The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-4-29 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00380 ISSUED: 04/29/2008 APPLIED: 03/20/2008 EXPIRES: 10/29/2008 VALUE: $ 28,696.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1550 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1703243400111 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Residental addition and porch Owner: CARLSON JOANN Address: 1550 YOLANDA AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License EHLERS CONSTRUCTION INC 04231 BURRELL BROS ENTERPRISES INC 136446 EHLERS CONSTRUCTION INC 4231 RS PLUMBING CONTRACTING 103816 BUILDING INFORMATION. Expiration Date 11/19/2008 08/20/2009 11/19/2008 01/04/2010 Phone 541-689-6177 541-747-2724 541-461-4714 2 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building' 1 Lot Size: 16.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: n/a Occupant Load: 272 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R3 VB NOTulClE: THE W~~VELOPMENT INFORMATION I THIS PERMIT SHALL EXPIRE IF S NOT REQUIRED PARKING ~!?~.~~r.mIetPI!:4~~ER THIS PERW1A~R Overlay Dist: Urban Fringe Total:. ~~~I~i~,~~Wesp OR IS ABANOONQQJ;P # Street ~rees RWtrENTION: Oregon Jaw reqMP~\f8B%d: ~ldfliS~trf'l'l4{ P.ERIOO. Paved Dnve Rq,hliow rules adoRted by the Oh?~E1hlJty R\e~ryar(t'~tIJack: % of Lot Cove~~~fflcatlon Cent~.8;f~ose rules are set forth Solar Setbacks: 15.00 in OAR 952-001-0010 through OAR 952-001- '-t~,~~( \ IU ..,ay I.JUlaHI IJVI-JI<;;" vi "Ie I u,"'" Ly I PUBLIC IMPROVEM~~f!ifuJ the center. (Note the telephone numoer for t~ffl~~?fy,U~Lllty NotIfication Center IS 1-800-3'32-2344). Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Yes tie into existing drainage Curb and Gutter Notes: Pa2e 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction V Wood Frame Use Bid Amount Dwellinl!s Patio/Porch Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Public Works Review Initial Review Public Works Review Planninl! Review Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00380 ISSUED: 04/29/2008 APPLIED: 03/20/2008 EXPIRES: 10/29/2008 VALUE: $ 28,696.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $105.00 $1.00 Square Footage or Bid Amount 272.00 136.00 $28,560.00 $136.00 $28,696.00 03/20/2008 03/20/2008 Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $177.52 3/20/08 1200800000000000261 $20.00 4/29/08 2200800000000000549 $37.51 4/29/08 2200800000000000549 $45.01 4/29/08 2200800000000000549 $24.56 4/29/08 2200800000000000549 $48.00 4/29/08 2200800000000000549 $4.00 4/29/08 2200800000000000549 $273.10 4/29/08 2200800000000000549 $116.00 4/29/08 2200800000000000549 $8.44 4/29/08 2200800000000000549 $168.86 4/29/08 2200800000000000549 $50.00 4/29/08 2200800000000000549 03/21/2008 $973.00 I Plan Reviews I 03/21/2008 APP NJM 03/25/2008 APP LKW 04/03/2008 APP TAJ 04/22/2008 APP EAM Special inspection required for brace panels at existing foundation. 03/21/2008 03/25/2008 Storm to existing system 03/21/2008 03/21/2008 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. Pal!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-00380 ISSUED: 04/29/2008 APPLIED: 03/20/2008 EXPIRES: 10/29/2008 VALUE: $ 28,696.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. Final Building: After all Conditions have been completed as required on Development Agreement. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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. Pal!e 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2008-00380 ISSUED: 04/29/2008 APPLIED: 03/20/2008 EXPIRES: 10/29/2008 VALUE: $ 28,696.00 225 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 aU required inspections are requested at the proper time, that each address is readable from the street, t perm~rd is located at the front of the property, and the approved set of plans will remain on the site at all ti ~u~olj \ ~;f(lczj v tlfl ~ Owner or Contnr&ors S)(tlature U " Date Pa2e 4 of 4 ZON l eLf INITIALS NM ~. DATE Q -j~ /(;; 8:: ~ SOURCE(~5.r?-, Date 4r- 20-'- 0 g( ( COMPL}:,:TE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ( 1) yV\ C,Ocs..() - 0 03 g 0 j ~ t~~u\< < < ~\-,,-;. 1. J!OVATlOMQF"lNS1'ALLA1TQN: / )S'O" 10 I/h. c\A- I LEGAL DESCRIPTION 17DJ l.Y 3lf JO 3 DFS9RIPJION ji-de! /4-L Tt<L Z c( (C(,-\.~ ~ Permits ar/non-transferable and expire if work is not started wIthin 180 days of issuance or If work is Suspended for 180 days. /~-Wc ;"4<.<<, -;:: (<'" ~ '- (Z(fllV1EA'CTOR lNSrrALIATIOlV ONLY 2. "VF, <; < < < -' <~~v < tv" 3. A. New Reside'ntial- Single or Multi-Ji'amily per dwelling unit. Service Included 00 l tI 1000 sq ft or less Each additIOnal 500 sq ft, or portIOn thereof Each Manufact'd Home or Modular DwellIng ServIce or Feeder $117 00 $ 2100 $55 00 B. Services or Feeders '-Installation, Alterations or Relocation: ElectrIcal Contractor BUI1111:::LL IjI1U~. t:Lt:Cn11( P.O. Box 697 W~lteYVIlle, on 9748~ 541-747-2724 Phone 200 Amps or less $ 70 00 20 I Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $13800 t . ')fOU 0 601 Amps A't~l'\l1)\J); ()ref\8n ':l'N reqU'i~K lt90\lty Over 100(}~~fi,41{{)lts: ad.:.'ptE:d oytl it: ,a. e J bg~torth 1 C t 'r T~lU~C;' JeGS e Reconne~bW~~iltICI1 ./81\ I.: '" ~ ,-ft-0~R~~1l-001. in OA~ ~?2.0~1-001 0 lIll u;l~$ of the rules by c. Temp<G'@tt)~eYiliUSl31l' die: the ta\epho~e callmg the ce . on UtIlity Notification InstallatiodllKll~t~ t9ER~~~gtJeD332-2344). Center IS I ~ 200 Amps or less $ 55 00 201 Amps to 400 Amps $ 76 00 401 AJtl'\:!S'tp'@i!jt\mps $110 00 , :'7~ 'r~'-r,~n.rr ~1.Hd I I=X'PH~ 11- THE WOKtz Over 60<tl.t\.mps:()rl~o(l)O~O'It!l-1;ee-"B' a 9Y.f<1\I\IT IS NOT D. BI'a~jll~GQtlED UNDER THIS, 'tliWl R' I MI=t\1l1 OR IS ABANDONED FO New AltQ.~iiO'Itbr ep.~MDtY. Panel One CIAtl\Y 180 D rl:"l. I $ 48 00 Each AdditIOnal CIrCUIt or WIth I Service or Feeder Permit $ 400 Address CIty 4-7J!S ExpiratIOn Date /0 - I () 13(u~~~ ExpIratIon Date J D - I () f .- O"0~~;g,El,,~a~L Owners Name (;11..-1 s 0 """- '; 5-) e:, V0 /.A-"" JA-- <; r {'::J\ Phone TLJ t( - J 0 II SupervIsor License Number Constr Contr Number [I g l{ E. Miscellaneous (Service/feeder not induded) -EacMnstajl~tion Address CIty Pump or Irngatlon $ 55 00 SIgntOutlme LIghtmg $ 55 00 LImIted EnergylResldentlaI $ 28 00 Limited Energy/Commercial $ 50 00 Mimmum ElectrIC PermIt Inspection Fee is $50.00 + Surcharges 4. 'SUBTOTALOFABOvE,', ~2 12% State Surcharge b l'1 10% Admmlstratlve Fee "5zv 5% Technology Fee Z, bo bb()~ OWNER INST ALLA nON The mstallatlOn IS bemg made on property I own whIch IS not mtended for sale, lease or rent Owners Signature Inspection Request: 726-3769 TOTAL Shared Dnve(T )/Bulidmg Forms/Electncal Permit Appilcallon 1-08 doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00380/ AddItIOn NAME OR COMPANY JoAnn Carlson LOCATION 1550 Yolanda TAX LOT NUMBER 1703243400111 DEVELOPMENT TYPE _Smgle FamIly ResIdence NEW DWELLING UNITS 0 BUILDING SIZE (SF 0 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x COST PER S F CHARGE I 48800 $0346 = $16886 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F x COST PER S F x DISCOUNT RATE I I , 0 00 $0 346 50% I = I ITEM 1 TOTAL - STORM DRAINAGE SDC $168.86 I o ifJ ~ Cl o u ~ ~ Jr-< ifJ >-< o ~ DISCOUNT $000 $168.86 1070 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x o B IMPROVEMENT COST I NUMBER OF DFU's x I 0 COST PER DFU $26 83 $0.00 1091 COST PER DFU $20 40 II 11092 $0.00 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $0.00 3 TRANSPORTATION A REIMBURSEMENT COST ADTTRIP RATE I x I NUMBER OF UNITS' x COST PER TRIP x NEW TRIP FACTOR' 957 I I 0 2043 100 $0.00 1093 B IMPROVEMENT COST ADT TRIP RATE I x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR 957 I I 0 I $90 10 I I 00 $0.00 1094 I ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's x COST PER FEU 0 $95 35 = $0.00 1054 B IMPROVEMENT COST INUMBER OF FEU's I x ICOST PER FEU I 0 I I $990 39 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $168.86 5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE CHARGE I $168 86 . I 5% $844 TOTAL SANITARY ADMINISTRATION FEE. 844 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE $000 1078 Kaye Wilson 3/25/2008 TOTAL SDC CHARGES =1 $177.30 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MlSCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (EqUivalent DwellIng Urnt) IS a dIscharge eqUivalent to a smgle famIly dwellIng urnt (20 DFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $480 $463 $440 $407 $367 $322 $273 $225 $180 $159 $145 $125 $109 $092 $072 $048 $028 $009 $005 = IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0 00 x $5 29 = I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0 00 x $5 29 TOTAL MWMC CREDIT 2 2 1979 $0.00 o $000 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 Payments: Type of Payment Check cRecemtl RECEIPT #: 2200800000000000549 Date: 04/29/2008 DescriptIOn Storm DraInage ImpervIOus Area SDC SanItary/Storm AdmIn Plan Review MInor - Plannmg BuIldIng Permit Storm Sewer - 1st 50 Feet -MechanIcal Issuance Fee- Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmtnIstratIve Fee PaId By EHLERS CONSTRUCTION Item Total: Check Number Authorization ReceIved By Batch Number Number How ReceIved 4569 In Person Payment Total: nJm Page 1 of 1 2:53:32PM Amount Due 16886 844 116 00 273 10 5000 2000 4800 400 2456 4501 3751 $795.48 Amount Paid $795 48 $795.48 4/29/2008 -~~ \!'t( . i. f\r~~ (0\ ~ y-rc Status Issued 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1550 YOLANDA AVE ASSESSOR'S PARCEL NO 1703243400111 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00380 ISSUED. 04/29/2008 APPLIED 03/20/2008 EXPIRES 12/17/2008 VALUE. $ 28,69600 Spnngfield TYPE OF WORK SlIIgle Family ReSIdence PROJECT DESCRIPTION Resldentdl addlllon and porch Owner CARLSON JOANN Address 1550 YOLANDA AVE SPRINGFIELD OR 97477 TYPE OF USE AdditIOn Resldenllal Phone Number 541-744-1011 I CONTRACTOR INFORMATION' Contractor Type General Electncal Mechalllcal Plnmbmg Contractor EHLERS CONSTRUCTION INC BURRELL BROS ENTERPRISES INC EHLERS CONSTRUCTION INC RS PLUMBING CONTRACTING LIcense 04231 136446 4231 103816 ExpiratIOn Date 11/19/2008 08/20/2009 11119/2008 01104/2010 Phone 541-689-6177 541-747-2724 541-461-4714 BUILDING INFORMATION I # of UllltS Pnmary Occnpancy Group Secondary Occnpancy Gronp Pnmary ConstructIOn Type Secondary Construcllon Type # 01 Bedrooms R3 # of Stones He'ghl 01 Strncture Type of He,'t Water Type Range Type Energy P dth Spnnkled BUlldlllg VB 2 I Lot SIZe 1600 Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Gdrdge/Carport P dtll 1 Sq Ft Other n/a Occopant Load 272 I DEVELOPMENT INFORMATION' 3820 ._~, '-'~.., ()rpoon law reqUITeS y?~ ~~. I PUBLIC IMPROVEMENTSflllOW rules adopt8TdhbY \nr~I~~ca~~'~~i~;th t f qllon Center ose -001 NO I Ie \~ge\UllIf-W&p&thrOugh OAR 952 . In OAR ~ In copies 01 the rules by 0090, ~'W~&~}~r(lltb\'El the t~bClll8 Gutter callI~~r tro~ th~ ~r~gon UtilIty Notd\l~atIon num Center Is 1_600-3S2-2344). Frontyard Setback SIde I Sethack S,de 2 Setback Redryard Setback Solar Sethacks 1800 2400 Overlay DlSt # Street Trees Rqd Paved Dnve Rqd 0/0 of Lot Coverage 1500 Street Improvements Storm Sewer .&.l.iillT4I8f: Yes Spec1311nstrunW9 PERMfrm-l:l\[r~~IW~'rrfHE WORK Notes AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD P,lge I of 4 Urban Fllnge REQUIRED PARKING Total HandIcapped Compact Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspecl10n Lme DescriptIOn Tvpe of ConstructIOn Dwelhnes PatlOlPorch V Wood Frame Use B,d Amount Fee DescriptIOn Plan Review ReSldenl1al .....Mechdnlcal Issu.mce Fee...... + 10% Admlmstral1ve Fee + 12% State Surcharge + 5':-'. Technology Fee Add, Alter, Extend Orc Add, Alter, Extend CIfC Ea Add BUlldlDg PermIt Plan ReVIew MlDor - PlannlDg SDC SamtdrylStorm AdmlD Storm DralDage ImpervIOUs Area Storm Sewer - 1st 50 Feet + 10% AdmlDlStratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Orc Ea Add Perm ServlFdr 200 amps or less Total Amount PaId Puhhc Works ReVIew 03/21/2008 tmtlal ReView 03/2112008 Puhhc Works ReView 0312512008 PlannlDe ReVIew 03/2112008 Structufdl ReView 03/2112008 I Valuation Descnotlon I $ Per Sq Ft or multlpher $10500 $100 Squdl e Footage or Bid Amount 272 00 136 00 Totdl V dlue of Project F",,< p.,rl I Amount PaId $17752 $20 00 $3751 $4501 $24 56 $48 00 $400 $273 10 $11600 $844 $16886 $50 00 $900 $10 80 $450 $20 00 $70 00 $1,08730 Ddte PaId 3120/08 4129/08 4129/08 4/29108 4/29/08 4/29/08 4129/08 4129108 4129/08 4/29/08 4129108 4129108 6123/08 6123108 6123/08 6/23/08 6/23108 I Plan ReViews I 0312112008 03/25/2008 04/0312008 0412212008 APP NJM APP LKW APP TAJ APP EAM P.lee 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-00380 ISSUED 04/29/2008 APPLIED: 03/20/2008 EXPIRES 12/1712008 VALUE: $ 28,696.00 Value Date Calculated $28,560 00 $136 00 $28,696 00 03120/2008 03/20/2008 Receipt Number 1200800000000000261 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 3200800000000000424 3200800000000000424 3200800000000000424 3200800000000000424 3200800000000000424 Storm to eXlstlDg system SpeCl3llDSpectlOn reqUIred for brace panels at eXlstlDg foundal1on -~~ CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED EXPIRES VALUE COM2008-00380 04/29/2008 03/20/2008 12/] 7/2008 $ 28,696.00 225 F,fth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectlOlI Lme 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 J;'P(\II.J,rpr!ln<.npPtlO"iJ lroslOn/Gradmg InspectIOn Pnor to ground dl.~turbdncc and .ifter erosIOn measures are mstallcd Footmg After trenches dre excavated FoundatIOn After forms are erected but prior to concrete pldcement Post .md Beam PI lor to t100r IOsulatlOn or dClklllg Floor InsulatIOn PrIor to deckmg Shear Wall NaIlmg Before coverIng shedthmg WIth filllsh mdterIdls Frammg InspectIOn PrIor to cover and after aliI ollgh III mspectlOns hdve heen dpproved Wall InsulatIOn PrIor to cover CeIlmg InsulatIOn PrIor to cover Drywdll PrIor to tapmg Bolts Installed m Concrete To be done by a State CertIfied SpeclOllnspector ProvIde mspectlOn test reports to CIty BUlldmg Inspector Hold Downs Instdlled SpecldllnspectlOn performed pllor to placement of COllCI ete ProvIde report to CIty Buddmg Inspector Epoxy Anchors To he done hy CertIfied SpclallnspectOl ProvIde InspectIOn I esults to City Buddmg Inspector Filial BUlldmg After all CondItIOns have been Lompleted as required 011 Development Agreement Fmal BUlldmg Alter all required mspectlolls have been I equested and "pproved dlld the buIldmg IS complete Undergroulld Plumbmg PrIor to filhng the treuch alld mcludlllg reqUIred testmg Undel floor Plumbmg Prior to insulatIOn or deckmg Rough Plumbmg PrIor to cover and mcludmg requIred testlllg Fmal Plumbmg When all plumbmg work IS complete Undertloor Mechamcal Prior to msulatJon or decklllg .md mcludmg requllcd testing Rough Mechalllcal PrIor to Cover Fmal Mechalllcal When all mechalllcal work IS complete Rough ElectrIc PrIor to Cover Fmal ElectrIc When dll electrIcal work IS complete Low Voltage PrIor to cover P,lee 3 of 4 -w;:~". 1. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00380 ISSUED. 04/29/2008 APPLIED. 03/20/2008 EXPIRES 12/17/2008 VALUE $ 28,69600 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme By slgnatnre, I state and agree, that I have carefnlly exammed the completed apphcatlOn and do hereby certIfy Ihat all mformatlOn hereon IS true and correct, and I further cerllfy that any ,md all \\ork pel formed shall be done m accordance WIth the Ordmances of the CIty of Spnngfield and the Laws ot the State ot 01 egon pel t,lI II IIIg to the work descnhed herem, and that NO OCCUPANCY WIll he made of any structure ,,,thont permISsIOn of the Commumty ServIces DIVIsIOn, BUlldlllg Safety I further certIfy that only contractors dnd employees who are III comphdnce \\ Ith ORS 701 005 will he nsed on thIS project I further agree to ensure that all reqnlred IllspectlOns are requested dt the p.opel tIme, that edch addre" IS reddable from the street, that the permll card IS located at the front of the propert), and the app' oved set ot plans WIll remalll 011 the SIte at all times durlOg construction Owner or Contractors Signature Ddle P dee 4 of 4 CIty of Sprmgfield Electrical Authorization To Begm Work E-maded To burrellbros@mtegraonlme com ReceIpt # EC532591 6/23/2008 7 06 32 AM ~ By Phone Check on status of permit (541)726-3753 or Ema.1 perm.tcenter@elsprmgfieldor"s TYPE OF WORK I 0 Nl.,W l.,on:.lrUl.(IOIl lliJ AddItion/alteratIon/replacement CATEGORY OF CONSTRUCTION I [K] ] or 2 family dwt..llmg o Multl~famlly D Commercml/lndustrlal JOB SITE INFORMATION AND LOCATION IJob no IJob tddrc:.s 1550 YOLAND^^Vr IOty/StatelZIP SPRINGFILI D OR 97477-]639 1 SUltelbldg hpt no !ProJcc( nllme Cross street/directions to Job site I SubdlVIMon I Tax m.lp/p.ncel no 1703243400]] I DESCRIPTION OF WORK ILol no remodel SITE CONTACT I Name Nate Banegas IPhone I Em'lll IF" CONTRACTOR I EJ he no 20 442C I ceo he no ] 36446 I BuslOe~s Ndme BURRELL BROS EN fCRPRISE\ INC I Contact Joshua Burrell IAddre!l~ PO BOX 697 I C1tv/Statc/ZIP WALTERVIl LE OR 97489-0697 Ipho", (541)7472724 I'" (541)7441047 I Emall burrellbros@mtegraonlmccom 11\letro hc no I City hc no ISupLrvlMngelectnclan's hc no 472IS I SupLrvlllmg electnClan'll name JOSHUA J BURRELl Upon review and approval by your local jUrisdiction, your permit will be 9 mailed or faxed Within one bUSiness day, With Instructions on how to schedule your inspection NOTE ThiS AuthOrization To Begin Work expires within 180 days If a permit is not obtained The local bUilding department may detennlne that an AuthOrization To BeglO Work IS null and void If It does not meet applicable land use laws and local ordinances I I FEE SCHEDULE I DeSCriptIOn Qly Fll fotal I Resldenh.d SI~GLE- OR mulh-fdmd} d""clhng umt Includes attached garage II 000 sq ft or less I Ea add] 500 sq n or portIon 1 Limited Energy I lImited energy rellldentlal (WIth above SQ Ii) I LimIted energy multifamily resIdential (wIth above Sq ft) I LimIted energy commercl1] (\\Ith above sq ft) I Stand alone hmited energy resIdential I - StJnd alone hmlted energy mu]tl-faml]y I Stand alone limIted energy I I commercial I Service.. OR fllde~ mstalllltlon, alteratIOn, AND/OR relocdtlOn I 200 amps or less $70 00 $70 00 1 1201 amps to 400 amps I I 401 amps lO 599 amps I I TEMPORARY ..en ICes OR fcedcn. m..tnllatlOD nlterahon, I AND/OR relocllhon 1200 amps or less I I 20] amps to 400 amps I 1401 mnpsto 599 'mps I I . j Brdnch CIJ'CUlts. NEW, alterahon, OR extenslOo, pupanel I A ree for branch CIrCUIts with ) $400 servlCl. or feeder fel. each branch circuit I B Fee for branch ClrcUlts \\Ithoutservlce or feeder fee first brdnch ClrCUIL I each add] branch ClrcUlt j1'\lJscellllneous Service rcconnl.ct only Each manufactured or modular dwellmg, servIce and/or feeder $20 00 I I I I SublotJI $9000 I Stnte Surchargl.(]2%orpermlt fee) $1080 I Cltv OfSpnngfield fees. $13 50 I TOIALPI<RMITFn. $]]430 r 10% LOCdl Admin Fee 5%] ocol rechnology Fee Pump or Irrigation Llrcle I SIgn or outline Ilghtmg SIgnal ClrCUlt(s) or hmlted- energy ponel alteratIOn or extensIOn not offered onhne at thiS JUriSdictIon ELECTRICAL PERMIT FEES I I I I . Cuy OfSpnnglicld COM ~(JD ~ - 003 ?;V ? 2 (57) Z- - 4- 2-L{- RCPT # ::::, 0/;)3/08-" DATE PROCESSED ThiS AuthOrization To Begin Work mu ,t~~~~laceo >y a Permit 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone G~!:Q~4ij aL- City of Spnngfield Official ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 Payments fype of Payment ONLINE CHGS cRecelOll RECEIPT #, 3200800000000000424 Date' 06/23/2008 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clre Ca Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total Lheck Number AuthOrizatIOn Received By Batch Number Number ....OW Received NJM ONLINE BURRELL Onlme Pdyment Total Page I of I 7 32 45AM Amount Due 7000 2000 450 1080 900 $11430 Amount Paid $11430 $11430 6/23/2008 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit 225 F,fth Street, Spnngfield, OR 5~1-726.3753 Phone 541-726-3676 Fdx 541-726-3769 InspectIOn Lllle PERMIT NO ISSUED' APPLIED EXPIRES VALUE COM2008-00380 04/29/2008 03/20/2008 12/2 7/2008 $ 28,696 00 SITE ADDRESS 1550 YOLANDA AVE ASSESSOR'S PARCEL NO 1703243400111 Splll1glield TYPE OF WORK SlIIgle Family Re>Idence PROJECT DESCRIPTION Resldentdl dddltlOn and pOlch TYPE OF USE Owner CARLSON JOANN Address 1550 YOLANDA AVE SPRINGFIELD OR 97477 Contractor Type Generdl Electnc.I1 MechalllCdl Plumblllg I CONTRACTOR INFORMATION J Contractor LIcense EHLERS CONSTRUCTION INC 04231 BURRELL BROS ENTERPRISES INC 136446 EHLERS CONSTRUCTION INC u\O 4231 RS PLUMBING CONTRACT'~U\les ~~ \\\II\~03816 0\'-\ di1IfmMiN('l ~M)\~ fI.'f'iE.\'f'il eS ao\N!- .-'\Ios'rJ (.~- O~~ '=1-'- s 'O'i \o\\o'tJ l~~l\ cel\\e~~ )</Ii6t'OfI~?:,~~~l\e I \,-\0\\\\C~~52-00~ -0 '0\ ~w~r\1'~;';i\\ca\lOl\ 16 00 I~~v~o~:ea~e~\~;~~~). ca\lll\9 \01 \'\Ie ~1~ l\u<<felCel\\ellEnergy Pdth Spnnkled BUlldlllg # of UllltS Pnmal y OCCUPdllCY Group Sccondal)' OlCUP,lIIlY Group Pnmdry ConstructIOn T, pc 'lecond,lI y COllstrllctlon Type # of Bed rooms Frontyard Setb,lck Side I Sctb,lCk Side 2 Setbdck Reary,lI d Setback Solar Setbdcks StJeet Implovements Storm Sewer AVdllable Special In!ttructlOlI Notes Total HandIcapped CO'!\PdCt 38 20 ~ ~'\)~'t- #ri~ \~ ~of \~ ~O' I PUBLIC IMPROVn~NTSft\f>..\.\. \:.~~\~ ~\:.~~~ to'" ~U ~ ?t.",\l\\~ U~'V~~~~pe \~~\\\O"'~~t.'V 0'" ~co~poutsffirams C'ij~~r;. ~ 'V~ ~~ ~~'l \~ Path I ilia I DEVELOPMENl INFORMA lION I 1800 2400 Overlay Dlst # SII eet rrees Rqd Paved Dnve Rqd 0/0 of Lot Coverage Urban Fnnge 1500 Yes tie Into eXlstlOg drJlOage Paee I of 4 AddItIon ReSIdentIal Phone Number 541-744-1011 ExpIratIOn Date 11/1912008 08/20/2009 11/1912008 01/04/2010 Phone 541-689-6177 541-747-2724 5~1-461-4714 Lot SIze Sq Ft 1st Flool 272 Sq Fl 2nd Floor Sq Ft Bdsemellt Sq Ft G,jf,'ge/Carport Sq Ft Othel OCCUP,lIIt LOdd REQUIRED PARKING Curb and Gutter Status Issued 225 F,fth Street, SpllDgfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lllle DescriptIOn TVDC of ConstructIOn Dwelllnes PatlOlPOI ch V Wood Frame Use B,d Amount Fee DescrlotlOn Pldn RevlCw ResIdentIal ~Mechal1lcJI Issuance Fce~ + 100/0 AdmlOlstrJtlve Fee + 12% Stdte Surcharge + 5% Technology Fee Add, Alter, Extelld C1rc Add, Alter, Extelld C1rc [d Add BUlldIDg PermIt Plan RevlCw MmOl ~ Plannll1g SDC Sdllltarv/Storm Admlll Storm Dr dlOage ImpcrvlOu!rI Area Stol m Sewer - 1st 50 Feet + 100/0 AdnllDlstrdtIve Fee + 12% State Surcharge + 5% Techllology Fee Add, Altel, Extend ClIl Ea Add !'erm Scrv/Fdr 200 amp' 01 less + 100/:, Administrative Fee + 12% St,lte Surdldrgc + 5% Tcchnolog) Fee Fixture CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-00380 ISSUED. 04/29/2008 APPLIED 03/20/2008 EXPIRES' 12/27/2008 VALUE $ 28,696.00 I ValuatIOn DescrmtlOn I $ Pel Sq Ft or multIplier $10500 $100 Squ.Jre Footdge or BId Amount 272 00 13600 TOldl Value of ProJect Fpp, P~lrll Amount P dId Date PaId $177 52 $20 00 $3751 $4501 $24 56 $48 00 $400 $273 10 $11600 $844 $16886 $50 00 $900 $1080 $450 $20 00 $70 00 $640 $768 $320 $64 00 3/20/08 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 4/29108 4/29108 4/29/08 4/29/08 6/23/08 6/23/08 6/23/08 6/23/08 6/23/08 6/30/08 6/30/08 6/30/08 6/30/08 Total Amount !',lId $1,16858 I Plan ReViews I !'ubllc WOI ks ReVIew 03121/2008 IlIItl.1l ReView 03/21/2008 03/21/2008 APP NJM Pubhc Works ReVIew 03/25/2008 03/25/2008 APP LKW PlannlDe ReVIew 03/21/2008 04/03/2008 APP TAJ Structu r .11 RevlCn 03/21/2008 04/22/2008 APP EAM Paee 2 01 4 Value Date Cdlculdted $28,560 00 $136 00 $28,69600 03/20/2008 03/2012008 ReceIpt Number 1200800000000000261 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 2200800000000000549 3200800000000000424 3200800000000000424 3200800000000000424 3200800000000000424 3200800000000000424 1200800000000000714 1200800000000000714 1200800000000000714 1200800000000000714 Storm to eXlstll1g system Specldlll"pectlOn I equIred for brace panels at eXisting foundatIOn CITY OF SPRINGFIELD" Building/Combination Permit Status Issued PERMIT NO' COM2008-00380 ISSUED' 04/29/2008 APPLIED. 03/20/2008 EXPIRES: 12/27/2008 VALUE $ 28,696.00 225 F,fth Street, Splmgfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 InspectIOn Lme To Request an InSpectlOlI 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 alter 7'00 a.m will be made the folloWIng work day Rp.lllJlrPrrll"irp.('tlon~ I Ero'lOn/Gradmg InspectIOn Pnor to ground dIsturbance dnd after erosIOn measures are m.tdlled Footmg After tI enches dre excavated Foundation After tOl ms .11 e erected but pnor to concrete placement Post and Bedm PrIOr to floor insulatIOn or delkmg Flool InsuldtlOn PIIOI to deckmg Shear Wall Nd'"ng Before covenng sheathmg "Ith filllsh matenals FI ,Immg InspectlOu Pnor to covel and alter all rough m ""pecllons hdve been approved WalllnsulatlOn P"OI to cover Celllllg InsuldtlOn Pnor to cover Drywdll PIIOI to tdpmg Bolts Instdlled m COllcrete To be done by a Stdte CertIfied SpecIal Inspector ProvIde mspectlOn test reports to City BUlldmg Impector Hold Down. In.t"lIed SpecIal InspectIOn performed pnor to pldcemellt of concrete ProvIde repol t to City BUlldmg Inspector Epoxy Anchors To be done bv Certified Spclallnspector ProvIde InspectIOn results to City BuJldmg Inspector Fllul BUilding Alter .111 CondltlOn~ have been completed .IS requlI cd on Development Agreement Fmdl BuJldmg After all required mspectlOns hdve been requested and apploved dnd the bUlldmg IS complete Underground Plumbmg Pnor to filling the trench and mcludmg reqUIred testmg Undertloor Plumbmg Pnor to lI1~ulahon or dClkmg Rough Plumbing PrIOr to cover dud mcludlllg required testlllg Fmdl Plumbmg When all plumbmg "01 k IS complete Undel tloor MechaUlcdl Pnor to msulatlOn or deckmg and mcludmg reqUIred te.tIng Rough Mech,lIl1c,ll Pnor to Cover Fm,ll Mech,lIl1cal When all mechdlllcal WOI k " complete Rough Electnc PnOl to Cover Fmal Electnc When dll electncal work IS complete Lo,"" Voltage PrlOI to cover Paee 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00380 ISSUED. 04/29/2008 APPLIED 03/20/2008 EXPIRES. 12/2712008 VALUE: $ 28,69600 225 F,fth Stl eet, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lllle By slgndtlll e, 1 stdte alld dgree, that I have carelully exammed the completed dppllcatlOn and do hereby cert.ly that all IIlfOrmdtlO1I hereon IS true dud correct, dnd I fUl ther eel lily that any and all work performed shall be done III accordance with the Ordllldnces of the CIty ot Spnnglield and the Laws of the State of Oregon pertamlllg to the work descnbed herelll, dnd that NO OCCUPANCY WIll be mdde of any stJ ucture without permIssIOn 01 the CommulIIl) ServIces D,VISIOII, BUlldmg Safety I further certJfy thdt only contractor; and employees who ale III comphance wIth ORS 701005 Will be used on thiS proJect I further dgree to ensul e th.lt .111 requIred IIIspectlOns are requested at the proper lime, that each address IS readdble from the ,treet, lIl.lt the ermlt~" located at the Iront 01 the property, and the approved set of pldns \VIII remalll on the sIte at dll times dUlu cons rue on i L '\-< _ c; hAJ / o--r- Owne; or Contrdctor'!'ature Date I I Paee 4 of4 225 Fifth Street ~prmgfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00380 COM2008-00380 COM2008-00380 COM2008-00380 Payments I ype of Payment Check cKeccmtl RECEIPT # Descnptlon fIxture T 5% 1 echnology Fee + 12% State Surcharge + 10% Administrative Fee Pl\ld By EHLERS CONSTRUCllON GPRlNQP1ItLO" .' . ~~ City of Sprmgfield Official Receipt Development Servl~es Department PublIc Works Department 1200800000000000714 Date. 06/30/2008 Item Total Check Number AuthOrizatIOn ReceIVed By Batch Number Number How Received dJb 4763 In Person Payment Total Page 1 of 1 8 13 I6AM Amount Due 6400 320 768 640 $8128 Amount Paid $81 28 $8128 6/30/2008