HomeMy WebLinkAboutPermit Building 2005-8-12
.
* CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00807
ISSUED: 08/12/2005
APPLIED: 06/27/2005
EXPIRES: 02/12/2006
VALUE: $ 3,865.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
" SITE ADDRESS: 1020 Prescott Ln
, ASSESSOR'S PARCEL NO.: 1703274305500
Springfield TYPE OF Manufactured Home on
Private Lot
TYPE OF USE: New Residential
" PROJECT DESCRIPTION: Manufactured Home Placement
Owner: HUTH JANITH
Address: 163916TH STREET
SPRINGFIELD OR 97477
Phone Nnmber: 541-543-6419
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
DURFLINGER & SONS INC
OWNER
OWNER
License
4571 0
",\(\9
ExpiralYgo Date
08/11/2007
Phone
541-942-7258
..'1
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
1
I BuiLmN~iNFfiRM.uiOl'j'-fqulres you !o
IUM..! rIl,o'.n("rJ,llt~ ~J il,l~ Oregon Utility
NoFifi>FS~\1i&~nter. Those rules arf- setl\l~e:
In OI\tglliiiltO01-<101 0 through OAR 952SqOPf 1st Floor:
oornypll:llr lMit:obto')lcellC'Alie~reUtlF rul~ 1m 2nd Floor:
lWaIe!l1lYPe9nter. (Note:Erucffi~'3phCS'<<JlFt Basement:
n&l~rT~p~le Oregon Uti!i~tfIc>ificaSijlFt Garage/Carport
Enercx;ll"~r is 1-800-332-2344). Sq Ft Other:
Sprinkled n/a Occupant Load:
24,829
1,027
3
I DEVELOPMENT INFORMA!ION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
50.00
23.00
12.00
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
2
No
4.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
0.00
..
,.
.'
IPUBLIc IMPROVEMENTS I
. I \~IOR\,
Street ", Sidewalk (f)'pe:\1 - ~
Partlallv Improved ~"i\C.._. ~\ I. V,I II' n~'li IS Nll'
Storm Sewer Available: No ;~IS pU,\\\\\I S\1_,~P,wl~pout'sror~ilJ.Sjt', Drywell- Provide
Special Instruction: '\ 1\101'\11.\:0 \.l\\:l IS j\'j>\N0\.lN\:U Drywell Engineering
~~,',.{H,\CtO O~\"'c.\
Notes: Storm drainage piped into dryweU ;.owner signed I.k'and lOa' roadway dedication 7/6/2005 CAS
fl,N'{ ili u,~,.
1 of 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
3,865.00
52,000.00
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Encroacbment Permit
Foundation Permit
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Feeder
Manufactured Home Placement
Manufactured Home Service
Plan Review Major - Planning
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer - Improvement
" Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
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 - Ist 50 Feet
Water LIne - Ist 50 Feet
Willamalane Manuf Home Private
Total Amount
Initial Review
06/29/2005
Total Value of Project
)?pp<. PiWU
Amount Paid
Date Paid
$39.39
$51.46
$36.02
$31.00
$130.00
$60.60
$30.00
$45.00
$50.00
$160.00
$50.00
$103.00
$45,00
$381.40
$501.40
$14,00
$10,00
$865.31
$82.03
$78.19
$72.44
$805.70
$182.69
$184.11
$45.00
$45.00
$1,000.00
6/27/05
8/12/05
8/12105
8/12/05
8/12/05
8/12105
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12105
8/12/05
8/12/05
8/12/05
8/12/05
8/12/05
8/12105
8/12/05
8/12/05
$5,098.74
I Piau Reviews I
06/29/2005
APP SKG
2 of 4
. ClJ i' of SPRINGFIELD
Building/Combination Permit;
PERMIT NO: COM2005-00807
ISSUED: 08/12/2005
APPLIED: 06/27/2005
EXPIRES: 02112/2006
VALUE: $ 3,865.00
Value
Date Calculated
$3,865.00
$52,000.00
$55,865.00
06/2712005
06/27/2005
.
Receipt Number
2200500000000000834
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
1200500000000001185
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00807
ISSUED: 08112/2005
APPLIED: 06127/2005
EXPIRES: 0211212006
VALUE: $ 3,865.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
LDAP Review
07/25/2005
WE VRJ
LDAP Review
08/1112005
08/11/2005
APP VRJ
Planning Review
06/29/2005
07/1112005
APP T AJ
Public Works Review
06/29/2005
08/09/2005
APP CAS
. Structural Review
06/29/2005
07/05/2005
OK
RJB
Full Review LDAP. $600.00 due at
issuance. Applicant Is proposing
excavation work in a mapped
wetland (Sanitary Sewer
connection). CS sent Wetland Land
Use Notification Form to DSL.
Applicant is working with a
wetlands consultant and DSL to get
approval for the proposed work.
Talk to Virginia or Cheryl If you
have questions.
LDAP is approved and ready to
issue. Within Building Permit and
LDAP file, copy of Department of
State Land Report. $600.00 due at
issuance of LDAP.
The MH Is being placed more than
25' from the wetland area. No
wetland delineation Is required.
Storm drainage Into drywell; street
dedication and Improvement
Agreement signed 7/6/2005 CAS
Wetland Issue full LDAP required,
Engineered drywelllnformatlon
needed 7/1512005 CAS
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in Inspections have been approved.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Final Building: After all required inspections have been requested and approved and the building Is complete.
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 f1Iling trench.
3 of 4
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00807
ISSUED: 08/12/2005
APPLIED: 06/27/2005
EXPIRES: 0211212006
VALUE: $ 3,865.00
Final Plumbing: When all plumbing work is complete.
Manuf Home Plumbing: After home has been connected to water and sewer.
Drywell: Engineered Drywellls Required. Provide the City with a copy of the DEQ application to keep on me.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
MH Pedestal: Approval required prior to utility company energizing service.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
By signature, I state and agree, that I have carefully exandned 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 ali 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 ~I times during constructiolL
~~,~ .l-.L )~J
Owner or Contractors Signature
'?)I::l.\a.s
Date
4 of 4
e,
\. ../
", "
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Construction Contractors Board
700 Summer St NE Suite 300
PO BOI 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
Permit #: [lOW\. !(0ll4l 6080 '7
Address: i O:tO "?r oSeo -H-
Issued by:
M
Date:
"6/t~,!o I
I ,
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This statement will befiled with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
~l.
o 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.
.
o 3A. My general contractor is '))t1\".Q\\r"\(\~r <>>-' ~f"'\
U(Name)
,+6,10
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board,
OR
l:$l. 3B. I will be my own general contractor. -C:.~ de.c-\.rJ. c. ~ -I.- ~\v... \l\.b \...\'\3
In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. In change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I herehy certify that the above information is correct and that I have read and do understand the Information
Notice to. Property Owners about Construction Responsibilities on the reverse side of this form.
~u ~~ ~ to \ci"1 \()5
---- (Signature of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
L_t"HLowner.doc 06-01-04
'. .
AdnJID~ tal~ IT tlD1lllIl" (Q)WIID GeIIDeJrtalll CCtlDlIDttJr3l(\:tt({])'Jr?
INFORMATION NorlCE 10 PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBiliTIES
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as your 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.
EmJPIlloyell' lRe~J!lIonn~[b[ll[tie~
"
You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or impro~,ement of a residential structure. As the employer, you must comply with the fonowing:
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.
Unemployment Insurance Tax: 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 both Oregon Withholding and
Unemployment Insurance Tax, To file for a BIN, call 503-945-8091 or www.doLstate.or.us/formsnav.htmll for the
appropriate forms.
Workers' Compens~tion Insurance: As an employer, you are subject to the Oregon Workers' Cv...,,~..sation Law,
and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the
job. For more inforrhation, call the Workers' Compensation Division at the Department of Consumer and Business
Services at 503-947-7815.
U.S. Internal )Revenue Service: As an employer, you must withhold federal income tax from employees' wages.
You 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 www.irs.Q:ov.
((J)ttllnell' Re~J!lIollll~ii~iinii1tiie~ 2l1l1l1lll Al1'e21!l off COIl1lCel1'1l1l!l
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought to your attention through inspections.
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone.
Time: Make sure you have sufficient time to supervise your employees.
JEIlpe.tise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in
and finish trades, and to notifY building officials as the a"". V". ;ate times so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
Property _ owner.doc 06-01-04
~.'" ".. "" ,."u, ...u "', From: 541/361021u~, ~aJJ.:: 3!:'" ~e: 7/15~~95 ,9,:,39;,42 AM,..L I ,_~. .
~ i I nda lokJod ~e3-3.44 Pall" 9 of 9 Wed. 13 2~ 11: 17 : 12 AH PDT
R~ v~/\';,D'::>
WETIAND LAND USE NOTIFICATION FORM
(o,is form is to be cornpleted2lll:l by planning department staff for mapped wetlandsiwatel'WllYs)
DEPARTMENT OF ST ATE LANDS WETLANDS PROGRAM
775 Summer Street NE, Suite 100; Salem, OR 97301-1279; (503) 378-3805
I. County: ~~. Local Case File 1{J.l....m 7()r\""\ - ('\r.~61
City: :::;:;;c'l(' I (1" "'/7 DSL File #: WN ~lc;, ..f)-'Jl1jp (comolete<l bv DSL SIAfO
Re&ponSibi~ Jurisdictio; City County DSL Project #: 4 tJ 1 ~ ., (eonn>leted bv DSL Staffi
2. APPLICANT: ~ Q ("\: -lh W j "th LANDOWNER: ~ l'- Y'A~
-
name name
lLD;; q \ 1.c...1-I-, .~ ""J,.
rnn.iling address mailing oddrcu
<:::J.... ~. g addrA' n
- ~)~'i'; N( <<. ~ N (\ ()- "11::f1]
c . state zIIL J
@L~~ L41~
phone
3. LOCATION b c..-
T \/ R D"J' S7-[ y.,L1.'~~ TaxLot(s) "5~{,)O
Address (street/city) Il"'I '1.1) _~ l _0. ^' 0
NWJ quad map name ' IZU&E,\JE' {~FI-<;r ?
Attach all the following (with site marked): . LWI INWI Map (if no L WI map) . Parcel Map. Site Plan <if any)
If applicable attach: 0 Other
4. SITE INFORMA nON
LWIINWI Wetland CJassitiC<ltion Codcs(s) P f rY\
Adjacem.Waler-\v3)'-(if.!lllY), n..,.....
mailing addre..
city, stale zip
(
phone
Z"uin!} -'.
T"')' c;.l...
5. PROPOSED ACTIVITY // [
o site plan approval tJ subdivision / P b
o grading permit 0 planned unit development I ~\. ~ ,,'
o conditional use pennjt ~ building permit (new structures) I . ,) ~\\" " I
o Other _..~\, ,
Proj~' ~~oo (:f-' ~.,~" "J..~( C~' fi-'.1h -\-0 "" t' . ". '/
Complet~ b~IContact i .-1 l \ ~l t1.< \ r I{', Date '-111510 ~ .,'
Address(l \ ,\ '\ t"I - _ 0..-i <"a\~~ tl . u bL { _ L.. 1.a.d:s'hone; (5t-l1 I J2L..-_':=;7S'~
DSL RESPONSE
o A removal-fill permit is required from the Department of State Lands
o A removal-fill permit will be required when the development project proceeds, ,f"\ 50 . L' _I ~
~ removal-fill permit may be required-f6r 2) ("'cu.N:!:. Ck!~ .AI ,0(\ 0" C ~I C- Yq.rt.,~
permit may be required by the Corps of Engmem (503-808-4373) or ~ ~~ 1.0 ('ti.. ( t"I ~t:vJs. .
Information needed includes:
! A w~lland de!erminatioDldelineation ;eport (Consult;u1ls list enclo~edl \ _.u _ ._ .J S
A VV\Cl u.l"'<'t' ,..,of. ,\,r,.., uw::1 . n ~ r"":::.'t11'l {\ .l.:l ,"tR:, VI (V'OU tOo.YWl
o tate Permit # "-' r] was issued 0 has been applied for
o No removal-fill permil is required for the described projecl iflbecause:
CornrnenlS:f:>o..~LQ\-~~Lfl\., ~'^tu.."".A l.P"AM..!'oL
~W~(l~tidl..~. . ,
o ~-llite Visit By: Date:
Response completed by: eu' Q...t.... J-t...L,.o.X:t'"' Dale: 7;;::1 ns
. If the project is changed to gvolve fill or r""'val from the wetlands area, a stale removal.fill 'r will be required.
nttp!/Iwww.oregonstatelands.u$/wetlanduse.htm August 2004
.
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;- ~9~ <~~'-
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.-, .',.'" . .,'
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AliI; 0 8 2005
fo.tykt Sf~~~O'^
CONSULTING
--:\ Phone (541) 933-3318
::;... Fax (54\) 933-3319
y~. Emc.11 pstcon@aol.com
IBY:
,.
August 4, 2005
Department of State Lands
Attn. Janet Morlan
Wetlands Program leader
775 Summer St. NE
Salem, OR 97301-1279
RE: DETERMINATION LETTER FOR JAN HUTH
PROPERTY IN SPRINGFIELD, OREGON
Dear Janet,
Enclosed is a copy of the determination letter I have sent to the City of Springfield for the project
I discussed with you regarding what to do when a permit is not going to be required for a project
but the city wants something from DSL in order to process the building permit. As you can see I
don't feel that the sanitary line will impact wetlands, however, I have calculated out the cubic
yards of both fill and removal required to install the sanitary sewer line and it is less than 50
cubic yards of material even if it were impacting wetlands.
If you should have any questions, or need additional information please feel free to give me a call
"
at (541) 933-3318.
Sincerely,
PATRICK S. TIlOMPSON CONSULTING
Gd ()1~
Pat Thompson
Wetland Specialist
ce.
Jan Huth
file
F~up~.l~j owner
Gerry Hutson
5(')3-378-4844
TUe Aug 09 zees 1Z:40:54 PM PDT
TUe Aug 09 zees 1Z: 40: 54
.
.
OFFSITE WETLAND DETERMINATION REPORT BATCH
OREGON DEPARTMENT OF STATE LANDS WD#:PlV5.~
775 Summer Street NE, Suite 100, Salem OR 97301-1279 Phone: (503) 378-3805
At your request, an offsite wetland determination has been conducted on the property described below.
County: Ln",o City: So-t~......c:::..U
Owner/AgentlOther Name & Address: ;:),;lr\. In~. \.Oao( -,Js~ 'v,....o
Township: I, S
Project Name: -
Site Address/Location: 1 O;lb ~ffS~ ~"'Iil. . S",""~~c-eu.. o~
o The National Wetlands Inventory or Local Wetlands Inventory shows a wetland/waterway on the property.
o The county soil sW'Vey shows hydric (wet) soils on the property. Hydric soils indicate that there may be wetlands.
o It is unlikely that there are jurisdictional wetlands or waterways on the property based upon a review of wetlands maps,
the county soil survey and other information. An onsite investigation by a qualified professional is the only way to be
certain that there are no wetlands.
~ There arelmay be wetlands or waterways on the property that are subject to the state Removal-Fill Law.
RJ A state permit is required for ~ 50 cubic yards of fill, removal, or ground alteration in the wetlands or waterways.
o A state permit may be required for any amount offill, removal, or other ground alteration in the Essential Salmonid
Habitat and hydrologically associated wetlands. . .
)0 A state permit will bel~ required for 5e.'.!Hn\....,~"',., ~~ecau if LA"'\:\\... -n .... 1I.>>oU..~ ...~
. ~ \'C.CI~I"$'1lc;.,~!'\...-S' 'f
o The proposed parcel division may create a lot that is largely wetland and US create futllre develOpment prOblems. ,~
o A wetland determination or delineation is needed. If site development is planned, the delineation report should b~\<- .
submitted to the Department for review and approval. A consultant list is enclosed.
o A permit may be required by the Anny Corps of Engineers: (503) 808-4373
Note: This report is for the state Removal-Fill Law only, City or COUDty permits may be required ror the proposed activity.
Comments: ~",^:'II\A~"", \...uJ.. ....~""- ;,,,,-t;,,.,,,,,,,,,~.:,,,,,~V\.-J,tJ '-"',~\-~~5m .
Range: ~ W
Section: .,:) 7
Q/Q: 'b f' ~
.. S~\~-E=N\J.. OR..
C\ I c.J-71
Tax Lot(s): 5 5 DC)
Determination by: 7};",,*- C _ {\'\"" ~Y\ Date '&' 1 "t 1 oS--
~ This jurisdictional determination is valid for five years from the above date, unless new information necessitates a revision.
Circumstances under which the Department may change a determination and procedures for renewal of aD expired determination are in
OAR 141-090-0045 (available on our web site or upon request). A request for reconsideration of this determination may be submitted in
writing by the applicant, landowner, or agent within 60 calcndllI days of the above date,
o This is a preliminary jurisdictional determiDation and is advisory Oldy.
Copy To! t&t Owner/AgenliOther 0 Enclosures!
/ltJ V i".....,~ '0JI.o'1:e.r.d^ Planning Department 0
, .~",.,c~C'.u..
'Ii" '
FOR OFFICE USE ONLY
WeUond/Waterway? JKI Yes 0 No 0 Maybe Adjaeent WRterbody:
LWl Area: .~'''''f,e.\l
Coast Zone? 0 Yes 5!lNu 0 Unknown
RelBled DSL File N: WAlP."i-tJrl.t/{Q. Request Reeeived:
LWI Code:
ESH? 0 Yes I8lNo
"b
NWI Quad:
Entire Lot(s) Checked? 0 Yes 181 No '
Wild & Seeoic? 0 Yes IRI No State Seenic? 0 Yes 181 No
I 8' I 0,...--- 0 Mailings Completed 0 Data Entry Completed
K:\Wctl:mt.ls\ID Furms'OffSite Det Salem.Hnndwrinen 6"()S.doc
http://www.oregon&tatelDllds.us!
Gerry Hutson
563-378-1814
TUe Aug 99 2ees 12:18:17 PM.PDT
TUe Aug 99 2ees 12: 18: 18
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Oregon
Department
of State Lands
775 Summer Street NE, Suite 100
Salem, Oregon 97301-1279
Phone: 503-378-3805
Fax: 503-3784844
Fax Cover S~leet
From:.be("f'\! ~T5Dr\.gV ..:1~.. h\6~d.~xten~iOD: 2...ct I
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Fax #: ~'-l1-13l.:,... 10:1.1 Phone #:
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Phone (541) 933-3318
Fax (541) 933-3319
Emo.lI pstcon@ aol.com
August 4, 2005
City of Springfield Public Works
Attn: Virginia Jurasevich
Engineering Technician -
225 5th Street ,- .:~
Springfield, OR 97477 /. I;; ~ ''-':\
RE: Wetland Determination for the Jan Huth Property located : : . ~%. .~ ~(<:,. ...)
at 1020 Prescott Lane in Springfield, Oregon \ ,~<~~{'5:<'\';.':"
Dear Virginia, \, < '>~->' .)
This letter is in follow-up to your request that I provide you with information regarding-.:..-P
possible wetlands on the above-mentioned property, The concern was that in order to
connect the proposed residence to the city's sanitary sewer a small portion of wetlands
mapped may be impacted.
This site has wetlands mapped on the City of Springfield's Local Wetland Inventory
(L WI) map on the western half of the site (See enclosed L WI mapping). The boundary
of this wetland area has not been actually delineated, but a determination was made that a
portion of the tax lot could be considered jurisdictional wetland and as such would be
considered both a water of the United States (U.S.) and a water of the State. Waters of
the U,S and the State are regulated by the U.S. Army Corps of Engineers (USACOE) and
the Department of State Lands (DSL).
In order for wetlands to be considered jurisdictional they must have a dominance (50% or
more) of wetland vegetation, the must have hydric soils, and wetland hydrology
(saturation within I foot of the surface during the first pari of the growing season which
begins in the Willamette Valley liyy,v,.imately March 1st).
I visited the site on July 18,2005 and the following information is result of that site visit,
and a discussion I had with Janet Morlan, Wetlands Program Leader at the DSL.
.
.
The property slopes to the west with Prescott Street along the eastern boundary of the
!"u!'''''f. Prescott Street collects any runoff from the adjacent hillside to the east of the
street. There is a remnant of an old orchard on the upper slope of the property where the
residence is proposed. The manhole for the sanitary sewer is near the southern property
boundary and approximately in the middle of the tax lot. The dominant vegetation in this
area is tall fescue (Festuca arundinacea), orchard grass (Dactylis glomerala), and hairy
cat's ear dandelion (Hypocharis radicala) all of which have an upland indicator status.
Approximately 15 feet west of the sanitary sewer manhole the vegetation changes to
meadow foxtail (Alopecurus pralenlsis) and reed canary grass (Phalaris arundinacea),
both of which are considered Facultative Wetland plants.
The soils mapped for the site are the Pengra Urban Land Complex 1-4 % slopes. The
Pengra soils series is listed as a hydric soil.
Determination Summary
I believe that due to Prescott Street intercepting the hydrology for at least the past 40 to
50 years and the dominant upland vegetation in the area where the connection to the
sanitary sewer is to take place that the connection will not impact jurisdictional wetlands,
DSL allows up to fifty cubic yards to be either removed or filled in wetlands before
taking jurisdiction over the fill. I have calculated the amount of alteration that would
occur to make the sanitary sewer connection (- 40' length, -7'feet in depth and - 2'
width) and the amount is 42 cubic yards of material for both excavation and fill. So you
can see that even if the entire sanitary sewer line was in jurisdictional wetlands which it is
not, the amount of alteration would still be less than DSL's fifty cubic yard threshold and
only temporary in nature.
As there is no impact to the jurisdictional wetlands anticipated, there will not be a permit
application required for the project. The USACOE does not accept delineation ,"!,u,;~
unless a joint permit application is submitted with the report. DSL has a tier system (See
enclosed fact sheet #8). If no permit is required and the delineation is submitted for the
wetland it is very likely that it will not be reviewed and no concurrence on the delineation
,"!'u,; will ever be received. This being the case, going to the time trouble and expense
of delineating the wetlands and submitting a ,"!'u,; would be pointless as it would never
get reviewed.
I have spoken with Janet Morlan, Wetland Team Leader at DSL regarding this site to see
how to best address the problem of making a determination without actually delineating
the site which I feel is an unnecessary expense and burden to Jan Uuth, She asked me to
send you this letter along with the calculations ofml if it were in wetlands so that DSL
could let you know that because it is less than fifty cubic yards no permit would be
required from them, She also asked me to include the fact sheet outlining their tier
system for processing delineation reports and said if you have any further questions you
could call her at 503 378-3805 ext 236, and she would be happy to explain DSL's
position.
.
.
I have enclosed Fact Sheet #8 from the DSL website which outlines the three tier system
that DSL is now using in regards to delineation/determination reports,
I have also included site photos to better show the location of the sanitary sewer line and
the hydro-geomorphology of the site,
I hope this gives you the information you need to proceed with the development plans for
this site. If you should need additional information or assistance please feel free to give
me a call at (541) 933-3318.
Sincerely,
Patrick S Thompson Consulting
Gd-~
Pat Thompson
Wetland Specialist
Enclosure
Fact Sheet #8
L WI map
Site Photos
ce. Janet Morlan DSL
file
SD ~ - I-~
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Just the Facts '
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.
WETLAND DELINEATION REPORT REVIEW PRIORITIES
WeUand Delineation Report Review Process
A wetland delineation report and map is often the first step in planning a development project on a site
that contains wetlands. Although the report may be submitted to the Department of State Lands (DSL)
at the same time as a removal-fill permit application, DSL strongly recommends that the wetland
delineation be conducted well in advance of detailed project planning. Until the wetlands are located
and their boundaries mapped, appropriate measures to avoid and minimize impacts as required by
state and federal law cannot be taken.
When a wetland delineation report is submitted to DSL for approval, it is reviewed by wetland
specialists on staff for technical accuracy and appropriate documentation. If the report meets applicable
standards and provides sufficient information for DSL to make a determination of which areas (if any)
meet wetland criteria and are subject to permit requirements, DSL approves the report, DSL staff may
request additional or clarifying information andlor conduct an onsite inspection. Because delineating
wetland boundaries requires data interpretation and professional judgment, reports may be revised
prior to acceptance by DSL.
Because the number of reports submitted to DSL for approval has grown substantially over the years
without a corresponding increase in staffing, DSL has adopted a prioritization system that provides for
adequate response time on reports submitted with state permit applications and in support of other
agency program purposes. DSL wetland staff will still conduct 'offsite" wetland determinations upon
request and make onsite determinations if needed and as workload allows.
Review Priorities and Timelines
There are 3 priority tiers based mostly upon purpose of report. Tier 1 report review timelines coincide
with permit application timelines (meeting timelines assumes a complete and accurate delineation
report is submitted). Tier 2 includes all reports not listed in Tiers 1 or 3. These reports do not have a
timeline and are reviewed as workload permits. DSL wetland staff are unlikely to review reports that fall
under Tier 3. In the absence of DSL review and concurrence, a property owner will need to rely on the
consultant's work. Therefore, it is important to choose a consultant that will be able to accurately map
the wetlands and waterways. (See Just The Facts # 7 on selecting consultants.) DSL permit staff will
review maps showing ordinary high water and determination reports associated with an application for
voluntary habitat restoration as part of their permit application review process. If a report purpose does
not fit the descriptions below, DSL will determine the appropriate tier.
I
Tier 1:
Wetland DelineationlDetennination Report for:
RemovaVFiII Penn it Application
Proposed Mitigation Bank
Industrial Land Certificate Program
Pre-aoolication (aoolication or GA submitted within 90 davs)
Review Timeline
120 days
120 days
120 days
120 davs
I
I Tier 2: Anything not listed in Tier 1 or 3
No Timeline
Tier 3: Property for sale or purchase only Unlikely to review
Lot partitions, re-plats, lot line adjustments Unlikely to review
Short Report for small parcels (~ Y. acre) with no wetlands or other waters Unlikely to review
Habitat restoration project Pennit staff review.
BridQe oroiect if all wetlands within Ordinary HiQh Water Pennit staff review.
* Permit staffwill review any report and/or map along with all other application materials. No other review provided.
Oregon Department of State Lands - Wetlands Program
775 Summer SI. NE. Sune 100, Salem, OR 97301-1279
Just the Facts # 8
AUQust 2004
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CITY OF S_NGFIELD SYSTEMS DEVELOPMEaORKSHEET
JOURNAL OR JOB NUMBER: COM2005-00807
NAME OR COMPANY: Janith Huth
LOCATION: 1020 Preseott
TAX LOT NUMBER: 1703274305500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 1140 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I
I 0.00 I $0.323 = I $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
1140.00 I I $0.323 I 50% = I
ITEM t TOTAL- STORM DRAINAGE SDC $184.11 I
2 SANITARY SEWER - CITY
DISCOUNT
$184.11
25725
$184.11
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 20
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1 x
I 20 I
COST PER DFU
$25.07
$19.07
ITEM 2 TOTAL- CITY SANITARY SEWER SDC
= I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRJPRATE I x
I 9.57 I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x
I 9.57 I
I NUMBER IOF UNITS I x :
I NUMBER OF UNITS I x I
ill I
ITEM 3 TOTAL-TRANSPORTATION SDC = I
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
ill
ICOST PER FEU
$82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ ,
5 ADMINISTR '" TlVE FEE'
I SUBTOTAL x I ADM. FEE RATE 1=
I $3.012.64 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
7/612005
PREPARED BY
DATE
$882.80
COST PER TRIP
$19.09
x INEW TRJP FACTORI
I 1.00 I
$501.40
$381.40
$182.69
$805.70
.11
ICIl
,U-l
10
10
I~
-' ~
CIl
G
~
1070
1
1091
1092
11093
I
1 1094
1
1
COST PER TRJP
$84.19
$988.39
x INEW TRIP FACTORI
I 1.00 I
$957.34
$3.012.64
=
$82.03
11054
I
1055
1054
$10.00 1056
I
_I
I
78.19 11079
$72.44 1078
=, $3,163.27
=
$865.31
$0.00
CHARGE
$150.63
TOTAL SDC CHARGES
.
.
DRAINAGE F~TURE UNI~(DFU) CALCULATION TABLE
NUMBER OF NEW FIX11JRES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT
I BATHTUB 2 0 3 =
IDRlNKING FOUNTAIN 0 0 1 =
IFLOOR DRAIN 0 0 3 =
IINfERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 =
IINfERCEPTORS FOR SANDI AUTO WASH I ETC. 0 0 6 =
I LAUNDRY TUB 0 0 2 =
ICLOTHESW ASHER I MOP SINK 1 0 3 =
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 =
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 =
I RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 =
I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 =
I SHOWER. SINGLE STALL 0 0 2 =
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 =
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 =
SINK: COMMERCIAL BAR 0 0 2 =
SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 =
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 =
URINAL. STALL! WALL 0 0 5 =
TOILET. PUBLIC INSTALLATION 0 0 6 =
TOILET. PRIVATE INST ALLA TION 2 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
.EDU (Equivalent Dwelling Unit) is a dischar~ equivalent to a sinRle family dwellinR unit (20 DFU's) set at 167 ~lons per day
MWMc CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
19&4
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
]999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED V AWE
$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
TOTAL MWMC CREDIT
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$0.00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0.00 x $5.29
DRAINAGE
FIXTURE
UNITS
6
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225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)72~~
ELECTRICAL PEfllWT tWfRCATION i)~: ",0'-
City Job Number G8 . '()J' J ~~ 00
~ofb.~ .'~ /
3. . COMPLETE J$~f~L, B~OW
. ",0 ~~ - -. ~'li
..'< co"$,
. III ~.. - -
A. New Residential-Si~"ie o~*tulti-Famil)' per dwelling unit,
. - ~- . .
?-v
-
CITY OF SPRINGFIELD, OREGON '
I. LOCATION ?\INSTALLATION
"l(l9D '(.~)
LEGAL DESCRIPTION
\ n()7)Q. '14'?:> CJSSf)1)
Service Included
JOB DESCRIPTION 1000 sq. ft. or less $106.00
MI\. ::t"\J Each additional 500 sq. ft. or
'n \\ f\ }\~ portion thereof $19.00
Permits are non~tr sferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwellin~ Sij~i~or ~ $5000 1m C()
Suspeuded for 180 days. Fee~~1/I te~U\te ~ \)\\1\\'1 ..
._-.- -..-.-- . ~.Ote90n '-Ote9on-rt\ll - .
2. 0 . d ~\6@'ilil\'m,~ 8llS'gt~t 8ln'lllation, Alterations or Reloeation:
~\o~ (U\eS e: ~et. "{nOse tU O;..fl. 962- - -
:r..s~"on cen .()o~()~~g,\Je\f\"e lules b'/ $ 63.00
~u....(>.\'\ 962.()()1 ~\litiiP91%S~~~one $ 75.00
Address \{\~'} 'iOUlt\a'i On~QI.li..lllpi%. ~t\l!IP\ica\\on $125.00
\1"- \\'Ie ce ~\\ \ .u
ca\\\ng l \\'IEf>0lrlt\lllpS ~W \!.$u/ps $163.00
City .,.,robel \0 lel~<t- mpsNolts $375.00
. cen Reconnect Only $ 50.00
Supervisor License Num
Expiration Date //
Constr. contfer
Expirationyate
Sig7r(Of Supervising Electrician
C. :. T~~np~ra'1'_~~r~ic~~~r ~~e..~~_rs .
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
<?ve.r:6QO i\mps.?r IO()9_Voits see."B':abov_e.
D. . Braneb Circuits
L _ _ _" ___ _ _ _
Owners Name <. 'i\ ti:\ 1-1 h ~
Address \ \ () ~+t\
City ~ Phone ~~ \dtiq
OWNER INST ALLA nON
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
Owners Signature:
C\-. . ..-4
.-\\~
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential t. '~Ir'lI'.\' $ 25.00
Limited Energy/C~wmefci\fl i'\. 'C 1\\\)\ $ 45.00
..~, \ \ t.)\\'\"~",~\ \ ,.
,,\:Mi~iiriu'm,Electri~ Permitlns"p~i~~\li'ee'is $45.00 + Surchargcs
\'\l~ \-1\.\\1' - t,\'l. \ \ ,,- \'1\:.';\ ..'
i'r\~~ rr~&jjr;b'r~ eF:~'Jw, . . - lOO oU
f\\i~;~~~~~,*~~~~iG\)' f) '"""
c.\JI' 7% State,Surcharge j.A../
:'l 'Iou -
fI,~ 10% Administrative Fee ---L() .~
TOTAL II ? .
The installation is being made on property I own which
is not intended for sale, lease or rent.
I ospection Request: 726-3769
Shared Drive(T:)/Building FonnslElectrical Pennit Application I-03.doc
225 Fifth Street
Springfield, Oregon, 974".
541-726-3759 Phone
.
."~R1NQ~1ILD ,
1Ik..-.-.--.----'
... i
, '
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,Ji&,ity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
Job/Joumal Number
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
qlM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
GOM2005-00807
COM2005-00807
COM2005-00807
COM2005-00807
tOM2005-00807
C:OM2005-00807
COM2005-00807
CbM2005-00807
CbM2005-00807
COM2005-00807
COM2005-00807
Payments:
Type of Payment
Check
')
"
:t
;I
8/1212005
"',
RECEIPT #:
1200500000000001185
Date: 08/12/2005
Deserlptlon
Addressing Assignment
Manufactured Home Placement
Manuf Home State Issuance
WiUamalane ManufHome Private
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Manufactured Home Conn - Plmb
Manufactured Home Feeder
Manufactured Home Service
Encroachment Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
Foundation Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JANITH HUTH
Received By
djb
1 of I
Item Total:
Check Number Authorization
Batch Number Number How Reeelved
1903 In Person
Payment Total:
8:14:28AM
Amount Due
31.00
160.00
30.00
1,000.00
45.00
14.00
45.00
45.00
45.00
50.00
50.00
130.00
184.11
501.40,
381.40
182.69
805,70
78,19
72.44
103.00
to.OO
865.31
82.03
60.60
36.02
51.46
$5,059.35
Amount Paid
$5,059.35
$5,059.35