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Home My WebLink AboutPermit Building 2004-11-18Building/Combination permitStatus Issued ?2j\!th Street, Springrierd, oR 541-72G3753 phone 547-726-3G76Fax 541-7 26-37 69 Inspection Line Contractor Type General Electrical Mechanical Plumbing PERIITIT NO: ISSUED: APPLIED: EXPIRES: VALUE: coNr2004-0r3s0 17/18/2004 Lu01t2004 05/18/200s $ 158,532.00 PROJECT DESCRIpTION: SFR il attached garage Same as 670 70th Street (COM2004-00196) Owner: BRANDT_DRURyJM Address: PO BOX 1473 SPRINGFIELD OR g74i7 t{0r,c SITE ADDRESS: 1402 8th St ASSESSORTS PARCEL NO.: 1703264307000 Springlield TYPE OF WORI(: Single Family Residence TYPE OF USE: New Residentiat E: ,/BE IF WOF(IHE CED OContractor BLUE POOL CONSTR UCTION INC OAY P THOMAS LEE BALCOM JR MARSIIALLS INC TOMS PLUMBING SERVICE INC A,\JY tB0 138121 25790 159425 10fi9t2007 12t23t2005 05n2t2006 Phone s41-913-8039 s{t-461-2590 541-747-744s 541-607-8879 # 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: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,033 1,600 440 ARIilNG 7 I R-3 u-1 VN 4 I 21.00 Heat Pump Electric Electric Path I nla 18.00 s.00 44.00 10.00 10.50 Partially Improved yes Sidewalk Type: Downspouts/Drains: Notes: Partition not recorded yet.llll2l2004 CAS Page I of4 To Storm Sewer q OF Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-0I350ISSUED: llll8l2004APPLIED: 11/0112004EXPIRES: 05/1812005VALUE: $ 158,532.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,600.00 440.00 Value $147,840.00 $10,692.00 $158,532.00 Date Calculated 1u0u2004 1u0U2004 Amount Paid Total Value of Project Date Paid Fee Description Plan Review Same As + l0o/o Administrative Fee + 7Yo State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Heat Pump 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 IUWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Single Family Receipt Number 1200400000000001540 1200400000000001603 1200400000000001603 r200400000000001603 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 3200400000000000346 $100.00 $s.00 $3.s0 $50.00 $10.00 $122,54 $8s.78 $254.00 $31.00 $7s7.40 $6.00 $9.00 $12.00 $12.00 $103.00 $r06.00 $57.00 $365.60 $480.80 $r0.00 $865.31 $82.03 $109.52 $65.25 $772.49 $175.13 $744.00 $12.00 $1,oo0.oo tuu04 tutzt04 tUt2t04 tut2t04 tut8t04 tyt8,l04 tut&t04 tut&l04 tut&t04 ttn8t04 tUt8t04 tUt8t04 tur8,t04 rur8t04 tur8t04 tut8t04 tut8t04 tut8,t04 tut&t04 tut&t04 tut8t04 tyt8t04 tut8t04 rut8t04 tyt&t04 1Ur8/04 tUt8t04 tut8t04 tyrBt04 tr'pps Peid Total Amount Paid $6,406.35 Pase 2 of 4 q I I Valuation Descrintion Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Plan Reviews Initial Review Planning Review Public Works Review Structurai Review tu02t2004 1u02t2004 tu02t2004 Lu02t2004 tut6t2004 tut2t2004 tut712004 APP APP POK OK SKG TAJ CAS RJB Partition PIat recorded 11116104. Condition #2 of the partition's Tentative Approval (SUB2004-00032) states that when M Street is put in, the City Community Services Division will change the address ofParcel 3 to an M Street address and notify the owner, Fire and Life Safety Department, the US Postal system and the 911 Emergency Response system of such change. Partition not recorded yet. tut2t2004 cAS tU02t2004 To Request an inspection call the24 hour recording at 726-3769. All inspection 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. Temporary Electric: Approval required prior to Utility Company energizing pole. Erosion/Grading Inspection: After all erosion measures are in place. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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 coyer. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary sewer Line: Prior to lilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Ptumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Paee 3 of4 Reauired Insnecfions PERMIT NO: COM2004-01350ISSUED: tlltgl2004APPLIED: 11/0112004EXPIRES: 05/18/2005VALUE: $ 158,532.00 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01350ISSUED: 1111812004APPLIED: 11/0112004EXPIRES: 05/181200sVALUE: $ 158,532.00 Rough Electric: Prior to Cover 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 Springlield 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 ,'/r {/n., or Contractors Date Page 4 of 4 -: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 'y of Springlield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 3200400000000000346 Date: llll8l2004 2:13:56PM Job/Journal Number coM2004-0r350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-0r3s0 coM2004-013s0 coM2004-01350 coM2004-01350 coM2004-013s0 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 iOtttzOo+-Ot:sO coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-013s0 Description Addressing Assignment Willamalane Single Family 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 Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Heat Pump -Mechanical Issuance Fee- + 7o/o State Surcharge + l0% Administrative Fee Amount Due 3l.00 1,000.00 744.00 480.80 365.60 175.t3 772.49 82.03 86s.3 r 10.00 109.52 65.25 103.00 106.00 57.00 757.40 254.00 12.00 12.00 9.00 6.00 12.00 10.00 8s.78 122.s4 ltem Total:$6,247.85 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard CreditCard JESS BRANDT BLUE POOL CONSTR djb djb 078493 In Person 312135 In Person Payment Total: $2,605.45 $3,642.40 $6,247.85 tUtS/2004 Page I of2 *r5a!alD RECEIPT 3200400000000000346 )ate: 11/1812004 2:13:56PM Job/Journal Number coM2004-013s0 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-013s0 coM2004-01350 coM2004-01350 coM2004-013s0 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-013s0 coM2004-01350 coM2004-01350 coM2004-01350 coM2004-01350 coM2004,01350 coM2004-01350 coM2004-01350 coM2004-01350 Description Addressing Assignment Willamalane Single Family 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 Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Heat Pump -Mechanical Issuance Fee- + TYoState Surcharge + l0% Administrative Fee Amount Due 31.00 1,000.00 744.00 480.80 365.60 175.t3 772.49 82.03 86s.31 10.00 t09.52 65.25 103.00 106.00 57.00 757.40 254.00 12.00 12.00 9.00 6.00 12.00 10.00 85.78 t22.s4 $6,247.85 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard CreditCard JESS BRANDT BLUE POOL CONSTR djb djb 078493 In Person 312135 In Person Payment Total: $2,605.45 s3,642.40 $6,247.85 tt/18t2004 Paee2 of2 Item Total: CITY OF SI.nINGFIELD SYSTEMS DEVELOPMENi .ORKSHEET JOURNAL OR JOB NUMBER: COM2004-01350 NAME OR COMPANY LOCATION:1402 N 8th St TAX LOTNUMBER:1703254307000 DEVEI-OPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING I]NITS I. STORMDRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM BtrrLDrNG SrZE (SF. 2060 LOT SZE (SF): CHARGE $744.00 10680 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I- IL4PFRVIoL'S s-F. x I z+oo.oo COST PER S.F $0.3 l0 COST PER S.F $0.3 l0 COST PER DFU s24.04 $r 8.28 NUMBER OF UNITS I NUMBER OF UNITS I ADM. FEE RATE 5% IMPERVIOUS S.F. 0.00 NUMBER OF DFU's 20 B. IMPROVEMENT COST: Ntn4BER OF DFU's 20 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 STiBTOTAL $3.495,36 x x x x x x x x DISCOLINT RATE 50% $744.00 DISCOI.]NT $0.00 ITEM 1 TOTAL - STORI{ DRAINAGE SDC 2. SANITARY SEWER- CIry A. REIMBURSEMENT COST: ITEM 2 TOTAL. CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENTCOST: $846.40 COST PER TRIP $ r 8.30 COST PER TRIP $80.72 s947.62 NEW TRIP FACTOR r.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL-TRANSPORTATION SDC 4. SAN]TARY SEWER - MWMC A- REIMBI]RSEMENT COST: NUMBER OF FEU's I x B. IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: s9s7.34 C}IARGE s174.77 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORT ATION ADMINISTRATION FEE : Cheryl Slaymaker 1U1212004 COST PER FEU $82.03 M80.80 I $10.00 109.52 .25 I 070 l09l 1092 1 093 1094 1054 I 055 1054 1056 a rrl U & E]F U) o rrl& COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES TYPE MISCELLANEOUS DFU TYPE TOTAL DRAINAGE FD(TURE UNITS *EDU tsa BEFORE I979 DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x LINTT EQUTVALENT = DRAINAGE FXTURE UNTTS FOR CALCULATE ONLY THENET ADDITIONAL NO. OF FIXTTIRES LINIT NEW OLD NT]MBER OF EDU'S 20 DRAINAGE FIXTT]RE TINITS 0 2 1979 to unit set at I 67 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) NTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 1979 1980 l98l 1982 I 983 1987 1988 I 989 1990 I 99t 1992 1993 1994 199s 1996 1997 t998 1999 2001 $5.29 $5.19 $5.12 $4.98 $4.80 $4.6s $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 2 x1985 I 984 1986 VALUE/ 1000 $0.00 CREDITRATE $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.0s $0.05 BATHTLIB 2 0 3 6 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 b 0 LALINDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASMR / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG CNUMBER OF HEADS)0 0 2 0 SINK: COMMERCTAL/RESIDENTIAL KITCHEN 1 0 3 3 STNK: COMMERCIAL BAR 0 0 2 0 STNK: WASH BASTN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 TIRINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 2 0 3 b YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 2000 SPAIHOT:ELI' 225 FIFTH STREET . SPRINbFIELD, OR 97477 o P*(547)726-3753 o F (s4r)72G3689 ELECTRICAL City Job Number LEGAL JOB DESCRIPTION TION Date 3 CN A. B. C D. E 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 200 Amps or less 201 Amps to 400 AmPs 401 Arnps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only w,0"u $106.00 00 s50.00 s ,(.Rorid,.o nf9- City Permits are tron-transferable and expire if work ls not started within 180 days of issuance or if work is Suspended for 180 days. 7 Electrical Contractor Address P 2}ax 4zo td 4 k lLsqa Supervisor License Number 45s 35 Expiration Date Constr. Contr. Number 8 L Expiration Date Signature of Supervising Electrician Owners Name Address City OWNERINSTALLATION in O,AR 95 The installation is being made on property Iqqfrq"#P[ is not intended for sale, lease or rent'- ca'iing rh;:L' Owners Signature: Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see'Tl" above. New Alteration or Exteusion Per Pauel One Circuit $ 43'00 Each Additional Circuit or wi*r Service or Feeder Permit $ 3'00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 FEmnrerfwdi,Ubon t-$ 50.00 Frs{9s$+sldstsl+s . s 50.00 1 - 6 91i0ffi &mtsf,Effi &-rt$d s 2s.00 ty obldmite&Frecg6,rGhffifficitialby $ 45'00 fiftiaifrLJuile;it rei+i#islrffition Fee is $45.00 * surcharges p 'lo/o State Surcharge 10% Administrative Fee TOTALInspection Request: 72G37 69 4. Shared Drive(T:/Building Forms/Electrical Permit Application l'03'doc AilY 180 OAY PERI 00. o@ a fn!lnrar rr rlpq Notification 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 r FAX: (541) E LE CTRI CAL P ERMIT AP P LI CATI O N City Job Number Couvtzoo \ -o lf t(\ 3. rqilalrr $106.00 $ 19.00 1. LOCATION OF INSTALIAT'ION , '*JL- ( t-lqQL ') \\ COMPLETE PEE SCHEDUZN A. New Residential - Single or Nlulti-Farnily per drvelling unit.LEGAL DESCzuPTION z6q ooo JOB DESCzuPTION VA € ? ot,/X(L Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,, Electrical Contractor Address HAl}{xptne tr City Supervisor License N\i{blij udAY PERIOD Expiration Date Constr. Contr. Number Expiration Date Sisnature of Supervising Electrician 0R Reconnect Only $ s0.00 C. Temporary Services or Feeders 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 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $JffiKe-pr to looo Amps 1S f&[r l0oo Amps/Volts 7o/o State Surcharge 10% Administrative Fee TOTAL B. Services or Feetlers - Installation, Alterations or Relocation: $ 63.00 $ 75.00 $12s.00 $ r 63.00 $375.00 Installation, Alteration or Relocation 200 Amps or less i 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, $ s0.00 $ 69.00 fr $100.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges $s0.00 THIS PE C OMMENCFg .ON IS ABANDON THE MIT EDF Owners Name J, Address D. Branch Circuits catlliriq the center Pump 96ffi#g6,. y," Ot Sigrr/Outline Lffiter is t E. City Phone 7 //t / ?s7 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ,Signature:!:5 50 3so 5... " SBLlnspection769 Shared Drive(T:)/Building Fonns/Electrical Permit Application l -03'doc Date I 17C'3 lTrJ /o Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01350 ISSUED:APPLIED: 11/0112004EXPIRES: 0511212005VALUE: $ 158,532.00 SITE ADDRESS: 1402 8th St ASSESSOR'S PARCEL NO.: 1703264307000 PROJECT DESCRJPTION: SFR w/ attached garage Same as 670 70th Street (COM2004-00196) Owner: BRANDT-DRURy J M Address: PO BOX 1473 SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Contractor Type General Electrical Mechanical Plumbing PERM\1 SHAU License 122607 138121 25790 Expiration Date 05/05/2006 1011912007 12t23t2005 03t07t2005 Phone 541-9r3-8039 54r461-2s90 541-747-7445 541-988-0868 BLUE ONED AY PER\ & PLUMBING INC 138003 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: requi res you to REQUIRED PARJCNG Total: Handicapped: Compact: I R-3 u-1 VN I 21.00 Heat Pump Electric Electric Path I nla 7,033 1,600 440 4 DEVELOPMENT INFORMATION Notes: Page I of2 *t}- E P l, U ll:l-rll\ t, lL\ -tr (r-[(IvlA I llJl\ | Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01350 ISSUED:APPLIED: 11/0112004 EXPIRESz 0511212005VALUE: $ 158,532.00 Description Dwellings Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,600.00 440.00 tuu04 tut2t04 tyt2t04 tut2t04 Value $147,840.00 $10,692.00 $158,532.00 Date Calculated LU0u2004 ty0u2004 Amount Paid Total Value of Project Date Paid Total Amount Paid $100.00 $5.00 $3.s0 $s0.00 Receipt Number 1200400000000001540 1200400000000001603 1200400000000001603 r200400000000001603 $1s8.50 tr'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 1u02t2004 APP sKG To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Temporary Electric: Approval required prior to Utility Company energizing pole. tu02t2004 Lu02t2004 Lu02t2004 Ly02t2004 Reouired Insnect By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein' and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase 2 of 2 Date L CL Valuation Description I Fee Description Plan Review Same As + l0/o Administrative Fee + 7%o State Surcharge Temp Power 200 amps or less 225 Fifth Street Sp, ingfield, Oregon 97477 541-726-3759 Phone y of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200400000000001603 Date: llll2l2004 10:35:31AM Job/Journal Number coM2004-01350 coM2004-01350 coM2004-01350 Description + 7%o State Surcharge + l0% Administrative Fee Temp Power 200 amps or less Amount Due 3.50 5.00 50.00 Item Total:$s8.s0 Payments: Type ofPayment Paid By Uhecl(Number Authorization Received By Batch Number Number How Received Amount Paid Check JM BRANDT DRURY 1456 In Person $58.50 Payment Total: -558T56- rr/1212004 Page 1 of I sIltn djb