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Home My WebLink AboutPermit Building 2008-4-15 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6779 A ST ASSESSOR'S PARCEL NO.: 1702344106604 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01306 ISSUED: 02/14/2007 APPLIED: 10/11/2006 EXPIRES: 10/07/2008 VALUE: $ 198,792.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Two Story Addition Owner: IMPONEN LEO J Address: 6779 A ST SPRINGFIELD OR 97478 TYPE OF USE: Addition Residential Phone Number: 541-747-5155 I CONTRACTOR INFORMATION I Contractor Type General Designer Electrical Mechanical Plumbing Contractor OWNER MCKENZIE DRAFTING AND DESIGN L YNNS ELECTRIC CHARLES ISAAC OSGOOD OWNER License Expiration Date Phone 102316 168942 541- 7 46-6596 10/1412011 541-726-7895 03/07/2008 541-988-5674 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building VB 2 2 22.00 Cable Heat Path 1 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,024 964 I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 56.00 0.00 REQUIRED PARKING Total: Handicapped: Compact: '-'I 'r.I\lIIUI\I. VI ~!:JUII I"m '''''1",:,,:,: j:::' ~: I PUBLIC IMPROVEMWi~$.'.ules adopted by the Oregon Utility Notlflcatton CSr~~llrIK>T~~.rules are set forth Fullv Improved in OAH 952-001-0010 ftN6Ligh OAR 952-001- Yes 0090. You ITQ,~'t.n.m4.lJtsf.lp;rahISlf the rul~l:1y and Gutter calling the center. (Note: the telephone number for the Oregon Utility Notification Center IS 1-800-332-2344). Street Improvements: Storm Sewer Available: SpeciaIMQi~: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: AmtfrolR~f3tOOl!1EwfllHfSgjD~iIFI1S NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01306 ISSUED: 02/14/2007 APPLIED: 10/11/2006 EXPIRES: 10/07/2008 VALUE: $ 198,792.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 2,008.00 Value Date Calculated Description Total Value of Project $198,792.00 $198,792.00 10/11/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $576.81 10/12/06 2200600000000001428 ~Mechanical Issuance Fee~ $10.00 2/14/07 1200700000000000159 + 10% Administrative Fee $116.08 2/14/07 1200700000000000159 + 5% Technology Fee $58.67 2/14/07 1200700000000000159 + 8% State Surcharge $84.91 2/14/07 1200700000000000159 Building Permit $887.40 2/14/07 1200700000000000159 Fire SF Fee - Residential $99.40 2/14/07 1200700000000000159 Fixture $84.00 2/14/07 1200700000000000159 Minimum/Adjustment Mechanical $27.00 2/14/07 1200700000000000159 Plan Review Minor - Planning $112.00 2/14/07 1200700000000000159 Sanitary Sewer - Improvement $257.28 2/14/07 1200700000000000159 Sanitary Sewer - Reimbursement $338.34 2/14/07 1200700000000000159 SDC Sanitary/Storm Admin $48.58 2/14/07 1200700000000000159 Storm Drainage Impervious Area $375.89 2/14/07 1200700000000000159 Storm Sewer - 1st 50 Feet $45.00 2/14/07 1200700000000000159 Vent Fan $18.00 2/14/07 1200700000000000159 + 10% Administrative Fee $11.00 4/7/08 2200800000000000416 + 12% State Surcharge $13.20 4/7/08 2200800000000000416 + 5% Technology Fee $5.50 4/7/08 2200800000000000416 Add, Alter, Extend Circ Ea Add $40.00 4/7/08 2200800000000000416 Perm Serv/Fdr 200 amps or less $70.00 4/7/08 2200800000000000416 ~Mechanical Issuance Fee~ $20.00 4/15/08 1200800000000000352 + 10% Administrative Fee $5.40 4/15/08 1200800000000000352 + 12% State Surcharge $6.48 4/15/08 1200800000000000352 + 5% Technology Fee $2.70 4/15/08 1200800000000000352 Air Handling Unit Up to 10,000 $9.00 4/15/08 1200800000000000352 Heat Pump $14.00 4/15/08 1200800000000000352 Miscellaneous Mechanical $17.00 4/15/08 1200800000000000352 Vent Fan $14.00 4/15/08 1200800000000000352 Total Amount Paid $3,367.64 I Plan Reviews' Initial Review 10/13/2006 10/16/2006 APP LLH Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-01306 225 Fifth Street, Springfield, OR ISSUED: 02/14/2007 541-726-3753 Phone APPLIED: 10/11/2006 541-726-3676 Fax EXPIRES: 10/07/2008 541-726-3769 Inspection Line VALUE: $ 198,792.00 Public Works Review 10/16/2006 10/1912006 APP JLP Storm to curb & gutter. Owner notified by telephone msg machine, needs LC septic "Responsibility Form".JLP Planninl! Review 10/16/2006 10/2012006 APP TAJ Structural Review 10/1612006 11/22/2006 WE LLH Forwarded to Tom Rogers for structural review 10/16/2006. Plan review letter from Tom Rogers 11/22/06 attached. Additional information needed to completed plan review. Structural Review 12/26/2006 12/28/2006 WE LLH Additional information needed to complete plan review. See attached documents. Plan review being performed by Tom Rogers Office Initial Review 01/2612007 01/29/2007 APP LLH Forwarded Fed-Ex) revised drawings to Tom Rogers. The revised drawings did not include a plot plan. Structural Review 01/29/2007 02/1412007 APP TR Revised 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. ~eouiredJnSDections I 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Pal!e 3 of 4 CITY OF SPRINGFIELD Status Iss u ed Building/Combination Permit PERMIT NO: COM2006-01306 ISSUED: 02/14/2007 APPLIED: 10/11/2006 EXPIRES: 10/07/2008 VALUE: $ 198,792.00 225 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. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Storm Sewer Line: Prior to filling trench. 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. 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. Owner or Contractors Signature Date Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1306 COM2006-0 1306 COM2006-0 1306 COM2006-0 1306 COM2006-0 1306 COM2006-0 1306 COM2006-01306 COM2006-0 1306 Payments: Type of Payment ONLINE CHGS cRecemll RECEIPT #: 1200800000000000352 DeSCriptIOn Air Handlmg Unit Up to 10,000 Vent Fan Heat Pump Miscellaneous Mechanical -Mechanical Issuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 04/15/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ddk Page I of I ONLINE CHARLIES Online ISAAC OSGOOD Payment Total: 9:47:0IAM Amount Due 900 1400 1400 1700 2000 270 648 5.40 $88.58 Amount Paid $8858 $88.58 4/15/2008 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:C-Hheating@comcast.net Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@cl.springfield.or.us ,( ~ , @ Ii ,< " II " FEE SCHEDULE Qty Total i ,~" ~ 1 TYPE OF WORK D New constructIOn [K] AddttlOnlalterallonlreplacement DescnptlOn I Heat!?glc~~ling app!ia?ces I Furnace- up to 100,000 BTU I Furnace - above 100,000 BTU I Electnc Furnace I Ducl alteral10ns and addItIOns I Gas heater UnIts/ In-wall, In- duct, suspended, etc/ I Vent, flue, lIner for above I AIr Condll1oner I Heal Pump I Au Handler Other-fuel~urriIDg appliances Water heater I Gas fireplace/Insert/stove I Gas log! log hghter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kIln I Wood/pellet stove/Insert I Wood fireplace I Chlmney/hner/flue/vent w/o appliance EnVIronmental exhaust AND ventIlation , ' , cATEG'oRV OF cONSTRUCTIOt-:l [K] I or 2 famIly dwelhng D MultI-family D Accessory BUIldIng JOB SITEINFORMAl'lON AND'LOcATION, I Job no : I Job address, 6779 A ST I CIty/State/ZIP: SPRINGFIELD, OR 97478-7378 I Smte/bldg.lapt.no.: Project name' Cross street/directions to Job site: Main St, north on 67th, east on A st I SubdIVISIOn: [Tax map/parcel no.: I I Lot no.: 1702344106604 DESCRIPTION OF WORK ,II """ ',0 'I> ", "t~ '" i/l!1 ",I> (' , Install Heatpump system Ductwork and bathroom exhaust fans I SITE CONTACT I Name: Charles Osgood I Phone: (541) 988-5674 I Fax: IEmall. I CONTRACTOR I CCB he. no.: 168942 I BuslDess Name CHARLES ISAAC OSGOOD Contact: CHARLES OSGOOD Address' PO BOX 70564 I CIty/State/ZIP. EUGENE, OR 97401 I Phone' (541)9885674 I Emall: C-Hheallng@comcast net I Metro he. no.: I Fax: (541)7477026 Range hood I Clolhes dryer exhausI Single-duct exhaust (bathrooms, tOIlet compartments, utlhty rooms) I AttIc/crawlspace fans I J'uel piping up to first 4 outlets( enter Qty= I) each additIOnal outlet Receipt # EC528708 4/15/20088:46:52 AM Ea. I $1700 $]7001 I I I I I I I II $14001 $1400 II $9001 $900 2 $700 $1400 '::r,MEcHANICAL PERMIT FEES I I I I · CIty Of Spnngfield $10 Issuance Fee Subtotal $54 00 State Surcharge (12% of permit fee) $648 I CIty Of Spnngfield fees · $28 10 I TOTAL PERMIT FEE $88 58 I 10% Local AdmIn Fee, 5% Local Technology Fee, I CIty he. 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 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 apphcable land use laws and local ordinances ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit Vol' .\11' I~Qil n, Ht"M 51'lttEi . 9I'!WlICFm~D, OR 91''''' .. PB:(S4J)7Z6-31" · F"". (S6J)~ ELEc.,JfJ:dC~PE.RM1. T APPUCt.nON. City lob NWDbor ~1JrA 2t1\JV - (:) ~/~r Dale "~''':''"'' '''''''RJ'.' -~"I';'" "~"'~'''''1'1l''"@" ""l/l''1l' !ll::",',' L r:'?' \ ~ ~ _ ~1 ~ ~ I ;2~~ I ;:~: :\~f;,.I"Jrit~~~ ~,rrf~r--~, .... '~-S;.~~ - .' r,.~, '~'''., 'LEGAL P"ESCiUJ'TJON. \JOd-.34- 4-\ n-'..a.c(JC)4-:- .------' JOB r,ESCR!P110N ~J\-a d\~klt1t adnGL1V\ Penl1lts a.rc f.lODvt~~e-al1(. p;pln Ih 'oritls Ill.. GWted 1rit\lilll30 dIlys of .Ballee 01" if work ill SU8Pllmde<ll fo, J 80 days. fi v.W9' 1. "'" ..)1 1~,Jl . Bled1ie&l C\)ntna~or ..kpl./J ~... E.l f.' ttiL--- u,- ,"ddres9 .i;~ !':L C'hy .nill-~tk. .- ...,rr: 76'S' l'laoae ~~"$'Z."1" S\lPervi'ior Ucense Numbea' ;. "'IS'7 .. :. EJqlIl'lttloll. Dale ....iQ/J../ f 0 COt\$t:r. COf1U\ Numba . lot, '31l.t.._,._ Expintlofl Duo JJJ..IJ1111 ~--iEEf~~_ Ownent-t41lC LEO ThtPotJeJ Add:e~!.JS:~ ~ -5 1..._ "'ty~~. . Ph"".8t~-I?11 o~ma IN:rrALLA1'IOI'l Tbe instal1l\tiou is br:.Di made on proporty 1 )Wl1 ~'hicb IS DQl mtended for salr;, I~~e Of nmt Owcus Signature. IwU*tiolR Request: 126-3769 /1\.",/ ~l .~~~ .1, "'t "'" "~-'''' ,Lf~~~r.:'''''' oI/1.""'~' ~ ..._..........,'6" ~....\~~"':'rl'\ ..~ ,':..;'7';r;---r... J~ ~,~ I r ~~~IiJl( ,:,1 ~ "'" ~Ii~t- ,,~I,r . j.:J';\.";>~"''' ~: ".~. ,.__~.", "iI.l.'"," , .l',\,~,,,"",,,,,:,, J'f~m~.i:.~,""~'.ltI.,, -"~!'i\1";;jf~ ~H"""-/lf"j''' '~"""'l,~.~~."'T':'~"I''' ~,.~ t"7~ :...: '( ,t ,.. 1 j~~IO":' t..i'UL!:.d f ..d ,," I ' Ir~"I~'\dJ'" ')i,lI~L1; , ..o,.~,~~ ~ .""" I' /0). '.c Ir~~l' .",..~".iJ,.':t~I<t'...~,,.;.. !It!:'J,/oJ,l~......._1 ,........~J ..~ ,~- '~ ~ '1""~'1~..)3 I Semal laleJuded 1000 sq. ft or less Each e4c1i1.ional 500 sq. ft Qr potUQn thereof Eatb Malut4et'd Home or Modular Dwelling Sc.TVl" aT 'ctc!er $117.00 $ 2) 00 $"00 , lil,~ "',~r.~' "~~...J!:I. '':''!:''" I~Uj ','~!(r~'lr"'i"\' ,," '",;,::r''''l~' I, 'r'" ,,:'~~ft, ":~~~'.~r:ti..\1;li~l~l1/II.~ d~:\, ,,\~'G\,l ~,l1'Ij(r,,"~~"I:1l'r''''~~ Id~';::4lE"im.::;UJi~~.::;~,..II~ ~~IiJ, ~ '10.UU 200 Amp$ Of leu 20 t .Amp5 to 400 Amps 401 AmIlB.o 600 I\mPJ 60 I AmI>> to 1000 Aarplil OV(I 1000 AmpsIVolU Rceoone~ Oal)' -.1 S 70.00 $ ., 00 $HSOO $110 00 $413 00 $ S5 00 ~- C ;"-<< I, ~~~~~'~w ~'f!1 .v.'!lIfl""'~~l"~':-~::~~":{';;\1".";;k ~ .t,~('i.7,trl.l";-III''. tl'~.t~~, 'I t"\'~\\r"~~'J(~~ . ~' ~*' r VIlUtaS I ~,~ 1 ~\'4\: . II \ \',J; l ..' I, ~ j, ~t ... ~ ,'~tlil'~...J::, _'0""" l!_ ".,..."..o~ .,_:.,,,.1, ...wk,"', ,""-- ,..!II.:, \' ;....... I .. w TENTION: ,Oregon law, requires you to ,~tM..~~~erOregQI IJtil't 2ObJJlti{ps~tilJ~Center. Thos~e~~('\)lrr,1 ~rntt>>~Q\)tp€101 0 thro~ ~ ~ q~~.---- 4~00h',~ ~mbtain copi9s-=f ~t'.e'S. eft; Ch: ~'A~ @A~~~"~tl~~t'hl" 'l~~9!ltme."~"7"- ",'~i1\ D. I: '. ,~..,... ~p~ ~:~ ,ul Yi' difJeaU ",in". .d""',, {~) >~.i . r'is'f-Soo..3rt&~~ '4' ," .. . u",~"""'t<>,, , N~ k~tioll or EJdeowolll rn"iti; ). eJriIt Cil't;l1lt '$ 48.00 EedlAd4UioD.a'CIR:wtorwith /,,) .-(!ri\ l5V Service Of F0e4er Petmit U $ 4.00 --Il.." I 't""\"~'" ~:rt. r.""~""\ ~j;\;-... '~-"I'''''''''1!'' ~"(~ ...'hI .,..."."l'i"" I' ""'1..t"""1) "'~:'lI.ty"... f'. 'flll _'" t~ I ;-~~\I 1il "IJ(,'. )1'''; ~'II'l{'''' ...""1.11" ~I,\ ~i'l,'I'I, 1l:. ,:.~ ,- y , . ~ ~ltfD_WI/l' ~ ~,~Il' "~., , ,,,' ,..~ ..,," .\.>iIl!G^".C(' """~,. .P"",,",', ...,.... ....~J Pump <,IT mtplioQ S S5 00 Si~9r.h~thrrlMhtl:lJl S 55.00 W1~tp-c: Lum,~I~~~?Kt~~ ___ S1AOO ~ LlIl1A~~'~~~l~hbieJajQl-l EXEl8.fJF f~OR-lf--- M'n~.,. '~fr :~\iJ&~~~~~~!1t~~ ,n., 4. jr , ' ,." ""'P' ,: ;1'A:b:~~~Ny;q.NEnJ:F.oB /0 '.U - J 1% State we.6: u. ~-._Q .~ () lOV. AdrmniatnlUve f'M / ~" (/D -- ~% T_hnolo;y Fee <. . .,r;-a-.- TOTAL /29. 7d Sla.ndDrlYc:{T )/91.1i1QlIIli J1onnslloltl1:lt.c:6ll'ertnit ,pp!LQI1lQT i-u8 d~ 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: COM2006-01306 ISSUED: 02/14/2007 APPLIED: 10/11/2006 EXPIRES: 10/07/2008 VALUE: $ 198,792.00 SITE ADDRESS: 6779 A ST ASSESSOR'S PARCEL NO.: 1702344106604 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Two Story Addition Owner: IMPONEN LEO J Address: 6779 A ST SPRINGFIELD OR 97478 TYPE OF USE: Addition Residential Phone Number: 541-747-5155 I CONTRACTOR INFORMATION I Contractor Type General Designer Electrical Mechanical Plumbing Contractor OWNER MCKENZIE DRAFTING AND DESIGN L YNNS ELECTRIC OWNER OWNER License Expiration Date Phone 102316 541- 7 46-6596 10/14/2011 541- 726- 7895 BUILDING INFORMATION. I DEVELOPMENT INFORMATION. OU to All tl\l! !bN' Oregon la~'E~'(JI~mfflW<ING follow ru!es adopted by t e re~i I f th Frontyard Setback: Overlay Dist: N .'t'f t on Center. ThoserlQ.tWs are set or Side 1 Setback: 15.00 # Street Trees Rqd: . OOl~1~52-001-001 0 throH~D~~-001. Side 2 SetbacIlilnTICE: Paved Drive Rqd: ~090, You may obtain cO~6ibf}1t~!3 rules by Rearyard SettJ~Ct{: PERMIT SHAl~'~~PIRE IF Trm W&lRkoverage: calling the center. (Note:,t,he tel~~hone Solar SetbackJHIS UNDEW\q,IS PERMIT IS NOT number for the Oregon Utility Notification ^'.ITI,-InRI7Fn -- ~ . e. lor ,- <I CIV\_~~?-'2344). COMMENCED OR IS ABAl\l~pUDtlc iMPROVEMENTS. ".... .. . ^ f\IV 180 DAY PERIOD, Street Improvements: F II I d Sidewalk Type: u v mprove Yes # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building R-3 VB 2 Storm Sewer Available: Special Instruction: Notes: Storm drainage to curb & gutter.JLP Page 1 of 4 2 22.00 Cable Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,024 964 Path 1 n/a Downspouts/Drains: Curb and Gutter Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01306 ISSUED: 02/14/2007 APPLIED: 10/11/2006 EXPIRES: 10/07/2008 VALUE: $ 198,792.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellinl!s v Wood Frame $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 2,008.00 Value Date Calculated Description Type of Construction Total Value of Project $198,792.00 $198,792.00 10/11/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $576.81 10/12/06 2200600000000001428 ~Mechanical Issuance Fee- $10.00 2/14/07 1200700000000000159 + 10% Administrative Fee $116.08 2/14/07 1200700000000000159 + 5% Technology Fee $58.67 2/14/07 1200700000000000159 + 8% State Surcharge $84.91 2/14/07 1200700000000000159 Building Permit $887.40 2/14/07 1200700000000000159 Fire SF Fee - Residential $99.40 2/14/07 1200700000000000159 Fixture $84.00 2/14/07 1200700000000000159 Minimum/Adjustment Mechanical $27.00 2/14/07 1200700000000000159 Plan Review Minor - Planning $112.00 2/14/07 1200700000000000159 Sanitary Sewer - Improvement $257.28 2/14/07 1200700000000000159 Sanitary Sewer - Reimbursement $338.34 2/14/07 1200700000000000159 SDC Sanitary/Storm Admin $48.58 2/14/07 1200700000000000159 Storm Drainage Impervious Area $375.89 2/14/07 1200700000000000159 Storm Sewer - 1st 50 Feet $45.00 2/14/07 1200700000000000159 Vent Fan $18.00 2/14/07 1200700000000000159 + 10% Administrative Fee $11.00 4/7/08 2200800000000000416 + 12% State Surcharge $13.20 4/7/08 2200800000000000416 + 5% Technology Fee $5.50 4/7/08 2200800000000000416 Add, Alter, Extend Circ Ea Add $40.00 4/7/08 2200800000000000416 Perm Serv/Fdr 200 amps or less $70.00 4/7/08 2200800000000000416 Total Amount Paid $3,279,06 Planninl! Review I Plan Reviews I 10/13/2006 10/16/2006 APP LLH 10/16/2006 10/19/2006 APP JLP Storm to curb & gutter. Owner notified by telephone msg machine, needs LC septic "Responsibility Form".JLP 1 0/1 6/2006 10/20/2006 APP TAJ Initial Review Public Works Review Pal!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-01306 225 Fifth Street, Springfield, OR ISSUED: 02/14/2007 541-726-3753 Phone APPLIED: 10/11/2006 541-726-3676 Fax EXPIRES: 10/07/2008 541-726-3769 Inspection Line VALUE: $ 198,792.00 Structural Review 10/16/2006 11/22/2006 WE LLH Forwarded to Tom Rogers for structural review 10/16/2006. Plan review letter from Tom Rogers 11/22/06 attached. Additional information needed to completed plan review. Structural Review 12/26/2006 12/28/2006 WE LLH Additional information needed to complete plan review, See attached documents. Plan review being performed by Tom Rogers Office Initial Review 01/26/2007 01/29/2007 APP LLH Forwarded Fed-Ex) revised drawings to Tom Rogers. The revised drawings did not include a plot plan. Structural Review 01/29/2007 02/14/2007 APP TR Revised 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. ~eouiredJnsDections I 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, Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing, Final Plumbing: When all plumbing work is complete. Storm Sewer Line: Prior to filling trench, Rough Mechanical: Prior to Cover Pal!e 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2006-01306 ISSUED: 02114/2007 APPLIED: 10/11/2006 EXPIRES: 10/07/2008 VALUE: $ 198,792.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical 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 ofany 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 Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2006-0 1306 COM2006-0 1306 COM2006-01306 COM2006-0 1306 COM2006-0 1306 Payments: Type of Payment CredltCard c RecelOt I RECEIPT #: 2200800000000000416 Date: 04/07/2008 DescrIptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Ctrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee Paid By LYNN P MOORE Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How ReceIVed nJm 055800 Phone Payment Total: Page 1 of 1 8:58:37 AM Amount Due 7000 4000 550 1320 11 00 $139,70 Amount Paid $13970 $139.70 417/2008