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Home My WebLink AboutPermit Building 2008-4-28 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01/29/2008 EXPIRES: 10/28/2008 VALUE: $ 21,840.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5475 HIGH BANKS RD ASSESSOR'S PARCEL NO.: 1702284300601 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: KEOPKA JOINT TRUST Address: 5475 HIGH BANKS RD SPRINGFIELD OR 97478 Phone Number: 541-746-6987 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor MIKE BLANKENSHIP CORP G MILLER ENTERPRISES INC EUGENE HEATING & COOLING DOUGS PLUMBING INC License 78966 87145 149452 110163 Expiration Date 01/09/2010 11/10/2008 10/22/2009 11124/2009 Phone 541-912-4582 541-741-2596 541-726-7654 541-688-3385 BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building 1 14.00 Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 208 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Path 1 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: I Tp~~6ires you to # Street Trees Rqd: ATTENTION' Oreq_o; bav'~~"8;~JP'~4;t'htY Paved Drive Rqd: follow rules adoPt\hO~!;;:=1<t.91.lt3atl: set forth % of Lot Coverage: NotificatIOn cen:e~'1 0 through OAR 952-001- In OAR 952-001 Obtain copies ofthe rules by f\f\Qn Ynll may 0 .. "1 _ L_I~rh"no NOPCf' I PUBLIC IMPROVEMENTS falling.the f~n~~~~~~ui,\;t'y N-o;,ficatlon , . . ,~mbel for e. 332-2344) Street Improvemif~t~s PERMIT SHALL EXP StuewblkIT*~O-' fl.' 1:1"- 'n IRE IF THE WORK Stor~ Sewer A~~~~b!~:,,~IZED UNDER THIS PERMIT IS NO Special Instruchom:.'II'.liENCED OR IS ABANDONE T ,r./y FO nAY 0 FOR Notes: Storm ~~ter t~ splash ~fo~~QD. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 7.60 44.00 Downspouts/Drains: Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01/29/2008 EXPIRES: 10/28/2008 VALUE: $ 21,840.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Dwellin1!s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 208.00 Value Date Calculated Descriotion Total Value of Project $21,840.00 $21,840.00 01/29/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $144.04 1129/08 1200800000000000078 -Mechanical Issuance Fee- $20.00 3/3/08 1200800000000000193 + 10% Administrative Fee $38.40 3/3/08 1200800000000000193 + 12% State Surcharge $44.83 3/3/08 1200800000000000193 + 5% Technology Fee $18.68 3/3/08 1200800000000000193 Add, Alter, Extend Circ $48.00 3/3/08 1200800000000000193 Add, Alter, Extend Circ Ea Add $4.00 3/3/08 1200800000000000193 Building Permit $221.60 3/3/08 1200800000000000193 Fire SF Fee - Residential $10.40 3/3/08 1200800000000000193 Fixture $48.00 3/3/08 1200800000000000193 MinimumlAdjustment Mechanical $43.00 3/3/08 1200800000000000193 MinimumlAdjustment Plumbing $2.00 3/3/08 1200800000000000193 Sanitary Sewer - Improvement $122.42 3/3/08 1200800000000000193 Sanitary Sewer - Reimbursement $161.00 3/3/08 1200800000000000193 SDC SanitarylStorm Admin $19.67 3/3/08 1200800000000000193 Storm Drainage Impervious Area $110.03 3/3/08 1200800000000000193 Vent Fan $7.00 3/3/08 1200800000000000193 -Mechanical Issuance Fee- $20.00 4/28/08 2200800000000000529 + 10% Administrative Fee $5.00 4/28/08 2200800000000000529 + 12% State Surcharge $6.00 4/28/08 2200800000000000529 + 5% Technology Fee $2.50 4/28/08 2200800000000000529 Air Handling Unit Up to 10,000 $9.00 4128/08 2200800000000000529 Heat Pump $14.00 4/28/08 2200800000000000529 MinimumlAdjustment Mechanical $27.00 4/28/08 2200800000000000529 Total Amount Paid $1,146.57 I Plan Reviews I Initial Review 01130/2008 01130/2008 APP NJM Public Works Review 01/30/2008 01/30/2008 OK TSS Structural Review 01/30/2008 02/20/2008 APP RWC Plannine; Review 01/30/2008 02/2112008 APP TAJ Pae;e 2 of 3 Storm water to splash blocks No Planning issues CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01/29/2008 EXPIRES: 10/2812008 VALUE: $ 21,840.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 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. Reauired Insoections , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00127 COM2008-00127 COM2008-00 127 COM2008-00127 COM2008-00127 COM2008-00 127 COM2008-00 127 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 2200800000000000529 Date: 04/28/2008 DescnptlOn -Mechanical Issuance Fee- Heat Pump AIr Handlmg Unit Up to 10,000 Mmlmuml Adjustment Mechanical + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE eugene OnlIne heatmg Payment Total: nJm Page I of 1 12:32:13PM Amount Due 2000 1400 900 2700 250 600 500 $83.50 Amount Paid $83 50 $83.50 4/28/2008 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:mschilling@automaticheatco.com Receipt # EC529435 4/2812008 11:45:39 AM I DescrIption Qty [ Heating/coohng apphances I Fumace- up to 100,000 BTU I Furnace - above 100,000 BTU [ Electnc Furnace I Duct alteratIOns and addItIons I Gas heater unltS/ m-wall, m- duct, susoended, etc/ [ Vent, flue, Imer for above I Air ConditIoner I Heat Pump I AIr Handler I Other fuel burning apphances I Water heater I Gas fireplace/Insert/stove I Gas log! log lIghter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kIln I Wood/pellet stove/Insert I Wood fireplace I Chlmney/lIner/flue/vent w/o applIance I EnvIronmental exhaust AND ventIlatIOn I Range hood I I Clothes dryer exhaust I Smgle-duct exhaust (bathrooms, tOilet compartments, utIlIty rooms) I AttIc/crawlspace fans I Fuel plpmg I upto first 4 outlets( enter Qty= I) I each addItIonal outlet MECHANICAL PERMIT FEES I Subtotal $23 ool Mmlmum fee used Instead of Subtotal $5000 I State Surcharge (]2% of permit fee) $600 I City Of SprIngfield fees * $2750 I I, TOTAL PERMIT FEE $83 50 I * City OfSpnngfield 10% Local Admm Fee, 5% Local Technology Fee, $10 Issuance Fee ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us TYPE OF WORK " FEE SCHEDULE o New constructIOn IiJ AddItIon/alteratIon/replacement CATEGORY OF CONSTRUCTION [K] I or 2 famIly dwellmg o MultI-family o Accessory BuIldIng JOB SITE INFORMATION AND LOCATION [Job no. IJOb address: 5475 HIGH BANKS RD I CIty/State/ZIP: SPRINGFIELD, OR 97478-53] 5 [ Suitelbldg.lapt.no.: I Project name Keopka Cross street/dIrectIons to job site I SubdIvision: I Lot no.' ITax map/parcel no: 170228430060] [ DESCRIPTION OF WORK Install heat pump system SITE CONTACT [Name: Lany Keopka IPhone: (541) 746-6987 IFar I Emall: [ CONTRACTOR I CCB hc. no. ] 49452 [ Busmess Name' EUGENE HEATING & COOLING COMPANY I Contact. Michael SchIllIng [Address. 1650 NE LOMBARD ST I CIty/State/ZIP: PORTLAND, OR 97211 [Phone (541)7267654 IFax: (541)7267657 [Ematl: mschlllmg@automatIcheatco com I Metro hc. no.: I City hc no: Upon review and approval by your local jUrisdiction, your permit Will be e-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 determine that an AuthOrization To Begin Work is null and void If It does not meet apphcable land use laws and local ordinances COM: Jl tJl},if"'- 170/ Q) 7' RCPT#:.;:) ~ n-o.~ - 5 ~ ~ DATE PRe ~ Ea. $1400 $900 1 I Total I I I I I I I I I $14001 $9001 I I I I [ I I I I I [ I I