SQ, Ft, 1, STORM DRAiNAGF IMPERVIOUS SO, FT, 2....4- 'if ) X $0,226 PER SO. FT. $ ,"l€.D. 71 2, SANITARY SF:.ER-CfTY NO, OF PFU' S ?_ -:z..., (See Reverse Side) X $46,86 PER PFU $ /;077, 7~ 3, TRANSPORTATION 'NO OF UNITS X TRIP RATE X COST PER TRIP 1 X /10' X $472,49 $ 4- 77, 2./ X X $472,49 $ X X $472.49 $ 4, SANTTARY SFWFR-MWMC Dlh DU' NO. OF -fEtt'"3 I X 2.71.7&PER-fft:J+ $10 MWMC/ADM FEE $ z8Z 7f-. MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - /04-, oct TOTAl -MWMC SDC $ /g'S, C7 SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2,,799.3.7 ~ 5, ADMTNTSTRATTVE FFES BASE CHARGE (SUBTOTAL ABOVE) X ,05 L9t '$ 114. '17 Date: &-4--9~ SDC Coordinator TOTAl SOC ~? 4/4.3'f- .. .". VI U.. ~"U I v/""\&..\,JUL..M IIVI\I . MOLe. l'Jumber or New ~Ixtures X Unit Equivalent = Fixture Units 1 (NOTE: For remodels, calculate o~he NET additional fixtures) . . . .. " . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub,... .........,...,.........,.....................,.................... Drinking. Fountain........................,.........,.................. Floor Drain...... ,:...,..,.,..,..........".....,..........,.....,...,..... Interceptors For 'GreaseiOil/Solids/Etc..,.............. Interceptors ForlSand/Auto Wash/Etc........,......... I Laundry Tub/CI~theswasher.............,.........,...,....... Clotheswasher. 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer)...............,.. Receptor For Refrigerator/Water Station/EIC........ Receptor For Commercial Sink/Dishwasher/Elc.. Shower. Single Stall.............................................,... Shower. Gang.....,..,..........,.........,.........,.................. Sink: Bar, CommerCial, Residential Kitchen...... ,................. Urinal, Stall/Wall'...,..........,.,.,...............,..,................. , Wash Basin/Lavatory, Single.................................. Toilet, Pubiic Installation................ ........................ Toilet, Private.........,.... ..,'.....,. .,.....,.......,.....,........ Miscellaneous: Z- I ,. ~ ~ TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 = +- -:;!.- Z- '3 12- 27, - CREDIT CALCUL~TION TABLE: calculate credits separate~ r Based on assessed value. If improvements occurred after annexation date in table, Year Annexed . Year Annexed ..c-., ~7!=} or before 1980 1981 1982 1983' 1984 1985 1986 Rate per $1,000 ~sed Value ~'39i~ 3,89 3,83 3.70 3,55 3.39 3.20 2,91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Rate per $1,000 Assessed Value $2,56 2,17 1,73 1.31 0,92 0,74 0,61 0.45 0,31 0,17 Credit for Parcel or Land Only If Applicable Improvement lif after annexation date) '<,,97 X $ 2c., ZZo (Rate X Assessed Value) X $ . (Rate X Assessed Value) = = /04, tPq CREDIT TOTAL = $ /04:0:; RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residenci.:iJ... ;....................... 0.4 Commerical..........,..,.........., 0,9 Industrial................~........,.. 05 Governmental...,.................. 0.5 IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT r' : . . Job. No. ~ ~rirAl) ., SYSTEM DEVELOPMENT CHARGE . NAME: \\~(\n\C\ ~~;~SHEET PHONE: ::A~,lBI9), ADDRE~\ ~JJ.l). STATE: Ok. ZIP: !1J411 LOCATION OF PROPOSED BL}D1NG SITE: J "".... Street Address: . ~ \~ l '\ ho 1~rfL ctpll fl--. Plat Name: Tax Lot Number:J!)()()~15 .. 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) A. Sinale-Familv DetacheQ ( Single Family home NO. OF UNITS Manufactured home not in a park l X $1,000 per unit = $ -100~ C() B. Sinale'-Familv Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Jy1antlf:o..Qfured Home Palk NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ loon. co g $ JDOO. 00 6 I 30 I q p" $ 2. SDC CREDIT (if applicable) SOc-payer must furnish proof of Willamalane Credit approval. See SDC Credit WorKsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SOC reduced for Credit) .~ ,~l ~ Development'Serv s Department City of Springfield Date Tt~'", c ,,- 0 :, _4, ,',:ity of Springfield This Side To 8e Filled Out by AppJ/~43nt 0,:......:" ~ This permit is required for any site activity in the flood plain and everywhere site alteration consists of .a:: . fifty (50) cubic yards of material or mo~e .~nd/or if a drainageway is affected, within City limits and .... '\. . ' , I- - ~ 0::: UJ c.. Z o - ~ L.U ~ <( LoU lJ <( Z - ~ o o z <( o z ::s Date ~f' ~PPliqa.tiPn --7./20 . .. ~ , .' , . Property Owner Oenn/~ + {)1ct;~IJ{rUf46..... Address: qO 1 P~f'.5u)7T Lh__,. Permit Expiration Date: Phone: 7<1{, - 79S / City_2fJ'/.L State~ZiP2Lut ,Springfield, Oregon Site Address: 9/7 Pn5Cdt! La-ne-- o UGB Tax Map No: -!L6-€l7!il../ /T.o~-~q-//-O~/,TaxLot: /Z.6.QU"/ Journal number applicable Land Use Application ' (Bj FILL, Quantity 4:>0 Supplier GRADING, Quantity )EXCAVATION, Quantity Supplier: ' Address ~j.J 0 I~Cl"k Source Location 1:)ii:t.. TA , Material : o \~ :J 3 0 O<.{ vtf~~stination: n.. II-r.... Pl t- , Project Supervisor n,,""';J 13" ~",./r' 7<;'1./ 7 EIlf'rKrf.. I'JIf' , Phone -izt.- 7/7/, . ~ SITE PLAN Required Data:Quantity of material, Property lines and descriptions, Tax map and lot number, Site address, Existing contour lines, Proposed contour lines, Existing drainage ways, Prollosed drainage ways, Significant trees and foliage, Ground cover, Soil types, Buildings, Septic systems, Sewers, Areas subject to flooding, Utilities, Areas subject to land slides, Proposed site improvements, o o ~ o o CROSS SECTIONS, SOILS & GEOLOGY PLAN, DRAINAGE, POLLUTION AND EROSION CONTROL PLAN REPLANTING PLAN ADDITIONAL INFORM~Qa-~E: TIIl4"\ .........\I.'f ... -..- , _... . "'llnl..,- CArine: Ir I nt: VVUHK AlJTHORI71=n I'NOEP :~~E: ('I[~lI'f I~ r:d'fONE COMMENCED OR 1$ AaAf4ElJI~C:C' TYI1 "ltlYl:l<i"'\"--,,"'h I . ... I.'n r..nIVLI. , PHONE STATE COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: CITY STATE CONTRACTOR NAME: N a LV t:<. k "PROJECT SUPERVISOR: D"'n,., i { Registration Number: /03&,05 ADDRESS: 90 I P~sc."tf STATE: nf( ,ZIP: C1,4 7 7 MOBILE PHONE: , . I?J l.J ;-Id U"..s N"~~}\'" PHONE 7'-16-7'1>/ , Expiration Date: 1l.1, 9/ q 'il SICld FAX La-nl' OFFICE PHONE , EMERGENCY PHONE: . CITY: I understand that I or my successors may have future plans for my property which may be anticipated or unanticipated at this time. I understand that such future plans may require permits and developement approvals from the City of Springfield. I understand that notwithstanding any approval of this Land and Drainage Alteration Permit (LOAP), that at the time of application of future permits or approvals the City may review and reconsider all actions which I or my successors have undertaken persuant to this lOAP. I understand that the City may as a condition of any future approval, require the undoing, changing, or modification of any actions which I have undertaken as a result of the City's approval of this lDAP. ,. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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, applicable City Standard specifications and Drawings, and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with OAS 701.055 will be used on this project. The City may inspect the work site described in this permit at any time during a one year period following the receipt by the City of notice of completion of the described work and specify, at the City's sole desecration, any additional restoration work required to return the site to a standard acceptable to the City. The permittee will be notified in writing of any work required and will have thirty (30) days from the date of the notice to complete the work. Work not completed at the end of the thirty days will be performed by the City and the costs will be billed to the permittee. I further agree to e that all required inspections are requested at the proper time, that project address is readable from the street, a e ap roved set of pla~i11 remain on the site at all times during construction. Signature C:;::~A441.w F)~ Oate 5/ Z// 9R I- - ~ ~ L.LJ Cl. Z o - ~ L.LJ ~ <( L.LJ lJ <( Z - ~ o o z <( o z :s 1/6/1998 o DRAINAGE, CJ Storm, CJ Ditch, CJ Culvert, CJ Natural o WETLANDS, Description 4/__ I: 0 FLOOD PLAIN, Zone:~ , FEMA Community Panel No,:_'1'/S.s-9'.2 (')~:l. A o FLOODWAY, FEMA Community Panel No,:_~/ J I.i .,;2 tJr!M~ Date: 9'/.2 7/.r!.- , , PLAN CHECK FEES: I UP TO 100 CUBIC YARDS 101 TO 1,000 CUBIC YARDS 1.001 TO 10,000 CUBIC YARDS 10,000 TO 100,000 CUBIC YARDS I: 100,001 TO 200,000 200,001 CUBIC YARDS OR MORE $20.00 $30.00 $40.00 $40.00 For the first 10,000 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof. $220,00 For the first 100,001 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof. $340 For the first 200,001 cubic yards, plus $6.00 for each additional 10,000 cubic yards or fraction thereof. : GRADING PERMIT FEES: UP TO 100 CUBIC YARDS 101 TO 1,000 CUBIC YARDS , 1,001 TO 10,000 CUBIC YARDS 10,000 TO 100,000 CUBIC YARDS 100,001 TO 200,000 $30.00 $30.00 For the first 100 cubic yards, plus $14.00 for each additional 100 cubic yards or fraction thereof. $156.00 For the first 1,000 cubic yards, plus $12.00 for each additional 1,000 cubic yards or fraction thereof. $264.00 For the first 10,000 cubic yards. plus $54.00 for each additional 10,000 cubic yards or fraction thereof, $750.00 For the first 100,001 cubic yards, plus $30.00 for each additional 10,000 cubic yards or fraction thereof. , Estimated Volume: 'Plan Check Fee: n Date: Receipt No: ;, Received By: Date: Receipt No: /JSIl iff Date:0/r~/C;(, ,Grading Permit fee: ~ ~~I!? 'I :Received by: Date: ,L,J;;: t: _ A -nil..- J..Y;. 'f) CoAl () /-7/ o;U 5 /(..vr'J", ~'//. ~ ~ ,a--- Engineering ~ -;1:/!;/ Building: A/2/~~~ ""1: r '. - Maintenance: Date: ~1:48 Date: ' 1/3 Date: ~/ /r9$ Date o Plannjn~ lEt' o Permit Number 9,~obfo Issued by: ! ' Date: kl.ir,ori 12Jn~1 InC!n,o,..tinn~' Planning: , Date " Engineering: Date Buildin9: " Date Maintenance: "' Date: ~ o I' o Land and Drainage activity as outlined in this permit has been completed in accordance with the provisions of this permit. , Land and Draln~l1e ac.tivitv as outlined in this permit has not been completed in accordance With the provlslcms of thiS permit, Land and Drainage activity was performed prior to application for this permit. Accepted by: Date: . . Engineering Comments & Conditions By Bob Kettwig Date: June 16, 1998 Observations I. Site slopes to the South and West. Conditions This document is an extension to the conditions of the Land and Drainage Alteration Penn it. These conditions must be carried out in addition to and as a part of any other conditions or requirements listed on this pennit application and shall be in addition to any current or pending penn it application(s) or land use decisions. The owner shall be required to be in compliance with federal, state and local ordinances and codes, and sound engineering practices. Specific conditions include but are not limited to the following; I. Should wet weather occur silt fences shall be placed on the South and West property boundries at that time. Sediment shall not be allowed to enter the street or adjoining property. 2. The pennitted must comply with all conditions of this pennit. Any penn it noncompliance constitutes a violation and is. grounds for enforcement action; for permit termination, suspension, or modification; or for denial of a permit renewal application. 3. Issuance of this penn it does not relieve the pennittee all other pennitting and licensing requirements. Prior to hep;nnillf! con.~truct;on activities. all otller nece,'iSQrv annrovals shall be obtained. 4. Wet weather conditions are in effect October I through April 30 and may be extended as directed by the Public Works Director. 5. Sediment from the construction must be trapped and prevented from leaving the project site or entering streams, drainage ways, wetlands, or other environmentally sensitive areas. Private and public property down gradient oflhe project site shall be protected against erosion during construction. Runoff from the project site during construction shall be protected so that sediment-laden water will be filtered before leaving the site or entering the conveyance system. 6. Temporary erosion control facilities must be designed for the 2-year, 24-hour storm event unless otherwise specified in the design guidance. 7. Stabilization of all exposed areas will be required within 48 hours after reaching finished grade. 8, Sediment and erosion control measures sllall be in place and functioning before clearing and grading begins, 9. Construction site entrances are egress points for vehicles onto paved roadways. All projects, which will have vehicular traffic, shall have a means to prevent vehicles from tracking soil from the site. The owner shall maintain the entrance(s) as necessary to ensure proper functioning of pad. The inspector may require stabilization of interior roadways and car parks to keep sediment contained. If sediment is tracked offsite, sediment shall, on a daily basis, be swept or shoveled from the paved surface before washing. Runofffrom construction entrances shall be directed to sediment ponds or traps where these have been otherwise provided on development sites. 10. Erosion control facilities shall not be allowed to fall into disrepair. The owner shall inspect facilities during and after rainfall events to ensure that they continue to function effectively, Repairs shall be made as soon as possible during rainfall events. II. Temporary erosion control measures may not be removed until the site is pennanently restored to the satisfaction of the inspector. For projects that contain or adjoin drainage ways or environmentally sensitive areas. or occur on slopes . . over 15 percent, the Director may require a restoration plan that shall consider vegetation types, mulching/annoring, and/or maintenance to affect the following: ii) Erosion and sediment control iii) Soil and slope stability iv) Proteclion of drainage ways and environmentally sensitive areas. 12. All temporary erosion control measures shall be removed within 30 days after final site slabilization has been achieved or after the measures are no longer needed. Sedimenl collected in Iraps, ponds, or silt fence shall be removed and disposed in an approved manner or stabilized on sile. Disturbed soil areas resulting from sedimenl removal shall be pennanenlly stabilized within seven days. 13. Straw bale barriers are temporary and have a life expectancy of two months or less. The purpose ofslraw/hay bale barriers is to I) inlercept and detain small amounts of sedimenl from disturbed areas of limited extem in order 10 prevent sediment from leaving the site, and 2) decrease the velocity of sheel flows and low level channel flows ii) Strawlhay bale barriers are nol a substitute for filter fabric fences as they are short. lived and provide very little filtration of sediment. Straw and hay bales may be used below areas subject to sheet and fill erosion. The size oflhe drainage area is 10 be no greater than 0.25 acre and the length oflhe slope behind Ihe barrier should be no greater than 100 feel. Iflhe slope has a gradient grealer Ihan 10 percent, slope length should be no more than 50 feel.] iii) There shall be no concenlration of water or possibility ofa washout in a channel above Ihe barrier, 14. If drainage problems to adjacenl properties are caused by or as a result of aClivity on Ihis site then the applicant/owner/developer may be required place additional stonn drainage to remedy Ihe silmilion, 15. The owner/contractor shall be responsible to prevent any soil or materials from leaving the site. He/she shall anticipate the worst case weather conditions and place adequate erosion control measures prior to an evenl. Failure to provide conlrol or prevent malerials fonn entering the slreel or drainage system may result in a SlOP work order and additional fines and penalties as well as liability for any cleanup or costs. 16. The approval of the LDAP does not constitute compliance with Ihis pennil. The pennittee shall be responsible for complying with all pennil conditions and Federal, Stale and local laws and codes, 17. A copy of the LDAP shall be retained on-site and made available 10 Ihe Cily of Springfield or its Agem upon requesl. During inactive periods of grealer Ihan seven (7) conseculive calendar days, the LDAP shall be relained by the permittee". 18. The LDAP shall be developed and implemenled 10 prevenllhe discharge of sedimemto surface waters. The following observations should be considered: ii) Earth slides or mud flows Ihatleave the construction site and are likely to discharge to surface waters. iii) Evidence of concentrated flows of water causing erosion when such flows are nol filtered or settled to remove sediment prior to leaving the construction site and are likely to discharge 10 surface waters. Evidence includes the presence of rills, rivulets or channels, Flow to stonn water inlets or catch basins located on the site will be considered "leaving the site" if there are no sediment control structures downslream oflhe inlels or calch basins thai are under the pennittee's conlrol. iv) Turbid flows ofwaler Ihat are nol filtered or settled to remove sediment prior to leaving Ihe conslruction site and are likely 10 discharge to surface waters. Flow 10 slonn water inlets or calch basins located on the site will be considered "leaving the sile" iflhere are no sediment control structures downslream of the inlets or catch basins that are under the pennittee's control. v) Deposils of sediment at the construction site in areas Ihat drain to unprotected stonn waler inlets or catch basins that discharge 10 surface waters. In leis and catch basins with failing sediment controls due 10 lack of maintenance or inadequate design will be considered unprotected. vi) Deposits of sediment from the conslruction site on public or private slreels oulside oflhe pennitted conslruclion activity Ihat are likely to discharge to surface waters. vii) Deposits of sediment from the construction site on any adjacent property outside of the pennitted construclion activity that are likely to discharge to surface waters. . . 19. The City of Springfield or its Agent may require modifications to the LDAP al any lime iflhe LDAP is ineffective al preventing the discharge of significant amounts of sediment to surface walers. 20. Significant amounts of sediment that leave the site shall be cleaned up immediately and placed back on the site or properly disposed. Any in-slream clean-up shall be coordinaled with the Oregon Division of State Lands. 21. Under no conditions shall sediment from the construction site be washed into storm sewers or drainageways. 22. The following controls and practices are required: ii) Each sile shall have "raveled", paved, or conslrucled entrances, exits and parking areas 10 reduce the tracking of sediment onto public or private roads. iii) All unpaved roads located on-site shall be "raveled", Other effective erosion and sediment conlrol measures either on the road or down gradient may be used in place of "raveling", iv) When trucking saturated soils from the site, either watertight trucks shall be used or loads shall be drained on-site until dripping has been reduced to minimize spillage on roads. v) A description of procedures for correct installation or use of all erosion and sediment control measures. vi) A description of procedures for prompt maintenance or repair of erosion and sediment control measures utilized on-site. 23. Addilional conlrols and praclices shall be developed that are appropriate for the site. AI a minimum the following shall be addressed: ii) A description of clearing and grading practices, including a schedule of implementation, that will minimize the area of exposed soil throughout the life oflhe project. iii) Whenever practicable. clearing and grading shall be done in a phased manner to prevent exposed inactive areas from becoming a source of erosion. iv) A description of vegetative erosion control practices, including a schedule of implementation, designed to preserve existing vegetation where practicable and re-vegelate open areas when praclicable after grading or construction. In developing vegetative erosion control praclices, the following shall be considered: temporary seeding, permanent seeding, mulching, sod stabilization, vegetative buffer slrips, and proteclion of trees with protective conslruclion fences. v) A description of addilional erosion control practices, including a schedule of implementation, designed to prolect exposed areas and prevent soil from being ero"ded by slorm waler. vi) In developing additional erosion conlrol practices, the following shall be considered: mulching with straw or other vegelalion, use of erosion control blankets, and application of soil tackifiers. vii) A descriplion of sedimenl conlrol practices, including a schedule of implementation, that will be used 10 divert flows from exposed soil, slore flows to allow for sedimenlalion, filter flows, or otherwise reduce sedimenlladen runoff. All temporary sediment control practices shall nol be removed unlil permanent vegetalion or olher cover of exposed areas is established. In developing sediment control practices, the following shall be considered: use of slraw bale dikes, silt fences, earth dikes, brush barriers, drainage swales, check dams, subsurface drains, pipe slope drains, rock outlet protection, sediment' traps, and temporary or permanent sedimentation basins. viii) A descriplion of erosion and sediment control practices that will be used to prevent stockpiles from becoming a source of erosion. Stockpiles localed away from the construction activity but still under the conlrol oflhe perminee shall also be protected to prevent significant amounts of sediment from discharging to surface waters. In developing these practices, Ihe following shall be considered: diversion of un con lamina led flows around stockpiles, use of cover over stockpiles, and inslallation of silt fences around slockpiles. ix) A description of the best management praclices Ihat will be used to prevent or minimize slorm water ITom being exposed to pollutants from spills, cleaning and maintenance activities, and waste handling aClivities. . . These pollutants include fuel, hydraulic fluid, and other oils from vehicles and machinery, as well as debris, leftover paints, solvenlS, and glues from construction operations, x) In developing these practices, the following shall be considered: written spill prevention and response procedures; employee training on spill prevention and proper disposal procedures; regular maintenance schedule for vehicles and machinery; and covered storage areas for wastes and supplies. xi) The permittee shall manage abandoned hazardous wastes, used oils, contaminated soils or other loxic substances discovered during construction activities in a manner approved by the Departmenl of Environmental Quality. INSPECTION REQUIREMENTS FOR ACTIVE SITES 24. All erosion and sediment conlrol measures shall be inspecled alleasl once every seven (7) calendar days and within 24 hours after any storm evenl of grealer than 0.25 inches of rain per 24 hour period. 25. All erosion and sediment conlrol measures shall be inspected daily during periods when storm water runoff or snowmelt runoff occurs. 26, Slorm water runoff discharges shall be visually monitored at the above frequency to evaluate the effeclivelless of the erosion and sedimenl control measures. If significant amounts of sediment are leaving Ihe property, corrective action shall be taken to reduce the discharge of sedimenls and Ihe LDAP amended accordingly. INSPECTION AND ENTRY The permittee shall allow Ihe Director, or an authorized represenlative upon the presentation of credentials to: 27, Enter upon the permittee's premises where a regulaled facilily or activily is located or conducted, or where records must be kept under Ihe conditions of this permil; 28. Have access to and copy, al reasonable times, any records that must be kept under Ihe condilions oflhis permit; 29. Inspect at reasonable times any facililies, equipment (including monitoring and conlrol equipment), practices, or operations regulated or required under this permit, and 30. Sample or monilor at reasonable times, for the purpose of assuring permit compliance or as otherwise authorized by state law, any substances or parameters at any location.