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Home My WebLink AboutPermit Building 2005-7-13 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 Ar.( LIED: 06/15/2005 EXPIRES: 01113/2006 VALUE: $ 10,000.00 SITE ADDRESS: 4186 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702323303402 Springfield TYPE OF Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service change, water line and sanitary sewer redirect. Replace roof with trusses Owner: BRIAN FRECHETTE Address: 1876 HEITZMAN WAY EUGENE OR 97402 Phone Number: 541-465-8153 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor GEORGE H KRAMER STEPHEN JOSEPH HOWARD SHAD CHASAN SURRETT License 102206 106738 158295 Expiration Date 09/21/2005 06/02/2007 01/14/2006 Phone 541-342-8044 541-579-4150 541-741-3553 I BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: VN # of Stories: , Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: R-3 nla Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENl: l~QRMATION I , E n- \1\1.- ,. ~Cfnt~:. .,. S\-\I\ll Ei\?\R. cUM\1 )S NO\ \-\\S ?ER\\J\\ \ OER ,\\-\\g>.~~~~ Qitl~ '\ I OR\2EO UN ~1\~~tToot\?rfees I\U'\\-\ NeED OR \S 1\ Paved Drive Rqd: CO\'J\MEO Ol\'l ?ER\OO. % of Lot Coverage: I\N'l ~ B REQUIRED PARKING Total: Handicapped: Compact: Street IPUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: DownspoutslDrains Storm Sewer Available: Special Instruction: Notes: 1 of 3 -WlL~a~~f!JQe'~ , J. \ ~! . .." ...,...'-,.....".,,.;...-....."......_- . - " ~ ,._ ~.'O=t. . 'Ii', ~.,.L CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 01/13/2006 VALUE: $ 10,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Total Value of Project $10,000.00 $10,000.00 07/13/2005 LFees Paid I Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $6.30 6/15/05 2200500000000000770 + 7% State Surcharge $4.41 6/15/05 2200500000000000770 Perm ServlFdr 200 amps or less $63.00 6/15/05 2200500000000000770 + 10% Administrative Fee $10.40 7/7/05 1200500000000000963 + 7% State Surcharge $7.28 7/7/05 1200500000000000963 Sanitary Sewer - 1st 50 Feet $45.00 7/7/05 1200500000000000963 Sanitary Sewer Each Addtll00' $14.00 7/7/05 1200500000000000963 Water Line - 1st 50 Feet $45.00 7/7/05 1200500000000000963 + 10% Administrative Fee $10.74 7/13/05 1200500000000000995 + 7% State Surcharge $7.52 7/13/05 1200500000000000995 Building Permit $107.40 7/13/05 1200500000000000995 Total Amount $321.05 Structural Review 07/13/2005 I Plan Reviews I 07/13/2005 APP DJB for replacement of roof with trusses only 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. I Reauired Inspections I Electric Service: Approval required prior to utility company energizing service. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Ceiling Insulation: Prior to cover. 2 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 01113/2006 VALUE: $ 10,000.00 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 certity 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 OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times d1){fng ~onstruction.;/ / /~~ /~ 7- 3~j-' v v r Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springtield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00733 COM2005-00733 COM2005-00733 Payments: Type of Payment Check ,,' " , 711312005 RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By GEORGE KRAMER r:ity of Springfield Official Receipt evelopment Services Department Public Works Department 1200500000000000995 Date: 07/13/2005 Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb 7113 In Person Payment Total: I of I 2:31:37PM Amount Due 107.40 7.52 10.74 $125.66 Amount Paid $125.66 $125.66 ./ ~ CITY OF SPRINGJ11ELD' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/1512005 EXPIRES: 01107/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4186 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702323303402 Springfield TYPE OF Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: Service change, water line and sanitary sewer redirect ... Owner: BRIAN FRECHETTE Address: 1876 HEITZMAN WAY EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor STEPHEN JOSEPH HOWARD DUANE A KNIGHTS License 106738 12112 I BUILDING INFORMATION. . AI ,c.NTION: Oregon taw req~tres yo~ ~ # ofUmts: ~"0W ndA~ adopted 1~~teJiiS~n Utility Primary Occupancy Grou . ,. ',J{"..C nter. Th ~~btERf are set forth Secondary Occupancy otlflcatlon e .10 t ~li"S52-001- Yrimary Construction Tyjn OAR 9~01-O0, a \We rules by Secondary Construction '0090. ,You may obtaln(_<fg~gThbYm~' phone # of Bedrooms: calling the center. l'iB .~.t~.l'~t :. . number for the Ore99JhHklY&lt"o Iflcatlon nla r.:"'f'tor i~ 1-HOO-332-2344). I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Residential Phone Number: 541-465-8153 Expiration Date 06/02/2007 07/10/2007 Phone 541-579-4150 541-726-2960 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains Notes: NOlfiCfE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 1 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 01/0712006 VALUE: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Water Line -1st 50 Feet Amount Paid Date Paid Receipt Number $6.30 $4.41 $63.00 $10.40 $7.28 $45.00 $14.00 $45.00 6/15/05 6/15/05 6/15/05 7/7/05 7/7/05 7/7/05 7/7/05 7/7/05 2200500000000000770 2200500000000000770 2200500000000000770 1200500000000000963 1200500000000000963 1200500000000000963 1200500000000000963 1200500000000000963 Total Amount $195.39 I Plan Reviews I 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. Electric Service: Approval required prior to utility company energizing service. Water Line: Prior to tIlling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. 2 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 01/07/2006 VALUE: 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 win 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 a. t the front of the property, and the approve~set of lans wiD remain on the site at all times during constructionA & & / ~~ //t ~- ~O ar- ~ -.; ~i!J~ - " / OW,ner or Contractors ~__ure Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-n6-3759 Phone ii:4ij C'ity of Springfield Official Receipt ~velopment Services Department Public Works Department Job/Journal Number COM2005-00733 , COM2005-00733 COM2005-00733 COM2005-00733 COM2005-00733 Payments: Type of Payment Check . - ': !,' 7/7/2005 RECEIPT #: 1200500000000000963 Date: 07/07/2005 Description Water Line - 1st 50 Feet Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 10% Administrative Fee + 7% State Surcharge Paid By BRIAN FRECHETTE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 522 In Person Payment Total: . . 1 of 1 3:14:24PM Amount Due 45.00 45.00 14.00 10.40 7.28 $121.68 Amount Paid $121.68 $121.68 ro~ )\U~' _ am :l,- 00.0 oo.q"G OIYQ1,$ ~lC 1'2),01. 'A,1 q(.~f..Z~(.O SOO(./'t.(./90 o\lI\1. \J\.\Q a),Q\l wW..lQ'jO~ ~1()11W-ljOOG , .1O\lf\t\ p.1O~a~ 11;!"P~H-O U\\ '. aa j ?..IWUQ1,S-UOR OO.n Sl~ , aaj Sfm-l.W 00.01 HTh ?U\!td OO.lj , saoQd ~ U i i c~),a) sat.\:n AUQ'A 1i0\\ u' U'S3 \ll)"<Jl . 1IR\ 'Ad LO~O't.~GO ljOO(./'iU90 ~ lj1 fjlj6qli1 \ v ;; SQ1~ QU~ s~a&i F4UID:\ aU~1 ~.lQ\~ kWdall ~al~~ ~O U01SWU '_~'.-_' ~.~ ~. t, Branch Engineering 310 5th Street Springfield OR 97477 'I Division of' Chief' ueputy Clerk '". 2M5.nA~nlo Lane County Deeds and Records UU U'UU U I . I -, I, l_h,C $26.00 ~17067442005004~0180010016 ,',. " 06/23/2005 02:29:26 PM RPR~ESMT Cnl=1 Stn=15 CASHIER 05 $5.00 $10.00 $11.00 , .. " ' Recoided at the request of and . 'after recor'<lingtetum to: True conSideration fortbis conv~yance is $~: . . . PRIVATE SANITARY SEWER EASEMENT ' . . KNOW ALL PERSONS BY TJ:lESE PRESENTS, that Duane A. Knights, as an Individual, hereinafter referred to as the Grantor, does hereby grant, bargain, sell and convey unto Brian 1. . F rechett~~ hereinafter referred to as the Grantee, a p.on-e~clusive, perpetual,1 appurtenant easement, together with the rightto go upon said easement area hereinafter described for ' purpo'ses of private storm drainage over, under, and upon the' following described property: SITUATED in the Southw~st 1/4 of the Southwest 1/4 of Section 32 , Township 17 SmIth, Range 2 West of the WillatIlette Meridian and described as follows: . BE~G a strip oflarid 5.00 feet wide across Parce12 of Land Partition Plat Number 2005-P1869 recorded April 6, 2005. as Reception Number 2005-023880 in the Lane County Oregon Plat Records and filed as County Survey File 39210, the centerline of said strip being more particularly descri1?edas follows: I ,BEGINNING at the intersection of the west boundary of said Parcel 2 and a line parallel with and 12.? feet southerly of the northern boundary of said Land Partition Plat; l.tlENCE easterly along said parallel line South 89028 '37" East, 48.66 feet; TiIENCE South 44028'37" East, 8.86 feet, more or less, to a point on the east boundary of said Parcel 2. 'The sidelines bemg lengthened 01" shortened to intersect the eaSt and west boUndaries of said _ _ ~n___._.1.....'" \ ' SPI!1'II""Gl"'I'7l..D ,~'1"' .\ r-""\ f~~ ;I, *--1.: .,." _.-","::::~,- CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 06/1912006 VALUE: $ 10,000.00 "' t' , . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 'nspeetion Line SITE A')[;:'U~~;~':: 4186 CAMELLIA ST ASSFS~~~):~'~: :~.HCEL NO.: 1702323303402 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PRO.I ECT DE~;CrUPTION: Service change, water line and sanitary sewer redirect. Replace roof with trusses Owner: B~:>~A:\T FRECHETTE Address: I~:r, HETTZMANWAY L." T\':.: OR 97402 Phone Number: 541-465-8153 # of Units: Primar~' Oec\lll,'ncy Group: Serondar~' OCC':lancy Group: ])rimary Com~'" ~djon Type Serondary C::['s~ructjon Type: # or Bedrooms: I CONTRACTOR INFORMATION I I '. "(:::-'J('11\tl',!:idUL'II~0YOU'lO \ .. ' 0...I1-,U . Contractor 1211)\:111',- ,: J.d-opt~d by thic,enseon UE~piration Date GEORGE H KRAMER ;tication Center. ThosElO~20o are set fort~9/21/2007 I\lUlI . ~ AR 950 001 STEPHEN JOSEPHi"8}ft-t!M>2-001-001 0 throl09738 L..- 06/02/2007 SHAD CHASAN SU~TTrou may obtain COl158295 the rules b~1/14/2006 .. ':";'_ Jl'!...~"/" l'le It:lt:tJ'IU1'V BrnuOON(iFINFO'RM'A nON Ii ~ Notification numuel IUI llle VI '-'\::j~" - ~ # of st1Wi~~f is 1-800-332-2344). Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-342-8044 541-579~4150 541-741-3553 Contractor '~'v:)e . General E lert rica I Plumbing R-3 VN I DEVELOPMENT INFORMATION I Front~'anl Sd');H.'k: Side I Setb,'c;..:: Side 2 5;rllt"c!..:: ]har.yard ::d:,,','k: Solar Sr([);lck,: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC . ~ - ft,t L EXPIRE \f 1 Ht vvof\'R TI;\I.s. PERMIT IS NOT . "AUTHOR\ZED OR ,: A~A~D~ea1fGR COMMENCD~~ pCRIOD DownspoutslDrains: ANY 180 ". ~ · St reet 1111 provtlllcnts: Storl11 Sewer Available: Speciallllst:''''o/;':n: ]\otes: Pae:e 1 of 3 y ~'-~~'~R';N(';l'F'!'~"'1!) '. ~.., '. " .,- ," ~ -t" '.. . -.". \. .'; _...~.-~~,~- . t- '; ',' ';;;.~ ,i. '. '" (t..,,}, ~__ .......;:.... ..,....;.,..: "-\.10 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tyoe of Construction Bid Amount Use Bid Amount Fee DesrriDtiofl + I O'Y., Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amJls or less + 10'1., Administrative Fee + 7% State Surcharge Sani!ary Sewer - 1st 50 Feet Sanitary Sewer Each AddtI 100' Watcr Line - 1st 50 feet + 10% Administrative Fee + 7% State S'JI"charge Building Perr.'it '," + 1 0% Administrative Fee '. + 7% State SI.:I'I:harge Add, Alter, E'~tend Cire Ea Add To!;d Amount Paid Strurtural Review CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 06/19/2006 VALUE: $ 10,000.00 I Valuation DescriDtion I ..: " $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Total Value of Project $10,000.00 $10,000.00 07/13/2005 ~ Amount Paid Date Paid Receipt Number $6.30 6/15/05 2200500000000000770 $4.41 6/15/05 2200500000000000770 $63.00 6/15/05 2200500000000000770 $10.40 7/7/05 1200500000000000963 $7.28 7/7/05 1200500000000000963 $45.00 7/7/05 1200500000000000963 $14.00 7/7/05 1200500000000000963 ~ $45.00 7/7/05 1200500000000000963 $10.74 7/13/05 1200500000000000995 $7.52 7/13/05 1200500000000000995 $107.40 7/13/05 1200500000000000995 $1.80 12/19/05 3200500000000000703 $1.26 12/19/05 3200500000000000703 $18.00 12/19/05 3200500000000000703 . $342.11 I Plan Reviews I 07/13/2005 07/13/2005 APP DJB for replacement of roof with trusses only To Request ail inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will he made the same working day, inspections requested after 7:00 a.m. will be made the following work ~. day. ' ~eouire~nsnections I Electri<: Service: Approval required prior to utility company energizing service. Water Line: Prior to filling trench and including required testing. Sa I\itar~. Sewer Line: Prior to filling trench and including required testing. Framing inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Pae:e 2 of3 I -=-- $PRIN<:!i!I""!!I.,Dr;.,.,,' ! /t',,. . .~, :~ -1Y'~~- / ' '~:":"--''''~'''' /". ': . ~ i::'1q P;:' ....-;...,'~" ~:...[,...'" CITY OF SPRINGFIELD' Building/Combination Permit; Status ]ssucd PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 06/19/2006 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541 -726-3753 Phone 541-726-3676 Fax , 541-726-3769 !nspertion Line Ceiling Insulation: Prior to cover. Rough Electric: Prior to Cover Fi n a I r led ric: When all electrical work is complete. , ]3y signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all in ('ormation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinantl's Ill' the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCC:..J ?r\NCY will be made of any structure without permission of the Community Services Division, Building Safety... ] further rerti:\ that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. " ] further agrt':' tu cnsure that all required inspections are requested at the proper time, that each address is readable from the street, that tilt. p~Tlllit card is located at the front of the property, and the approved set of plans will remain on the site at all times during consfruction. . ~A jt:.,.. /-< '/ P -t'J)- Owner or cc/rraclors Signature Date " Paee 3 of 3 225 Fifth Street S'pringfield, Oregon 97477 '541-726-3759 Phone ~it1 ~...y of Springfield Official Receipt _ ~velopment Services Department Public Works Department RECEIPT #: 3200500000000000703 Date: 12/19/2005 2:53:15PM Job/Journal Number cOM2005-00733 COM2005-00733 COM2005-00733 Description Add, Alter, Extend circ Ea Add + 7% State Surcharge + 10% Administrative Fee , Payments: Type of Payment Paid By Check GEORGE KRAMER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 7383 In Person Payment Total: Amount Due 18.00 1.26 1.80 $21.06 Amount Paid $21.06 $21.06 , ~j " " 12/19/2005 Page 1 of 1 ~ City Job Number L6~\ 'Z..c;> C> S-" 0 0 7 3.3 Date G (\ c..:> r ~ ~~OFmSiALIATION ,~. COMPLETE FEE SCHEDULE BELOW ~ ui"l: C",III,_~/,.}.Ij, ~(llvM'C ~fa105 ~.Atf- LEGAL DESCRIPTION . 2 "'l ., A. New Residen:::l =--~le or MUltttamilY per dwelling unit. (" , \ J '70 z.. S ..> ~ ,_~ . ATTENrI. -..,: ,-', ,'_ (. ,'", V\' CV C) ~o ServIce In4br~ ON.Oreg JOB DESCRIPTION J -0340 "Z..- 1000 sq. ~~~~es adOPte~~/aw reOu./r~106.00 Each adfHt~~JrPft~r. ih y me Ore 0 YO~ to $e L V'LL.(:'"" c...v.,I1A--<i e- portion ~fyou ::001-0010 thOse rUles ~~e'{11"JWity , C;,J,. may Obt. tOUgh all" setfOrth Permits are non-transferable and expire if work is Each M~l!.!~~ ~ or am cOPie "R 952-00 ,b not started within 180 days of issuance or if work is Modula~~lirJf&eGlrB!~ (Note. S of the r$l$eg)~ 1. Suspended for 180 days. Feeder Cent ~ Oregon U '. ~he tei~Ph y er IS 1-8Q tJIJty Not'. o~e B. Services or Feeders...... Insta'Rii~;.2fJJtqt.1fEi#.f/&t1Relocation: 200 Amps or less I $ 63.00 b S 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~;~l~ SloA^,~ tk~~h Phone SSk) S$'81 Address SdO' City S:~ "'-"_ Supervisor License Number / 's -1 ~ 2> S. Expiration Date ,./ [) ~! / d{XJ 7 Constr. Contr. Number 11) G't 38 'j~/a -U Of I Signature of Supervising Electrician Expiration Date ~lr~,,,->,,^"<J . .' ~.) V' \, Owners Name 'I~,' ('\'''' ..,.. :-, '~,IJ,,,,, --rT-\. Address J ':/ 'j ( ;-1 "_ . -i- ,'. ,..... '",", I,~"...... "-" C. -.., (~," Phone Ity ..-'.~ ',_, ~_ "',- ./ OWNER INSTALLATION t. / :~ '~'I ,- ~ t....~ ., 1'- ..... . ~ I~ -S The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: . ,"" r -~-~--..- -' Inspection Request: 726-3769 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 200 Amps or less 20 I Amps to 400 Amps 401 Amps t?'9oQAmW . ...~ a i "'"' .._" . Over 600 A~17~~lf-tqqR':ypISH,~,tL~>~~ff1E !F THE V'/ORf< D. Branch r"rcUltsf' '-I U,..,:"-" ~", '5 C',-'" ,'- ....."'- " '~J; I,.. __LI I\c)cn I )-ii r'tHI:if I IS i\O T New AlterItion 'or' -Ext~iislo'ria)~b Pan.e~ \! U U N EO FOR One Circuit'i",,! ( 1 oJ O/~.-! ~tRiOD. $ 43.00 Each Additional Circuit or with Service or Feeder Permit b /E' $ 3.00 E. lHiscelIaneous (Service/feeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 '$ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges t l~- b5 '(l.{( +-) 1; b 3' t::> + \ go 7' "< 7/ rfl!:.- , --~y Shared Drive(T:)/Building Fonns/Eleetrical Pennit ~afionl=Ofdoc--' -----~, T~( Cjl{..17 4. SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee TOTAL ~\{\Q, ~\O $PFlli'lllo,F "<~~'be. , ~ ins FIF'fH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 · FAX: (541)726-3689 <:>'b\}'\.l;~~r>~9 Ph'. ELECTRICAL PERMIT APPLICATION / . / ~o\eC\~\ ~r&~~.. City Job Number (01Vl ~ c::::> s-- (!;) 0 733 Date Gjl \:#\~~ef' ~,OI;'~STALLA1!O;Y:jL .'. ~. COMPP[!EFE1j~~:"e~~ 11 ) '.~ \ I,'>.!. C\..,v\\: (\ i r-" S/I"r!.\ r, Jj, ~""i\e.< \tprf/5~A6t- LEGAL DESCRIPTlON .; 2 "l ~ A. Nc\y Resiqential- g1e'Ooor ~fl- amity per dwelling unit. 5: (-~;' ~ - cJ.., !.,"?~, ~;> .9 ~ Servi~e In~~~ION: 6'::0 '" JOB DESCRIPTION J 0 ~40 "Z- I 000 ,qft.OIiiiWm[fI~~es a.doPted ~.'aw reOJJiri,~1 06.00 , Each adtl1t~~~Z . fi~r. ih ~ ene Ore 0 YO~ to $cLVL.<-(:"' c...LA~<i e- portion~fyou Ot-0010thoserules1!e'{l1(j1ijfiJty , CFI1r ;"l1!aYobt. IOlJgh QA setfOrth , Permits are non-transferable and expire if work is Each MIDl!.!tl~ ~eor am cOPie "R 952-00' ' i' not started within 180 days of issuance or if work is Modulal~liJl~ym~ (Note' S Of the r~S)~ ,,, Suspended for 180 days. Feeder Cente e OregOn Uti ~h& tBf~Phon ~ 2. (;()~9'2j1INSTALLAr!g:i~IffY B. ~~~I~esl;;~i..i';~~~~~~I.cat;.n' Electrical Contractor _ K ~~l~ S\ o~ 200 Amps orless I $ 63.00 b :5 .J 201 Amps to 400 Amps $ 75,00 Address Sd6 ~b~~, 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163,00 Phone ~S.b SS-Bl Over 1000 AmpslVolts $375.00 Reconnect Only $ 50,00 ~ City ~~ SUpeN"O' Lie""e N,umb" /'S 1 'b'i5 S. EXpiratIOn Date j, D/D ) / dCD 7 y ,; Constr, Contr, Number j{[)b'~ 3b Expiration Date '}~O L/ rs, Signature of Supervising Electrician ~~Lt\~~~~<cl ~ c:;; , ' \ \ 1 Owners Name t:>,~ ( (\ ""\ ~ (" 'Lcl"" * \t , . Address j'q,"j ( H ''- ,+'0""'<',,,,, '.......:. ',y , <:: ('\_- '~'I.'./' X' ,- .... City L '_',_:" -"'..... '--', Phone -'::t-- 'i" ~ '. _ J ~ ..s ../ OVVNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: /' -1-\--+ ~~ .~ Inspection Request: 726-3769 C. 1 T~mporary 'Senices or Feeders >,''''',' 0,,,-,' .. ,', ,_-c.' ,', Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps tp'600 AmftS $ 50.00 $ 69.00 $100.00 (. '- .. 'I ,_ ~, \ Over 600 Ai;ilI?K9~::it.qQQIYp~sae(t tBZ\a~9r'!~. I r -" IJ:; <~t .. :",-- .'~::. qJ~.:~~~;,_~_.:,:,_,:,t'.,~,_,,~ ,_C./:.'~FH~,;r "-}rfL~ D. B,ranch, CmqiJ..;t'S;;iii"iJ.' tt,'t'\,c,r,q 'T,.,!!.c.: ",.'Ai, '",,. .... ,.', "-, .......\".J.~.~~"--~;,.~,1..~rf!,. HU .:rCf'1i'.'tr:1 New AlteTltt{Jrl'~'FlE~~irW~;P~bI1~ilel\!OOj~ED FOH One Circuil\l~'{ 180 Dp,y PERIOD. $ 43,00 Each Additional Circuit or with / Service or Feeder Permit 17 $ 3.00 IF E. Miscellaneous (Seryice/fecder not included) -Each Installation ^~.. ,u""'_'~_",,,....~y~,...'_,_~ ".,,'-~-. ,.~ Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges + I t>- b5 y l<( +-I-Z~ b ~ l::>, + \ 9" 7,~ 7/ ID~ -_= r- Shared Drive(T:)/Building Fonns/Electrical Pennit ,!qlpifcaTI~n I =-Ofdoc- T~l 'il{ 77 4. SUBTOTAL OF ABOVE , 7% State Surcharge 10% Administrative Fee TOTAL Status Issued CITY OF SPRINGFIELD"' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES:. 12/15/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4196 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702323303400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service change Owner: BRIAN FRECHETTE Address: 1876 HEITZMAN WAY EUGENE OR 97402 Phone Number: 541-465-8153 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor STEPHEN JOSEPH HOWARD License 106738 Expiration Date 06/02/2007 Phone 541-579-4150 I B~ILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 ' Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type ATTE~ON: Oreg~'~imr T pel Secondary Construction TYP,e,:f.OIlOW rules adopt ,~n ~!res you to # of Bedrooms: Notification Cent e~ ~n~ mgon Utility in OAR 952-001-;~1 O:St~WiGMBiillilingt, fo, rth nla ~ - - - nriill{'lh (1A n rr-n eJ I ~";~ii~gu~hmr: 'IiE\PEUJWMftlm<1 ~~ .. -ION e .." r number for the Oreg n U"i/i e e ~pho~e Front yard Setback: Center is 1_8~pj~~J;t~~~p'f1ffcatlon Side 1 Setback: ' , URSii"~i2PM1 Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instructi!>n: Sidewalk Type: NOT!CE: . THIS PERMIT SHALL ' DownspoutslDrams: EXPIRE IF THE WORK ' AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PFRlnn I Valuation Description I Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 12/15/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid. Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 6/15/05 6/15/05 6/15/05 Receipt Number 2200500000000000770 2200500000000000770 2200500000000000770 Total Amount Paid $73.71 I Plan Reviews, 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. I Reauired Insoections . Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oreg~n 974'17 541-726-3759 Phone -j ii:~ . ' Job/Journal Number COM2005-00733 COM2005-00733 COM2005-00733 Payments: Type of Payment Check 6/15/2005 RECEIPT #: ""~ty of Springfield Official Receipt ~velopment Services Department Public Works Department 2200500000000000770 Date: 06/15/2005 Description + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Paid By GEORGE KRAMER Received By djb Page 1 of I Item Total: Check Number Authorization Batch Number Number How Received 7060 In Person Payment Total: 11:34:42AM Amount Due 4.41 6.30 63.00 $73.71 Amount Paid $73.71 $73.71 " !: . June 16, 2005 Brian Frechette 1876 Heitzman Way, Eugene, Oregon 97402 Dear Mr. Frechette Enclosed is a copy of an electrical permit for a service change at the single family residence located at 4186 Camellia Street, Springfield, Oregon. When you or your contractor obtained your permit, your application identified the location as 4196 Camellia Street which is an incorrect address. The address of this . structure was changed on May 6, 2005 due to a land use decision which divided the lot allowing the construction of a duplex to the east of this structure. At that time, a letter was mailed to the owner of record, Michael Tardie, notifying him ofthat change. This change of address became effective on June 6, 2005. I am enclosing a copy for your information. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Sincerely, ~ Lisa Hopper Building Safety Supervisor cc: David Bowlsby Knight Electric Encl 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfie!d.or.us ..../ , 225 FIFTH STREET SPRINGFIELD, OR 97477 , , (541) 726-3753 ' ,FAX (541) 726-3689' - www.ci.springfield.or.us May 6, 2005 Michael Tardie 3762 West 11th Avenue PMB 129 Eugene, Oregon 97402 RE: Address Change Dear Mr. Tardie: Due to your recent land use partition approval, the street address of your property has been changed in order to allow for the street address numbering of the proposed new duplex on the newly created lot. Your property currently' and commonly known as 4196 Camellia Street, Springfield, Oregon, also known as Lane County Reference Number ' 17023233, Tax Lot Number 03402 has been changed to 4186 Camellia Street. The proposed duplex immediately to the east oftbis existing structure has been assigned street addresses of 4190 and 4192 Camellia Street, Springfield, Oregon. For your reference, they are located on Lane County Reference Number 17023233, Tax Lot Number03403. I will notify the following companies and/or agencies of these space number changes by sending them a copy oftbis,letter: Springfield Police Department Springfield Fire Department U.S. Post Office U.S. West Communications Northwest Natural Gas AT & T Broadband United Parcel Service Springfield Utility Board Lane Council of Governments 911 Dispatch, Public Safety Lane County Elections Department , Sanipac Rainbow Water District Springfield News/Register Guard This change will become effective 30 days from the date of this letter (June 6, 2005). Please change you! street address numbers on your home and on your mailbox (if applicable) by this date. If you have any questions, please feel :free to phone me at 726-3790. Lisa Hopper Building Safety Supervisor ~TH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELEla J.<lCAL PERMIT APPLICATION I I City Job Number ~~ ~ C:> S-' 60 73.3 Date Gjl c;- 0 I ~q~~~~N ~~f.'.:..M.':..'i'...:.'W.,....:...I..].~.:E.~.::E'.:.'.'...........~.'...'.....:....~...,.fi.E..P..'.~........b..1.L:..)3..:.Jj:.:.E........la1:..:~..O..:1.' S LE~AL DESC~;;~~" "-~! A. t Ne~~Je~r~ri~:I):~i~::6;x~[~iti~~~h~C~~"'i>a~,,~1!i~~~hi~;};>;t c. \ 110?-"3 23 Sko- ""'>:4i>>"''''~'~'' r:ifi"" ':..'.'''.h......._......''.'",>M,.''>'''''%i.\W.'''''~.'''....>.,.,,,~.,>.> .,; _,' '_', "_ (,.' ."",', -. 0 Service In ON.Ofieg _ . . .. :;; , rut, On JOB DESCRIPTIONJ 0 ~40 1.- 1000 Sq'~f)n~es adOPted e law regUlr~106.00 Each adtt1t~~.i . Inter. Th y ene Ore Q YO~ to St.t. VL<.-e' c.. v..A'^-'" e- portion ~fyou 01-0010 thOse rUleR !3~e1f'I'itfJity , c~,. ;" "'-~Y Obt IOUgh 0' Set fOrth Permits are non-transferable and expire if work is Each M~~~ Jlf(jP(Jeor ain COPie ~R 952-00 i" not started within 180 days of issuance or if work is Modulaf'ffiQcQtiJ1~l:g;@e (Note. s Of the r$1~~ 1. Suspended for 180 days. Feeder Cente ~ Oregon Uti ~he te/t:fPhon Y ~')>!!;!"5'f;'?i..1t!t13J)")';; '.7{;t;!y~~~t;!I-etil. ,.... I i i"'W'.1)ij~N;:ri'!'.:"TTyi81ji!:T.i"i! B.,!ServicesorFeeders';:Inst . . oeation:.'. 2.~)d4'i&igh:,,~~8ul~'.;.d:6:JX>&;~;iiDj;::~iLL:j;;dw.t^"ii; ',\it;,;::~;'.',.':~.;::;~ Electrical Contractor K ()~,~~}~ ~\\ 0" ,\~ ) ~~",~~l~ Phone S.SJ-~ S~gl Address 5;).'5 City S:~,__ () Supervisor License Number , 's"l ~ ~ S. Expiration Date i[y6!/ ;)(n 7 Constr. Contr. Number ; 1) b t 38 Expiration Date r\; ~j a 21 rSl I Signature of Supervising Electrician ,~l ~J'l\r."-" "'"< J " (}\~' II OwnersNa'me ,\""', (",., .,\- .',., ,^: --H- ~ '\ ,',' '.. \.._ _.J----..:v \- Address j '~)') ( r i ]- ,. ". : ..-,.- / _ t""l ."'.,. "\ I...~..; ~'.-". . '<~ . CIty ...-' '~,,_: _'\<,_ f,_ .' Phone ./ OWNER INSTALLA nON I ~ ~....;Ir :;-. .' ';, . ~'I'~- .~- The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: . "- ....-"\.,... ,,--'-.-;''.:/f..;'' .---"'"r- J -' Inspection Request: 726-3769 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only I b:S $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 ~r . .. New Alteddono~Exkit~IJdrNbP'a'nel'~JJfJtO FOR One Circui{'.:i ( 1 d0 U/~.Y PthiJO. $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial '$ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. b5 yl.(( b~t:> 73?L 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application 1-03.doc ~~"'""jL~~~~~~~'., I, ~ j 1.. t / CITY OF SPRIN6111Ji.LU ' Status Issued Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 07/24/2006 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4186 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702323303402 Springfield TYPE 0-': WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service change, water line and sanitary sewer redirect. Replace roof with trusses Owner: BRIAN FRECHETTE Address: 1876 HEITZMAN WAY EUGENE OR 97402 Phone Number: 541-465-8153 r I CONTRACTOR INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . Contractor! License Expiration Date GEORGE H KRAMERATTENTION: Oregon Im0!20~uires you tI09/21/2007 STEPHEN JOSEPH HOW~\RDJles adopted b}1061138Iregon Utili1Q6/02/2007 SHAD CHASAN suRltEtiit;ation Center. Tho158295S are s~t fc01't14/2006 ljuitJ.l~,\:~&~o~r111~~ln O~~h: ~~f~~~~- calli!'JQ, the center. (Note: the telephor.e t S' ff o[~o..nes' ....0 lZe: n~~~TcWs~gllrgon Utility Notificati@qFt 1st Flo~r: , Type frl€Ht~f:IS 1-800-332-2344). Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-342-8044 541-579-4150 541-741-3553 Contractor Type General Electrical , Plumbing R-3 VN I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 'i" Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: ) NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOr COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Downspouts/Drains: Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 07/24/2006 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion , Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Total Value of Project $10,000.00 $10,000.00 07/13/2005 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $6.30 6/15/05 2200500000000000770 + 7% State Surcharge $4.41 6/15/05 2200500000000000770 Perm Serv/Fdr 200 amps or less $63.00 6/15/05 2200500000000000770 + 10% Administrative Fee $10.40 7/7/05 1200500000000000963 + 7% State Surcharge $7.28 7/7/05 1200500000000000963 Sanitary Sewer - 1st 50 Feet $45.00 7/7/05 1200500000000000963 Sanitary Sewer Each Addtll00' $14.00 7/7/05 1200500000000000963 Water Line - 1st 50 Feet $45.00 7/7/05 1200500000000000963 + 10% Administrative Fee $10.74 7/13/05 1200500000000000995 + 7% State Surcharge $7.52 7/13/05 1200500000000000995 Building Permit $107.40 7/13/05 1200500000000000995 + 10% Administrative Fee $1.80 12/19/05 3200500000000000703 + 7% State Surcharge $1.26 12/19/05 3200500000000000703 ... Add, Alter, Extend Circ Ea Add $18.00 12/19/05 3200500000000000703 + 10% Administrative Fee $5.60 1/24/06 2200600000000000117 + 8% State Surcharge $4.48 1/24/06 2200600000000000117 Fixture $56.00 1/24/06 2200600000000000117 Total Amount Paid $408.19 I Plan Reviews I Structural Review 07/13/2005 07/13/2005 APP DJB for replacement of roof with trusses only 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. Electric Service: Approval required prior to utility company energizing service. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Pal!e 2 of 3 CITY OF SPRINGFIELD. Status Issu'ed Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 06/15/2005 APPLIED: 06/15/2005 EXPIRES: 07/24/2006 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Ceiling Insulation: Prior to cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing 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 will be made of any structure without permission of the Community Services Division, Building Safety. ': I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. :. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the I :: street, that the permit card. is located at the front of the property, and the approved set of plans will remain on the site at all tlmesIt~ctiOL /_ 7Y -~6 Own~r or cofct~rs ~ignature Date h.. :-J Paee 3 of3 \.... t~~ 2,25 Fiftb,St-reet SpriIigfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00733 ; Q,OM2005-00733 CbM2005~00733 , ,Payments: T,~pe of Payment Check ~ , ,~~ it .,~; .....'1 ~i!, :,\ ~! if ":~\;, ., T .:;, (f", :~~ ;{ :! 1.f , ~ if ".~, ,; :t I 1 ~ ,~ ~- "1 ;1 ,< 'f i r 1/24/2006 RECEIPT #: "lty of Springfield Official Receipt ./evelopment Services Department Public Works Department 2200600000000000117 Date: 01124/2006 Description Fixture + 8% State Surcharge + 10% Administrative Fee Paid By GEORGE KRAMER Received By djb Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 7430 In Person Payment Total: 2:49:34PM Amount Du~ 56.00 4.48 5.60 $66.08 Amount Paid, $66.08 $66.08 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 09/26/2006 APPLIED: 06/1512005 EXPIRES: 03/26/2007 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4186 CAMELLIA ST ASSESSOR 'S PARCEL NO.: 1702323303402 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service change, water line and sanitary sewer redirect. Replace roof with trusses Contractor Type General Electrical Plumbing Owner: BRIAN FRECHETTE Address: 1876 HEITZMAN WAY EUGENE OR 97402 All ENnON:Or{ll)9i1 19W r follow rut.. N N~flcation Center. Those rules are.. s.~t. .f o. rtf' Con~ 952-001-0010 through OAR 95 i~~9se GE~~1Na~btaln copies of the ru gs t!~ STEPH~~,~RtWr.-\Wote: the teleph O(j7~lS SHAD~~19nn Iltllit~II\IOtifi~lE~~5 Csnfl!'lIJfQJlIf-JDJJN~JI8~A TlON . Phone Number: 541-465-8153 Expiration Date 09/21/2007 06/02/2007 01/14/2008 Phone 541-342-8044 541-579-4150 541-741-3553 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS . NOTICE: . THI SIdewalk Type: AUT~6ERR/ZME'DT SHALL EXPIRE IF THE WORK DownspoutsfDrains: UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Pa\?:e 1 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 09/26/2006 APPLIED: 06/15/2005 EXPIRES: 03/26/2007 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $10,000.00 $10,000.00 07/13/2005 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $6.30 6/15/05 2200500000000000770 + 7% State Surcharge $4.41 6/15/05 2200500000000000770 Perm Serv/Fdr 200 amps or less $63.00 6/15/05 2200500000000000770 + ]0% Administrative Fee $10.40 7/7/05 1200500000000000963 + 7% State Surcharge $7.28 7/7/05 1200500000000000963 Sanitary Sewer - 1st 50 Feet $45.00 7/7/05 ]200500000000000963 Sanitary Sewer Each Addtll00' $14.00 7/7/05 1200500000000000963 Water Line - 1st 50 Feet $45.00 7/7/05 1200500000000000963 + 10% Administrative Fee $10.74 7/13/05 1200500000000000995 + 7% State Surcharge $7.52 7/13/05 1200500000000000995 Building Permit $107.40 7/13/05 1200500000000000995 + 10% Administrative Fee $1.80 12/19/05 3200500000000000703 + 7% State Surcharge $1.26 12/19/05 3200500000000000703 Add, Alter, Extend Circ Ea Add $18.00 12/19/05 3200500000000000703 + 10% Administrative Fee $5.60 1/24/06 2200600000000000117 + 8% State Surcharge $4.48 1/24/06 2200600000000000117 Fixture $56.00 1/24/06 2200600000000000117 + 10% Administrative Fee $13.50 9/26/06 2200600000000001349 + 5% Technology Fee $6.75 9/26/06 2200600000000001349 Renew Building Permit $45.00 9/26/06 2200600000000001349 Renew Electrical Permit $45.00 9/26/06 2200600000000001349 Renew Plumbing Permit $45.00 9/26/06 2200600000000001349 Total Amount Paid $563.44 I Plan Reviews I Structural Review 07/13/2005 07/13/2005 APP DJB for replacement of roof with trusses only 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. Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00733 ISSUED: 09/26/2006 APPLIED: 06/15/2005 EXPIRES: 03/26/2007 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired InsDections . Electric Service: Approval required prior to utility company energizing service. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Ceiling Insulation: Prior to cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing 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 will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the pmper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~/C;---- Owner or Contra~s Signature 9~~6 , Date Page 3 of 3 225 Fifth Street ~ .. Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00733 COM2005-00733 COM2005-00733 COM2005-00733 COM2005-00733 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: Description Renew Building Permit Renew Plumbing Permit Renew Electrical Permit + 5% Technology Fee + 10% Administrative Fee Paid By BRIAN FRECHETTTE c;~. of Springfield Official Receipt L Jopment Services Department Public Works Department 2200600000000001349 Date: 09/26/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 365527 In Person Payment Total: Page I of I 10:19:23AM Amount Due 45.00 45,00 45.00 6,75 13,50 $155.25 Amount Paid $155,25 $155.25 9/26/2006