The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-2-20 Status Issued 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541,726,3676 Fax 541,726-3769 Inspection Line . . CITY VI' ~rKINuNJ!..LD . Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 08/20/2007 VALUE: $ 249,644.00 SITE ADDRESS: 4155 Glacier View Dr 4157 ASSESSOR'S PARCEL NO.: 1802052204400 Springfield TYPE OF WORK: Duplex TYPE OF USE: New Residential PROJECT DESCRIPTION: Duplex - Glacier View Subd lot 7. Same as Com2006,00784 4152 Glacier View Dr 4154 Owner: Address: Phone Number: 541-840-1138 OK INVESTMENTS LLC PO BOX 8010 MEDFORD OR 97504 Nn,",^, ,VI;" , 'Hr . I CONTAAeTb....u~~vKlyfATION I -, IJURll '<J11..q~ ' Contractor CO/vt/vtf ED UND i€KOV.ii'E I xpiration Date MATTHEW KARL OLSIDNy 780 NCED OR ISf I~il(l$ PE: ~HEO'll1007 SOURCE ELECTRICAL INC DA y PER ~~iWJo fl/vtIT I~o 1!008 JET HEATING INC IOfh944 NED FOF/!. li2007 JET MECHANICAL LLC 158633 02110/2008 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone 54 I ,840- 1138 541-520-6466 503-363-2334 503-363-2334 BUILDING INFORMATION. 2 R-3 U VN # ol\~tp'ries: 2 Lot Size: Ifti!Rl~~f.S/'il.CJ~'Q~ 26.50 Sq Ft 1st Floor: 'J!)~mcofJleiaSaa Wi1~~~Gas Sq Ft 2nd Floor: :f/ 'tj'l~fPfce Opted b h 6ll~/Jire~q, Ft Basement: Jo1}j}n e~e,Jolnter. iho~~e~/.iq-egog(ljItJ~rage/Carport dim. . tf~'4', -OOlOrh" e'Mb:!a" gclJrt(~)her: ") !fpf.ilij$lmJ!u\l/i1litJlf/ C ~gtl'!,)Ao etll!~W1t Load: Urnh_, Ciltrw. On'ft_ n,g",^ _ 'CI I DEVELOPr;d~Ni'Jl1iIE~RiiA"FIO~.,: me ru"ie';U 1 !,'S '-81'>"'" ~/flttyf.leI8Phone b, REQUIRED PARKING vv-a3<. . 'Oti(;.... . Overlay Dist: -2344) ."""tIOn Total: 4 # Street Trees Rqd: . I Handicapped: Paved Drive Rqd: No Compact: % of Lot Coverage: 24.50 6,000 1,024 1,380 448 6 18.00 5.00 5.00 32.00 15.00 I PUBLIC IMPROVEMENTS I Fullv Improved Yes Sidewalk Type: DownspoutslDrains: Curbside 5' To Storm Sewer Pa2e 1 of4 -;W1i:~"lI'I~~~~}. , \ . . . . Status Issued 225 Fifth Street, Springfield. OR 541-726-3753 Phone 541,726,3676 Fax 541,726,3769 Inspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellines Garaee . I Valuation Descrintion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,404.00 448.00 Total Value of Project l..Fpp< P~irl J . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 08/20/2007 VALUE: $ 249.644.00 Value Date Calculated $237,996.00 $11 ,648.00 $249,644.00 06/2912006 06/29/2006 Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $ I 00.00 6/29106 1200600000000000992 -Mechanical Issuance Fee- $10.00 2/20/07 2200700000000000219 + 10% Administrative Fee $195.18 2/20/07 2200700000000000219 + 8% State Surcharge $144.73 2/20/07 2200700000000000219 3 Baths One & Two Family $612.00 2/20/07 2200700000000000219 Addressing Assignment $62.00 2/20/07 2200700000000000219 Boiler/Comp Up To 100,000 btu $24.00 2/20/07 2200700000000000219 Building Permit $1,053.15 2/20/07 2200700000000000219 Copies - Ea Addtl @ 50 Cnts Ea $5.00 2/20/07 2200700000000000219 Curbcut Permit $80.00 2/20/07 2200700000000000219 Dryer Vent $12.00 2/20/07 2200700000000000219 Exbaust Hoods $18.00 2/20/07 2200700000000000219 Fire SF Fee - Residential $142.60 2/20/07 2200700000000000219 Furnace - more tban 100,000 $30.00 2/20/07 2200700000000000219 Gas Outlets 1,4 $24.00 2/20/07 2200700000000000219 Plan Review Major - Planning $198.00 2/20/07 2200700000000000219 Plan Review Same As $100.00 2/20/07 2200700000000000219 Sanitary Sewer, Improvement $877.22 2/20/07 2200700000000000219 Sanitary Sewer - Reimbursement $1,153.22 2/20/07 2200700000000000219 SDC MWMC Administration $10.00 2/20/07 2200700000000000219 SDC MWMC Improvement $1,730.62 2/20/07 2200700000000000219 SDC MWMC Reimbursement $164.06 2/20/07 2200700000000000219 SDC SanitarylStorm Admin $189.66 2/20/07 2200700000000000219 SDC Transpo Admin $139.14 2/20/07 2200700000000000219 SDC Transpo Improvement $1,611.40 2/20/07 2200700000000000219 SDC Transpo Reimbursement $365.38 2/20/07 2200700000000000219 Sidewalk Permit $80.00 2/20/07 2200700000000000219 Storm Drainage Impervious Area $664.09 2/20/07 2200700000000000219 Vent Fan $36.00 2/20/07 2200700000000000219 Willamalane Attached (duplex) $1,848.00 2/20/07 2200700000000000219 Total Amount Paid $11,679.45 Paee 2 of 4 . . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 08/20/2007 VALUE: $ 249,644.00 Status Issued 225 Fifth Street, Springfield, OR 541,726,3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review 06/30/2006 06/30/2006 I Plan Reviews I 06/30/2006 APP 07/19/2006 APP LLH TAJ Survey required because of minimum side setbacks. Setback street tree at least 16' for vision clearance (condition #8 of subdivision). SDCs added for two dwelling units. . Sidewalk & curbcuts added. LDAP application and permit required before issuance of Building permit. provide truss details and layout Public Works Review 06/30/2006 07/14/2006 APP SO Structural Review Structural Review 06/30/2006 08/17/2006 08/15/2006 WE 08/1 7/2006 APP RWC RWC To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a,m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rpnllirpf'l Tllsnections I ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut, Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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. Fou'ndation: 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. Final Building: After all required inspections have been requested and approved and the building is complete. Firewall: Located and constructed according to plans. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Paee30f4 . . CITY OF SPRIN'-'l'lJ<.LD Building/Combination Permit PERMIT NO:' COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 08/20/2007 VALUE: $ 249,644.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I ,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. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. 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. 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 descrihed 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 readahle 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-;)()-()7 Owner or Contractors Signature Date Paee 4 of 4 , CITY OF stiNG FIELD SYSTEMS DEVELOPMEaORKSHEET JOURNAL OR JOB NUMBER: COM2006-00S13 NAME OR COMPANY: OK INVESTMENTS LOCATION: 4155 & 4157 Glacier View Drive TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 2 BUILDING SIZE (SF' 0 LOT SIZE (SF): I, STORM DRAINAGE o '1- 1m 11:5 10 I~ m (3 ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x 1 COST PER S,F, I 1 CHARGE 2056.00 1 $0,323 = 1 $664,09 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S,F. I x 1 COST PER S.F, I x I DISCOUNT RATE 1 I 1 1 1 $0.323 I 50% 1 = I DISCOUNT $0,00 ITEM I TOTAL, STORM DRAINAGE SDC , $664.09 $664.09 1070 2 SANITARY SEWER, CITY A. REIMBURSEMENT COST: 1 NUMBER OF DFU's 1 x COST PER DFU 1 46 1 $25,07 51,153.22 1091 B. IMPROVEMENT COST: 1 NUMBER OF DFU's 1 x 1 46 1 $19.07 $877.22 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $2,030.44 3, TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI I 9,57 I r 2 I 1 $19,09 1 1.00 1 $365.38 I 1093 B. IMPROVEMENT COST: I 1 ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x 1 COST PER TRIP x INEW TRIP FACTORI 1 9.57 1 1 2 1 1 $S4,19 1 1.00 I $1,611.40 11094 ITEM 3 TOTAL, TRANSPORTATION SDC = , $1,976.78 I 4~ SANITARY SEWER, MWMC A. REIMBURSEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU 1 $S2,03 = $164.06 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU i 2 I $865.3 I = $1,730.62 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL, MWMC SANITARY SEWER SDC = , $1,904.68 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $6,575.99 5 ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE 1= CHARGE $6.575.99 I 5% I $32S.S0 TOTAL SANITARY ADMINISTRATION FEE: 189.66 11079 ~I TOTAL TRANSPORTATION ADMINISTRATION FEE: $139.14 11078 Steve Barnes 7/3/2006 TOTAL SDC CHARGES $6,904.79 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NlIT ADDmONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUlVALENT UNITS 'BATHTIJB 4 0 3 = 12 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL I SOLIDS / ETe. 0 0 3' = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY TIJB 0 0 2 = 0 CLOTIlESW ASHER / MOP SINK 2 0 3 = 6 CLOTIlESW ASHER, 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION I ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 2 0 3 = 6 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERClAL!RESIDENTIAL KITCHEN 2 0 3 = 6 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 4 0 1 = 4 URINAL. STALL/WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET. PRIVATE INST ALLA TION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 46 -BOU (Equivalent Dwelling Unit) is a discharRe equivalent to a sinRie family dwelling unit (20 DFU's) set at 1671mllons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I---.: YEAR CREDIT RATE/$I,OOO JI ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5,29 (Enter I for Yes, 2 for No) I 1979 $5,29 IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 2 I 1980 $5,19 (Enter I for Yes, 2 for No) I 1981 $5,12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE /1000 CREDIT RATE I 1985 $4,40 $0,00 x $5.29 ~ , $0,00 I 1986 $4,07 I 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3,22 VALUE / 1000 CREDIT RATE 1989 $2,73 $0,00 x $5,29 0 I 1990 $2,25 I 1991 $1,80 1992 $1,59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 1994 $1,25 1995 $1.09 1996 $0,92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0,05 , .. -I I I I I I I I I 225 Fiftb,~treet . ~ .' . Sprmgfield, Oregon 97477 541-726-3759 Pbone SPiftiAINOFlIlU> · itr'~""'."""--','."'" 'i.,. -~".,..:... _ _'.' 1 ~ ..,! ~.. . "'.'.', ..'" ...... -.""'~. _.- Cwf Springfield Official Receipt .opment Services Department Public Works Department Job/Journal Number COM2006,00813 COM2006,00813 COM2006-00813 COM2006,OOSI3 COM2006,OOSI3 COM2006,008 I 3 COM2006,008 I 3 COM2006-008 I 3 COM2006,OOSI3 COM2006,OOSI3 COM2006-00S13 COM2006,OOSI3 COM2006-00S13 COM2006-00S13 COM2006,00813 COM2006-00813 COM2006,008 I 3 COM2006,00813 COM2006,008 I 3 COM2006,00813 COM2006,00813 COM2006,00813 COM2006,OOSI3 COM2006,008 I 3 COM2006-00813 COM2006,OOS13 COM2006,00813 COM2006,OOSI3 COM2006,OOSI3 Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: 2200700000000000219 Date: 02/20/2007 Description Plan Review Same As Addressing Assignment Willamalane Attached (duplex) Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer, Reimbursement Sanitary Sewer, Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transpo Admin Curbcut Permit Sidewalk Permit Plan Review Major - Planning Building Permit 3 Baths One & Two Family Furnace, more than 100,000 Boiler/Comp Up To 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mechanical Issuance Fee- Copies, Ea Addtl @ 50 Cnts Ea + 8% State Surcharge + 10% Administrative Fee Paid By MATTHEW OLSEN CONSTR MATTHEW OLSEN Item Total: l.:heck Number Authorization Received By Batch Number Number How Received djb OS0962 In Person djb 7056 In Person' Payment Total: Page I of2 8:56:42AM Amount Due 100.00 62.00 I,S4S.00 142.60 664.09 1,153.22 877.22 365.38 1.611.40 164,06 1,730,62 10.00 IS9.66 139,14 SO,OO SO,OO 19S,OO 1,053,15 612,00 30,00 24,00 36,00 18,00 12,00 24,00 10,00 , 5,00 144,73 195,1S $11,579.45 Amount Paid $8,000,00 $3,579.45 $11,579.45 2/20/2007 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . A ,i; 0' \fU"f" "/ dJ ~'~ . CITY OF ~rK1j~l>FIELD . Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 SITE ADDRESS: 4155 Glacier View Dr 4157 ASSESSOR'S PARCEL NO.: 1802052204400 Springfield TYPE OF WORK: Duplex TYPE OF USE: New PROJECT DESCRIPTION: Duplex - Glacier View Subd lot 7. Same as Com2006-00784 4152 Glacier View Dr 4154 Owner: OK INVESTMENTS LLC Address: PO BOX 8010 MEDFORD OR 97504 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor MATTHEW KARL OLSEN ROBS ELECTRIC INC JET HEATING INC JET MECHANICAL LLC License 116801 156678 3944 158633 # of Units: Primary Occupancy Group: Secoudary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5.00 32.00 15.00 BUILDING INFORMATION I 2 R-3 U VN # of Stories: 2 Height of Structure: 26.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: nla Residential Phone Number: 541-840-1138 Expiration Date 08/15/2007 08/14/2007 05/31/2007 02110/2008 Phone 541-840-1138 541-686-5444 503-363-2334 503-363-2334 6 I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 6,000 1,024 1,380 448 1 No 24.50 REQUIRED PARKING Total: 4 Handicapped: Compact: ATTF~mr"" 1">.___. I PUBLIC IMPROVEMENTS liO::,OW rules adoPi~dby'ih~Vo~~;~t~~.tf ;' ""iI'''O If/cat/on Center Thos I II Y Street Improvements::: F II I d In OA~ige~alklT~lieo: th e ru es are ~ fO{1.bd THIS D(;r;n u V mprove 0090 v. - vv -~:J I. rough OAR 9oz!!flJe e 5' Storm Sewer Available:1lT SHALL EXPIRE Yes Cafi.DS',\!n'Sp"OUWtriliid&:Pies of tlf& llJllffh~ewer Special Inst'j!MIi'dl.1RIZED UNDER TH. IF THE WORK nu ~g ~he center. (Note: the telephone LUMMENCED OR IS A IS PERMIT IS NOT m e~ or the. Oregon Utility Notification Notes: ANY 180 DAY PERIOD. BANDONED FOR enter IS 1-800-332-2344). Pa~e 1 of4 ~WIt"-AI;"~~~' --'.""" ",'" .. ,_. " '. ",'~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellin~s Gara~e V Wood Frame Gara~e Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 80/0 State Surcharge 3 Baths One & Two Family Addressing Assignment BoilerlComp Up To 100,000 btu Building Permit Copies - Ea Addtl @ 50 Cnts Ea Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - more than 100,000 Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Attached (duplex) + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 I Valuation DescriDtion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,404.00 448.00 Value Date Calculated $237,996.00 $11,648.00 $249,644.00 06/29/2006 06/29/2006 Total Value of Project F'pp< PiiIIJ Amount Paid $100.00 $10.00 $195.18 $144.73 $612.00 $62.00 $24.00 $1,053.15 $5.00 $80.00 $12.00 $18.00 $142.60 $30.00 $24.00 $198.00 $100.00 $877.22 $1,153.22 $10.00 $1,730.62 $164.06 $189.66 $139.14 $1,611.40 $365.38 $80.00 $664.09 $36.00 $1,848.00 $25.00 $12.50 $20.00 $212.00 $38.00 Date Paid Receipt Number 6/29/06 2120107 2/20/07 2/20/07 2/20/07 2/20/07 2120107 2120/07 2120/07 2120/07 2/20/07 2/20/07 2/20/07 2120107 2/20/07 2/20/07 2/20/07 2/20/07 2120107 2120/07 2/20/07 2/20/07 2/20/07 2120107 2120/07 2120/07 2120/07 2/20/07 2/20/07 2120107 7/23/07 7/23/07 7/23/07 7123/07 7123/07 1200600000000000992 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 3200700000000000492 3200700000000000492 3200700000000000492 3200700000000000492 3200700000000000492 Pa~e 2 of 4 . . CITY OF SPRINGt< .....LU ' Building/Combination Permit Status Issued PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $11,986.95 I Plan Reviews I Initial Review Plannine Review 06/30/2006 06/30/2006 06/30/2006 07/19/2006 APP APP LLH TAJ Survey required because of minimum side setbacks. Setback street tree at least 16' for vision clearance (condition #8 of subdivision). SDCs added for two dwelling units. Sidewalk & curbcuts added. LDAP application and permit required before issuance of Building permit. provide truss details and layout Public Works Review 06/30/2006 07/14/2006 APP SB Structural Review Structural Review 06/30/2006 08/17/2006 08/15/2006 08/17/2006 WE APP RWC RWC 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. , Rponirpti In~ne('tions I ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor 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. Final Building: After all required inspections have been requested and approved and the building is complete. Firewall: Located and constructed according to plans. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Pa~e 3 of 4 . . CITY OF SPRI!'Iil>J<lJ<..Lu Building/Combination Permit Status Issued PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Plumbing: Prior to insnlation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. Final Plumbing: When all plumbing work is complete. 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. 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 Pa~e 4 of 4 '({\GVZ", .'1 _ 2-3-~(:) 'Nil' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~~ ELECTRICAfr .!~~IT APPLICATION -.... City Job Number l)\ 1'1\ ) Cl71v - fX) ~ \ ~ Date "1 - 6l ~ ~ en 1. ~~'ibCAT.iON OFiNSTfl i"f.'4noN; ~i: ~ t9~@MPiEiE FEE SCHEDVI.:E'!""'-.''',J:t''-w'~li.-';~'''f~n~~;~!f''g~Y~~!i-d1!3 l.fJS?74IS7"=c;.i~'If:~ j't:~v 3. ~~"'_.'"".~...-.. ._-~_--'!!.!!?'=~"""'~Y~3,,~ LEGAL DESCRIPTION \ 'i50?-- b5 d.d. 0 Lt'iOl) JOB DESCRIPTION !,..oJ11L-t!' ~.,. ~Lf!'X Permits are non-transferable and expire If work Is not started within 180 days ofissuance or If work Is Suspended for 180 days. (T.;'.'."".""""""""'''''->'''''''''~~~''''-,,:v..u! 2. ~~~~~~~~.g~~~~ Electrical Contractor A 6s E/l"'c:,Lrlc JI1C. Address ';:;tJ &J % d( cf d / City h/Ciene '-" Phone {;, ,f fer') ,/1,/<) Supervisor License Number .,./ 7V~S Expiration Date //) -/-07 Constr, Contr, Number /5007J> Expiration Date ,.r -/ r,I- t:' 7 Signature of Supervising Electrician ~~~ Owners Name OIL. :Dv V(7.~ f3,j~ ...Llc... Addre~~ ex-,~ ~O City~ tt-IDa.-'D / Phone ~O ' II ::>, g- tSt2- q,co ~ OWNER INST;L,hION The inSlanatLion is being made on property I own which is not intende for sale. lease or rent. Owners / ature: { A. ~'N~"';"Re;ldentia1- si::;li,~tMuid!F~~':' ei"d~~Uin' -'iii1l't>~~ .t... .e~'I;"~"'-'L"" ......".'~_, ~....g__ ~... .1"._ '._,",_._."T;L:~"., Y"p.. _~.,._,"..". <' g,,__, "'.' ,,,r;;'-"1 ..,.~ ~"'_""'_" .. .....,-~....._"."'.__..._"..._.. _-<A.._.._~""",_.. _ii:l:l Service Included 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 2 Z- $106,00 ZIZ s.% $ 19,00 $50.00 ~~~'.."~'1" ,,~'.k~~'I-';':"~:~.-'kJi~r'c-i."f{<!;;.,.t..~~~~iW~~~ B. ~1~itIf.&!b-~r;-f!~2!tll~'!~~~CJJ!t~~~!!~~!:ri~~l~=~~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpslVohs RecoDDect Only $ 63.00 $ 75,00 $125,00 $163.00 $375,00 $ 50,00 ....' ...",...,.,.,.l'~~-< .., "~":-"V_'''"--..~,,, ~..,......_..~, ,". ,'e ,". ' ',l'i'_' C \!T' .,,-<1l!""....~....... S . !t-....-F. :..""-~' ....",:'li).'t,1tl: ~.;,<::,)i.~"" ,t"","fi, .."":' !-'~sil . !4.~P~.ITk>:.!E':!~cg,!~!ry~~~~'~,;~~:.:~;'-~bk:rt.J;i;: :.,.~('i ~~:~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. '--"$~"'p-::.::>.", . ~".'R~.-~...."....~.,..t-, "{I'" ~"'~~':->if~.;-'l<7'"':''' .-.;k-' ., <.," ~;'-':il'il. D. 1r;Br:~ctir.C~rcuits' . Y, ~\ t~tf;i.<;~ '\~~:~"~~Jf(,1~.~>.~~f:ar~~;. :-:;: ~':;':}~!, 1iOI"""-'-=;f"", '._<-' .:.:-J;. ;.s:..,>,_ ~'"",.~.....~-;t.'l<....~.~~,.,.,,,~...:L~,,-, ..f..__",.,,:tM. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50,00 $ 69,00 $100.00 $ 43,00 $ 3,00 f'}-~>~"~ -,'. '~~<mt-~-,..,..~~~~,..- .....-."I'~~. 1= E. 11Misceiian~ous (Ser~iceifeedir'iiofili'tiifd~d):",d~h"ih~tau~tiOil'~ ~~':i:;::;..,jll':"':;'~. ".... ~l'::~il:il:.llll:l'~.~!,.:l."I~~~~,')l.'t"~~~~;.~::...1t'..::lj;:.:.....:':. ~'-;t ,;,,\i't!ii!.. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50.00 $ 25,00 $ 45.00 Minimum Electric Permit Inspeetion Fee Is 545.00 + Surcharges .~,,;. jt ~~~W' I,.. .. .,' '~I.'" "'.' ,:,,_ 'r _ . ~.' , 4 tSUBToTAL' OF ABOvE'P~~:l ;:;:li0~~.:.'t:,li~l'~I'I: hj,".. . !.~fSi><;;:-~-;'\' :'..i~..;~.,,' j,,~~-~:tL;~~ ~~~C.-~~:~.....,:_~~...' Inspection Request: 726-3769 8% State Surcharge 10% Administrative Fee ~% Tee,.! ~ fOtAL Z5C I~'~O -~ as:O'D &i 301 50 - - Shared Drive(T:)IBuilding Forms/Electrical Pennit Application 1-06.doc 225, F~ftb' S'treet Springfield, Oregon 97477 541-726-3759 Phone :~ Wic. . of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2006-00813 COM2006-00813 COM2006-00813 COM2006-00813 COM2006-00813 Payments: Type of Payment CreditCard cReceint I . RECEIPT #: 3200700000000000492 Date: 07/23/2007 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ROB'S ELECTRlC Item Total: Lheck Number Authorization Received By Batch Number Number How Received njm 040640 Phone Payment Total: Page J of 1 10:02:I3AM Amount Due 212,00 38.00 12,50 20.00 25,00 $307.50 Amount Paid $307.50 $307.50 7/23/2007 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 Ail! 0' ~~r' ~/~J ~,~,{1 "'\ -r-' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4155 Glacier View Dr 4157 ASSESSOR'S PARCEL NO.: 1802052204400 Springfield TYPE OF WORK: Duplex TYPE OF USE: New ATTEY\!Ti0f\J' f"'I.~;-.r ' _ I PUBLIC IMPROVEMENTS IfJOtl~.OfY" r~Nes adopi~d' 'bY'tt]~c6~~g~~tOUUt'f~Ot o Ilcatlon Center Th I , Y In OAP$iyS!'-tl~1T~6'eo' those rules are set fqr:tb , 0090 I. rough OAR 9~!tf0'~lde 5 calj.rl'8~h~Oiag'(pjes of tffert1Rffb ewer mg n e center. (Note' the tele h number for the. Oregon Utility Notif;~~e Center IS 1-800-332-2344). Ion PROJECT DESCRIPTION: Duplex - Glacier View Subd lot 7. Same as Com2006-00784 4152 Glacier View Dr 4154 Owner: OK INVESTMENTS LLC Address: PO BOX 8010 MEDFORD OR 97504 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing License 116801 156678 3944 158633 Contractor MATTHEW KARL OLSEN ROBS ELECTRIC INC JET HEATING INC JET MECHANICAL LLC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 2 Height of Structure: 26.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a 2 R-3 U VN 6 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5.00 32.00 15.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , ,""':(lil/1" Street Improvements:;: F II I TIi}(' Dr; , u y mproved Storm Sewer i1~q.i'lafJfJv1IT SHALL EXP Yes speciallns€ucllJIJRIZED UNDER TH IRE IF THE WORK OMMENCED OR IS PERMIT IS N Notes: ANY 180 DAY PER:g~BANDONED FOR or Pal!e 1 of 4 Residential Phone Number: 541-840-1138 Expiration Date 08/15/2007 08/14/2007 05/31/2007 02/10/2008 Phone 541-840-1138 541-686-5444 503-363-2334 503-363-2334 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,000 1,024 1,380 448 REQUIRED PARKING 1 No 24.50 Total: Handicapped: Compact: 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellinl!s Garal!e V Wood Frame Garal!e Fee Description Plan Review Same As ~Mechanical Issuance Fee~ + 10% Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Boiler/Comp Up To 100,000 btu Building Permit Copies - Ea Addtl @ 50 Cnts Ea Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - more than 100,000 Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan WiUamalane Attached (duplex) + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,404.00 448.00 Total Value of Project ~ Amount Paid $100.00 $10.00 $195.18 $144.73 $612.00 $62.00 $24.00 $1,053.15 $5.00 $80.00 $12.00 $18.00 $142.60 $30.00 $24.00 $198.00 $100.00 $877.22 $1,153.22 $10.00 $1,730.62 $164.06 $189.66 $139.14 $1,611.40 $365.38 $80.00 $664.09 $36.00 $1,848.00 $25.00 $12.50 $20.00 $212.00 $38.00 Date Paid 6/29/06 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 Value Date Calculated $237,996.00 $11,648.00 $249,644.00 06/29/2006 06/29/2006 Receipt Number 1200600000000000992 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 3200700000000000492 3200700000000000492 3200700000000000492 3200700000000000492 3200700000000000492 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $11,986.95 I Plan Reviews 1 Initial Review Planninl! Review 06/30/2006 06/30/2006 06/30/2006 07/19/2006 APP APP LLH TAJ Public Works Review 06/3012006 07/14/2006 APP SB Survey required because of minimum side setbacks. Setback street tree at least 16' for vision clearance (condition #8 of subdivision). SDCs added for two dwelling units. Sidewalk & curbcuts added. LDAP application and permit required before issuance of Building permit. provide truss details and layout Structural Review Structural Review 06/30/2006 08/1712006 08/15/2006 08/17/2006 WE APP RWC RWC 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. lJeouireCUnsnections . Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Firewall: Located and constructed according to plans. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Pal!e 3 of 4 CITY OF SPRINGFIELD I Building/Combination Permit Status Issued PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 10/17/2007 VALUE: $ 249,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Shower Pan. Prior to covering 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. Final Plumbing: When all plumbing work is complete. 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. 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 Pal!e 4 of 4 ,-, ,',- _ , -. ''', I 9f "'-;""'" -, :-"~'-~':-:' ..:CITM'IOFrSPRINGFIEtO....O G@N >. ',j.., ,,"-,, '-",,;ht~:~-7t~~~;\:._, -', . ""''';-*'L ~:.:_ a. " -- _ ,.,' . ,""'" ";~:"'i,." - :'(~'d*i___.-, :~~: ~~..~~{",: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAfr PERM.IT APPLICATION City Job Number LQ){'fi ) tTll(P - ('j:J ~ \ ~ Date ., - ~ ~.oJ Of I. LOCATION OF INSTALLAT10N.;i~:.:d~..:;;f;c;. 3 COMPLETE FEE SCHEDULEBlJLQW ~ J s~/47s7";;~'C;,'--;::;."~:;;:;.'M~~;~ ';",oliO""""'",."",.,,_ .._".,"s"'~"..','_.l"'"C"_ . LEGAL DESCRIPTION \ ZO"A 05 d.~O LtL-fOO JOB DESCRIPTION w ,a..tr ~'^ 1PL.f!'X Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. -;~,-;-< ',;;<'" " _ "', " :>, ~>""~'-<-fi;". ..,e-::<"{i :' :.-_~"'>(oa~.f'~~<.~':~~i!:f.e;;~~~~ 2 'f.;ONTRAc::11. .QRIlYSrAIJ.4!J1()lV.{.)!fE-'f'Jll( . .~- ii,;:.>", " , '-'-'_'-;"<:>i(.:~; <,~::~_>-, :;,.:-,,;,_;:-: '.:,-j"::,.;.,;:;...~~).,'~ :t,fkJ~::i.:k...~~1.t:1':..~~iftktt~l Electrical Contractor A 6:s E/c>cl.r/c J/1c.. Address ,;JtJ,&) y c;( f'd / City h/oe/'Je J Phone 61'6 -5Yt/s! Supervisor License Number c/ 7~9'S Expiration Date //) -/-07 Constr. Contr. Number /56 CJ 7 J Expiration Date if' -/ 7L' -C.) 7 Signature of Supervising Electrician ~ .r/'~ ~ Owners Name 0 \L :t'1\J ~<t.-~""" a.J'R I \ -l c.... Addre~C\ 0n~ ~\ 0 / City~_ rl-fua...L:>~\.. / Phone guO '" II ?:> g- cf2- q,w OWNER INST A~ nON / The installat~~{S being made on property I own which is not intendi for sale, lease or rent. Owners Si~6ature; I / I f I I, A. ,.N~~l-~l~;~"~tial- S~~~~:~~l\{ult;i-famllyper d~elling unit. Service Included 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 2 z. $106.00 ZIZ 36' $ 19.00 $50.00 ~~';~~;';~:, <~~y; ;;::',- , ,'.':.:,:!:i~c..:,.:~~~1::(.:<"-.,~' :,":(;-:'Nt~i:~~~:>0:,'::::':'-'g':?'_}i'i':~;' _'_:- -~-" ',::::::::~} , . .~~>:~ B. ~~f~]g5"'~ecder$_t~~~M:ll~~e~4\~.l~f,~~~,?ns orRclocation:;:,.. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only C.T!:)~poJ;~ryServices. (,II: F~~ders. . ':-,........~"""._ "'~'_'.:'._h ._';'.-','._ ,,"',.\.- .._.:....",~:_...~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or I 000 Volts see "B" above. D. ..... Br;chCircuits New Altcration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 E. ..... Miscellaneous (Scrvice/feedernotinchided) -Ea.ch Installation ;: '-'~>(:, ":<';', ',-,i;:{;:': ..... . ",' -... Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Pcrmit Inspection Fee is $45.00 + Surcharges Inspection Request: 726-3769 4. SUBTOTAL OF ABOVE ;;..-_~.LL:i ;::;~:.~~:--:, 8% State Surcharge 10% Administrative Fee S% Tetrf Ft:e IO'rAL 250 I~ .~o ., (\ /""f"'"t-, """,",,,,"" . - as. ()1> 'CbL301: 50 Shared Drive(T:)/l3uilding FonnslElectrical Pennit Application I-06.doc , 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00813 CO M2006-00813 COM2006-00813 COM2006-00813 COM2006-00813 Payments: Type of Payment CreditCard cReceint I City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 07/23/2007 3200700000000000492 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ROB'S ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 040640 Phone Payment Total: Page 1 of 1 10:02:13AM Amount Due 212.00 38.00 12.50 20.00 25.00 $307.50 Amount Paid $307.50 $307.50 7/23/2007 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: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 04/04/2008 VALUE: $ 249,644.00 SITE ADDRESS: 4155 Glacier View Dr 4157 ASSESSOR'S PARCEL NO.: 1802052204400 Springfield TYPE OF WORK: Duplex TYPE OF USE: New Residential PROJECT DESCRIPTION: Duplex - Glacier View Subd lot 7. Same as Com2006-00784 4152 Glacier View Dr 4154 Owner: OK INVESTMENTS LLC Address: PO BOX 8010 MEDFORD OR 97504 Contractor License Expiration Date MATTHEW KARL OLSEN 116801 08/15/2007 ROBS ELECTRIC INC 156678 08/14/2008 JET HEATING INC 3944 05/31/2008 JET MECHANICAL LLC .__..,I..;;~~egu'res Y01j~0/2008 .A' F';-' J. 9...~! the breguII ~ BUILD' ila.1Q) rules are set forth I!iiP '~~~_~g~_go1~throu.gh ~e9=~ o~tnw~ptaln ~oil~8 te'e~~est Floor: T ~~~e cenWrc'U'~t~Not~d Floor: WaKDmtiOf~or the. Oreggn~3i344)Sq Ft Basement: Range Typc;enter 18 \-8 ~Iectric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: Total: # Street Trees Rqd: 1 Handicapped: Paved Drive Rqd: No ~act: % of Lot Coverage: 24'~f -n\~ ~Q\ ~. , ~~\~ ~\\ \S y~n:\,~(',... . ,"IlL'-\. 'y.\% 1>1'.1' r~Q I PUBLIC IM~ ~Q~" ~'Or-.~t)O~t\J ~\)\ "'CtO 0'" \~. ~'walk Type: Fully Improved. t'\W"^t:\'I\" Vt."'~. Yes tv " '\ CO<J O~ Downspouts/Drains: ~Nl 2 R-3 U VN 18.00 5.00 5.00 32.00 15.00 Phone Number: 541-840-1138 I CONTRACTOR INFORMATION' Phone 541-840-1138 541-686-5444 503-363-2334 503-363-2334 6,000 1,024 1,380 448 6 I DEVELOPMENT INFORMATION I REQUIRED PARKING 4 Curbside 5' To Storm Sewer Pa2e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garae:e Dwelline:s Garal!e Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Boiler/Comp Up To 100,000 htu Building Permit Copies - Ea Addtl @ 50 Cnts Ea Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - more than 100,000 Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan WiIlamalane Attached (duplex) + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,404.00 448.00 Total Value of Project ~ Amount Paid $100.00 $10.00 $195.18 $144.73 $612.00 $62.00 $24.00 $1,053.15 $5.00 $80.00 $12.00 $18.00 $142.60 $30.00 $24.00 $198.00 $100.00 $877.22 $1,153.22 $10.00 $1,730.62 $164.06 $189.66 $139.14 $1,611.40 $365.38 $80.00 $664.09 $36.00 $1,848.00 $25.00 $12.50 $20.00 $212.00 $38.00 Date Paid 6/29/06 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 2/20/07 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 Pae:e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02120/2007 APPLIED: 06/29/2006 EXPIRES: 04/04/2008 V ALU,E: $ 249,644.00 Value Date Calculated $237,996.00 $11,648.00 $249,644.00 06/29/2006 06/29/2006 Receipt Number 1200600000000000992 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 2200700000000000219 3200700000000000492 3200700000000000492 3200700000000000492 3200700000000000492 3200700000000000492 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00813 ISSUED: 02/2012007 APPLIED: 06/29/2006 EXPIRES: 04/04/2008 VALUE: $ 249,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 5% Technology Fee Reinspection Fee Plumbing $2.50 $50.00 10/5/07 10/5/07 2200700000000001556 2200700000000001556 Total Amount Paid $12,039.45 I Plan Reviews I Initial Review Plannin2 Review 06/30/2006 06/30/2006 06/3012006 07/1912006 APP APP LLH TAJ Survey required because of minimum side setbacks. Setback street tree at least 16' for vision clearance (condition #8 of subdivision). SDCs added for two dwelling units. Sidewalk & curbcuts added. LDAP application and permit required before issuance of Building permit. provide truss details and layout Public Works Review 06/3012006 07/14/2006 APP SB Structural Review Structural Review 06/3012006 08/1712006 08/15/2006 08/17/2006 WE APP RWC RWC 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. ~eouirecUnsDections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Firewall: Located and constructed according to plans. Pa2e 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00813 ISSUED: 02/20/2007 APPLIED: 06/29/2006 EXPIRES: 04/04/2008 VALUE: $ 249,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. Shower Pan. Prior to covering 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. Final Plumbing: When all plumbing work is complete. 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. r 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 ZVIl'\. S ~t!'C..:t"fhAI rc:;e;- VIA- c c..:H /(!W Jg Date /7-0/ Pal!e 40f 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00813 COM2006-00813 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Reinspection Fee Plumbing + 5% Technology Fee Paid By MATTHEW OLSEN City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001556 Date: 10/05/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 011147 In Person Payment Total: Page 1 of 1 1:50:59PM Amount Due 50.00 2.50 $52.50 Amount Paid $52.50 $52.50 1015/2007