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Home My WebLink AboutPermit Building 2007-10-23 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 04/23/2008 VALUE: $ 82,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1267 Lome Lp ASSESSOR'S PARCEL NO.: 1703272207647 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Fire Damage TYPE OF USE: Repair Residential Owner: MICHAEL PETRUSHKIN Address: 38558 PENGRA RD FALL CREEK OR 97438 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor PACIFIC FIRE & FLOOD INC SPRINTER ELECTRIC INC. CLIMA TE CONTROL INC GARY'S ROOTER SERVICE License 173615 174458 62196 129990 I BUILDING INFORMA nON I # of Units: 2 # of Stories: 1 Primary Occupancy Group: ATTENiION: OregOIJMt!h(lMI~~~.~O Secondary Occupancy Groupfoll.o.w r~s adopte~ttm'g(iQon Utip~ed Air Gas Primary Construction Type Notlflcat\QJ1 Center. T~f ~re set fort Secondary Construction TypM:1 OAR 952-001-001 0 lbrR~ 952-001- # of Bedrooms: 0090. You may obtai'E<lt~. Ie rules by nent Path calling the center. ~9 kJ ~~Mg~e n/a "J,W'lber for the, ~~eci.On~~~" ~'t'mc4tlon , Centr'I1Ev~ti \I~ORMATION , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-937-2302 Expiration Date 12/28/2008 02/20/2009 10/25/2007 06/24/2008 Phone 541- 726-5896 541-521-9058 503-453-4822 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: I PUBLIC IMPROVEMENTS I 't"e Sidewalk Type: NOT \II : THIS PERMIT SHALL EXPIRE IF THE WOBlfwnspoutslDrains,: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa!!:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 04/23/2008 VALUE: $ 82,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 82,000.00 Value Date Calculated Description Total Value of Project $82,000.00 $82,000.00 10/23/2007 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $69.16 10/23/07 1200700000000001335 + 5% Technology Fee $34.58 10/23/07 1200700000000001335 + 8% State Surcharge $55.33 10/23/07 1200700000000001335 Building Permit $545.62 10/23/07 1200700000000001335 Fixture $32.00 10/23/07 1200700000000001335 Furnace - up to 100,000 btu $28.00 10/23/07 1200700000000001335 Minimum/Adjustment Mechanical $22.00 10/23/07 1200700000000001335 Miscellaneous Plumbing $50.00 10/23/07 1200700000000001335 Plan Review Residential $354.65 10/23/07 1200700000000001335 Vent Fan $14.00 10/23/07 1200700000000001335 Total Amount Paid $1,205.34 I Plan Reviews I Planninl!: Review 10/23/2007 10/23/2007 BWO TAJ No Planning issues. Public Works Review 10/23/2007 10/23/2007 APP LKW No SDC Fees, no new pervious or impervious surface added to Fire damaged building. Structural Review 10/23/2007 10/23/2007 APP DLM Approved as noted on Plans 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. . Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Plumbing: Prior to cover 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. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 04/23/2008 VALUE: $ 82,000.00 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 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. j-/}J~ owner6.l0n~J/ Signature --- Pa!!:e 3 of 3 /CJ-~~-[)/ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -01052 COM2007-01052 COM2007 -01052 COM2007 -01052 COM2007-01052 COM2007-01052 COM2007-0 1052 COM2007 -01052 COM2007-01052 COM2007 -01052 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001335 Date: 10/23/2007 Description Plan Review Residential Building Permit Fixture Miscellaneous Plumbing Vent Fan Furnace - up to 100,000 btu Minimum/Adjustment Mechanical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By PACIFIC FIRE AND FLOOD INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1853 In Person Payment Total: Page 1 of I 3:11:11PM Amount Due 354.65 545.62 32.00 50.00 14.00 28.00 22.00 34.58 55.33 69.16 $1,205.34 Amount Paid $1,205,34 $1,205.34 10/23/2007 CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 06/12/2008 VALUE: $ 82,000.00 L-~ \'-If'" \", \ Y,1-\)~ s(XV Yi'-1 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1267 Lorne Lp ASSESSOR'S PARCEL NO.: 1703272207647 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Fire Damage TYPE OF VSE: Repair Residential Owner: Address: MICHAEL PETRVSHKIN 38558 PENGRA RD FALL CREEK OR 97438 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plnmbing Contractor PACIFIC FIRE & FLOOD INC SPRINTER ELECTRIC INC. CLIMATE CONTROL INC GARY'S ROOTER SERVICE License 173615 174458 62196 129990 BUILDING INFORMATION' # of Vnits: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 2 R-3 V VB # of Stories: 1 Height of Structure Type of Heat: Forced Air Gas Water Type: Range Type: Energy Path: nent Path Sprinkled Building: n/a I DEVELOPMENT INFORMATION I Phone Number: 541-937-2302 Expiration Date 12/28/2008 02120/2009 10/25/2009 06/24/2008 Phone 541-726-5896 541-521-9058 503-453-4822 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Coverage: ATTENTION: Oregon law . Solar Setbacks:nCE" follow rules adopted b th,eqUlles you to I'CU . I\j,..,tifi..........-I-:_._,...., Y e Greaon Iltilit)J I HIt; PE R M IT S HALL EXPI RE I fPilI-BL~ROVEMENT8'11AR 952~oci :ov01 0 ;~u"e rUles ale set forih AUTHORIZED UNDER THIS PEH ~- "illi l..!J. YO.!),{fj "'"~ rough OAR 952-001- Street 1mprovements:CED OR IVII I IS NOT Calling ffi eWaR<'T)lpoP.opies of the rules by ~:'IV"Vltl~ IS ABANDONED FOR : cemer. (Note: the t I Storm Sew,l\\'WvjlO@,b!.l'i\y PERIOD numberffiMRSP6lJ~fi'~lit Ne epho~e Special Instruction: . Center is 1-800_332l34~:lflcalion Notes: Page 1 of3 -iL..N:~...I.E.:_~..iii. ..~....... ..'. ..~~ . ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 06/12/2008 VALUE: $ 82,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726~3 769 Inspection Line I Valuation Descrintion I Description Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 82,000.00 Value Date Calculated Total Value of Project $82,000.00 $82,000.00 10/23/2007 L.Fpp<. P1ilij Fee Description Amouut Paid Date Paid Receipt Number + 10% Admiuistrative Fee $69.16 10123/07 1200700000000001335 + 5% Technology Fee $34.58 10/23/07 1200700000000001335 + 8% State Surcharge $55.33 10/23/07 1200700000000001335 Building Permit $545.62 10'23/07 1200700000000001335 Fixture $32.00 10123/07 1200700000000001335 Furnace - up to 100,000 btu $28.00 10/23/07 1200700000000001335 Minimum/Adjustmeut Mechanical $22.00 10/23/07 1200700000000001335 Miscellaneous Plumbing $50.00 10123/07 1200700000000001335 Plan Review Residential $354.65 10/23/07 1200700000000001335 Vent Fan $14.00 10/23/07 1200700000000001335 + 10% Administrative Fee $16.60 12/12/07 3200700000000000802 + 5% Technology Fee $8.30 12/12/07 3200700000000000802 + 8% State Surcharge $13.28 12/12/07 3200700000000000802 Low Voltage - Residential $28.00 12/12/07 3200700000000000802 Residence Wiring 1000 Sq Ft $117.00 12/12/07 3200700000000000802 Residence Wiring Ea AddtJ 500 $21.00 12/12/07 3200700000000000802 Total Amount Paid $1,409.52 Plan Reviews I Plan nine: Review 10/2312007 10/23/2007 BWO TAJ No Planning issues. Public Works Review 10/2312007 10/23/2007 APP LKW No SDC Fees, no new pervious or impervious surface added to Fire damaged building. Structural Review 10/2312007 10/23/2007 APP DLM Approved as noted on Plans 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. I. Rprl~ir~li Tn.np('ti~ Floor Insulation: Prior to decking. Pa2e 2 of 3 -Li.Q..~.~..~.: ..... . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 06/12/2008 VALUE: $ 82,000.00 225 Fifth Street, Springfield, OR 54\-726-3753 Phone 541-726-3676 Fax 54\-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mecbanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 fnrther 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 du ring construction. Owner or Contractors Signature Date Page 3 of 3 City of Springfield Electrical Authorization To Begin Work E-mailedTo:Sprinter5c@yahoo.com Receipt # EC52240R 12/12/200711:57:14AM ~ Check on status of perm it By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I 0 New construction rt~E OF WORK [K] Addition/alteration/replacement Ea, It 10 I or 2 family dwelling 1 I Job no.: I Job address: 1267 LORNE LP fCitY/State/ZIP: SPRINGFIELD, OR 97477-1957 Suite/bldg.!apf.no.: I Project name: o MuHi-family o Commercial ! Jndllslrj~J Cross street/directions to job site: I Subdivision: ITax map/parcelno.: 1703272207647 DESCRfg'ftONOF WORK: ~.. ILDt no.: Wiring of residence after fire. This residence was completely gutted, All wiring to meet NEe code requirements. I Name: Jeremy Cooper I Phone: (541) 743-1213 I Email: Sprinter5c@yahoo.com I I El.lie. no.: C256 I CeB lie, 110.: 174458 I Business Name: SPRINTER ELECTRIC INC I Contact: Jeremy Cooper 1 Address: 82924 FLORENCE AVE I City/Slate/ZIP: CRESWELL OR 97426 I Phone: (541)7431213 IFax: (541)8952207 I Email: Sprinter5c@yahoo.com i Metro lie. no.: 54] 743.1213 I City lie. no.: Creswell I Supervising electrician's lie. no.: 18715 I Supervising electrician's name: DAVID GADOMSKI I Fax: (541) 895~2207 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection, NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained, The local building department may determine that an Authorization To Begin Work is null and void if it does not meet appli~able land use laws and local ordinances. I I I I 1 I I I I I I I I I Subtotal $166.00 I State Surcharge (8% of per mil fee) $13.28 I Ci(v Of Springfield lees ~ $24,90 I TO'I~\L PERMIT FI:E I $20418 I 10% Local Admin Fce; 5% Local Technology Fee I Description I Qty. l.ll~~'Ae,rin~!:~t~R:f.~E?!l 'multi-family ,a!!~cl!~R:W~!:~~fy"1:t~':' '. J 1,000 sq. ft. or less I I Ea. addl 500 sq. ft, or portion I I . Limited energy, residential I (with above SQ, f1.) . Limited energy, multifamily I ~sidential (with above s9, ft.) ~e~T~~'crQ!ff~e~eriinst~lt~ti@c;:~)I~6i'~(on; ANQ/o.R Fe!oc~:ti~n ., ',','" ",',','C,',,",", ..,',....,'c;c'.. ' , ..','....',... ....','..' , , , ; ;"".~, .'.."..._....C".-,'" I 200 amps or less 120 I amps to 400 amps I 40 I amps to 599 amps I TEMP()&\~Y s~rvic,e::OR 'feed~~f,..i,~;S,!~ll,~~i??~,~ltfr;~,!t~.~.l.;,T AND/ORrelocatlon" ',,',.:~:",":':<fr'>::." ,''';'':":'<'' 1200 amps or less I I I 1201 amps to 400 amps I I I 1401 mnps to 599 amps I I I r Brauch ci~cuits:~:,~~;'Y;..)lI~etll~iOli, OR ex'teri'sio#;,'~~.r;p~'nel I A. Fee for branch circuits with 1 1 I abovc servIce or feeder fee, each branch circuit. 8, Fee for branch circuits I I I without service or feeder fcc, first branch circuit; I each addl branch circuit I I I :/ II I $117.001 $21.00 $28.001 I Service reconnect only Each manufactured or modular dwelling. service and/or feeder I Pump or irrigation circle Sign or outline lighting Signal circuil(s) or limited- energy panel, alteration, or extension. I I 1 I II II I: : I, City Of Springfield I not offered online at this jurisdiction ~ ELECTRtCAL~PERMtT FEES ,..'........~-,~"......,.....~................",..^..," , This Authorization To Begin Work must be posted at the job site until Total $117001 $21001 $2800 I I I I I I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ".."INO"'........~.... k.. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007~0 I 052 COM2007-0 I 052 COM2007~0 I 052 COM2007-0 I 052 COM2007-0 I 052 COM2007 ~O I 052 Payments: Type of Payment ONLINE CHGS cReccint 1 RECEIPT #: 3200700000000000802 Date: 12/12/2007 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Add!1 500 Low Voltage - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE SPRINTER Online Payment Total: Page I of I 1 :38:09PM Amount Due 117~00 21.00 28~00 8~30 13~28 16.60 $204.18 Amount Paid $204.18 $204.18 12112/2007 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 07/31/2008 VALUE: $ 82,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1267 Lorne Lp ASSESSOR'S PARCEL NO.: 1703272207647 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Owner: MICHAEL PETRUSHKIN Address: 38558 PENGRA RD FALL CREEK OR 97438 Phone Number: 541-937-2302 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor PACIFIC FIRE & FLOOD INC SPRINTER ELECTRIC INC. CLIMATE CONTROL INC GARY'S ROOTER SERVICE License 173615 174458 62196 129990 Expiration Date 12/28/2008 02120/2009 10/25/2009 06/24/2008 Phone 541- 726-5896 541-521-9058 503-453-4822 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ATTEN I follow rules adopted by the Oregon Utility No~fication Celilmr.SlRf~ rules are set forth 1 iR-OAR 952-00fIe~ tff~gtltG)AA 952-001- 00f10. You mayr",!.a.k.:Ji tJtD~tes of tlli'ewdds\UfGas \tB1l1ing the ct>>itetr ~: the telephone number for thDlG)~Utility Notifioatioft CentelEMledg~OOraa2.2344). nent Path Sprinkled Building n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: PUB DVEMENTS THIS PERMIT SHAll EXPIAfiJf~"K AUTHORIZED UNDER THIS iERMiW~Jns: COMMENCED OR IS A8AN0'6~~ tun ANY 180 DAY PERIOD. Notes: Paee 1 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 07/31/2008 VALUE: $ 82,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 82,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $82,000.00 $82,000.00 10/23/2007 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $69.16 10/23/07 1200700000000001335 + 5% Technology Fee $34.58 10/23/07 1200700000000001335 + 8% State Surcharge $55.33 10/23/07 1200700000000001335 Building Permit $545.62 10/23/07 1200700000000001335 Fixture $32.00 10/23/07 1200700000000001335 Furnace - up to 100,000 btu $28.00 10/23/07 1200700000000001335 Minimum/Adjustment Mechanical $22.00 10/23/07 1200700000000001335 Miscellaneous Plumbing $50.00 10/23/07 1200700000000001335 Plan Review Residential $354.65 10/23/07 1200700000000001335 Vent Fan $14.00 10/23/07 1200700000000001335 + 10% Administrative Fee $16.60 12/12/07 3200700000000000802 + 5% Technology Fee $8.30 12/12/07 3200700000000000802 + 8% State Surcharge $13.28 12/12/07 3200700000000000802 Low Voltage - Residential $28.00 12/12/07 3200700000000000802 Residence Wiring 1000 Sq Ft $117.00 12/12/07 3200700000000000802 Residence Wiring Ea Addtl 500 $21.00 12/12/07 3200700000000000802 + 10% Administrative Fee $22.40 2/20/08 2200800000000000229 + 12% State Surcharge $26.88 2/20/08 2200800000000000229 + 5% Technology Fee $11.20 2/20/08 2200800000000000229 Fixture $224.00 2/20/08 2200800000000000229 Total Amount Paid $1,694.00 Plan Reviews I Plannin2: Review 10/23/2007 10/23/2007 BWO TAJ No Planning issues. Public Works Review 10/23/2007 10/23/2007 APP LKW No SDC Fees, no new pervious or impervious surface added to Fire damaged building. Structural Review 10/23/2007 10/23/2007 APP DLM Approved as noted on Plans 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. Pa2:e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01052 ISSUED: 10/23/2007 APPLIED: 07/17/2007 EXPIRES: 07/31/2008 VALUE: $ 82,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reauired Insoections I Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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. J_-/I IA ~ owtl ctffJ'.tS;gnature c--2L:>~~ Date Pa!!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01052 COM2007 -01052 COM2007-01052 COM2007-01052 Payments: Type of Payment Check cRecemtl RECEIPT #: DeSCriptIOn Fixture + 5% Technology Fee + 10% Administrative Fee + 12% State Surcharge Paid By PACIFIC FIRE AND FLOOD INC City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000229 Date: 02/20/2008 1 :37:28PM Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received Amount Due 224 00 II 20 22.40 2688 $284.48 Amount Paid dJb In Person $284 48 2195 Payment Total: $284.48 Page I of I 2/20/2008