HomeMy WebLinkAboutPermit Building 2008-5-28
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00707
ISSUED: OS/28/2008
APPLIED: 05/19/2008
EXPIRES: OS/28/2008
VALUE: $ 357,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6489 DOGWOOD ST
ASSESSOR'S PARCEL NO.: 1702344302900
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New Single Family Residence and Garage
Owner:
Address:
MARCUS POPE
PO BOX 785
SPRINGFIELD OR 97477
Phone Number: 520-6010
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HOUSEGUARD LLC
STEVE HAUCK
SUNSET HEATING & AIR INC
RS PLUMBING CONTRACTING
License
176411
147618
171706
103816
Expiration Date
OS/25/2011
04/09/2009
08/17/2008
01/04/2010
Phone
541-514-2559
541-221-2665
541-988-3181
541-461-4714
BUILDING INFORMA TIOl!l
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
4
# of Stories: 2 Lot Size:
Height of Structure 30.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled BuildinllTTENTtOrltoOregOr(k-OOPltlJjtllr:esdjou to
. , ~nll.~w w,~~ '.JrI'"'{'torl h~, +1",:, ':'~:~Pl ~'\It,
I DEVELOPMENT INFO~~lTfON-i,nter. Those rules are set forth
L .[., ... vv.o..-ve-I-001 0 through ~~VImmf?ARKING
0090. You ma~ obtam caples of th~ rules by
Overlay Dist: calling the ceJM~~d!Note: th~~Me=phone 2
# Street Trees RqJl&.lmber for the Ore~on Utllit~B~tfd!WoR:
Paved Drive Rqd: Center IS ~OOO-332-2B.q!J)pact:
% of Lot Coverage: 17.20
21,742
2,263
904
1
R-3
U
VB
480
Frontyard Setback: 38.00
Side 1 Setback: 26.00
Side 2 Setback: 28.00
Rearyard Setback: 40.00
Solar Setback(lJOTlCE: 49.00
Subdivision N~f1J~t:J;,~JjjVlll SHALL EXPlh~WY~f'lWVEMENTS I
lJih(}RfLED UNDER THIS PtR'ivi1T" ...
Street Impro~~~ENCED OR IS AS IVI I~ l\J.ott
J ANDONEDFOA
Storm Sewer~liI~iIlBG:DAY PERIOD. Downspouts/Drains:
Special Instruction: For this parcel in Mountaingate 3A, it is the recommendation to the Building Division, by the City
Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the
Notes: Stormwater con~t...MarisI",~;,"llhtdIhY City Council".
Sidewalk Type:
Page 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
AC - Residential
V Wood Frame
V Wood Frame
Gara!!:e
A.C. - Residen
Dwellin!!:s
Dwellin!!:s
Gara!!:e
Fee Description
Plan Review Same As
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
Mountaingate Impervious Area
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
I Valuation Description I
$ Per Sq Ft
or multiplier
$5.00
$105.00
$105.00
$28.00
Square Footage
or Bid Amount
2,263.00
904.00
2,263.00
480.00
Total Value of Project
~
Amount Paid
$220.00
$40.00
$251.58
$280.02
$126.92
$337.00
$35.00
$7.00
$14.00
$1,546.48
$7.00
$10.00
$182.35
$17.00
$14.00
$5.00
$2.00
$1,294.64
$205.00
$117.00
$126.00
$714.14
$939.17
$10.00
$990.39
$95.35
$187.72
$862.25
$195.48
$67.35
$48.00
$55.00
$28.00
Date Paid
5/19/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
5/28/08
Pa!!:e 2 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00707
ISSUED: OS/28/2008
APPLIED: 05/1912008
EXPIRES: OS/28/2008
VALVE: $ 357,290.00
Value
Date Calculated
$11,315.00
$94,920.00
$237,615.00
$13,440.00
$357,290.00
05/19/2008
05/19/2008
05/19/2008
05/19/2008
Receipt Number
3200800000000000334
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2008-00707
ISSUED: OS/28/2008
APPLIED: 05/1912008
EXPIRES: OS/2812008
VALUE: $ 357,290.00
Issued
WilIamalane Single Family
$2,513.00
5/28/08
Total Amount Paid
$11,543.84
I Plan Reviews ~
Public Works Review
OS/20/2008
Initial Review
Plan Review Comments
OS/20/2008
OS/20/2008
OS/20/2008
OS/20/2008
APP
APP
LLH
DLM
Structural Review
OS/22/2008
OS/20/2008
APP
DLM
Public Works Review
05/19/2008
OS/21/2008
APP
TSS
Plannin!! Review
05/19/2008
OS/22/2008
APP
TAJ
1200800000000000564
Structural Plan Review was
approved on 5/19/2008, but could
not enter approval under 'required
plan reviews' due to a hold on this
parcel 5/20/08dlm.
See documents for plan review
comments
Stormwater conveyed to storm
sewer tap.
Contractor is in the process of
getting Tree Felling Permit approval
for trees that were already felled.
Must protect remaining trees from
construction activity with
construction fencing. As a condition
of occupancy the contractor must
replant trees per the appproved
replanting plan from the Tree
Felling permit.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~eouire<Unsnections ,
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Pa!!e 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00707
ISSUED: OS/28/2008
APPLIED: 05/19/2008
EXPIRES: OS/28/2008
VALUE: $ 357,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including reqUIred
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Pal!e 4 of 5
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00707
ISSUED: OS/2812008
APPLIED: 05/19/2008
EXPIRES: OS/28/2008
VALUE: $ 357,290.00
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 all required inspections are requested at the proper time, that each address is readable from the
street, thjlt~it card is located at the front of the property, and the approved set of plans will remain on the site at all
timeS!?ng~o'nst~.
't:---'l " s -- '- ~ -V Y
Owner or Contractors Signature
Date
Pa2:e 5 of 5
Job. No..l.!tJ>w 2/JlJf, - ()I) 70 7
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: _/11~C//.f /~#e PHONE: 52-0 -00/0
ADDRESS: PaL10x 7l>S-CITY ;1LtA/~~/e4tsTATE:.MZIP: ??477
, Cf7fl?
LOCATION OF PROPOSED BUILDING SITE:
Street Address: /L? 4 ~ 7" N q t<.!7JiYi)
- I - / .-
Plat NameJ11N~'?'-4 UA-:Tl!. Tax Lot Number: /7 tJ2J-z,443 62.'7 tJO
1. DEVELOPMENT TYPE (Check appropnate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinole-Familv Detached
NO. OF UNITS
J
X $2,513 per unit =
$ 25/3
B. Sinole-Familv Attached
NO. OF UNITS
X $2,726 per unit =
$
C. Multi-Familv Acartment
NO. OF UNITS
X $2,323 per unit =
$
D. Sino Ie Room Occucancv,
NO. OF UNITS
X $1,162 per unit =
$
E. Accessorv Dwellino Unit
NO. OF UNITS
X $1,257 per unit =
$
WILLAMALANE SDC $
2. sec CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.) $
~"
$ 2'b-/Y
-5 I 281' 'of;'
Date
5
01/31/2008 09:55
7263676
Date
PAGE In
ZON'W .
INITIALS =-i\) vvl .-' :J
DATE ~-;)t1-.., /'
SOURCE fY\.'9~../
512'6/00'
I ~I
CITY OF SPRINGFIELD
225 F1Fnf S1lU:ET " SPIlUNCf1F.I,D, OR 'J7477 " PilI:(S41)72~753 " FAX: (541 )7%6-36119
ELEu.;JJ.J.dCAL PERMllT APPUCATION
City Job Number ~~& -00 ~b7
1 :F;!~~lIlW!lj'
. ~~~f~~m
tP4-&L~~7.
LEGAL DESCRlPTI~:r.;:'- j'
/7~l.. -gr1c13 02-'~
JOB DESCRTPTlON:
,
JrA(rs/IJOcJCC rc7~~
lP'ermlits mre Ulollll-tJralil9ferable BDlI ~ive II' work &9
not sblrted within 180 days of' i.~Ul1nI!C or if 'Work is
Suspended for 18@ days.
, ~~ ...,
2.
Electrical Contractor S TEv f. ~Uc./L
Address P.O. Eo)< 11301
City GlJfJ
'-'
Phone ~Jl J- ~ 0& 5
Expiration Date
351 =r s
Jo- l - 0 q
1411.a18
i..( - 30 - 09
Supervisor License Number
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
Jk tJ-f ~
OwnersName ~~w..... :$ PDd..c.
Address ~ /Sl?X ::fff-
City .J/JAf~~ Phone..S2LJ -t:::EJto
91+77
OWNER INSTALLATION
The installation is being made on property I own whIch
is not intended for sale, lea.~e or rent.
Owners Signature;
Inllpectton Reque~t: 726-3769
3.~il"~~' "......
:~=:r~~=,lol\ikl...,f1l(ltkm!1.11'f/:.'dt~'tl:~.".1I.\\uP.I\
A.
Semce Included
1000 sq. ft. or Jess
Each additional 500 sq. ft. or
~portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
Ce.
$117.00 //7. 6-0
$ 21.00 /210 ~
$55.00
B.
200 Amps or less $ 70.00
201 Amps to 400 Amf~ _ _ $ 83.00 ,
401 Am 8 to 600 ~ I ENTION. ure-gn~'3r.0'(j34'JII;:;;:' yvu ,\0
P W rules aJu!-,lt;J tne C, ",~v,-, u~;"ty
601 Amps to 1000 ,"~~icatlon Genter. T ~!~'9BI2: Jrc €e~ t9rth
Over 1000 AmpsIV ~%AR 952-00.1--{"}f ') ~rR9h 0 A Ii 9i:;?-OO 1-
Reconnect Only 0090. You may e~tdn'S~~s ~B ~o;l9-S by
c.
Cent~r is 1-800-332-2344).
IllIIStIllBlBtion, Alterntion Or RcToeafioll
200 Amps or less , $ 55.00 :::> :::>.0-0
201 Amps to 400 Amps $ 76.00
401 AmpSfo600Amps SlIO.OO
New- Alter4tion or Exten9ion Per faDe)
One CircuiaNOTICE:_ $ 48.00.. C ,^,nQI(
Each Addltif~mMl'fi@HALLt^?1RE It- I H.... ~\-~ 0
Service orF~~a~~a~ED UNCCI1 THIS~~VlIT\~ NOT
~". UT. ~ .....1"\ Ir:r\ r:n
E.
,.~",.,,:..~ ANY 1 l' ""<>1>)$'
Pump or lITigation $ .55.00
Sign/Outline Lighting $ 55.00
Limited EnergylkcsidmtiaJ $ 28.00
LimIted Energy/Commercial $ 50 00
MlilliliDum Elmne Permit InspeetiOll8 Fee is $SO.OO + Sllrebl!ll'glllll
~ .
z:J?J,~
12% State Surcharge ~ ~.77p
10"/0 Administm.tive Fee . "? Cif: So
. .
5% Technology Fee ! 1'- q-j)
T01tAL a 3 7e .~~
Shsn:d Dl'lve(T )IbUlld1ng fomtz;lElcctrlcal PermIt ^ppilclllion 1-Oll.doe
... ,\'
\' :
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
Payments:
Type of Payment
Check
cRecelOt 1
RECEIPT #:
Date: OS/2812008
1200800000000000564
Description
BUlldlllg PermIt
Addresslllg AssIgnment
WIllamalane Slllgle FamIly
3 Baths One & Two FamIly
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
BOller/Comp Up To 100,000 btu
Vent Fan
Apphance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Outlets 4+
FIreplace (LIsted)
~Mech Iss 2+ Apphances-
Temp Power 200 amps or less
ResIdence WIrIng 1000 Sq Ft
ResIdence WIrIng Ea Addtl 500
FIre SF Fee - Resldentlal
Mountalllgate Impervious Area
Samtary Sewer - ReImbursement
Samtary Sewer - Improvement
SDC Transpo ReImbursement
SDC Transpo Improvement
SDC MWMC ReImbursement
SDC MWMC Improvement
SDC MWMC AdmllllstratlOn
SDC Samtary/Storm Admlll
SDC TransportatIon Admlll
Plan RevIew Major - Planmng
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIVe Fee
Paid By
LIBERTY BANK
Item Total:
Check Number AuthOrizatIon
ReceIved By Batch Number Number How Received
110 10000
TJ In Person
Payment Total:
nJm
Page I of I
2:07:07PM
Amount Due
1,54648
3500
2,513 00
337 00
4800
1400
1400
2800
7.00
10 00
700
500
200
1700
4000
5500
11 7 00
12600
182 35
1,29464
939 17
714 14
195 48
862 25
9535
990 39
10 00
187 72
6735
205 00
12692
280 02
251 58
$11,323.84
Amount Paid
$11,32384
$11,323.84
5/28/2008
-iii .1ii
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2008-00707
ISSUED OS/28/2008
APPLIED. 05119/2008
EXPIRES: 02/19/2009
VALUE: $ 357,29000
225 Filth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lone
SITE ADDRESS 6489 DOGWOOD ST
ASSESSOR'S PARCEL NO 1702344302900
SPRINGFIETYPE OF WORK Songle Family ReSIdence
TYPE OF USE New
ReSldent'dl
PROJECT DESCRIPTION New Songle Family ReSIdence and Garage
Owner MARCUS POPE
Address PO BOX 785
SPRINGFIELD OR 97477
Phone Number 520-6010
I CONTRACTOR INFORMATION I
Contractor Type
Gener dl
Electnc..1
Low VoItdge Electncdl
Mechamcal
Plumbong
Contractor
HOUSEGUARD LLC
STEVE HAUCK
SECURETECH INC
SUNSET HEA TING & AIR INC
RS PLUMBING CONTRACTING
LIcense
17641\
147618
156618
171706
103816
ExpiratIOn Date
OS/25/2011
04/09/2009
08108/2009
08/17/2008
01/04/2010
Phone
541-514-2559
541-221-2665
541-521-2837
541-988-3181
541-461-4714
BUILDING INFORMATION I
# of Unots I # of Stones 2 Lot SIze 21,742
Pnmary Occupancy Group R-3 HeIght of Structure 3000 Sq Ft I st Floor 2,263
Seconddry Occupancy G.oup U Type of Heat Forced Air Gas Sq Ft 2nd Floor 904
Pnmary ConstructIOn Type VB Water Type Gas Sq Ft Basement
Secondary ConstructIon Type Range Type GdS Sq Ft Garage/Carport 480
# of Bed rooms 4 Energy Path Path I Sq Ft Other
Spnnkled Bulldmg No Occupant LOdd
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback 3800 Overlay DI>t Hllls.de Totdl 2
S,de I Setback 2600 # Street Trees Rqd 0 Handlcdpped
S.de 2 Setback 2800 Pdved Dnve Rqd Yes Compact
Rearydrd Setback 4000 % of Lot Cover dge 1720
Soldr Setbdcks 4900
SubdlvlsIO'Afl'BWl(J!!'NOregon law reqUlrElg>UBUIC IMPROVEMENTS I
~"""'''' '"'''5 adopted by the Oreg0" ~''''''} ""
Street 1m TovemeDls'C t Th rules are set forth S.dewalk Type
otlflcatlon en er ose Ire:-
Storm Seh'l'\!)M:UOO>~1-0010 through OAR 952-001- NOT "lMWn~R"'t~f,Qr~~IR~F THE WORK
Spec..1 IIOOoo;ti\lv~ may dUlMbls:jjlli?fePlriIJlliollm~.\l~ate 3A, .t IS the reifo:h\linBliBMJd tillflli.LBu 11m 'i'n'~'t' ,[S' fJtsflty
calling the cenIllfgll\~\lll:e"tfiii:ft \\1lEllO\\\l~ttlOns shall be made tl\~hfltl@fYlilEI,hm)l:'Kfu ht, NiiW1WlR
Notes ~ambeatlnr~~\\i~ll:,ty Counc.I" COMMENCED OR IS ABANDO ItU
Center IS 1-800-332-2344): n A!<lY 180 DAY PERIOD
Paee I of 5
Status
Issued
225 Fifth Street, Sprongfield, OR
541-726-3753 Phone
541-726-3676 F dX
541-726-3769 Inspectoon Lone
DescrIPtIOn
Tvpe of ConstructIOn
A C - Reslden
Dwelhnes
Dwelhnes
Garaee
AC - Resldentoal
V Wood Frame
V Wood Frame
Garaee
Fee DeScrlDtlOn
Plan RevIew Sdme As
-Mech Iss 2+ Apphances-
+ 10% Admonlstratove Fee
+ 12% State Surcharge
+ 5% Technology Fee
3 Baths One & Two Famoly
Addressong Assignment
Apphdnce Vent
BOller/Comp Up To 100,000 btu
Bmldong Pel mlt
Dryer Vent
Exhaust Hoods
FIre SF Fee - ResIdentIal
Flrepldce (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
GdS Outlet> 4+
Mount.ungate ImpervIOus Area
Plan RevIew Major - Planmng
ResIdence Wiring 1000 Sq Ft
ResIdence Wiring Ea Addtl 500
SanItary Sewer - Improvement
Samtary Sewer - ReImbursement
SDC MWMC Admlmstratoon
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Samtary/Storm Admon
SDC Trdnspo Improvement
SDC Transpo ReImbursement
SDC Transportatoon Admon
Storm Sewer Each AddtllOO'
Temp Power 200 amps or less
Vent Fan
I ValuatIon DescnutIon I
$ Per Sq Ft
or multopher
$500
$10500
$10500
$28 00
Squdre Footage
or Bid Amount
2,263 00
904 00
2,263 00
480 00
Total V dlue of Project
FP'P'~,P'l'~
Amonnt Pdld
$220 00
$40 00
$251 58
$280 02
$12692
$33700
$35 00
$700
$1400
$1,54648
$700
$1000
$18235
$1700
$1400
$500
$200
$1,29464
$205 00
$11700
$126 00
$71414
$939 17
$10 00
$990 39
$95 35
$18772
$862 25
$19548
$67 35
$48 00
$55 00
$28 00
Date P dId
5/19108
5/28108
5128108
5128108
5128/08
5128/08
5/28108
5/28108
5128108
5128108
5128108
5128/08
5/28/08
5/28108
5/28108
5128/08
5128108
5128/08
5/28/08
5/28108
5/28108
5128108
5128/08
5128/08
5/28/08
5/28/08
5128108
5128108
5/28/08
5/28108
5/28108
5/28108
5/28108
Paee 2 of5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00707
ISSUED OS/28/2008
APPLIED. 05/19/2008
EXPIRES: 02/19/2009
VALUE: $ 357,29000
Value
Date Cdlculated
$11,31500
$94,920 00
$237,61500
$\3,44000
$357,29000
05/19/2008
05/19/2008
05/19/2008
05/19/2008
ReceIpt Number
3200800000000000334
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
1200800000000000564
-iii:~~
CITY OF ~rI<ll~t.l'lJ!,LD-
Status
Issued
Building/Combination Permit
PERMIT NO' COM2008-00707
ISSUED. OS/28/2008
APPLIED. 05/19/2008
EXPIRES: 02/19/2009
VALUE: $ 357,29000
225 Filth Street, Sprongfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lone
W,llamdldne Songle F dmlly
+ 10% AdmInIstratIve Fee
+ 12% Stdte Surcharge
+ 5% Technology Fee
Low Voltage - ResldenlIal
MInImum/AdJustment Electrocal
$2,51300
$520
$624
$260
$2900
$23 00
5128/08
8/19/08
8/19/08
8/19108
8/19/08
8119/08
1200800000000000564
2200800000000001261
2200800000000001261
2200800000000001261
2200800000000001261
2200800000000001261
Totdl Amount P dId
$11,60988
I Plan Revtews I
PublIc Works RevIew
OS/20/2008
InIlIal RevIew
Structural RevIew
OS/20/2008
OS/20/2008
OS/2012008
05120/2008
APP
APP
LLH
DLM
See documents for plan review
comments
PublIc Works RevIew
0511912008
OS/21/2008
APP
TSS
Stormwater conveyed to storm
sewer tap
Planmne: Review
05119/2008
OS/2212008
APP
TAJ
Contractor IS on the proces; of
gettong Tree FellIng PermIt approval
for trees that were already felled
Must protect remaonong trees from
construction dCtIVlty wIth
construction fencmg As d conditIOn
of occupancy the contractor must
replant trees per the appproved
replan lIng plan from the Tree
FellIng permIt
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7:00
a.m. wIll be made the same workmg day, mspectlOns requested after 7'00 a.m. wIll be made the followmg
work day
I Rpnlllrprlln~nections I
Ufer Eleclrocal Ground Inslall ground rod at footong and call for onspectlOn on conjUnctIOn wIth footong and/or
foundation IDspectlOn
Footong After trenches are excavated
FounddlIon Alter torms a. e erected but proor to concrete placement
Post and Beam Proor to noor onsulatlOn or deckong
Floor InsulatIOn Proor to deckong
Shear W dll Ndllong Betore coverong shea thong wIth finIsh materoals
Frdmong InspectIOn Proor to cover and after all rough on onspeclIons have been approved
Pdee 3 of5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-00707
ISSUED OS/28/2008
APPLIED. 05/19/2008
EXPIRES 02/19/2009
VALUE: $ 357,290 00
225 F,fth Street, SpllOgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
WalllnsnlatlOn Pnor to cover
CedlOg InsulatIOn Pnor to cover
Drywall Pnor to tdplOg
Hold Downs [nstalled Special [nspectlOn performed pnor to placement of concrete Provide report to CIty
BUIld 109 Inspector
FlOal BuddlOg After all reqUIred IOspectlOns have been requested and approved and the buddlOg IS complete
Penmeter FoundatIOn DralOs After gravel and filter cloth IS IOstalled but pnor to bdCkfill
Underlloor PlumblOg Pnor to IOsulatoon or decklOg
Underlloor DralO PI lOr to cover or placement of concrete
Rough PlumblOg Pnor to cover and IOcludlOg reqUIred testlOg
Wate! LlOe Pnor to tilhng trench and IOcludlOg reqUIred testong
SaDltdry Sewer LlOe Pnor to filhng trench and IOcludlOg reqUIred test 109
Storm Sewer LlOe Pnor to filhng trench
FlOal PlumblOg When all plumblOg work IS complete
Underlloor MechaDlcal Pnor to IOsulatlOn or decklOg and IOcludlOg ICqUlred testlOg
Underlloor GdS After hne IS IOstalled and reqUIred testlOg and capped If not attached to an dpphance
Rough Gas Alter hne IS IOstalled and requIred testlOg and capped If not attached to dn dpphance
Gas Service After hne IS IOstalled and hne has been connected to a mlOlmum of one apphance IOcludlOg reqUIred
testlOg Prcsure test done at thIS pOlOt
Rough Mechdmcal Pnor to Cover
FlOal Gas When all gas work IS complete
FlOal MechdDlCdl When all mechaDlcal work IS complete
Temporary Electnc Approval requIred pnor to Utdlty Compdny energIZIng pole
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUIred pnor to utlhty company energIZIng servIce
FlOdl Electnc When all electncal work IS complete
EI oSlOnlGradlOg InspectIOn Pnor to ground dlsturbdnce and after erosIOn measures are IOstalled
Low Voltage PrIOr to cover
Pa!!e 4 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00707
ISSUED: OS/28/2008
APPLIED. 05/19/2008
EXPIRES' 02/19/2009
VALUE $ 357,290.00
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By slgndture, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatoon herenn IS true and correct, and I further certIfy tbat any and all work performed shall be done 10 accordance wllh
the Ordmances ot the City of Sprmgfield dnd the Laws of the State of Oregon pertaHllng to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure wIthout permIssIOn of the CommuDlty ServIces DIVIsIOn, BUlldmg Safety
I further certlly thdt only contractors and employees who are 10 comphance wIth ORS 70t 005 WIll be used on thIS project
I further dgree to ensure that all reqUired mspectlons are requested at the proper tIme, that edch address IS readable from the
street, that the permIt cdrd IS located at the front of the property, and the approved set of plans WIll remam on the sIte at all
times dunng coosh uctlOn
Owner or Contractors Signature
Date
Page 5 of 5
CIty of Springfield
ElectrIcal AuthorIzatIon To Begm Work
E-malled To ron@securetecheugene com
ReceIpt # EC5363911
8/191200812 1546 PM
~
By Phone
Check on status of permIt
(541)726-3753 or Emall permltcenter@clspnngfield orus
TYPE OF WORK
I @ New LonstrUl..tlOn
o AddltlonlalteratlonlrcplacemenL
CATEGORY OF CONSTRUCTION
100 I or 2 f.lmlly dwdlmg
o Multl-falmly
o Commt-fl.,m] IIndustrlol
JOB SITE INFORMATION AND LOCATION
IJobno IJOb"ddrlS~ 6489 DOGWOODSI
Ic.lylSla"rLlP SPRINGFIFLD OR 97478
I SUlte/bldg lapl no
I Project name
Cross stn..et/dll"ecllOn~ to Job site
I SubdivIsion
Ilax map/parcel no
I Lot no
1702344302900
I DESCRIPTION OF WORK
LOW VOL rAG E VAC SYSTEM
SITE CONTACT
IName fJ HOUSEGUARD
IPhone (541) 514-2559
I.rodl)
IFax
CONTRACTOR
Ii.! he no 20-476CLE ICCBhc no 156618
I Bu~mess Nllme ST SECURE 1 ECH INC
I Contact Ron Gcrmffil
IAddress 6286 IbRNHILL LP
C1t)fStatcr/IP ~PRINGflCLD OR 97478
I Phone (541)5212837 Illx None
I. mall ron@selurctccheugcnc com
I Metro he no I City he no
!Supenmng electrician's hc no 3295LEA
l~npervlMng electrician's ndme RON GERMAN
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspectIOn
NOTE This Authorlzatron 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 applicable land use laws and local ordinances
I I FEE SCHEDULE
I ! De~cnpllOn Qty Ea Total
I Residential &INGLE~ OR mu!tJ.tamliy dwelling umt Inelndl's
I attachl'd garage
II I 000 sq ft or less I I
I Ea addl 500 sq ft or portion
I I Limited Energ)
I - llmlled energy resIdential
I (\\ Ith above SQ ft)
. LImited energy, multifamily
I resIdential (wIth above SQ ft)
I I-LimIted energy, commerellil
(WIth above SQ ft)
I - Stand-alone lImited em.rgy,
residentIal
I Stand-alone lImited energy
multl-famllv
I-Stand alone ilmlted energy
commercIal
1 Sen Ices OR feeder!> IOltotallatlon, alteration, Al\D/OR relocation
I 200 amps or less I
I 201 amps to 400 amps
140 I amps to 599 Jmps I
I TEMPORARY servlce~ OR feeders IOstallatlOo, alteratIOn,
AND/OR relocation
I 200 amps or less I
j 201 amps to 400 amps
1401 amps to 599 amps [
I Branch Clrclllts - NEW, alteratIOn, OR exten"lOn, per panel
I A Fee for branch CirCUitS WIth
servl(..e or feeder f(..e each
branch CircUit
I 8 fee tor branch Clr(..Ults
WIthout serVKe or fLedf.r tLe
first branch clrcull.
I each addl branch CUCUlt
I Miscellaneous
I Service reconnect only
I Each m,Ulutaetured or moduldT
dwellmg servl(..e andlor feeder
I Pump or lITIgatIOn CIrcle
I SIgn or outlme ilghtmg
I Signa] clrcUlt(s) or limlted-
energy pane], alteratIOn or
extensIon
i
I
I
I JOTAL PI RMII HF $6604 I
. CIty Of Sprlngficld fLcs 10% Admmlstratlon Fee .5% I echnology Fee
I
I
I
I
q
I
$5200
$52 00 I
I
I
I
j
ELECTRICAL PERMIT FEES
I
I
I
I
$5200 I
$624 I
$780 I
Subtotal
State Surcharge (12% ofpenmt fLc)
Cll~ Of Springfield lees.
This AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~..j:Q!1;~
..-. .
~__l_
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
COM2008-00707
Paymenls
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #.
2200800000000001261
Date' 08/19/2008
DescriptIOn
Low Voltage - ReSidential
MmmlUmlAdJustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
raid By
ONLINE PCRMIT CHGS
Item Total
Check Number Authonuhon
Received By Batch Number Number How Received
DDK
ONLlNESECURETE Onlme
CH
Payment Total
Page I of I
122831PM
Amount Due
2900
2300
260
624
520
$66 04
Amount Paid
$66 04
$66 04
8119/2008