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Home My WebLink AboutPermit Building 2005-10-28 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1236 JANUS ST ASSESSOR'S PARCEL NO.: 1703342200208 - . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01455 ISSUED: 10/28/2005 APPLIED: 10/17/2005 EXPIRES: 04/28/2006 VALUE: $ 64,975.00 Springfield TYPE OF Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition over garage and remodel Owner: KIMBALL THERESA M & GEORGE C Address: 1236 JANUS ST SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Primary Construction Type VN Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Phone Number: 541-747-1415 I CONTRACTOR INFORMATION' License Expiration Date Phone n law requires yoU to ATTENTION: Orego b the Oregon Utility ,," , .. .1"" <ldooted Y ., _ __" ""llorth I BUlLDiNG:WR~ATJP&I~~;~gh- OAR 952.001' , OAR 90G.UJ. -~" ' ~ ies 01 the rules by # oll'.;tori....,'u may obtain cop ,the tl1\otlSlZe:'J ~~v.-,v (Note." -, " Heign~~flin9 the center. n Utility ,,~qIFta'St)Floor, Type RhfflB'Ji lor the, Orego .332.23,~q ,Ft 2nd Floor: WatetType: center IS 1.800 Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled nla ' Occupant Load: 'DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Street, PartiaUv Improyed, Ol\CE~ Sidewalk ~m\"t \f l"t y,!Op.~ ~ Storm Sewer Available: Yes N s P~R~~\;;R'(~'i.p.tA\l&t;lQnd Gutter Special Instruction: "{\11 ORII~O UtiOER ul~EO fOR (>.U"{\1 ~O OR \s ~6",' Notes: UGB septic for fixtures no SDC impervious only;storm draind3e~lill\C~~Q1&'J9/2005 CAS (>.~'t \ 80'U 1 of 3 Description Type of Construction V Wood Frame Garaee Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fe..... + 10% Administrative Fee - + 7% State Sur.harge Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Mechanical Perm ServlFdr 200 amps or less SDC SanitarylStorm Admin Storm Drainage Impervious Area Vent Fan Total Amount . . CITY (J1< :srRINli1<lELD ' Building/Combination Permit PERMIT NO: COM2005-01455 ISSUED: 10/28/2005 APPLIED: 10/17/2005 EXPIRES: 04/28/2006 VALUE: $ 64,975.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $96,00 $25.00 Square Footage or Bid Amount 600.00 295.00 Value Date Calculated Total Value of Proje~t $57,600.00 $7,375.00 $64,975.00 10/17/2005 10/17/2005 FPI'< P..itlJ Amount Paid Date Paid Receipt Number 1200500000000001538 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 1200500000000001638 $278.95 $10.00 $62.22 $43.55 $15.00 $429.15 $70.00 $33.00 $63,00 $12.65 $252.91 $12.00 10117/05 10128/05 10128/05 10/28/05 10/28/05 10/28/05 10128/05 10128/05 10128/05 10128/05 10/28/05 10/28/05 $1,282.43 I Plan Reviews I 10/18/2005 10/18/2005 APP SKG 10118/2005 10/20/2005 APP TAJ No Planning issues. 10/18/2005 10/19/2005 APP CAS Storm drainage piped into existing to curb face, no SDC fee's for fixtures going to septic 10119/2005 CAS 10/18/2005 10/26/2005 APP RJB Initial Review Plan nine Review Public Works Review Structural Review To Request an inspection can 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. win be made the following work day. ' Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. 2 of 3 ~1tIr"'71;1,~,!o.~~. ' , ~. " .~. -,'. .'.' 1f: . .,' , ,,-~~' . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01455 ISSUED: 10/28/2005 APPLIED: 10/17/2005 EXPIRES: 04/28/2006 VALUE: $ 64,975.00 Status: Issued 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 heen 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I slate 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 certii)' that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD be. made of any structure without permission of the Community Services Division, Building Safety. I further certli)' 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 thefJeet, that the permit card is 10C. ated at the front of the property, and the approved set of plans tvID remailUln the site ata . eS;UringCOnst:tion.J?~ /?/P /O? 1-~'; 00 (;Jf-./ ~- /- 7 ..:.. Owner or Contracfor; Signature ' / Date 3 of 3 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERMIT APPLICATION City Job Number (\ ~- \4~~ Expiration Date. Over 600 Amps or 1 000 Volts see "S" above. gnaturi:~ .' .:0> -'~" "",",^,". -,:";";":-'?~'1,'<,,;,',,,<.."~p, ,:<:.nT,"'"'''''' :/ ",""'", "..,;~ "~~~~;~~.,;;~~;:.;;;;.~,~',::'jC". "",; Owners Name h, Q rJ ~~\tR~&~(LY~ ~:c~,~d::~~:~;;;~titorwlth ", ~~, S 3,00 ,\~.'c0 Addres; \ (L~\ n ~ (\ltD ~ ' ~~il~~~~~.mW~t~!uJ~~'5i:;;;~~illil~d)'~~~JS~~;il'!~rrr~~; -+-- _ _ I ....~.,.-.' .... ~"".'..< . ..,1i.'" .,.....~...~.......""~...4~.....l:i;....(.-'.~~.....'.;x..~.''-...,""'tI'..'-''"'.~ City ~f\ \.. q 0'- Phone ~ 4 f\ . \4. r\" PI'I~gation r j~ _tr. ' ~ -" s! iUI u 1~~Mrtt~~~ txPjU1,'sP-;iRMli $5~QJl OWNER INST ALLA nON Ll rl~ ljf<'1tt\1\l'1W""" n DQt~g f~\lti.OO The installation is being made on property I own which Li~~ ~t~,{l'~r\lii,~BAtl S 45,00 is not intended for sale, lease or rent. ' . Minimuil~<1~9I\9N11i~9Rron Fee is $45,00 + Surcharges ~.\ ~. ~~-.,-::- -,,,.;-, :- . ~ ~,,;,.y,o:".1 '--:-:~,r::..~;'?r)~"C"~::"''''r,~'FS:'~~''1 j 4, -I. SUBTOTAL Of ABOVE; ~"". ';"B ,::"c" \,) "'7i3 ()() :: '_ ~. :.k;,::;i'.,. .1... ,': .': -# - ~_t...;~..,..~'_" _-.c;:..:-:'-~#_: :f~ ,:-.~ '~0'",,~ I 5:lfb '1; ~o Iql';1b !~........ ~"," ~." '-'- .. ~.,. ..," '~'--." ..," '" 1. ~LotATION OF INSTALLATION.:,:'!';';.: . .:l. .,~.'''''...' -""~ ., ~",J.L_,-"-'... '__ ~~l.';';-~' .;. ,,~,.i:')+, ~'.li.' I B, ~ 1.2 '-l (l fI.u. .I'\ SlI- LEGAL DESCRIPTION \ f) ro?4'2 ?JY J? On JOB DESCRIPTION L cANIrit-l1 an 'i \ A tffi nclJ-., Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. :,j I' ~~.";.__'c.:'f";t~ '-'-"'_~..-:;'1'"-",;:':"..:1.:.' :,--;~..,;t':;;':~~' ;';T~""'.': ',"CONTRACTOR INSTALLAnON ONL YO" . .' I', '~'"'''''''~''''''' ,u,'" ",,' ~., ""',;' '. .;".;,_..... _. ..'~.__",.",. ) EI ::iC~~:::~~r-~.->"--"~_...~'=~.._..~.. , City Supervisor Licens Expiration Date Owners p.," X Inspection Request: 726-3769 3. Service Included r 1000 sq. ft, or less _ Each additional 500 sq, ft, or portion thereof S106,OO S 19,00 Each Manufact'd Home or Modular Dwelling Service or S5000 FIe~ENTlON' 0 " f'?J{qw.;ral H'& ~~:"~;'{;1,~pn)?w r.e.qUjro~';;~:::;1:'~~~:;~\J.,: ~);1~1 ~Jo~e~,'~lces '~r_ FUo~r~}6'l~~~'i~ 1,1~.t~9~c.~lterah.~~s, ~r ,,~,~l?~at!~n..;;li;:; . -,CU"a!lOlfGenlet'"t..",_~."'r~'13Cln-tJI,n.'<~"'" """'.~,~> ~3~i\~J2~r~~t-??'1 0 ~r~~~~e~:re I;el S:'6~!00 G~ CO, :t9.1/Amps l6'>400:'Ampsl COpies ", t1 ~c.2'~<75,OO 40i'l':R I~~ 600W'ITi iN ' c', "'C'rUle'Si25,OO I l'umueP lor th n.!' ate. thE "'" n " 601 Amos tOtlO~O'Ampsn Utility .,,,,,!-, onS163.00 <-en er '<;.;1 000 '-""~alJG- Over 1000 Ampsrvolts -332-23A.' S375.00 Reconnect Only ',. $ 50.00 r~i{"'~ ~~',~~t'-;;:~ ,.::",,,:,~-,,,,,,~t,-~.' -,'1<I'"'I,~! . . ' . ...--:::r-~"'.",,: .t'.... 'j'<< C. 'l"~ Terii~orar,'.Ser\,jces'or'Feed~rs~ .",,~ '~~S,~i.\-;. -:-<J"~ ~ ";':M:~~f ~"";~1 ;';.-_~.~_Af.~"';'.'..i.~'_. ,.~-t:-:....!';:';J~'"'' - ,.' ,... ...~ . ~~ .-..-"" . Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps S 50.00 S 69.00 SIOO.OO 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electlical Pennit Appticalion I.OJ.doc ~ITY OF SAGFIELDSYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: COM2005-01455 NAME OR COMPANY: George Kimball ,LOCATION: 1236 Janus SI TAX LOT NUMBER: 1703342200208 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 551 LOT SIZE (SF): I, STORM DRAINAGE II HJ 10 o u ~ t.Ll If- VJ a ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x 1 COST PER S.F, I CHARGE 1 783,00 I $0,323 = ! $252.91 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. 1 x 1 COST PER S,F. I x 1 DISCOUNT RATE 1 I I 0.00 I I $0.323 I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC $252.91 ~ 2, SANITARY SEWER - CITY DISCOUNT $0,00 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x 1 0 1 B, IMPROVEMENT COST: 1 NUMBER OF DFU's 1 x 1 0 1 COST PER DFU $25,07 $19,07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP F ACTORI 9.57 1 1 0 I i $19,09 I 1.00 1 B. IMPROVEMENT COST: I ADT TRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP F ACTORI 9.57 I I 0 I 1 $84.19 1 1.00 1 , ITEM 3 TOTAL - TRANSPORTATION SDC = I SO.OO ....-..--. . .. ------------ 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: /NUMBER OF FEU's I x 1 0 ICOST PER FEU I $82,03 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 0 1 $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , ~ , SO.OO SUBTOTAL (ADD ITEMS' I, 2, 3, & 4) 5, ADMINISTR '" TlVE FEE: I SUBTOTAL x I ADM, FEE RATE 1= I 1 $252,91 I 5% TOTAL SANITARY ADMINISTRATION FEE: S252.91 CHARGE $12,65 TOTAL TRANSPORTATION ADMINISTRATION FEE: 10200 S252,91 SO.OO so.oo SO.OO so.oo = SO.OO = so.oo so.oo so.oo 12,65 $0,00 =, $265.56 Cheryl Slaymaker TOTAL SDC CHARGES 10/19/2005 PREPARED BY DATE 1070 11091 I 11092 I 11093 I 11094 I 11054 I 11055 11054 11056 I I 1079 11078 . . . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT c DRAINAGE FIXl1JRE UNITS (NOTE: FOR REMODELS. CALCULA 'ffi ONLY THE NET ADOmONAL FIX11JRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOIHESW ASHER - 3 OR MORE lEA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 [SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERClAURESIDENTIAL KlTCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 I URINAL. STALL! WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE ' NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 .EDU (Equivalent Dwelling Unit) is a discharge eQuivalent to a single familv dwellinp: unit (20 DRJ's) set at 1671!;3.11ons ocr day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE :-l I I I l I YEAR CREDIT RATE/SI,OOO ij ANNEXED ASSESSED VALUE BEFORE 1979 $5,29 1919 $5,29 1980 $5,19 1981 $5,12 1982 $4,98 1983 '$4,80 1984 $4.63 1985 $4.40 1986 $4.07 1987 $3,67 1988 $3,22 1989 $2,73 1990 $2,25 1991 $1,80 \992 $1,59 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0,92 1997 $0,72 1998 $0.48 1999 $0,28 2000 $0,09 2001 $0,05 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 1979 2 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE SO,OO x S5,29 - , SO,OO CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $5,29 0 I I [ I I I I I I II = SO.OO TOTAL MWMC CREDIT I, I I I I I I I I I I, -. . . \, l ", ..' ", ,." . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us , . . Permit #: 0.,t?:> ~ ~~ \fL3\..Q ~flllf) o ~ Date: / 0 -z- 1'-OS- Address: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. D 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 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 (Jl- 3B. I will be my own general contractor. IfI hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. IfI change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I 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. -- ~ ~;ture of /permit applicant) 0cf '2te~ S (White copy to issuing agency permit file, pink copy to applicant.) r._~_.:,._oWDer.doc 06-01-04 - 't'>-TS-o', Adnlillg ~~ INFO,BMATION NOTICE TO PROPERTY OWNERS ABOUII"~CpNSTRUCTION RESPONSIBILITIES ' . ... . . . 1( ([J)Ullll" OWIill <Gelillell"~n C([J)lilltll"~(Ct([J)ll"? NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. " " If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. EmlPnoyer lRespolllsill>iHties You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: " Oregon's Withholdiug 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 unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, cal] the IRS at 1-800-829-4933 or visit their web site at www,irS.llOV. OtllueJr ResjpolBsnbnlD.tnes Slllld Aress of COJIlCeJrlllS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to ad as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the al'....v...,;ate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner .doc 06-01-04 225 Fifth Street , Si>riDlifleld, OregilD' 97477 541-726-3759 Phone . ..~~I1I.J~!.~m.o..~~.~" .~'_.'.'" ~ ~' I. , , --"0-., j ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-01455 COM2005-0 1455 COM2005-01455 COM2005-0 1455 COM2005-01455 COM2005-01455 COM2005-0 1455 COM2005-0 1455 COM2005-0 1455 COM2005-0 1455 COM2005-01455 Payments: T,)'Jle of Payment Check ',\ :l :( ': '. . '.c ) '{. " ': . , 10/28/2005 RECEIPT #: 1200500000000001638 Date: 10/28/2005 Description Stonn Drainage Impervious Area SDC Sanitary/Stonn Admin Building Pennit Fixture Vent Fan Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Penn Serv/Fdr 200 amps or less Add, Alter. Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By KIMBALL CONSTRUCTION Item Total, Lbeck Number Authorization Received By Batch Number Number How Received djb 1956 In Person Payment Total: I of I 2:27:37PM Amoont Due- 252.91 12.65 429.15 70.00 12.00 33.00 10,00 63.00 '15.00 43.55 62,22 $1,003.48 Amount Paid $1,003.48 $1,003.48 .CITY OF ~nuNGFIELD . Building/Combination Permit PERMIT NO: COM2005-01455 ISSUED: 10/28/2005 APPLIED: 10/17/2005 EXPIRES: 09/06/2007 VALUE: $ 64,975.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1236 JANUS ST ASSESSOR'S PARCEL NO.: 1703342200208 Springfield TYPE OF WORK: Single Family Residence . TYPE OF USE: Addition PROJECT DESCRIPTION: Addition over garage and other remodel & additions Now, additon over garage has been deleted; otber additions remain, 2/28/2007 I BUILDING INFORMA Tl@N I , \lIte,;> I \)\\.,W # of Units: ,Mr~.tOri~'10g0(\ ~ \\o~ Primary Occupancy Group: R-3 ~.()le';;'Ij"iJ\.br.o,~lrg'(!.\'te:e:z._()()\ Secondary Occupancy Group: cN.1;\O 'OO~\€!y''jie.gbHeJft. J>..~ 95 s b Primary Coustruction Type p.,1;1; VV~eS a: \01.w!lPerl~~I!.~ 0 ~ \'(\0 t\l\e 0 Secondary Construction Type:\oll~'l'I \\0\1 C0~.()c.~n'g~ ~tP~5 0 \e\e9~0(\. Ofl # of Bedrooms: 'NO\i\\C'lf. 95'l:f$J o~!!eig9.'X\\!~':'(\e N.o\\,y;;o.\~ 'flOJ>..~ \l~0.'l [1?~inj{leil~~.I.llIJ~g;A'\. nla \ ,~"O . ~..fI ~...n _ ... '-"""I . Q\)";'3\\\\'" -DE\>;Ef:,OP.MEN;:17~r~Kl"'A TlON I ....t; ". (\\l~v cefl'l.~' " Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ~'f-. % of Lot Coverage: c. \r I'(\t. ~O "I . c.~,?\~'" \1 \'21 ~v .. "1\r.~, ~,\ ~\ ,-... - ')t:?\-t\ -:\ I PQ6~~It~~~JtNcf~1;~O~t.\) tV' , I.1G\\I...L 0 \:J rw . P t. II I .ell I' "c.l"IOf' l"I Sidewalk Type: ar \a V mprovl!(lJ ~t.~v"'v t.~\Ov' Y~O\-t\ OOt>.'{'? t>.~'{'\~ Owner: THERESA KIMBALL Address: 1236 JANUS ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Plumbing Contractor JEM ELECTRIC INC OWNER OWNER License 161235 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Residential Phone Number: 541-747-1415 Expiration Date 09/07/2008 Phone 541-729-1074 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: DownspoutsIDrains: Curb and Gutter Storm Sewer Available: Special Instruction: Notes: UGB septic for fixtures no SDC impervious only;storm drainage piped to curb face 10/19/2005 CAS Pa2e 1 of3 . CITY OF ~n~HlluI'IELD' Building/Combination Permit PERMIT NO: COM2005-01455 ISSUED: 10/28/2005 APPLIED: 10/17/2005 EXPIRES: 09/06/2007 VALUE: $ 64,975.00 . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amouut 600.00 295.00 Dwelliues Garaee Tvpe of Coustruction V Wood Frame Garaee Total Value of Project ~ Value Date Calculated $57,600.00 $7,375.00 $64,975.00 10/17/2005 10/17/2005 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $278.95 10/17/05 1200500000000001538 -Mechanical Issuance Fee- $10.00 10/28/05 1200500000000001638 + 10% Administrative Fee $62.22 10/28/05 1200500000000001638 + 70/0 State Surcharge $43.55 10/28/05 1200500000000001638 Add, Alter, Extend Circ Ea Add $15.00 10/28/05 1200500000000001638 Building Permit $429.15 10/28/05 1200500000000001638 Fixture $70.00 10/28/05 1200500000000001638 Minimum/Adjustment Mechanical $33,00 10/28/05 1200500000000001638 Perm Serv/Fdr 200 amps or less $63,00 10/28/05 1200500000000001638 SDC Sanitary/Storm Admin $12,65 10/28/05 1200500000000001638 Storm Drainage Impervious Area $252.91 10/28/05 1200500000000001638 Vent Fan $12,00 10/28/05 1200500000000001638 Sidewalk Repair Permit $10.00 3/3/06 3200600000000000101 Refund - Building $-226,20 3/6/07 VOUCHER # 115760 Refund - Electrical $-4.80 3/6/07 VOUCHER # 115760 Refund - Plumbing $-20.00 3/6/07 VOUCHER # 115760 Refund - Surcharge $-17.57 3/6/07 VOUCHER # 115760 Plan Review/Residential Hourly $135.00 3/7/07 2200700000000000302 Total Amonnt Paid $1,158.86 I Plan Reviews I Initial Review 10/18/2005 10/18/2005 APP SKG Plannine Review 10/18/2005 10/20/2005 APP TAJ Public Works Review 10/18/2005 10/19/2005 APP CAS Revised Plan Review - Str 03/06/2007 03/06/2007 APP DLM Revised Plans ReceivedlRo 02115/2007 02/19/2007 10 DLM Structural Review 10/18/2005 10/26/2005 APP RJB Paee 2 of3 No Planning issues, Storm drainage piped into existing to curb face, no SDC fee's for fixtures going to septic 10/19/2005 CAS See documents for Plan review comments for approved revisions Revised plans submitted to delete the proposed addition over the garage. . .CITY OF SPRIN\JI'lJ<..LIJ Building/Combination Permit PERMIT NO: COM2005-01455 ISSUED: 10/28/2005 , APPLIED: 10/17/2005 EXPIRES: 09/06/2007 VALUE: $ 64,975.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ReOlwed InsoeetillluJ Floor Insulation: Prior to decking. Sbear Wall Nailing: Before covering sbeatbing witb finisb materials. Framing Inspection: Prior to cover and after all rougb in inspections bave been approved. Walllnsulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required iuspections bave been requested and approved and tbe building is complete. Rougb Plumbing: Prior to cover and including reqnired testing. Final Plumbing: Wben all plumbing work is complete. Rnngb Mecbanical: Prior to Cover Final Mecbanical: Wben all mecbanical work is complete, Rongb Electric: Prior to Cover Electric Service: Approval reqnired prior to utility company energizing service. Final Electric: Wben all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete, By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb tbe Ordinances of tbe City, of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety. I furtber certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project. I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe street, tbat tbe permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on tbe site at all times7Jing=:n~~ / . ? --CJ ( __0 ( TV-} 1 Owner or Contracfors Signature Date Paee 3 of 3 225 Fifth S,treet ,/ ' Springfield, Oregon 97477 541-726-3759 Phone . i!~~ ~.~.~- C&of Springfield Official Receipt .Iopment Services Department Public Works Department RECEIPT #: 2200700000000000302 Date: 03/07/2007 9:57:53AM Paid By KIMBALL CONSTRUCTION Item Total, Check Number Authorization Received By Batch Number Number How Received Amount Due 135.00 $135.00 Job/Journal Number Description COM2005-01455 Plan Review/Residential Hourly Payments: Type of Payment Check Amount Paid djb 2092 In Person Payment Total: $135.00 $135.00 cReceintl Page I of I 3/7/2007