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Home My WebLink AboutPermit Building 2008-6-20 -~.C;~-~ 'Ii ,- , , ~ -~ - ~~ Status Issued 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 609 34TH ST ASSESSOR'S PARCEL NO 1702312401501 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00730 ISSUED 06/20/2008 APPLIED: OS/22/2008 EXPIRES: 12/2012008 VALUE: $ 9,072.00 Sprlngtield TYPE OF WORK Garage PROJECT DESCRIPTION Garage addItIOn Owner JAMES NELSON Address 609 34TH ST SPRINGFIELD OR 97477 TYPE OF USE AddItIOn Resldent..1 Phone Number Unhsted I CONTRACTOR INFORM A TlON I Contractor Type General Electrical Contractor RE NEW CONSTRUCTION OWNER BUILDING INFORMATION' # of UUltS Primary Occupancy Group Secondary Occupancy Group Pllmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms U # of Stories HeIght of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldmg VB LIcense 181523 ExpiratIOn Date 04/11/20 I 0 Phone 541-221-5890 Lot S,ze 1600 Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other nla Occupant Load 5,663 324 I DEVELOPMENT INFORMA TlON I Total HandIcapped Yes Compact oU\o leo.UIles'j \.I\III\'! _.... \a\N ^"P,oOf\. ,.......\n I PUBLIC IMP~i~'k.~ec\ '0'1 ~'~~Ies a~ ~5?'00\' .. t 'I' ,\'IOs h 01>-'" \eS '0'1 Street Improvements \~IIO"" tU o~ cell\e~\ O~lde*\lIl, ~ l~Olle ~""f:<C' HE WORK ~o\\\lca\1 '2. 00\.0 " collIe" "W~~1l ~oll ' ~.t2rm Sew;~, A~a~abl~ EXPIRE IF 1 NOl 01>-R 95 . a'j 0'o\a,\u~~nspo'ilrs\~4Ing. I Curb and Gutter ~~f,<aa!''-nst"u1:llOnL\L R lH\S pERMll IS III 090 '/oU ~ cell\e( Oll \.I\\1\1'j"''''~ MllHORIZED UNDE~ ~RII.NIIONED FOR 0 ca,llllI9 \~Ol \\'Ie Ol~.~OO''j'j'2.- Noles MEStorm fo\H~tlng'sys'(em l\UllI'oelC lI\el IS CUNI 'w~~ PERIOD e ANY i 80 Dfi, Frontyard Setback S,de I Setback SIde 2 Setback Rearyard Setback Solar Setbacks 23 00 900 Overlay DlSt # Street Trees Rqd P dved Drive Rqd % of Lot Coverage 1400 250 Paee I ofJ REQUIRED PARKING ..,.. . _...,..".....~ *"-'t- ' . ." , :A!;: " '<lIQ _ _ _ _ _ ~"f(l ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00730 ISSUED: 06/20/2008 APPLIED' OS/2212008 EXPIRES: 12120/2008 VALUE: $ 9,072.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme I Valuahon DescrlOhon I Garaee Garae:e $ Per Sq Ft or multIplIer $28 00 Square Footage or B,d Amount 324 00 Value Date Calculated DescrlotlOn Tvpe of ConstructIOn Total Value of Project $9,072 00 $9,072 00 05/22/2008 l..Fp,,< P1WJ Fee DeSCription Amount PaId Date PaId ReceIpt Number Plan ReVIew ReSIdentIal $7712 5/22108 2200800000000000732 + 10% Admmlstratlve Fcc $24 08 6/20/08 3200800000000000419 + 12% State Surcharge $26 96 6/20/08 3200800000000000419 + 5% Technology Fee $1703 6/20/08 3200800000000000419 Add, Alter, Extend C1rc Ea Add $36 00 6/20/08 3200800000000000419 Buddmg PermIt $11864 6/20/08 3200800000000000419 Fife SF Fee - ReSIdentIal $1620 6/20108 3200800000000000419 Perm ServlFdr 200 amps or less $70 00 6/20/08 3200800000000000419 Plan ReVIew Mmor - PlanUlng $11600 6/20/08 3200800000000000419 SDC SaUllarylStorm Admm $702 6/20/08 3200800000000000419 Storm Dramage ImpervIOUs Area $14048 6/20/08 3200800000000000419 Total Amount PaId $649 53 I Plan ReViews I IUltIal ReVIew 05/23/2008 OS/2312008 APP LLH Pubhc Works ReVIew 05/23/2008 05/28/2008 APP LKW Storm to eXlstmg system Structural ReVIew 05/23/2008 06/1312008 APP RWC PlanulD!! ReView 05/23/2008 06/16/2008 APP T AJ Pave the first 18' of drlVewdY If 34th IS a curb and gutter street Plot plan was madequate 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. Rpnlllrpti In~npl"'hOW Foolmg After trenches are excavated FoundatIOn After forms are erected but prIor to concrete placement Paee 2 of 3 -i:i:;:iii ~., CITY OF M"Klj~GFIELD Building/Combination Permit Sta tus Issued PERMIT NO: COM2008-00730 ISSUED: 06/20/2008 APPLIED. OS/22/2008 EXPIRES: 12/20/2008 VALUE' $ 9,072.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme Shear Wall NaIlmg Before covering shealhmg wIth filJIsh materials FramlOg InspectIOn Prior to cover and after all rough In lUspectlOns have been approved Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buIldmg IS complete Rough Electric Prior to Cover Electric ServIce Approval reqUIred prior to utIhty company energIZIng servIce Fmal Electric When all electrical work IS complete By sIgna lure, I state and agree, that I have carefully exammed the completed apphcatlOn 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 Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work desCribed herem, dnd thaI NO OCCUPANCY WIll be mdde of any structure wIthout permISsIOn of the Commumty ServIces DIVIsIOn, BUlldmg Safety I further certIfy that only contractors and employees who arc m comphance wIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns arc requested at the proper tIme, lhat each address IS readable from the street, lhat the permIt card IS located at the front of the property, and the approved set of plans WIll remam on lhe sIte al all tIme rmg constructlOb ?7~ fO -12 ()~I) X ner or Contractors SIgnature Date Paee 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00730/Garage AdditIon NAME OR COMPANY Jame; Nelson LOCATION 60934th TAX LOT NUMBCR - 1702312401501 DCVCLOPMCNT TYPE Smgle Family Residence NEW DWELLING UNI rs 0 BUILDING SIZE (SF 324 LOT sIze (SF) 5663 II II ~ Cl -. 0 U ~ W f- CFl ~ o w ~ I STORM DRAINAGr, .---- . DIRECT RUNOFF TO CI fY STORM SYSTEM I IMPERVIOUS SF x I COST PER S F CHARGC I 40600 I $0346 I ; I $14048 I RUNOrF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F I x I COST PER S F I x I DISCOUNT RATE I I DISCOUNT I 000 I I $0 346 I I 50% I ~ I $0 00 ITEM I TOTAL - STORM DRAINAGE SDC $14048 , 2 SANITARY SEWER. CITY A REIMBURseMeNT COST I NUMBeR OF DFU's I o I x COST PER DrU $26 83 B IMPROVEMENT COST I NUMBI:R OF DFU's I I 0 I x COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 3 rRANSPORTAnON A REIMBURSEMCNT COST I ADT 1 RIP RATE I x I 957 I B IMPRoveMENT COST I ADTTRIPRATE I 957 I I NUMBER OF UNITS I x I I 0 I I NUMBER OF UNITS I x I I 0 I I = I x ITEM 3 TOTAL- TRANSPORTATION SDC 4 SANITARY srWER - MWMC A REIMBURSEMENT COS I INUMBeR OF rEU's I x I 0 I ICOS r PCR rEU I $95 35 B IMPROVEMENT COST INUMBER OF FEU's I x ICOS I PER FCU I 0 I $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE rEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I SUBTOTAL (ADD ITEMS 1,2,3,&4) =, 5 AOMINISTRATlVE FEE ISUBTOTAL x I ADM FEE RATE I~ I $14048 I 5% I TOTAL SANITARY ADMlNISTRATlON FEE lOTAL TRANSPORTATION ADMINISTRAnON FEE Kaye WIlson $000 $14048 $000 $000 I 1070 I 11091 I 11092 I COST PER rRlP 2043 COST PER TRIP $9010 $000 x INI:W TRIP FACTORI 100 x INEW TRIP FACTORI I 100 I $000 $000 IllJ93 I ~- 1094 $000 $14048 CHARGE $702 ; $000 1054 lOSS I 1054 1056 I I I ; $000 $000 $000 PREPARED BY DATE 5/29/2008 TOTAL SDC CHARGES 702 $000 =, $14750 I I _.__~_, -----I 11079 J 1078 , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXllJRE UNITS I' (NOTE FOR REMODELS CALCULATE ONLY TI-IE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE 1 UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS IBA1HTUB 0 0 3 = 0 I IDRINKlNG FOUNTAIN 0 0 1 = 0 I I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE lOlL / SOLIDS I ETC 0 0 3 = 0 I ~NTERCEPTORS FOR SAND / AUTO WASH I ETC 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I ICLO I HESW ASHER I MOP SINK 0 0 3 = 0 I ICLOTHESW ASHCR - 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I I RECJ:PTOR FOR REFRIG / W A 1 ER STATION / ETC 0 0 1 = 0 1 I RECEPTOR FOR COM SINK / DlSHW ASIIER / ETC 0 0 3 = 0 1 I SHOWER. SINGLE STALL 0 0 2 = 0 [ I SHOWER. GANG (NUMBJ:R OF HEADS) 0 0 2 = 0 I [SINK COMMERCiAuRESIDENTIAL KITCHEN 0 0 3 = 0 1 ISINK COMMERCIAL BAR 0 0 2 = 0 [ ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I I SINK SINGLE LA V A lORY /RESIDENTIAL BAR 0 0 1 = 0 I [URINAL. STALL I WALL 0 0 5 = 0 I ITOILJ:T. PUBLIC INSTALLA1ION 0 0 6 = 0 I TOILCT. PRIVATE INSTALLATION 0 0 3 = 0 1 MISCELLANEOUS Dru TYPE NUMBER OF EDO'S 11 20 = 0 , TOTAL DRAINAGE FIXTURE UNITS 0 I .EDU (EQwvalent Dwellmg Umt) IS a discharge eaUlvalent to a sln~e farttllv dwelhnq, umt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RA TE/$I ,000 II ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT" 2 ~ BEl-ORE 1979 $529 (Enter I for Yes, 2 for No) I 1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNCX CREDI r> 2 [ 1980 $519 (Eoter I for Yes, 2 for No) I 1981 $512 BASE YEAR 1979 I 1982 $4 98 I 1983 $4 80 CRJ:DlT FOR LAND (IF APPLICABLE) 1984 $4 63 VALUE /1000 CREDIT RATE I 1985 $440 $000 x $529 ~ , $000 I 1986 $407 I 1987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $322 VALUE /1000 CREDIT RATE I 1989 $273 $000 x $529 ~ , 0 1990 $225 I 1991 $180 I ]992 $159 TOTAL MWMC CREDIT = $000 [ 1993 $145 [ 1994 $125 [ 1995 $109 I 1996 $092 I 1997 $072 I 1998 $048 1999 $028 I 2000 $009 I 2001 $005 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Nnmber ("OWl I'J::>C> 3- 60 7 .3 (:) 1 --~-~~ - --- LOCA1ION OF INSTALLATION: ho !,.SC{+L I~ LEGAL DESCRIPTION (70Z :5 fZL( or)O ( JOB DESCRJPTION Su.. ~ .[>A"'-~ { j Ct .--c.....;' lJ PermIts arc non-transferable fnd explfe If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 CONTRACTOR INSTALLATION ONLY EIectncaI Contractor Address PhO:/ SupervIsor LIcense Number I t:I ExpIratIOn Date I<'} J r CIty Constr Contr Numbef ExpIratIon Date SIgnature of Supervlsmg Electncmn Owners Name \Y /f1119: <; [) N); /\ t'J ^ ( Address /0(3 {} .71-1 '-fh ;::;-r CIty ,C;f' f{ 1M? -{]<; /J Phone JJill-&MS'2. OWNER INSTALLATION The mstallatlOn IS bemg made on property I own whIch IS not Intended for sale, lease or rent jZrs Slgnatur:o 7Z /7 -')->'1 OA - ~ 0qft-7 InspectIon Request 726-3769 Date 3 COMPLETE FEE SCHEDULE BIlLOW A Ne."' RCSldential- Sm.g~.or ~n\tl-Family per dwelling UOlt ServIce Included 1000 sq ft or less .---" Each addItIOnal 500 sq ft Of portIOn thefeof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $11700 $ 2100 $55 00 B ServIces or Feeders - lnstallatlOn, AlteratIOns or RelocatIOn ! 70 ~ 200 Amps or less $ 70 00 20 I Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $13800 60 I Amps to 1000 Amps $180 00 PG:ifIO.<!iJ:AmpsNolts . .. ,~li-4,l,3 00 ~1'I1~1\WflI&SHALL EXPIRE \! I Mt vV"rn 00 AUTHORIZED UNDER THIS PERlVIl1 I:' NOT c GCffvmm'm.,'iB''!m~ MlMlIOONEO fOR II.NY i RO DAY PERIOD histallatlOn, Alteration or RelocatIOn 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps Of 1000 Volts see "B" above ~ ~'<-- ~ D A'fmli6l~~.!S ( . ""':,._ ~ .. _ _.__. _ . , ,r :=-c' (\'~ ~ 1 _>AlferatlOn or:. ExtenSIOn Per Pan!,! . ) , ~ /.r.1."tl{~n CerHl' ~.... ~ - ), I f;lDtl""rCIDt,_O~' -0010 1I " J' J, ,~," ,~j8 00 EaW1\1l~~tO\\ =1!!.cuII(Or,wlth.' 0 "onp. , /' ~Q:c ~p\le'i: e ;/(ir~l1tNo\e t\1e telC[' , , lh 400 ,/ b callm9 trie (;,' 'n Utility NO 11I"",Il! her ior ~he arago " 234'\) E 1Wi\lt~n~~\\~t<~rlvii:Qlt~il~r not mcluded) -Each Installation $ 55 00 $ 76 00 $11000 Pump or lITIgatIOn $ 55 00 SlgnlOutlme LIghtmg $ 55 00 LImIted EnergylResldentml $ 28 00 LImIted Energy/Commercml $ 50 00 MID'lDum Electric PermIt InspectIon Fcc IS $50 00 + Surcharges lOb I1.7L /OfP SiO 13tf~ 4 SUBTOTAL OF ABOVE 12% State Surcharge 10% Admmlstratlve Fee 5% Technology Fee TOTAL Shared Dnve(T )/BuIidmg FonnslElectncal Penmt Application 1-08 doc 225 FIfth Street Spnngfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OfficJaI ReceIpt Development ServIces Department Public Works Department Job/Journal Number COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 Payments Type of Payment Check cRecemtl RECEIPT #: 3200800000000000419 Date: 06/20/2008 Descnptton Fire SF Fee - Residential Storm Dramage ImperVIous Area SDC Samtmy/Stonn Admm Penn Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add Plan ReVIew Mmor - Plannmg BUlldmg Permit + 5% Technology Fee + 12% State Surcharge + ] 0% Administrative Fee PaId By J D N IJ E N Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received 1508 In Person Payment Total nJm Page I of I 100850AM Amount Due 1620 14048 702 7000 3600 11600 11864 1703 2696 2408 $572 41 Amount Paid $572 41 $572 41 6/20/2008 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00730 ISSUED: 06/20/2008 APPLIED: OS/22/2008 EXPIRES: 03/02/2009 VALUE: $ 9,072.00 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541- 726-3769 hispection Line SITE ADDRESS: 609 34TH ST ASSESSOR'S PARCEL NO.: 1702312401501 Springfield TYPE OF WORK: Garage . TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Garage addition Owner: Address: JAMES NELSON 609 34TH ST SPRINGFIELD OR 97477 Phone Nnmber: Unlisted Contractor Type General Electrical . ""11\0 . _ \'\''''-leQU''~~ ~lli\l\'f 11-('..o~TR!\.~TQR~<< ~ f'-rn:. 'ules aow'. \hose IUI~- i>..~ ~f;~ Contractor \Oi\O~ \\0(\ ce(\te~~ 0 thlOUgh ~\\Ml\eI1lreb't RE NEW coNsYtmG:-T,](C)I'l~-O btai(\ COP\~~;e tlM~'0~~e II OWNER \~^~~. 'IoU f(\a~^~\~l. ~~O~~,;m~ ~oti\ICat\O - cair"'ihYif{nr,<fi~RM<<mt (\ul . - ce(\lel \- # of Stories: Height of Structure_". Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Expiration Date 04/11/2010 Phone 541-221-5890 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: U 16.00 'Lot Size: 5,663 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport 324 Sq Ft Other: . Occnpant Load: VB nla I DEVELOPMENT INFORMATION I REQUIRED PARKING 14.00 2.50 Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Yes \\t 'tJ~pact: . % of Lot ~rage: t"'lP\Rt \f i \s "01 "01\v~' ii Srlr>.\.\. ~ ~tR,,^\1 ;t:.. DIORWI'. I :.ft-o \\\.lS ;r:.r lOOP> I PUBLIC 1M.\'iWI~EMf.!NJ<~" IS to.~to.N\)V COWl\lJlt.~o~i PtR\O~ldewalk Type: to."'/ 1'0 DownspontslDrains: Cnrb and Gntler Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 23.00 9.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm to existing system Page I or 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction Garage Garage Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential GaragelCarport Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning SDC SanitarylStorm Admin Storm Drainage Impervions Area + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amonnt Paid Initial Review Public Works Review Structural Review Plan nine Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00730 ISSUED: 06/20/2008 APPLIED: OS/22/2008 EXPIRES: 03/02/2009 VALUE: $ 9,072.00 I v aluation Des~rintio,~ I $ Per Sq Ft or mnUiplier $28.00 Sqnare Footage or Bid Amonnt 324.00 Valne Date Calcnlated Total Valne of Project $9,072.00 $9,072.00 05/22/2008 Fpp< ~ Amonnt Paid Date Paid Receipt Nnmber $77.12 $24.08 $26.96 $17.03 $36.00 $16.20 $118.64 $70.00 $116.00 $7.02 $140.48 $7.30 $8.76 $3.65 $73.00 5122/08 6/20/08 6120/08 6120/08 6120108 6/20/08 6120/08 . 6/20/08 6120/08 6120/08 6120/08 9/17108 9/17/08 9/17/08 9/17/08 2200800000000000732 3200800000000000419 3200800000000000419 3200800000000000419 3200800000000000419 3200800000000000419 3200800000000000419 3200800000000000419 3200800000000000419 3200800000000000419 3200800000000000419 2200800000000001411 2200800000000001411 2200800000000001411 2200800000000001411 $742.24 I Plan Reviews I 05/23/2008 OS/23/2008 ,APP LLH APP LKW Storm to existing system 0512312008 0512812008 0512312008 . 06/1312008 APP RWC OS/2312008 06/16/2008 APP T AJ Pave the first 18' of driveway if 34th is a curb and gnlter street. Plot plan was inadeqnate. 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. Page 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00730 ISSUED: 06120/2008 APPLIED: 05/22/2008 EXPIRES: 03/0212009 VALUE: $ 9,072.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouirerl Insnections I Footing: After trenches are excavated. Fonndation: After forms are erected bnt prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Final Bnilding: After all reqnired inspections have been reqnested and approved and the bnilding is complete. Rongh Electric: Prior to Cover Electric Service: Approval reqnired prior to utility company energizing service. Final Electric: When all electrical work is complete. By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne 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 structnre withont permission of the Community Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree to ensure that all reqnired 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 Signatnre Date " Page 3 of 3 \. . v ;.='" .<:J," 'J" , ~." o. ..._, ~ -;; '" ...,r ....~....... T' - - -,.=t 'j-t~.- . i:~ '/I)~:'_ ~ITi~:,~~~~PRlNC3I:I~bl), OJlliE19~~':i.- { SPRINGFIELD __ ,,_,~ ZON \ Ii /~ l~ INITIALmrY\., lIB: ,6,!.. DATE q ~ 11 /(f, . ~ SOURCEmr={YU 7/'71o(~ { 3 ~CO.Mi>EEi'E;EEE'seliEDtrLEBEWWJfJ~L!\;~~{'jt@l'::":1 . . .'>'_' ,"".,^"",_"-"""""w,_",~,,,,~,,;, W'_"__'''~''W_'.' '''"'''~'''''',"';',"''''-''K~"".."",""."*_."_"",,,,,,,,~itti'[E",db;$:':'';f~;,j\t>-,':';~"':,i' . Date . 225 FIFIlI STREET. SPRlNGFIELn, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C6c.N'\ zoO 3' -00750 1. WlMI1QJY70Him~~[:!;1TIQfY;.. &cP{ I'.:j l-L'Y2- . Expiration Date LEGAL DESCRIPTION: ( 702 :s I Z L( JOB DESCRIPTION: (rv;:<' . 200. ~e L V\.fS"'-~ Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder ~ ~~-::~~ a~~~ (J , /~ ,. Dc)..L.2 (g (j 201 Amps to 400 Amps $ 86.00 Address U _ IJ r- \ 401 Amps to 600 Amps $143.00 1_ /1_ 601 Amps to 1000 Amps $186.00 City Vfit-('t(I4.II" ~ Phone /qq,OY)OC:;. 9ver hOflJ~tYou.t~ $426.00 .' ,; ..- ~O,,\: C'J3.~~f~vtl~0regon Utility $ 57.00 , , "II. ..; tdofJ rules are set forth , ') I If c:: _0.' I "\\tlf~!lw7"~At:llaFi2iaY~"'ill~~l'-:!mIlIII Snpervisor License Number :JIPl7lP -/!. .~ ..:~ "~;J\1f~JlP:~W~ > 'fiII.~lS!it';Gjf~~i~~1fff.l.~Lt~ 00\.\). 'fOCI 1Ti~:{ obtain ~ p '~e telephOne . L10/, 0/ [0 ~"Ili"g Ihe ctInstllIl~~GIi?'. e'j&aUR6l!\i\JlfocatlOn I . - t"" Clr.r.,Q~n Oil I Y __ \1ulTlber lor '"Ouo ':m1e.~32~344). n ~ q.'i. .~ Cente2&~ ~ps to 400 Amps 40 I Amps to 600 Amps O(r-Of ":"""'~.:w;"""i1,?~"~\u;ael'~"""""iiL~f41~~"""?",";:;""#j.'"~''~_)i'.~"~P;'0',,,;, "T,,~'C,"B-i'_",",~ A. ~i~~\yjB~!I!~\!!i!!;~i!!g!~;!,j~4l\'JI!!!4fJ!~!!51il!.~1J,"~>~~!!.i.!1g'UD!t'ji, .:. . ~" Service Included . 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof . $121.00 ?"'$ 22.00 $57.00 Constr. Contr, Number $ 57.00 $ 79.00 $114.00 sr. E. UMi~TI::i~rrs:r~=:it1i:F':r~t;';.~i,;"did)~~E~~ii']D;ti'Ii~ti~'ti! E ",,~~ ""T~ . ~~,,'l""'"'~~'''''~~~',j~'''''i!~"'''~''''"'~="'-' ",',~':I ~~~~E~M\11~"n IS IIOl moo ~U1HOR\1.EO \9 n ~\Wfl~ fOR $ 57.00 OWNER INSTALLATION COMMEMCEO~~ ?ergy/Residential $ 29.00 The installation is being made on property I own '$irP i 80 O,r..YL~~e Energy/Commercia1 $ 52.00 IS not mtended for sale, lease or rent. . Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4.siiBTOT:1ffi'OEl!!iBOVE]~.I_IIi~ 7? Owners Signature: .... - "";"'="';';"-'L_~~~~}~~~ift~ ..> 12% State Surcharge . 8 710-. 10% Administrative Fee . 7) 0 5% Technology Fee ? {'S' 'i z J!- Lhf(o/IO I ( ""]L"7:?J::fl Owners Name ::s-Awtt.7 Xe/sa...:.. bo ., :3 '14- S~r-\\ Over 600 Amps or 1000 Volts see "B" above. D. Expiration Date New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5.00 Address City Phone Inspection Request: 726-3769 TOTAL Shared Drive(T:)JBuilding FormslElectrical peimit Application 7-QS.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone er_RI.".'OFlitij,...-.,I. " '!;- ~. ". .... 'A5>.' '. -_.~:,-"---~_:.- ~{ " ~:; City of Springfield Official Receipt Development Services Department Public Works Department Job/Jourmll Number COM2008-00730 COM2008-00730 COM2008-00730 COM2008-00730 Payments: . Type of Payment Check cReceintl RECEIPT #: 2200800000000001411 Date: 09/17/2008 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcha'ge + 10% Administrative Fee Paid By GLEN A CAMPBELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4266 In Person Payment Total: f Page I of I 9:48:00AM Amount Due 73.00 3.65 8.76 7.30 $92.71 Amount Paid $92.71 $92.71 9/1 7/2008