HomeMy WebLinkAboutPermit Building 2007-12-12
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: COM2007-01822
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 06/12/2008
VALUE: $ 20,000.00
SITE ADDRESS: 1462 I ST
ASSESSOR'S PARCEL NO.: 1703362203700
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Interior remodel & enclose porch
TYPE OF USE: Alteration
Residential
Owner: BETTY TAYLOE
Address: 1462 I ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORM A nON I
License
BUILDING INFORMATION I
1 # of Stories:
R-3 Height of Structure
Type of Heat: orced Air Electric
VB ATTENTWltteOTiYl111n law requIres you to
foHow rllRii~eC:Wpd by the Oregon UtiJi
NotlflcatloEhr~~.ailhose rules are seffll%.
In OAR 95Spr.1I1141&1 8t11ltUullh OAR 95~elo1.
009~;, YOI' m~" ,,"t,,~ M(~: ;1 ~,,~ ",: "UJ
rDE\'8ECI'>P'MlEN-T(flIlJfelRf\M~18
"", ~ ~ -! I!, ~\-JUlr\"liiIlYN'o"tlr.calion
Center IS 1-800-332-2344)
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Phone Nnmber: 541-726-1236
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor: 30
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOTICE: 1lIl.w.n"""~ains'
THIS PERMIT SHAll EXPIRE It I Nt vvunl\ .
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Miscellaneous Mechanical
Plan Review Residential
Total Amount Paid
Plannine Review
Public Works Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01822
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 06/12/2008
VALUE: $ 20,000.00
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000.00
12/1212007
Value
Date Calculated
Total Value of Project
$20,000.00
$20,000.00
Fpp'i', P~irIJ
Amount Paid
Date Paid
Receipt Number
$20.00
$30.44
$15.22
$24.36
$204.44
$32.00
$18.00
$50.00
$132.89
12/12/07
12112'07
12112/07
12112/07
12112/07
12/12/07
12/12/07
12/12/07
12'12/07
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
$527.35
Plan Reviews I
1211212007
12/12/2007
12/12/2007
1211212007
APP T AJ
APP EW
No Planning issues.
No SDC's, no fixtures, and
impervious surface
See documents for Plan review
comments
12/12/2007
12'12/2007
APP
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.
~e{]lIire1.ln~~rl~l'tio~
Footing: After trenches are excavated.
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.
Final Building: After all required inspections have been reqnested and approved and tbe building is complete.
Paee 2 of 3
-'r'-~.Q'...,. '.
rIlL. ..Jld.. '
, , .. ." .' j
Status
Iss u ed
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
Fiual Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01822
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 06/12/2008
VALUE: $ 20,000.00
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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
ti~~i~g ~tru~ LY- . J 7-) r 7-JCJ 1
Owne; or Contractors Sign~ ~
Paee 3 01"3
Date
Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phoue: 503-378-4621
Web Address: www.ccb.state.or.us
Permit#: COML.-007-0{ il-Z
Address: N b Z I s i-
Issued by: bC? Date: / ~h 0 7
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
Z;.
"Ql2.
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor ifthe structure is sold or
offered for sale before or on completion.
D 3A. My general contractor is
(Name)
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
~3B. I will be my own general contractor.
If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If! change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notify the office issuing this building permit ofthe
name ofthe contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
1M, ~ ~
J-z) rdo-1
e of permit applicant) f (Date)
ite copy to issuing agency permit file, pink copy to applicant.)
o
-----
Property _ owner.doc 06-01-04
- -" \., --~ ~ - ~ .,
Acttngas 1fo!lrJ Own G;eneraIContractor?-
- . . . ,J' - ~ ~
'. INFORMATION 'NOTICE TO'PROPERTY OWNERS". .
- 0" '.'~ ,', > \ ABOt.t1,:CONSTRUCTION RESPONSIBILITIES.
\'
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature,
. . .
If you are acting as your oWn'contractor to cons~ct a new home or make a substantia!" improvement to an existing
structure, you can prevent many problems~by being aware of the following responsibilities and concerns.
Employer Responsibilities
, .
~. .
You will, il1 !TIost insl<\nces, be ruled to be an "employer" aIld .the contractQrs you contract with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
cons~cti(mor improvement Qf acreside,ntillJ structW-e: As the employer, you must compiy with the following:
. , ~ . '
..,'r \ I '" .
Oregon's Withholding Tax Law: As an employer; you must withhold income taxes from employee wages at the time
employees are paid, You will be liable for the tax payments even if you don't actually withhold the tax from your
employees. For more information, call~the Department of Revenue at 503"378-4988:
Unemployment Insurance Tax: As an employer, you are required to pay.a tax for imemployment insurance purpos~
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488.
',-' ':. '.."';;"
'.."
The Oregon Business Identification Number (BIN) is a combined number for both Oregon~ Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.oLus/formsnav.htmll for the
appropriate forms.
.,
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' cvu<p"..sation insurance for your employees. If you fail to obtain workers' compensation
insurance, you could be subject to penalties ~and be liable for all claim costs ifbne ofYOllr employees is injured on the
. job~ For more information, call the Workers' Compensation Division at the Departmen:t of Consumer. and Business
Services at 503-947-7815.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages~
You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the
IRS at 1.800-829-4933 or visit their web site at \V\"w.irS,l!OV~ -~.
,
Other Responsibilities andAr:eas of Concerns .
. .
Code Compliance: As the permit holder for this project, you are responsible for resolvingimy failure to meet code
requirements that may be brought to your attention thr<?ugh insp~cti.ons.
Liability and Property Damage Insurance: Contact your insurance agent to' s~eif you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe 'punctures, fire or
work that must be redone,
'... \ \ -.
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
. 1 ~1, '.
: .'
Property _ owner.doc 06-01-04
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
G~.~.(I!J!oIQ.. p".EL.~~.~~fi."..'.~I' .';.
:'_.~ . - ,
~--= Ii ~
~,+'" ,~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01822
COM2007-0 1822
COM2007~01 822
COM2007 -01822
COM2007 ~O 1822
COM2007 -01822
COM2007~01 822
COM2007~0 1822
COM2007-0 1822
Payments:
Type of Payment
Check
cReccil1tl
RECEIPT #:
1200700000000001495
Date: 12/12/2007
Description
Plan Review Residential
Building Permit
Fixture
Minimum/Adjustment Plumbing
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MIKE TAYLOE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
517
In Person
Payment Total:
Page 1 of I
3:00:57PM
Amount Due
132,89
204.44
32,00
18,00
50,00
20,00
15,22
24,36
30.44
$527.35
Amount Paid
$527~35
$527.35
12/J 2/2007
\ '\)ty /I
l('f1\d~' \
'g.\\\) ~V
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01822
ISSUED' 12/12/2007
APPLIED. 12/12/2007
EXPIRES: 06/12/2008
VALUE $ 20,000 00
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 1462 I ST
ASSESSOR'S PARCEL NO' 1703362203700
SprIngfield TYPE OF WORK Smgle FamIly ReSIdence
TYPE OF USE AlteratIOn
ResIdential
PROJECT DESCRIPTION InterIor remodel & enclose porch
Owner BETTY TAYLOE
Address ]462 I ST
SPRINGFIELD OR 97477
Phone Number 54]-726-1236
I CONTRACTOR INFORMATION I
Contractor Type
General
ElectrIcal
MechanIcal
Plumbmg
Contractor
OWNER
OWNER
OWNER
OWNER
License
ExpiratIOn Date Phone
BUILDING INFORMATION I
# nf UUltS
PrImary Occupancy Group
Secondary Occupancy Group
PrImal) ConstructIon Type
Secondary ConstructIOn Type
# of Bedrooms
VB
# of StorIes 1
HeIght nf Structure
Type of Heat orced AIr ElectrIc
Water Type
Range T}pe
Ene, gy Path Path 1
SprInkled BuIldmg n/a
Lot SIZe
Sq Ft ] st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
30
1
R-3
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde] Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
P dved DrIve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Cnmpact
Street Improvements
aTT~NTI()N Oregon law requIres you to
. .~dopteCl oy me UI"'IlUII ....."",
I PUBLIC IMPROlVE(VlE'NTS1enter Those rules are set lorth
In 'OAR 952-001-0(s\Odlvmkigly~R 952-001-
0090 You n ,ay ob,l.aln copies 01 the rules by
calling the centMo'{llmIlU\f{!?teI9pA1one
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
Storm Sewer AvaIlable
Specl"'(II'tStMllOn
THIS PERMIT SHALL EXPIRE IF THE WORK
Notesl-\UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee ] of 3
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Description
Tvue of ConstructIOn
Esltmate
Esltmate
Fee DescrIPtIOn
-MechdDlcal Issuance Fee-
+ 10% AdmlDlstralIve Fee
+ 5% Technology Fee
+ 8% State Surcharge
BUlldmg PermIt
FIxture
Mlmmum/AdJustment Plumbmg
MIscellaneous Mechamcal
Plan RevIew Resldenltal
+ ]0% Admmlstratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Total Amount PaId
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01822
ISSUED: 12/12/2007
APPLIED 12/12/2007
EXPIRES 06/12/2008
VALUE $ 20,000 00
I, Valuation Descrmtlon I
$ Per Sq Ft
or mulltpher
$100
Square Footage
or BId Amount
20,000 00
Value
Date Calculated
Total Value of ProJect
$20,000 00
$20,000 00
]2/12/2007
Fpp/;" P,'llU
Amount PaId
Date PaId
ReceIpt Nnmber
$20 00
$30 44
$1522
$24 36
$204 44
$32 00
$1800
$50 00
$13289
$720
$360
$576
$48 00
$24 00
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/] 2/07
12/] 2/07
12/]7/07
12/] 7/07
12/17/07
]2/17/07
12/] 7/07
1200700000000001495
1200700000000001495
120070000000000]495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
120070000000000]495
120070000000000]495
220070000000000]849
220070000000000]849
2200700000000001849
220070000000000]849
2200700000000001849
$6159]
Plan ReViews I
Planmn2: ReVieW 12/12/2007 12/12/2007 APP TAJ No Plannmg Issues
Pubhc Works ReVIew 12/12/2007 12/12/2007 APP EW No SDC's, no fixtures, and
ImperviOUS surface
Structural ReView 12/12/2007 12/12/2007 APP DLM See documents for Plan revIew
comments
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7'00
a m Will be made the same workmg day, inspectIOns requested after 7:00 a.m. WIll be made the followmg
work day.
Rp(ll~
Footmg After It enches are excdvated
Floor Insulalton' PrIor to deckmg
Paee 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' cOM2007-01822
ISSUED: 12/12/2007
APPLIED. 12/12/2007
EXPIRES: 06/12/2008
VALUE. $ 20,00000
225 F,fth Street, SprlUglield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 InspectIOn LlUe
FramlUg InspectIOn PrIor to cover and after all rough IU lUspectlOns have been approved
Wall InsulatIOn PrInr to cover
Celhng InsulatIOn PrIor to cover
FlUal BmldlUg After all reqUIred lUspectlOns have been requested and approved and the bmldlUg IS complete
Rough PlumblUg PrIor to cover and lUcludlUg reqmred testlUg
FlUal PlumblUg When all plumblUg work IS complete
Rough Mechamcal PrIor to Cover
FlUal Mechdmcal When all mechamcal work IS complete
Rough Electflc PrIor to Cnver
FlUdl ElectrIC When all elcctrIcal work IS complcte
By sIgnature, I state and agree, that I have carefully examlUed the completed apphcatlOn and do hercby certify thdt all
lUformatlon hereon IS true and correct, and I further certify that any and all work performed shdll be done 10 accordance WIth
the OrdlUances of the CIty of SprIngfield and the Laws of the State of Oregon pertalUlUg to the WOI k descllbed hel elU, and
that NO OCCUPANCY wIll be mdde of any structure WIthout permISSIOn of the Commumty ServIces DIVISIOn, BmldlUg Sdfety
I further certIfy that only contractors and employees who are 10 compliance WIth ORS 70] 005 WIll be used on thIS proJect
I further agree to ensure that all reqUIred lUspectlons are requested at the proper tIme, that each address IS readdble from the
street, that the permIt card IS located at the front of the property, dnd the approved set of plans WIll remdIU on the sIte at all
times dUring construction
Owner or Contractors SIgnature
Date
Paee 3 of 3
CIty of Sprmgfield
ElectrIcal AuthorIzation To Begm Work
E-malled To heldlOldenburg@yahoo com
ReceIpt # EC522624
1211712007 8 57 29 AM
~
By Phone
Check on status of perm It
(54])726-3753 or Emall permltcenter@cl sprlUgfield or us
COM' d (Jc) / - 0 I 8' ~ ~
RCPT#' ";::J~ 0"0; - q> '1 ~
DAlYROOEsSED Qf)/o 7
J>R~~~n) /Jc
ThiS Authorization To Begin Work must be posted at the Job site until rePlaJd Qpermlt
o Nc\\ construction
,'- TYPE OFJNORK
[X] AdditIOn/alteration/replacement
CATEGORY OF CONSTRUC;TION
10 I or 2 famIly d\\clhng
I
o Multl.famdy
[::xJ CommcrclalI Inclustna]
I Job no
Clty/':Jtate/ZIP
;;J9B-SITE INFORMATlON'ANO LOCATION
I Job address 1462 I ST
SPRINGFIELD, OR 97477-41]6
SUlle/bldg lapf no
Project name
Cross street/directIOns to Job site
I SubdIVISIOn
[Tn map/pareelno
I
I Lot no
1703362203700
'- DESCRIPT]ON OF WORK
servll.C change and extend ClflUlts
SITE CONTACT_
IName
IPhone
Il-mlHI
I
heldl
IFax
hClctlo1denburg@yahoo com
CONTRACTOR
ICCBhc no
178518
11<..1 he no C335
BUSiness Name RITE ELECTRIC INC
I Contact Held.
IAddrc!os PO BOX 842
I Clly/Slate/ZlP CRISWELL OR 97426
Il'hone (541)8954466
I Em ,III hCldlOldenburg@yahoo com
I Metro he no
'SuperVJ.~mg electriCian's hc no 2970S
I SupervISIng electriCian's n.tmt- CLYDE I PERKINS
I Fax (54 ])8954366
I City hc no
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your Inspecbon
NOTE ThiS AuthOrization To Begin Work expires wlthm 180
days If a permit 1$ not obtained
The local bUilding department may determine that an
AuthOrization To Begin Work IS null and VOid If it does not
meet apphcable land use laws and local ordinances
II
I DeSCription Qt) La Total
ResldentJal SI~GLE- OR multi-family d'H~lhng UlIlt Include"
I athlcbc~ garage ~
III OOOsq ft or less
I La addl 500 sq ft or portion
I I LImited energy reSidential
I (with dbove sa ft)
I-LImited energy multlfamlly
I reSldentlal (\\lth above sq ft)
]1 Senlcb OR feeders mstallahon, aUeratlOu,ANDIOR relocatIOn
I I 200 amps or less I I
I 201 amps to 400 amps
140 I amps to 599 amps I I
I TEMPORAR~servlccs OR feeders IR!<.tdlldhon, aUt-ratIOn,
AND/OR relocahQn
I 200 amps or less I I I
120] amps to 400 amps
140] amps to 599 amps I I I
Branch CircUit!<. - NlW, alteration, OR nten!<.lOlI, per p.Hlel
A Fee for branch ClrCU1LS \\-Jth
above serVIce or feeder fee
each bran<.h <.lrculI
I 8 fee for branch CirCUIts
\\ Ithout servl(,e or feeder fee
first branch CIrCUIt
I each addl bran<.h CIrCUIt
I A<h!<.t-eH.Hleous
I Service reconnect only
I Ed<.h manufactured or modular
dwellmg, servIce and/or feeder
I Pump or ITflgatlOn Circle
1 SIgn or outlme ilghtmg
I SIgnal clrcult(s) or hmlted-
I energy pdn<.l alteral1on, aT
extension
II
II
I:
II
I '" City Of ~pflngfield
I
FEE SCHEOULE-
$4800
$48001
$24 00 I
6
$400
not om.red onlme at thIs Junsd1<.tlon
ELECTRICAL PERMIT FEES
Subtolal I $72 00
State Surcharge (8% of permIt tee) I $5 76
City Of Springfield fees'" $ I 0 80 I
T01AL PERMIT FH $8856
10% Local Admm Fl.e 5% Local Technology fee
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
:~
'IIi: -" -
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2007 -01822
COM2007-0l822
COM2007 -01822
COM2007-0 1822
COM2007 -01822
Pdyments
Type of Payment
ONLINE CHGS
cRecclOtl
RECEIPT #.
2200700000000001849
Date. 12/17/2007
Descnptlon
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmlUlstratlve ree
PaId By
ONLINE PERMIT CHGS
Item Total
<":heck Number AuthOrization
Received By Batch Number Number How Received
NJM
ONLfNE
RITE Onlllle
ELECT
Payment Total
Page I of 1
95] 44AM
Amount Due
4800
2400
360
576
720
$88 56
Amount Paid
$88 56
$88 56
12/17/2007
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01822
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 09/24/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1462 I ST
ASSESSOR'S PARCEL NO.: 1703362203700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Interior remodel & enclose porch... + Minor revision to plans (Laundry Rm.) 3/24/08
Owner: BETTY TAYLOE
Address: 1462 I ST
SPRINGFIELD OR 97477
Phone Number: 541-726-1236
I CONTRACTOR INFORMA nON.
Contractor Type
General
Designer
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
OWNER
JOHN TUTTLE
RITE ELECTRIC
TTC COMMUNICATIONS INC
OWNER
OWNER
License
Expiration Date
Phone
178518
164114
09/24/2009
04/11/2009
726-5121
541-895-4466
541-689-2650
I BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
B
VB
# of Stories: 1
fAIT, TENH~t Qr~fNRtfo1tN requires you to
o .~w I~ ~i4~ bYJ~baJOliJgGbtdtlfitity
Notlflcat ~~:Those rules are set forth
In OAR ~- UP through OAR 952-001-
0090.. Y~R ~ ~ m~ copies of thepuklSlby
calhngJ e ~ Pflu{him@: the telep.bQne
numbefRf( e )reoori'tJtHitv NnWicatiaft
11JJ<.VJ<.~~T~<9ii~ I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
30
REQUIRED PARKING
Frontyard 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
THIS PERMIT SHAlt EXP1RE~fm'WOWK .
AUTHORIZED UNDER THIS pBqMlTv)8tf4Q)>"Fams:
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pal:!:e 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
Estimate
Estimate
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Miscellaneous Mechanical
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Dryer Vent
Fixture
Plan Review/Residential Hourly
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
Planninl!: Review
Public Works Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01822
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 09/24/2008
VALUE: $ 20,000.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000.00
Value
Date Calculated
$20,000.00
$20,000.00
12/12/2007
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.00 12/12/07 1200700000000001495
$30.44 12/12/07 1200700000000001495
$15.22 12/12/07 1200700000000001495
$24.36 12/12/07 1200700000000001495
$204.44 12/12/07 1200700000000001495
$32.00 12/12/07 1200700000000001495
$18.00 12/12/07 1200700000000001495
$50.00 12/12/07 1200700000000001495
$132.89 12/12/07 1200700000000001495
$7.20 12/17/07 2200700000000001849
$3.60 12/17/07 2200700000000001849
$5.76 12/17/07 2200700000000001849
$48.00 12/17/07 2200700000000001849
$24.00 12/17/07 2200700000000001849
$5.00 12/27/07 2200700000000001909
$2.50 12/27/07 2200700000000001909
$4.00 12/27/07 2200700000000001909
$28.00 12/27/07 2200700000000001909
$22.00 12/27/07 2200700000000001909
$3.90 3/25/08 2200800000000000351
$4.68 3/25/08 2200800000000000351
$1.95 3/25/08 2200800000000000351
$7.00 3/25/08 2200800000000000351
$32.00 3/25/08 2200800000000000351
$50.00 3/25/08 2200800000000000351
$61.21 3/25/08 2200800000000000351
$80.50 3/25/08 2200800000000000351
$7.09 3/25/08 2200800000000000351
$925.74
I Plan Reviews I
12/12/2007
12/12/2007
12/12/2007
12/12/2007
APP TAJ
APP EW
No Plannmg issues.
No SDC's, no fixtures, and
impervious surface
Pal:!:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01822
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 09124/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
12/12/2007
12/12/2007
APP
DLM
See documents for Plan review
comments
Public Works Review
Structural Review
03/2412008
03/24/2008
03/24/2008
03/24/2008
APP
APP
LKW
DLM
Added new dishwasher to permit
Needs additional electrical permit
for Break Rm. modificatIOns.
3/24/08dlm. Approved as noted on
eh plans. Qualifies for
non-separated uses under OSSC
508.3.2
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.
~eouire<Vnsnections ,
Footing: After trenches are excavated.
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.
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.
Low Voltage: Prior to cover.
Underfloor Plumbing: Prior to insulation or decking.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01822
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 09/24/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Hm;:;;~g~nst'7):~. ~. , /7-~ )o~
Owner or Contractors Sig~e Date
Pal:!:e 4 of 4
225 Fifth Street
Springfield, Ortgon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01822
COM2007-0l822
COM2007-01822
COM2007-0l822
COM2007-01822
COM2007-01822
COM2007-01822
COM2007-0l822
COM2007-01822
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000351
Date: 03/25/2008
DescriptIon
Samtary Sewer - Reimbursement
Samtary Sewer - Improvement
SDC Samtary/Storm AdmIn
Plan Review/ResIdentIal Hourly
FIxture
Dryer Vent
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
PaId By
MIKE TAYLOE
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
561
In Person
Payment Total:
DJB
Page 1 of I
1:44:19PM
Amount Due
8050
61 21
709
5000
3200
700
1 95
468
390
$248.33
Amount Paid
$248 33
$248.33
3/25/2008