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Home My WebLink AboutPermit Building 2008-4-3 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/03/2008 VALUE: $ 291,004.00 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6790 A ST ASSESSOR'S PARCEL NO.: 1702344106603 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Addition to convert single family residence into duplex Owner: VOSS MICHAEL E & JULIE A Address: 250 68TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Designer Contractor MONTY LUKE DESIGNS BUILDING INFORMATION I License # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB # of Stories: 3 Height of Structure 31.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building n/a 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 27.60 13.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 99.00 47.50 I PUBLIC IMPROVEMENTS ~ Street Improvements: Residential Phone Number: 541-747-9418 Expiration Date Phone 541-746-7757 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 25,700 1,088 1,142 768 220 3 Yes 28.40 REQUIRED PARKING Total: 4 Handicapped: Compact: F II I d Sidewalk Type: u V mprove Storm Sewer Available: A,,~RMVN~Ofi~~aw reqt.J1tG~~a:utter SpeciallnstruYftYrlce. Existing driveway and sidewalk/Credit given for d~ 'Me~d'PIBmt:ft. the Oregon Utility !HJ · Notification Center. Those rules are set forth Notes: stor AlfiA.Pn~!ftMJre~MMl EXPIRE fF THE WORK In OAR 952..QO 1-00 1 0 through OAR 952.001- UTHORIZED UNDER THI~ PI=R~/IIT Ie MCT 0090: You may obtain copies of the rules by l"UIVIIVli:NCED OR IS ABANu F.. calling the center. lNOle,Y\t:1lt:l~fJIIUIlO ANY 180 DAY PERIOD P~9uaQ~n Description I number for the Oregon Utility NotificatIon · Center is 1-800-332-2344). Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pal!:e 1 of 4 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/03/2008 VALUE: $ 291,004.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line A.C. - Residen DwelliDl!S Garaee AC - Residential V Wood Frame Garaee $5.00 $105.00 $28.00 2,450.00 2,450.00 768.00 $12,250.00 $257,250.00 $21,504.00 $291,004.00 03/07/2008 03/07/2008 03/07/2008 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $851.63 3/7/08 1200800000000000211 ~Mech Iss 2+ Appliances~ $40.00 4/3/08 1200800000000000303 + 10% Administrative Fee $187.43 4/3/08 1200800000000000303 + 12% State Surcharge $211.22 4/3/08 1200800000000000303 + 5% Technology Fee $98.26 4/3/08 1200800000000000303 3 Baths One & Two Family $337.00 4/3/08 1200800000000000303 Addressing Assignment $35.00 4/3/08 1200800000000000303 Appliance Vent $7.00 4/3/08 1200800000000000303 Building Permit $1,310.20 4/3/08 1200800000000000303 Dryer Vent $7.00 4/3/08 1200800000000000303 Exhaust Hoods $10.00 4/3/08 1200800000000000303 Fire SF Fee - Residential $114.10 4/3/08 1200800000000000303 Fireplace (Listed) $17.00 4/3/08 1200800000000000303 Furnace - up to 100,000 btu $14.00 4/3/08 1200800000000000303 Gas Outlets 1-4 $5.00 4/3/08 1200800000000000303 Gas Outlets 4+ $2.00 4/3/08 1200800000000000303 Heat Pump $14.00 4/3/08 1200800000000000303 Plan Review Major - Planning $205.00 4/3/08 1200800000000000303 Sanitary Sewer - Improvement $652.93 4/3/08 1200800000000000303 Sanitary Sewer - Reimbursement $858.67 4/3/08 1200800000000000303 SDC MWMC Administration $10.00 4/3/08 1200800000000000303 SDC MWMC Improvement $990.39 4/3/08 1200800000000000303 SDC MWMC Reimbursement $95.35 4/3/08 1200800000000000303 SDC Sanitary/Storm Admin $136.19 4/3/08 1200800000000000303 SDC Transpo Improvement $862.25 4/3/08 1200800000000000303 SDC Transpo Reimbursement $195.48 4/3/08 1200800000000000303 SDC Transportation Admin $71.80 4/3/08 1200800000000000303 Storm Drainage Impervious Area $494.81 4/3/08 1200800000000000303 Storm Sewer Each Addt1100' $16.00 4/3/08 1200800000000000303 Vent Fan $21.00 4/3/08 1200800000000000303 Willamalane Attached (duplex) $2,726.00 4/3/08 1200800000000000303 Total Amount Paid $10,596.71 I Plan Reviews I Initial Review 03/07/2008 03/07/2008 APP LLH Credit given for fire fee for 936 for garage being demolished under C8-311. Paee 2 of 4 ,. Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008~00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/03/2008 VALUE: $ 291,004.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 03/10/2008 03/11/2008 APP LKW Storm drains to weep holeslDemo'd credit of 936 sq feet in SDC fees. Plannine: Review 03/10/2008 03/18/2008 APP TAJ The 3 street trees are for the" A" Street frontage. If there are street trees there now, they may be counted. Structural Review 03/10/2008 04/02/2008 APP DLM Revised Plans were submitted on 3/24/08dlm. Waiting for revisIOns on 2 sheets to complete review 4/2/08dlm. See documents for Plan review comments. 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(]uiredJnSDections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctIon with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Pae:e 3 of 4 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/03/2008 VALUE: $ 291,004.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is instaUed and required testing and capped if not attached to an appliance. Gas Service: After line is instaUed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When aU gas work is complete. Final Mechanical: When aU mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When aU electrical work is complete. By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and aU work performed shaU 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 aU times during construction. c/I/YLI-J Z- ~ D'1-03.08 Owner or Contractors Signature Date Pa2e 4 of 4 , 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 Pernut #: QP? -P:fW Address lo-'1ctO A Issued by. U S?s fj:; Date tf, 3.OU Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requIres resldentiaz'construction permit applicants who are not licensed with the Construction Contractors Board to sIgn the folloWing statement before a buildmg permIt can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. LIcensed architect and engineer appllcants, exempt from licensing under ORS 701.010(7), need not submIt this statement. ThIs statement will befiled with the permIt, Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 12(1. or 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 c9ptractor 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 I change my mind and hire a general contractor, I will contract with a contractor who is licensed WIth the CCB and wil1nnmediately notify the office issuing this buIlding permit ofthe 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. X M dJ Z Vcr^- 0':1-05-08 (Signature of permit applicant) (Date) (WhIte copy to Issuing agency permIt file, pmk copy to appllcant.) Property _ owner.doc 06-01-04 (,hi' -" r \ t \....... r..... \ as'Your' "\ /'-, ,. i \ ~: INFORMATiON- NO;fICE TO -, - ) ABOUT/GQN~"!:R'-:ICTION ~ " '- '< J '...- i ( . NOTE: This Information Notice to Properly Owners about Construction ResponSibilitIes was developed by the Construction Contractors Board in accordance with ORB 701.055(5), passed by the 1989 . . are as your own contractQr to construct a new.llOme or make a substantial you can many bemg aware bf the fol1o\;v.mg responSibilities to an concerns. You most to YOll use contractors not l}cef!sed wlth constructlOn or an :'employer" and the contractors you con~ract,with CO~structlOn-Contractors Board to. labor m . the_employer, you must .. if m Law: As an employer, you must ~;thhold be tax payments even 11' you ~f Revenue at 503-378-4988. . on Insurance Tax: As an you are required to pay a tax of more mformatlOn, can the Oregon .. '!- .. ..... " f ,1_ .. ,,"i.;;,... ~ .. , ," Busmess (BIN) IS a combmed. for, a BIN, caB 503-945-8091 or \V'N\v.doLstatc or \. forms. \Vorken' must workers' msurance, could be For more at an employer, you are subject to msurance for your erpployee,s. you habIt: for an claml costs if one Compensatiori DmSlOn at the tax you must W1thhold actually WIthhold a ,f-f 1_ Code tor thIS project, you are attcntlOn through mspectlOns. ~. . ~"J. . any meet Contact your uisurance to see omlSSlOns such as fallmg tools, pamt over spray, watcr damage \ ./-,--< _\J_ -::-- msunincc or , ~ \- f, ^~. _.: '\ , .' sure you hme to supervIse your employees: to act as your own general contractor, to as appropnate tImes so they can Contractors Board 1) or wntc agency 06-01-04 ." . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY LOCATION TAX LOT NUMBER DEVELOPMENT TYPE NEW DWELLING UNITS 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S F x I COST PER S F CHARGE 143000 I $0346 = I $49481 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF x eOST PER S F x I DISCOUNT RATE I 0 00 $0 346 , 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$494.81 COM2008-00320 MIchael & JulIe Voss 6790 A Street 1702344106603 Smgle FamIly ResIdence 1 BUILDING SIZE (SF: 3218 LOT SIZE (SF) 25700 r/) ~ p o u ~ ~ F-< r/) ....... o ~ 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's I x 32 I B IMPROVEMENT COST I NUMBER OF DFU's x I 32 COST PER DFU $26 83 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,511.60 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE x I 957 B IMPROVEMENT COST I ADT TRIP RATE I 9.57 l I NUMBER OF UNITS x I 1 COST PER TRIP 2043 I NUMBER OF UNITS I 1 x , COST PER TRIP $90 10 x ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST- NUMBER OF FEU's I x 1 I ICOST PER FEU I $95 35 B IMPROVEMENT COST INUMBER OF FEU's I 1 x COST PER FEU $99039 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1,095.74 - ~~.--~--- -.-..,...., SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $4,159.88 DISCOUNT $000 x NEW TRIP F ACTORI 100 x NEW TRIP FACTOR 100 , $494.81 $858.67 $652.93 $195.48 $862.25 = $95.35 1070 1091 1092 1093 1094 1054 = $990.39 I 1055 $0.00 I 1054 " $10.00 11056 I _._~- ~~. .. ....__.~- 5 ADMINISTRATIVE FEE I SUBTOTAL x ADM FEE RATE I $4,15988 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE CHARGE $207 99 Kaye Wilson PREPARED BY 3/11/2008 DATE TOTAL SDC CHARGES 13619 $71 80 $4,367.87 -~- ..'-- 1.1 079 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAlNAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 I 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 \LAUNDRY TUB 1 0 2 = 2 I CLOTHES WASHER I MOP SINK 1 0 3 = 3 I CLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRlG I WATER STATION IETC 0 0 1 = 0 RECEPTOR FOR COM SINK I DISHWASHER I ETC 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK COMMERCIMJRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL I WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 32 *EDU (EqUIvalent DwellIng Urnt) IS a dIscharge eqUIvalent to a smgle famIly dwellIng umt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $5.19 $512 $498 $4 80 $463 $440 $407 $367 $322 $273 $225 $180 $1 59 $145 $125 $109 $092 $072 $048 $028 $009 $005 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $000 x $5.29 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0 00 x $5 29 o TOTAL MWMC CREDIT $000 = Willamal-ane Park & Recreation District Job. No. ~, .9JlD SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: ~\~\\()f~+ :\\ l\\e /\\ass PHONE~L\~.qL\\9 ADDRESS: t'20 Co9:J*" CITY ~~ STATEOLzIP: Cf1415 LOCATION OF PROPOSED BUILDING SITE: Street Address: \ of\~() f\ ~-\- Plat Name: .~. ~ Tax Lot Number: \f\tJ'(!.;/t~ Gold)0 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type defimtlons are on the back. ) A. Sinale-Familv Detached NO. OF UNITS X $2,513 per unit = $ B. Sinale-Familv Attached NO. OF UNITS \ X $2,726 per unit = $ Q.l2.~P) C. Multi-Familv Aoartment NO. OF UNITS X $2,323 per unit = $ D. Sinale Room Occuoancv NO. OF UNITS X $1,162 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) l~s~~L!t City of Springfield ~, Date $ $~tl~lo~ d (I.J $ ~1llo. D,DA $ X $1,257 per unit = WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 5 '" {25 Fifth Street Springfield: Oregon 97477 541-726-3759 Phone Job/Journal Number COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 COM200S-00320 Payments: Type of Payment Check cRecemtl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000000303 Date: 04/03/2008 DescriptIOn Storm Dramage ImpervIous Area SanItary Sewer - ReImbursement SanItary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC SanItarylStorm Admm SDC TransportatIOn Admm Plan RevIew Major - Plannmg BUlldmg Permit 3 Baths One & Two FamIly Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Fireplace (LIsted) Heat Pump ~Mech Iss 2+ ApplIances~ ApplIance Vent Addressmg AssIgnment Fire SF Fee - Residential WIIlamalane Attached (duplex) + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By MICHAEL VOSS Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received Ilh 3781 In Person Payment Total: Page I of 1 8:12:45AM Amount Due 494 SI S5S,67 652 93 1954S S62 25 95.35 990 39 10 00 136 19 71 SO 205 00 1,31020 33700 1600 1400 21 00 10 00 700 500 200 1700 1400 4000 700 3500 114 10 2,72600 9S 26 211 22 IS7.43 $9,745.08 Amount Paid $9,745 OS $9,745.08 4/3/200S Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/16/2008 VALUE: $ 291,004.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6790 A ST ASSESSOR'S PARCEL NO.: 1702344106603 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Addition to convert single family residence into duplex Residential Owner: VOSS MICHAEL E & JULIE A Address: 250 68TH ST SPRINGFIELD OR 97478 Phone Number: 541-747-9418 I CONTRACTOR INFORMATION. Contractor Type Designer Plumbing Contractor MONTY LUKE DESIGNS SUSAN JANE ARNOLD License Expiration Date Phone 541-746-7757 12/16/2008 541-484-3787 49561 BUILDING INFORMATION I 3 # of Stories: 3 Height of Structure 31.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 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: 25,700 1,088 1,142 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB 768 220 I DEVELOPMENT INFORMA nON. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 27.60 13.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 3 Yes 28.40 REQUIRED PARKING Total: 4 Handicapped: Compact: 99.00 47.50 Street Improvements: I PUBLIC IMPRMVl1liMt~ fregon law requires you to tallOW rUles a opte~.QY tM. Qregon Utility Fullv Improved Notrflcatlon Center. iWb~MIfHHgFe set forth In Q,\R 952-001-001(btJ'wrH'S~~iia:001. Existing driveway and sidewalk/crreaft gi%nrroryaeHto,~a €a:trftI~@6f.9~gl !1f'ft~ by calling the center. (Klote: ~he te'~~tio~e storm drains to weep holes number for the Oregon Utility Notification Center is 1-800-332-2344). Curb and Gutter Storm Sewer Available: Special Instruction: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COrVlfVlENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of 4 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen DweIlinl!s Garal!e AC - Residential V Wood Frame Garal!e Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 3 Baths One & Two Family Addressing Assignment Appliance Vent Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Storm Drainage Impervious Area Storm Sewer Each Addtll00' Vent Fan WilIamalane Attached (duplex) + 5% Technology Fee Sidewalk Permit I Valuation Description' $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount 2,450.00 2,450.00 768.00 Total Value of Project ~ Amount Paid $851.63 $40.00 $187.43 $211.22 $98.26 $337.00 $35.00 $7.00 $1,310.20 $7.00 $10.00 $114.10 $17.00 $14.00 $5.00 $2.00 $14.00 $205.00 $652.93 $858.67 $10.00 $990.39 $95.35 $136.19 $862.25 $195.48 $71.80 $494.81 $16.00 $21.00 $2,726.00 $4.25 $85.00 Date Paid 3/7/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/18/08 4/18/08 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/16/2008 VALUE: $ 291,004.00 Value Date Calculated $12,250.00 $257,250.00 $21,504.00 $291,004.00 03/0712008 03/07/2008 03/0712008 Receipt Number 1200800000000000211 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 1200800000000000303 3200800000000000236 3200800000000000236 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/16/2008 VALUE: $ 291,004.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $10,685.96 I Plan Reviews I Initial Review 03/0712008 APP LLH 03/07/2008 Public Works Review 03/10/2008 03/11/2008 APP LKW Planninl:! Review 03/10/2008 03/18/2008 APP T AJ Structural Review 03/10/2008 APP DLM 04/02/2008 Public Works Review 04/03/2008 10 BRC 04/03/2008 Credit given for fire fee for 936 for garage being demolished under C8-311. Storm drains to weep holeslDemo'd credit of 936 sq feet in SDC fees. The 3 street trees are for the" A" Street frontage. If there are street trees there now, they may be counted. Revised Plans were submitted on 3/24/08dIm. Waiting for revisions on 2 sheets to complete review 4/2/08dlm. See documents for Plan review comments. Spoke with Mike Voss about connection of sanitary sewer. Explained several options to him (PIP, Encroachment permit, etc.). Told him that he would need a sidewal repair permit to pop a panel of sidewalk. BC 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~nsnections I Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Pal:!e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/16/2008 VALUE: $ 291,004.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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. Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 4 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00320 ISSUED: 04/03/2008 APPLIED: 03/07/2008 EXPIRES: 10/16/2008 VALUE: $ 291,004.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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. ~~ - Setback: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all mformation 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! r~' 2 'V ().fi' ott,,g,08 Owner or Contractors Signature Date Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00320 COM2008-00320 Payments: Type of Payment Check cRecemtI RECEIPT #: DescrIption Sidewalk PermIt + 5% Technology Fee Paid By MICHAEL VOSS City of Springfield Official Receipt Development Services Department Public Works Department 3200800000000000236 Date: 04/18/2008 Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received lkw 3817 In Person Payment Total: Page 1 of I 1:26:59PM Amount Due 8500 425 $89.25 Amount Paid $89 25 $89.25 4/18/2008