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Home My WebLink AboutPermit Building 2008-5-13 -ii:~ CITY OF SPRINGFIELD' Building/Combination Permit Status In RevIew 225 Flflh Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme PERMIT NO: COM2008-00682 ISSUED: APPLIED- EXPIRES: VALUE. SITE ADDRESS 1083 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703264412600 05/13/2008 12/12/2008 $ 57,800.00 Sprmgfield TYPE OF WORK Smgle Family ReSIdence PROJECT DESCRIPTION ReSIdentIal additIon and remodel TYPE OF USE Remodel ReSIdentIal Owner WILLIAM N BELL CREDIT SHELTER TRUST Address 1132 8TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Tvpe General Electncal Plumbmg Contractor MICHAEL PALLEN OWNER A HANNAMAN LIcense 158948 178662 BUILDING INFORMATION I # of Umts Pnmary Occupdncy Group Secoudary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIOn Type # of Bedrooms # of Stones I R-3 Height of Stru~fres ~ toI2 00 ATTENTlON~~~e Oregon OOIll;Ieat Y~low rules llMlRl(i!cf- '. fe rules are set forth Notification CQt1J1l V I ~ gh OAR 952.()()1- In OAR 952-o~ ~ u II!! of the rulesllJlh I 0090. You mlS\J9 telephon'" 0 __IU...,. the. 'an .sr. .... NRee/'-- nUroaiE~f!~~rroN I 't,~"t. . Frontydrd Sethack SIde I Sethack SIde 2 Setback Rearyard Setback Soldr Setbacks Overlay DlSt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Phone Number 541-942-7990 Expiration Date 03/27/20 I 0 Phone 541-547-4790 10/0212009 541-653-9750 Lot Size 6,970 Sq Ft I st Floor 360 Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS I NotiCE: IT 8",~t\. t)(1'\~-~ THIS PER~O UNDER THIS f\9lM\tJ~lmrams AUTHORI CEO OR IS ABANDONED lO COMMEN ANY 180 DAY PERIOD. Street Improvements Storm Sewer Available Spec..1 InstructIon Notes Storm drams to eXlStmg system Paee I of3 CITY OF SPRINGFIELD Building/Combination Permit Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 FdX 541-726-3769 InspectIon Lme PERMIT NO. COM2008-00682 ISSUED. APPLIED: EXPIRES' VALUE' 05/13/2008 12/12/2008 $ 57,800.00 I ValuatIOn DescrmtlOn I Use BId Amount V Wood Frame $ Per Sq Ft or multIplier $100 $10500 Square Footage or BId Amount 20,000 00 360 00 Value Date Calculated DescriptIOn Bid Amount Dwellmes Tvpe of ConstructIOn Total Value of ProJect $20,000 00 $37,800 00 $57,800 00 05/13/2008 05/13/2008 FPPf' ~ Fee DescrIptIOn Plan RevIew ReSIdentIal + 10% AdmmlStratlve Fee + 12% State Surcharge + 5% Technology Fee Samtary Sewer - 1st 50 Feet Samtary Sewer Each AddtllOO' Amount Paid Date PaId ReceIpt Number $287 73 $660 $792 $330 $50 00 $1600 5/13/08 6/12/08 6/12/08 6/12/08 6/12/08 6/12108 1200800000000000483 2200800000000000888 2200800000000000888 2200800000000000888 2200800000000000888 2200800000000000888 Total Amount Paid $371 55 I Plan RevIews I Planum!! Review 05/14/2008 Imhal Review 05/14/2008 05/14/2008 APP LLH Public Works RevIew 05/15/2008 05/1512008 WE LKW Called and left message for mformatlOD on bathroom thdt IS bemg added to thIS remodel Public Works RevIew 05/1412008 05/16/2008 APP LKW Storm to eXlstmg system Structural RevIew 05/14/2008 06/0912008 WE RWC Bad phone number tryed 6/9/08 I) provIde new truss details where old roof has been removed 2) provIde calculatIOns for all beams and headers 3) provide shear wdll details To Request an mspectlOn call the 24 hour recordmg at 726-3769. AllmspectlOns requested before 7:00 a m WIll be made the same workmg day, mspections requested after 7:00 a m. Will be made the followmg. work day Paee 2 00 _GP-i'ii Wit ~; . Status In Review 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme I ReoUlred In~nectl/~ns I CITY OF :srKll~t..FIELD ' Building/Combination Permit PERMIT NO. COM2008-00682 ISSUED: APPLIED' EXPIRES VALVE: Samtary Sewer Lme Prior to filling trench dnd mcludmg reqUIred testmg 05/13/2008 12/12/2008 $ 57,80000 By SIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmdnces of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY will be mdde of any structure WIthout pernllsslOn of the Commumty ServIces DIVISIOn, BUIld 109 Safety I further certIfy that only contractors and employees who are m compliance WIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns 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 remam on the SIte at dll times dunng constructIOn ~~# /' ~ P Owner or Contractors Signature Pal!e30f3 Date 0-/2- z;;R' 225 FIfth ;;treet Spnngfield, Oregon 97477 541-726-3759 Phone ~~~:"~:'~ __Ii ~ CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 Payments Type of Payment Check cRecemtl RECEIPT #: 2200800000000000888 Date' 06/12/2008 DescnptlOn Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 12% State Surcharge + 10% AdmmlStratlve Fee + 5% Technology Fee Paid By A HANNAMAN Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 1019 In Person Payment Total ,- ' Page 1 of I 9 34 HAM Amount Due 5000 1600 792 660 330 $H3 82 Amount Paid $83 82 $H3 82 611 2/2008 CITY OF ~rKll'\jt.l'lJ',LD . Building/Combination Permit St.ltus Issued PERMIT NO ISSUED APPLIED. EXPIRES, VALUE COM2008-00682 06/30/2008 05/13/2008 12/30/2008 $ 57,800,00 225 Filth Stl eel, Spnngfield, OR 541-726-37511'hone 541-726-3676 Fa< 54] -726-1769 InspecllOn Lllle Pellmller FoundallOn Drdllls After gravel and fillel cloth IS IIIslalled hul pnor to bdckfill Unde,l1oor Plumblllg Pnor to IIIsulatlOn or decklllg Undel floor Dram Prior to cover or pl.lcement of conuete Roogh Plumblllg Pnor to cover and lIIc1udlllg required lesllllg Wate, Lllle PnOl to filhng Irench and lIIc1udlllg required tesllllg S.lIl1t.lIY Sewel Lllle Pnor 10 filhng Irench and IIIcludlllg required lesllllg StOl In Sewer Line PrIor to filling trench FII1.11 Plumbll1g When all plumblllg work IS complele Unde, 1100r Mechamcal Pnol 10 IIIsulallOn or decklllg and IIIcludlllg reqUIred tesllllg G." Se,vlce After hne IS IIIslalled and hne has been connected 10 a mllllmum of one dpphance lI1c1udlllg reqUIred tC\tlllg PresUI e test done dt thiS pomt ROllgh Mechamcdl Pnor to Cover FII1.11 ~Iechamcal When allmechamcal work IS complele rempordry Eleclnc Approval reqUIred pnor to Ullhty Company energlzlllg pole Rough Electnc Prior to Cover [Ieltlll ServIce Approvdl reqUIred pnor to uhhly company energIZIng service rlllolll leltllc When .111 eleclncdl work IS complele By Slgn.ltll,e I state dnd agree, that I have cdrefully examllled the completed apphcdtlOn dnd do hereby cerhfy that dll IIIfOl m,ltwlI hereon IS true and correct, and I further certify that .my and all work performed shall be done III accordance with the 01 d,n.1I11es of the CIty of Spnngfield and the Laws of the State of Oregon pertdll1mg to the work descnbed herelll, and thdl "10 OCCUPANCY ",II be made of any structure WIthout permISsIOn of the Commumty Services DIVISIOn, BUlldmg Safety I fur fhu U I fll) that 0111) conti actOJ s and employees who are 10 comphance l\lth ORS 701 005 will be used on thiS project I furthel .lglce to ensure that all requIred IfispectlOns are requested at the proper time, thdt edch addres~ IS readable from the ,II eet, th.1I the permit ldl d IS located at the It ont of the property, dnd the approved .et of plans wIll remd," on the Site at all times dUllIIg lonstructlOn ~L J2J.-eJJ c:, <J6 - 08 0\\ lIel 01 COlltra~r~ Sl~nature Ddte Page 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00682 NAME OR COMPANY MIchael P Allcn LOCATION 1083 Centennial Blvd I AX LOT NUMBER 1703264412600 OEVELOPMENT 1 ype ~mgle farnlly ResIdence NEW DWeLLING UNITS 0 BUILDING SIZE (Sr 360 LO I SIZE (SF) 6970 'I gj a o u ~ LLl I-< l@ ~ I STORM DRAINAGE DIREC I RUNOFF TO CITY STORM SYSTEM , IMPeRVIOUS S F x, COST peR S F CHARGE I 290 00 '$0 346 I = I $100 35 I RUNOFF ROUTED TO DR YWELL DESIGNED AND CONS [RUCTED TO CITY STANDARDS I IMPeRVIOUS SF' x I COST peR S F I x, DlSCOUN f RAfE' I o 00 , I $0 346 , 50% 1 ~ DISCOUNT $000 ITEM] TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMeN I COST I NUMBER OF DfU's I x , 7 , S100.35 COST PER DFU $26 83 B IMPROVEMEN f CO~ I 1 NUMBER OF DFU's I x COST PER DFU I 7 $2040 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , S330 66 3 TRANSPORTATION A REIMBURSEMENT COST I ADl TRJP RAl E , x I NUMBER OF UNITS [ x 1 COS I peR TRJP 957 I I 0 1 I 2043 B IMPROVeMENT COST , ADI TRIP RATE , x I NUMBeR OF UNITS I x [ COST peR TRJP I 957 I , 0 1 1 $90 10 ITEM 3 TOTAL - TRANSPORTATION SDC = , so 00 \ 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST 'NUMBER OF FEU's 1 x ICOS f PER fEU I 0 I I $9535 B IMPROVbMENI COST 'NUMBER OF FEU's I x ICOS f PER reu I 0 , $990 39 MWMC CREDIT IF APPLICABLE (SeE RJ:VeRSE) MWMC ADMINISTRA11VE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , so 00 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~, $43] 0] 5 AI1MINISIRATlvrFEE ISUBT01AL x I ADM FEe RATE I~ CHARGE I $431 01 , 5% I $21 55 TOTAL SANITARY ADMINISTRATION FEE x [NEW TRIP FACTORI I 100 I x [NEW TRIP F ACTORI I 100 I SIOO 35 SI8783 SI4283 SO 00 so 00 1070 11091 I 11092 II I 1 1093 I 11094 I TOTAL TRANSPORTATION ADMINISTRATION FEE - ._______,0 11078 Kaye Wilson 51] 612008 TOTAL SDC CHARGES PREPARED BY DATE = SO 00 = so 00 1054 1055 so 00 t054 SO 00 1056 21 55 $000 =, $452 56 " I II ) 1079 DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE NUMBER OF NI:W FIXTURCS x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS l (NOTE FOR REMODELS CALCULATE ONLY THF NET ADDII IONAL FIXTURES) NO OF FIXTURES DRAINAGE UNlf FIX I URE fIXTURE TYPE NEW OLD EQUIVALENT UNITS IBArHIUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCEP10RS FOR SAND / AUTO WASH I ErC 0 0 6 = 0 !LAUNDRY TUB 0 0 2 = 0 !CLOmESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRhCEPTOR rOR REFRIG /WATER STATION / EIC 0 0 1 = 0 I RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 0 SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (!-lUMBER OF HEADS) 0 0 2 = 0 ISINK COMMERCIAURESlDENTIAL KITCHEN 0 0 3 = 0 ISINK COMMERCIAL BAR 0 0 2 = 0 ISINK WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURlNAL, SIALL/ WALL 0 0 5 = 0 ITOILET, PUBLIC INS1ALLATION 0 0 6 = 0 ITOILET PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 7 I -EOU (EqUivalent Dwelling Unit) IS a dIscharge eqwvalent to a smgle faIntly dwel.hng Unit (20 r:F1!s) set at 167 gal1o.~~...!: day I MWMC CREDIT CALCULA nON TABLE, BASED ON COUNTY ASSESSED VALUE I --..- YEAR CREDIT RATFJ$I,OOO ANNEXED ASSI:SSED VALUE IS LAND I:LGIBLE FOR ANNEXATION CREDIT' 2 I BCl'ORE 1979 , _$529 (Enter I for Yes, 2 for No) 1979 - $529 IS IMPROVI:MENT ELGIBLE FOR ANNEX CRI:DIT' 2 1980 $519 (Enter I for Yes, 2 for No) I 1981 $512 BASE YEAR 1979 I 1982 $4 98 I ]983 $480 CREDIT rOR LAND (IF APPLICABLI:) I 1984 $463 VALUE/1000 CREDIT RATE I ]985 $440 $000 x $529 ~ I $000 I 1986 $4 07 I ]987 $367 CREDIl ~OR IMPROVI:MENT (IF AFTER ANNEXA nON) I 1988 $322 VALUE/IOOO CREDIT RA fE I 1989 $273 $000 x $529 ~ I 0 I 1990 $225 I 1991 $180 I 1992 $159 TOTAL MWMC CREDIT = $000 I t993 $145 I 1994 $125 I 1995 $109 I 1996 $092 I 1997 $072 I 1998 $048 I 1999 $028 I 2000 $009 I 2001 $005 . Construction Contractors Board 700 Summer St NE SUite 300 PO Box 14140 Salem OR 97309-5052 Pbone 503-378-4621 Web Address' www ccb state or us - Perrmt# 0f)~2.....- . Address. \Q~ 0fJ\\ffi\\ \ ~ L Issued bti( ,l'fi- ) - Datl [)-l.tl{) .C);? Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requires residential constructIOn permit applicants who are not hcensed With the ConstructIOn Contractors Board to Sign the follOWing statement before a budding permit can be Issued This statement IS reqUired for reSidential bUilding, electncal, mechamcal and plumbing permits Licensed architect and engineer apphcants, exempt from hcenslng under ORS 701010(7), need not submit this statement ThIS statement Will be filed WIth the permit Fill m the appropnate blanks and ImtIal boxes I and 2, and either box 3A or 3B t: I own, reSide m, or Will reSide m the completed structure I understand that I must become licensed as a constructIOn contractor If the structure IS sold or offered for sale before or on completIon D 3A My general contractor IS (Name) (CCB #) I Will mstruct my general contractor that all subcontractors who work on the structure must be licensed With the ConstructIon Contractors Board OR 3B I Will be my own general contractor If I lure subcontractors, I Will hire only subcontractors lIcensed With the ConstructIOn Contractors Board If I change my mmd and lure a general contractor, I Will contract With a contractor who IS licensed With the CCB and wIlIlInmedlately notIfy the office IssUIng thiS bUlldmg permit of the name ofthe contractor I hereby certify that the above mformatlon IS correct and tbat I bave read and do understand the InformatIOn Notice to Property Owners about Construction ResponSibilIties on the reverse Side of tins form, /XJ?Mj)O~L !?JJGf} (p -30- 08 (S~lature of permit applicant) (Date) (WhIte copy to ISSUing agency permit file, pink copy to apphcant) f Property_owner doc 06-01-04 ,A~thJ1g, as.{Y~aii";O~ General Contractor? I ,~ '/ / ' I "_1 ,\ -", I _~ .'-- -' : I U INFORMATION' NOTICE TO PROPERTY OWNERS r._-:,'; ) ':~ ~)':,) ABO~T:::'(fOt!~TRUCTION RESPONSIBILITIES . NOTE ThIs InformatIon Notice to Property Owners about ConstructIon Responsfbflttfes was developed by the ConstructIon Contractors Board In accordance wJth ORS 701 055(5), passed by the 1989 Oregon Legfslature If you are actmg as your own contractor to construct a new home or make a substanhallmprovement to an eXlstmg structure, you can prevent many problems by bemg aware of the followmg responslblh hes and concerns Employer Responsibilities You wlll, m most mstances, be ruled to be an "employer" and the contractors you contract Wlth WIll be "employees" If you use contractors not hcensed Wlth tbe ConstructIOn Contractors Board to do labor m constructmg or to assIst m the constructton or Improvement of a resldenttal s~cture As the employer, you must comply with the followuig: Oregon's Wlthholdmg Tax Law: As an empioyer, you must wIthhold mcome taxes from employee wages at the ttme employees are paId You WIll be hable for the tax payments even If you don't actually WIthhold the tax from your employees For more mformatlOn, call the Department of Revenue at 503.378-4988 , Unemployment Insurance Tax, As an employer, you are reqUIred to pay'a tax for unemployment msurance purposes ~../ on the wages of all employees For more mformatlOn, call the Oregon Employment Department at 503-947-1488 I The Oregon Busmes~ Idenhficatton Number (BIN) IS a combmed number for both Oregon Wlthholdmg and Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or wv..w dor state 01 us/formsnav htmll for the appropriate forms Workers' Compensation Insnrance: As an employer, you are subject to the Oregon Workers' Compensatton Law, and must.obtam workers' compensatIOn msurance for your employees If you fall to obtam workers' compensatIOn msurance, you could be subject to penalttes and be hable for all claIm costs If one of your employees IS mJured on the Job For more mformatlOn, call the Workers' CompensatIon DlvlSlon at the Department of Consumer and Busmess Semces at 503-947-7815 U,S Internal Revenne SerVIce' As an employer, you must WIthhold federal mcome'tax from employees' wages' . You wlll be lIable for the tax payment even )fyou dIdn't actually WIthhold the tax For a Federal EIN number, call the' IRS at 1-800-829-4933 or VISIt their web sIte at v,W\\ liS gov .. Othell" RespOillsibiiities all1ld AR"cas of Concerns , , \ \ " Code Comphance As the permIt holder for thl~ project, you are responSIble for resolVIng any fallure to meet code reqUIrements that may?e brought to your attentton through mspectlOns , Llabihty and Property Damage Insurance: Contact your msurance agent to see If you have adequate msurance coverage for aCCIdents and omISSIOns such as faIlIng tools, pamt over spray, water damage from pIpe punctures, fire or work that must-l;?e redone -" \ '-< '" - Time: Make sure you have suffiCIent hme to supervIse your employees I , ExpertIse. Make sure you have the skIlls to act as your own general contractor, to coordmate the work of rough-m and fimsh trades, and to nottfy bUlldmg offiCIals as the appropnate hmes so they can perform the reqUIred mspecttons If you have addlhonal questtons call the ConstructIOn Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052 Property_owner doc 06.01-04 225 Fifth Strcet Spnngficltl, Oregon 97477 54 (726-3759 Phonc ~ ~ CIty of Sprmgfield Official ReceIpt Development Services Department PublIc Works Department Job/Journal Numher COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008.00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008.00682 COM2008-00682 COM2008-00682 COM2008.00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 COM2008-00682 PdYllllnts I ype or P.l\ mUlt Check cRLce1011 RECEIPT #. 1200800000000000716 Date, 06/30/2008 DescriptIOn Stann Sewer - 1st 50 Feet Stann Sewer Each Addtl 100' Furnace - up to 100,000 htu Boiler/Comp Up To 100,000 htu V cnt Fan Mmlmum/AdJustment Mechanical -Mech Iss 2+ Apphances- Resldence WIling 1000 Sq Ft Residence WIling Ea Addtl 500 Temp Power 200 amps or less Penn Serv/Fdr 200 amps or less + 5% 1 echnology Fee + 12% State Surcharge j- 10% Admmlstratlve Fee Frre SF Fee - Residential Stann Drainage ImpervIous Area Sanitary Sewer - Reimbursement Samtdry Sewer - Improvement SDC SanltarylStonn Admm Plan Review Mmor - Plannmg Buildmg Penn It 2 Bath, One or fwo Family Water Lme - 1st 50 Feet Water Lme - Each Addtl 100' Paid By SHIRLEY BELL Item Total Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed IIh 1225 In Person Payment Total Page I of I 1 06 03PM Amount Due 5000 1600 1400 1400 2100 1500 4000 11700 2100 5500 7000 6488 14180 11997 1800 10035 18783 14283 2 I 55 11600 442 66 280 00 5000 1600 $2,13487 Amount Paid $2,13487 $2,134 87 6/30/2008 Statu. J.sued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2008-00682 ISSUED' 06/30/2008 APPLIED, 05/1312008 EXPIRES' 12/30/2008 VALUE $ 57,80000 225 Filth Stl eet, Spnngfield, OR 5otl-726-3753 Phone 50t 1-726-1676 Fax 50t 1-726-1769 InspectIOn LlOe SIl E ADDRESS 1083 CENTENNIAL BLVD A%FSSOR'S PARCEL NO 1703264412600 Sp'lOgfield TYPE OF WORK SlOgle Fdmlly Residence TYPE OF USE Remodel ReSIdential PRO J ECT DrSCRlpTION ReSIdentIal dddltlOn and remodel O"IU'I Ad,lI e" ~IllRLEY BELL l083 CENTENNIAL BLVD SI'RINGFIELD OR 97477 Phone Number 541-942-7990 I CONTRACTOR,INFORMATlON I Contr actol Type GCI1CI,1I Electru...11 Mech.lIl1c.l1 Plumhlllg Contractor MICHAEL I' ALLEN OWNER MARS HALLS INC A HANNAMAN License 158948 ExpiratIOn Date 03/27120!0 Phone 541-547-4790 25790 178662 BUILDING INFORMATION I 1212312009 10/0212009 541-747-7445 541-653-9750 # 01 Ul1It. # of Stones I Lot SIZe 6,970 1'1101.11 v Occllpdncy Group R-3 Height of StroCtUI e 12 00 Sq Ft I st Floor 360 Secolld,lIv OClIIpancy Group Type of Heat Wall Heat Sq Ft 2nd Floor PI 101.11 Y COII~tructlOn Type VB Water Type Sq Ft Basement Selond.II" ConstructIOn Type Range Type Sq Ft GaragelCarport # 01 Bcdl QOIll' Energy pdth Path I Sq Ft Other Spllllkled BUIld 109 No Occupant Load I DEVELOPMENT ~NFORMATlON , REQUIRED PARKING Flontv.lId Setbdck SICle I Seth,1l k S,de 2 Setb,llk Re In,lId Setback SOl.lI ,",cth.ld\, 550 Overlay DlSt # Street Trees Rqd Paved Dnve Rqd 0/0 of Lot Coverage Total Handlcdpped Compdct 8500 000 23 90 Note, Stol~tQinGe;o eXlsI1Qg,srs!<WnlRE IF THE WORK THIS PERMIT SHALL t^r IS NOT AUTHORIZED UNDER THIS PERMIT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I ATTEi'SllfillllfilDll'j!p\li law requires you to follow r,tlles adopted by the Oregon UIlIIty Notlflca<<8rNlm/!llfslfuBWrules are set forth in OAR 952-001-0010 through OAR 952-001- 0090 You may obtam caples of the rules by calling the center, (Note the telephone number for the Oregon Utility Notification Center tS 1-800-332-2344). Stl eel Implovcments 5toll11 SC\\ CJ A v3Ilable SpCcl<llln'tlllctlOn Pa2e I of 4 SPCUI>.:C1rll.r..o --l-.A,'e , ;;~M:D'. ~II~ St,ltu~ Issued 225 Filth ~treet, Sprmgfield, OR 541-726-3753 Phone 541-726-1676 Fax 541-726-1769 InspectIOn Lme Dc~clllltlOn Tvpe of ConstructIOn Use Bid Amount V Wood Frame Bid Amount D\\ elhlH!5 Fee Dt'.!tu IIJtlOn PI.H) Rc\ le\\ Residential + lOt}';) Adlnllllstrdtlve Fee + 12tXl "t,lle "urch,Irge + 5% Telhnology Fee S,m,t.1I \ Se\\er - 1st 50 Feet S.II1'I.1I \ Se\\ er E"ch Addtl 100' -~Ielh 1<; 2+ Applldnces- + IO'XI AdmllllstrJhve Fee + 121i'o St.H(' SurchJrge + ':;IX) I cdlllology Fee 2 B.lth, One or Two Fam,ly BOIlel/Comp Up To 100,000 btu BlIIldmg PCI nllt Fu e sr Fee - ReSldent,al Fn,n.lle - np to 100,000 btu i\-IlIllmum/AdJustment MechdOlcal Perm Su v/Fcll 200 .Imps or less PI,In RcvIC\-\ Minor - PI,lUnIng: Rem)cnce WII 109 1000 Sq Ft ReSIdence WII 109 Ed AddU 500 S,lIl1t,lIY ~C\\CI -Improvement Snl1lt:ny SC\\t'1 - Reimbursement SDC S.IIIII.II)/Stonn Admm StOI III Dr .1Il1,lge Impervlou!t Area 8tOl TI1 SC\\CI - Ist 50 Feet Sto,m &e\\e' EdCh Addtll00' Tl'mp PU\\ CI 200 .Imps or less Vl'nt F.1I1 W.'le, LUll - 1st 50 Feet W.lle, Ime - Each AddU 100' I ot.ll Amount Pa,d I ValuatIOn Desc~lDtlOn I $ Per Sq Ft or multIplier $100 $10500 Square Footage or B,d Amount 20,000 00 360 00 Total Value of Project \<pp<, p,'WJ Amount P.I,d $287 73 $660 $792 $330 $50 00 $1600 $40 00 $11997 $14180 $64 88 $280 00 $1400 $442 66 $1800 $1400 $1500 $70 00 $11600 $117 00 52100 $14283 $18783 $2155 $10035 $50 00 $1600 $55 00 $2100 $50 00 $1600 $2,506 42 Ddte Paid 5113/08 6112/08 6112/08 6112/08 6/12/08 6/12/08 6/30/08 6/30108 6130/08 6/30/08 6130/08 6130/08 6/30108 6/30108 6130108 6130/08 6/30/08 6/30/08 6/30/08 6/30/08 6130108 6130108 6130/08 6/30/08 6/30/08 6/30/08 6130108 6130/08 6/30/08 6/30/08 P .lee 2 01 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00682 ISSUED' 06/3012008 APPLIED. 05/1312008 EXPIRES 12130/2008 VALUE $ 57,80000 Value Date Cdlculaled $20,000 00 $37,80000 $57,800 00 0511312008 05/13/2008 Relelpt Number 1200800000000000483 2200800000000000888 2200800000000000888 2200800000000000888 2200800000000000888 2200800000000000888 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 1200800000000000716 St,ltw, Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-00682 ISSUED. 06/30/2008 APPLIED 05/13/2008 EXPIRES 12/30/2008 VALUE' $ 57,80000 225 F,lth Streel, Spnnglield, OR 541-726-1751 Phone 541-726-1676 F dX 541-726-1769 InspectIOn Lllle Plan Reviews I Il1Itlal Revl"" 05/14/2008 05/14/2008 APP LLH Public \VOI k" Review 05/1512008 05/1512008 WE LKW Called and left message for IIlformallOn on balhroom Ihal .s belllg added to thIS remodel Publll \York, Review 05/14/2008 05116/2008 APP LKW Storm to eXisting system StJ Hetul.II RlVICW 05/14/2008 06/0912008 WE RWC Bad phone numbel Ined 6/9108 1) provIde new truss delalls where old roof has been removed 2) provIde calcnlallOns for all beams and headers 3) provIde shear wall delalls PI,Hlmn!! Rc\ Jew 05114/2008 0611812008 APP TAJ Sfl uehu,,1 Review 06/26/2008 06/26/2008 APP RWC To Request an mspectlOn call the 24 hour recordmg at 726-3769. AllmspectlOns requested before 7 00 ,I m WIll be made the same working day, mspectlOns requested after 7 00 a m Will be made the followmg \\01 k d,IY I Rpf'llll~nsnectlons I S,lIl1t.lry Sewer LlIle Pnor to filhng Irench dnd lIIc1udlllg reqlllred lesllllg Footlllg After trenches .Ire excavdted Found.ltlOn After forms .ne erected but prior to concrete placement Po,' ,lIId Bedrn Pnor to floor InsulatIOn or deckmg noO! InsulatIOn Prior to deckmg She,], Wall Ndlhng Belore covenng shealhlllg wllh finISh matenals fl .lI1ung InspeltlOn Prior to cover and after all rough III IOspectlOns have been approved \V,IJllnsulatlOl1 Prior to cover Ceiling InsulatIOn Prior to cover DI'" .111 PrIOr to tapmg Fill,' I BllIldlllg After all reqlllred IIIspecllOns have been reqnested and approved and the blllldlllg IS complete Undelgronnd Plnmblllg Prior 10 filhng Ibe Irench and lIIc1ndlllg reqUIred lesllllg Page 3 of 4