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Home My WebLink AboutPermit Building 2007-10-10 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01445 ISSUED: 10/10/2007 APPLIED: 09/24/2007 EXPIRES: 04/10/2008 VALUE: $ 15,775.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1652 H ST ASSESSOR'S PARCEL NO.: 1703362106100 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Foundation for house move and construct garage. House being relocated from 1540 Kellogg Owner: NEDCO Address: 783 GRANT STREET EUGENE OR 97402 Phone Number: 541-345-0446 I CONTRACTOR INFORMA nON I Contractor Type General Plumbing Contractor RAINBOW VALLEY DESIGN & CONSTR DOUG HAXBY PLUMBING COMPANY License 56107 140768 Expiration Date 04/04/2008 03/01/2008 Phone 541-342-4871 541-995-4725 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # 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: 325 n/a I DEVELOPMENT INFORMA nON, REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 27.50 7.00 5.00 50.00 20.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hospital Support o Yes 16.70 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Street I~pr~V!~E_~~:Oregon la\p.atmUi~~Wd Storm Sewer AVailll61~';)pted by the Oregon Util~ Special.lii;s;ti'fi~ti'onlpenter. Those rules are set forth in CAR 952-001-0010 through OAR 952-001- N otesP09Sto}(m-\f:lffit 9~~l& ~&~@Efuqtd~G~tP.y calling the center. (Note: tne telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: . NOnCE: Downspoutsillrains: . Curb and Gutter X: ;~?H6~~~~ SHALL EXPIRE IF THE WORK ~OMMENCED~~~~~~~~~~E~~6~NOT ANY 180 DAY PERIOD. Pa2e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Onlv Use Bid Amount Gara2e Gara2e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Addressing Assignment Dryer Vent Fixture Garage/Carport Minimum/Adjustment Mechanical Miscellaneous Plumbing Plan Review Major - Planning Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMc Reimbursenlent SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDc Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01445 ISSUED: 10110/2007 APPLIED: 09/24/2007 EXPIRES: 04/10/2008 VALUE: $ 15,775.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $27.00 Square Footage or Bid Amount 7,000.00 325.00 Value Date Calculated Total Value of Project $7,000.00 $8,775.00 $15,775.00 09/24/2007 09/24/2007 ~ Amount Paid Date Paid Receipt Number $110.58 $20.00 $45.21 $32.86 $36.17 $35.00 $7.00 $32.00 $170.12 $43.00 $50.00 $205.00 $50.00 $265.25 $348.83 $10.00 $990.39 $95.35 $99.88 $76.68 $862.25 $195.48 $763.67 $50.00 $50.00 9/24/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/1 0/07 10/10/07 2200700000000001492 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 $4,644.72 I Plan Reviews. I Pa2e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01445 ISSUED: 10/1012007 APPLIED: 09/24/2007 EXPIRES: 04/10/2008 VALUE: $ 15,775.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 09/25/2007 09/25/2007 WE LLH Left a voice message for Sandy Halonen with NEDCO (345-7106) asking for information on the current location of the residence that is to be moved to this location. I cannot process until information is received due to the possiblity of numerous credits for the permit. Previous location was 1540 Kellogg. Willamalane SDC not applicable Initial Review 09/27/2007 09/2712007 APP LLH Plannin2 Review Public Works Review 09/27/2007 09/27/2007 10/09/2007 10/09/2007 APP APP TAJ TSS Storm water routed to weep hole at curb. Approved as noted on plans. Structural Review 09/27/2007 10/04/2007 APP DLM 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. L.Jl.eouh:e~nsnections I 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. Floor Insulation: Prior to decking. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Water Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Pa2e 3 of 4 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: cOM2007-01445 ISSUED: 10/10/2007 APPLIED: 09/24/2007 EXPIRES: 04/10/2008 VALUE: $ 15,775.00 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 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 co uction. Owner or Contractors Signature Pa2e 4 of 4 /0-10-07 Date ) CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x COST PER S.F. CHARGE I 2207.00 $0.346 = I $763.67 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I 0.00 $0.346 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $763.67 COM2007-0I445 NEDCO 1652 H Street 17-03-36-21-06100 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF: o 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 13- B. IMPROVEMENT COST: I NUMBER OF DFU's x I 13 COST PER DFU $26.83 COST PER DFU . $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $614.09 ,I LO~ SIZE (SF): ) DISCOUNT $0.00 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR I 9.57 I I 20.43 I 1.00 -' B. IMPROVEMENT COST: I ADTTRIP RATE x I NUMBER OF UNITS I x I COST PER TRIP I x NEW TRIP F ACTORI I 9.57 I 1 I I $90.10 I 1.00 I ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,057.73 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x COST PER FEU I .1 I $95.35 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I I $990.39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $3,531.23 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: o. r:/) ~ ~ o u ~ I~ 18 ~ $763.67 1070 $348.83 1091 $265.25 1092 $195.48 1093 $862.25 1094 $95.35 1054 = 1 $990.39 1055 1 $0.00 1054 1 $10.00 I: 1056 $1,095.74 I $3,531.23 I- I CHARGE $176.56 TOTAL SDC CHARGES. \ )" Todd Singleton 10/3/2007 PREPARED BY . DATE 99.88 1079 . $76.68 1078 = J I $3,707.79 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 13 'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlrs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 ]986 1987 1988 1989 ]990 1991 1992 ]993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01445 COM2007-01445 COM2007-01445 COM2007-0l445 COM2007-01445 COM2007-0l445 COM2007-0l445 COM2007-01445 COM2007-01445 COM2007-01445 COM2007-01445 COM2007-0l445 COM2007-01445 COM2007-01445 COM2007-01445 COM2007-01445 COM2007-0l445 COM2007-01445 COM2007-0l445 COM2007-01445 COM2007-0l445 COM2007-0l445 COM2007 -01445 COM2007-0l445 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200700000000000675 Date: 10/10/2007 1:53:16PM Description Addressing Assignment Garage/Carport Fixture Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Miscellaneous Plumbing Dryer Vent Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 35.00 170.12 32.00 50.00 50.00 50.00 50.00 7.00 43.00 20.00 763.67 348.83 265.25 195.48 862.25 95.35 990.39 10.00 99.88 76.68 205.00 32.86 36.17 45.21 $4,534.14 Paid By RAINBOW VALLEY Item Total: Check Number Authorization 'Received By Batch Number Number How Received Amount Paid njm In Person Payment Total: $4,534.14 $4,534.14 6609 Page I of I lOll 0/2007 -~~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED EXPIRES. VALUE: COM2007-01445 10/10/2007 09/24/2007 05/30/2008 $ 15,77500 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS \652 H ST ASSESSOR'S PARCEL NO 1703362106100 SPRINGFIETYPE OF WORK FoundatIOn TYPE OF USE AddItIon ReSidentIal PROJECT DESCRIPTION FoundatIon for house move and constrnct garage House bemg relocated Irom 1540 Kellogg Owner NEDCO Address 783 GRANT STREET EUGENE OR 97402 Phone Nnmber 541-345-0446 , CONTRACTOR INFORMA TlON I Contractor Type General Plumbmg Contractor RAINBOW VALLEY DESIGN & CONSTR DOUG HAXBY PLUMBING COMPANY LIcense 56107 140768 ExpIratIOn Date 04/04/2008 03/01/2008 Phone 541-342-4871 541-995-4725 BUILDING INFORMATION I # of UlIlts Pnmary Occupdncy Group Secondary Occupdncy Group Pnmary ConstructIOn Type Secondary ConstructIon Type # 0\ Bedrooms R-3 U VB # of Stones HeIght of Structure Type 01 Heat Water Type R,mge Type Energy Path Spnnkled BuIldmg Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Garage/Ca. port Sq Ft Othel Occupant LOdd 325 nla Frontyard Setback Side I Setback SIde 2 Setback Rearyard Setback Solar Setbacks 2750 700 500 5000 2000 I DEVELOPMENT 11,J'';AIfJiftih~gon law requires you to '~ed by the OreQ9ll"uIIIl1.\t Notlflcatl':>n Center. Those rules afeslft'tO'MD PARKING Overlay D.sl!l OAR 9Ea.G~2t:OlW/J1hrlQlJgh OAJlt9filNI01. 2 # Street Tre~<l You may obtain CQples of t/1lJ:l1ilB&/jIjled Paved DrIVe Ing the center. (!N\,e: the te~~6t % of Lot CoJlll!l!tlar for the Oreil9"fJjtlllty Notillc&tlon Center Is 1-i00-332-2344). I PUBLIC IMPROVEMENTS ~ Street Improvements Storm Sewer AvaIlable Specldl InstructIOn Partially Improved No S,dewalk Type Downspouts/Drams CUI b and Gutter Notes Storm wdtel routed to weep hole at curb NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Page I of 4 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lllle DescriptIOn Type of Construction FoundatIOn Only Use BId Amount Garaee Garage Fee DescnptlOn Plan RevIew ResldentJdl -Mechamcal Issuance Fee- + 10% AdmllllstratJve Fee + 5% Technology Fee + 8% State Surcharge Addresslllg AssIgnment Dryer Vent FIXture FoundatIOn PermIt Mlmmum/AdJustmeut Mechamcal Miscellaneous Plumblllg Plan RevIew MaJor - Planmng Samtary Sewer - 1st 50 Feet Samtary Sewer - Improvement SanItary Sewer - ReImbursement SDC MWMC AdmllllstratlOn SDC MWMC Implovement SDC MWMC Reimbursement SDC SamtarylStorm Admlll SDC Transpo Admlll SDC Transpo Improvement SDC Trdnspo ReImbursement Storm Dralllage ImpervIOus Area Storm Sewer - 1st 50 Feet Water Lllle - 1st 50 Feet + 10% AdmllllstratJve Fee + 5% Technology Fee + 8% State Surcharge FIXture Total Amount PaId CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2007-01445 ISSUED: 10/10/2007 APPLIED' 09/24/2007 EXPIRES' 05/30/2008 VALUE: $15,77500 I ValuatJon DescrmtlOn , $ Per Sq Ft or multJpher $100 $2700 Square Footage or BId Amount 7,000 00 325 00 Value Date Calculated $7,00000 $8,77500 $15,77500 09/24/2007 09/24/2007 Total Value of Project ~PP.. Pql'L.1 Amount PaId $11058 $20 00 $4521 $32 86 $36 17 $35 00 $700 $32 00 $170 12 $43 00 $50 00 $205 00 $50 00 $265 25 $348 83 $10 00 $990 39 $95 35 $99 88 $7668 $862 25 $19548 $763 67 $50 00 $50 00 $480 $240 $384 $48 00 $4,70376 Date PaId ReceIpt Number 9/24/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/1 0107 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10110/07 10/10/07 10/10/07 10/10/07 10/1 0107 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 12/17/07 12/17/07 12117/07 12/17/07 2200700000000001492 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 3200700000000000675 2200700000000001854 2200700000000001854 2200700000000001854 2200700000000001854 Paee 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2007-01445 ISSUED. 10/10/2007 APPLIED' 09/24/2007 EXPIRES 05/30/2008 VALUE $ 15,77500 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Plan ReYleWS I hlltml ReVIew 09/25/2007 09/2512007 WE LLH Left d vOice message for Sandy Halonen With NEDCO (345-7106) dskmg for IIll0rmatlOn on the CUI rent location of the I eSldence that IS to be moved to thIs locatIOn cannot process until mformatlOn IS received due to the pO>Slbllty of numerons credits 101 the permIt IlIItIal ReVIew 09/27/2007 09/27/2007 APP LLH PrevIOus locatIOn was 1540 Kellogg WIIlamdldne SDC not applicable Structural ReVIew 09/27/2007 10/04/2007 APP DLM Approved as noted on plans Plan OlD!!: ReView Public Works ReVIew 09/27/2007 09/27/2007 10/09/2007 10/09/2007 APP TAJ APP TSS Storm water routed to weep hole at curb To Request an mspection call the 24 hour recordmg at 726-3769. AlllOspectIons requested before 7:00 a.m. WIll be made the same working day, mspectIons requested after 7:00 a.m. Will be made the followmg work day. Rp:f"lIr~rl hlsnections I Footmg After trenches are excavated Foundation After forms are erected but pnor to concrete placement Frammg InspectIOn Pnor to COYer and after all rough III mspectlOns have been approved Floor InsulatIOn Pnor to deckmg Fmal BuIldmg After all reqUIred mspectIons have been requested and approved and the bUlldmg IS complete Undertloor Dram Pnor to cover or placement of concrete Underlloor Plumbmg Pnor to msulatlOn or deckmg Rough Plumbmg Pnor to cover and mcIudmg requIred testmg Sallltary Sewer LlIle Pnor to filling trench and IIlcIudmg reqUIred testmg Storm Sewer Lme Pnor to filling trench Water Lme Pnor to filling trench and mcIudmg reqUIred testmg Fmal Plumbmg When all plumbmg work IS complete Rough Mechalllcal Pnor to Cover Fmal Mechalllcal When all mechalllcal work IS complete Pa2e 3 of 4 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2007-01445 ISSUED: 10/10/2007 APPLIED. 09/24/2007 EXPIRES: 05/30/2008 VALUE' $ 15,77500 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Ufer Electncal Ground Install ground rod at footmg and call for mspectlOn m conJunctIOn wIth footmg andlor foundation InspectIOn By slgnatnre, I state and agree, that I have carefnlly exammed the completed applicatIOn and do hereby cel tlty that all mformatIon hel eon IS true and correct, and I further cerllfy that any and all work pertormed shall be done m dccordance WIth the Ordmances of the CIty ofSprmgfield and the Laws of the State of Oregon pertammg to the "olk descnbed helem, dnd that NO OCCUPANCY WIll be made of any structure WIthout permISSion of the Commulllty Services DIVISIOn, Bulldmg Sdfety I further celllfy that only contractOl s and employees who are m complIance WIth ORS 701 005 will be used on thiS pi oJect I further agree to ensure that all requIred mspecllons are requested at the proper lime, that each address IS readable trom the street, that the pel mlt card IS located at the front of the property, and the approved set of plans Will remam on the sIte at all ::::jfng.,confctlO~ , .. Owner or Contractors SIgnature l~ l1 D1 Date ~ I Page 4 of 4 225 Fifth Street Sprmgjillld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0J445 COM2007-0l445 COM2007-01445 COM2007-0 1445 Payments Type of Payment Check cRecelOtl RECEIPT #. Description Fixture + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee CIty of Sprmgfield OfficIal Receipt Deyelopment ServIces Department Pubhc Works Department 2200700000000001854 Date. 12/17/2007 Item Total Check N umber AuthorizatIOn Paid By Received By Batch Number Number How Received RAINBOW VALLEY DESIGN dJb 6752 In Person Payment Total Page 1 of 1 2 46 57PM Amount Due 4800 240 3 84 480 $59 04 Amount Paid $5904 $59 04 12/17/2007