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Home My WebLink AboutPermit Building 2005-09-07oF 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: COM2005-01063ISSUED: 0910712005APPLIED: 08/05/2005 EXPIRESz 0310712006VALUE: $ 118,704.00 k, \ SITE ADDRESS: 2272 9THST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703261201110 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: 2nd floor addition, partial garage conversion and garage addition to existing single family residence Owner: Address: Contractor Type General Electrical Mechanical Plumbing TYRONE CZIKALL 2272 NORTH 9TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-744-2896 Contractor RA ROBERTS INVESTMENTS INC BOB FISHER ELECTRIC INC COMFORT FLOW License 122431 96275 460 140768 Expiration Date 04n0t2006 0u25t2006 0612712007 03/01/2008 Phone 541*461-0045 541-689-7973 541-726-0r00 s4t-99s4725 CONTRACTOR INFORMATION DOUG lollow rules 20.00 12.00 ,, 24.00 Air Electric Electric Path I Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 336 888 384 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: REQUIRED PARKING Total: Handicapped: Compact: r6.60 0.00 30.00 Curbside 5' Curb and Gutter Fully Improved yes Notes: Storm drainage piped into existing to curb face 8/9/2005 CAS DEVELOPMENT INFORMATION Pase 1 of3 952-001- T Sidewalk Type: Downspouts/Drains: C 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: COM2005-01063ISSUED: 0910712005APPLIED: 08/0512005EXPIRES: 0310712006VALUE: $ 118,704.00 Description Tvpe of Construction V Wood Frame Garage Garage $ Per Sq Ft or multiplier $96.00 $25.00 $71.00 Square Footage or Bid Amount 888.00 384.00 336.00 Value $85,248.00 $9,600.00 $23,856.00 $118,704.00 Date Calculated 08/05/2005 08/05/2005 08/0s/200s Dwellings Garage Garage Conver, Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Fixture Furnace - up to 100,000 btu MinimumiAdj ustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer Each Addtl 100' Vent Fan Total Amount Paid Total Value of Project Date Paid Receipt Number 1200s0000000000114s 2200s0000000000t227 2200s00000000001227 2200500000000001227 2200s00000000001227 220050000000000t227 2200s0000000000t227 2200s0000000000t227 2200500000000001227 2200500000000001227 220050000000000t227 220050000000000t227 220050000000000t227 2200s00000000001227 2200500000000001227 220050000000000t227 Amount Paid $407.81 $10.00 $82.64 $57.85 $627.40 $6.00 $140.00 $12.00 $15.00 $85.00 $305.12 $401.12 $42.87 $151.16 $r4.00 $12.00 $2,369.97 8/5/05 9t7t05 9t7t05 9t7105 9t7t05 9t7t05 9t7t05 9t7t05 9t7t05 9t7t05 917105 9t7t05 9t7t05 9t7tos 9t7t05 9t7t05 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 08/08/2005 08/08/2005 08/08/2005 08/08/2005 08/18/2005 08/09/2005 APP APP APP SKG TAJ CAS 08/08/2005 08/10/2005 WE JB 09/01/2005 09t06t2005 APP JB Storm drainage piped nito existing to curb face 8/9/2005 CAS Requested additional information to complete review Approved as noted on plans 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. Paee 2 of3 Valuation Descriotion 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: COM2005-01063ISSUED: 0910712005APPLIED: 08/05/2005EXPIRES: 0310712006VALUE: $ 118,704.00 Reouired fnsnections Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 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. 9 /oz ,/a 5-27 Owner Signature Pase 3 of3 Date CITY OF SF,.INGFIELD SYSTEMS DEVELOPMEN, .ORKSHEET JOURNAL OR JOB NUMBER: COM2005-01063 NAME OR COMPANY LOCATION 22729thSneet TAX LOTNUMBER:1703261201110 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEWDWELLING LINITS 0 I. STORM DRAINAGE DIRECT RTJNOFF TO CITY STORM SYSTEM BUILDTNG SIZE (SF" 1272 LOT SrZE (SF):11562 CHARGE $151.16 RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I- IMPERVIous s-F. x | +os.oo COST PER S.F. $0.323 COSTPER S.F $0.323 COST PER DFU $25.07 $ r 9.07 NUMBER OF LINITS 0 NUMBER OF UNITS 0 ADM. FEE RATE 5o/o IMPERVIOUS S.F 0.00 NTIMBER OF DFU's 16 B. IMPROVEMENT COST: NUMBER OF DFU's l6 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.s7 SUBTOTAL $857.40 x x x x x x x DISCOLINT RATE 5l%o $151.I6 DISCOUNT $0,00 ITEM 1 TOTAL- STOR]VT DRAINAGE SDC A. REIMBURSEMENTCOST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: $706.24 COST PER TRIP s19.09 COST PER TRIP $84.1 9 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBTIRSEMENT COST: NT]MBER OF FEU's 0 B.COST: x 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: s0.00 $8s7.40 CHARGE $42.87 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 819/2005 COST PER FEU $82.03 $40r.12 $30s.12 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $900.27 1070 t09l 1092 l 093 1094 1054 1055 1054 1056 079 078 ar! t-.1 () &trlFa ri s.l& NUMBER OF FEU's 0 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES DRAINAGE FXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUTVALENT : DRAINAGE FDilURE UMTS FOR CALCLILATE ONLY THE NET ADDITIONAL NO. OF FIXTURES UNIT TYPE NEW OLD MISCELLANEOUS DFU TYPE TOTAL DRAINAGE FIXTURE LINITS lsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FIXTURE LINITS 0 2 +EDU BEFORE 1979 1979 I 980 r 981 1982 l 983 I 984 1985 r 986 1987 1988 1989 I 990 l99l 1992 1993 1994 I 995 't9s6 1997 I 998 1999 $5.29 $5.19 $5.12 $4.e8 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FqBLAND (IF APPLICABLE) 2 1979 VALUE / IOOO $0.00 CREDITRATE $5.29x CREDIT FOR IMPROVEMENT OF 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 $0.09 $0.05 BATHTUB 2 0 3 6 DRINKING FOT]NTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 b 0 LAT]NDRY TUB 0 0 2 0 CLOTI]ESWASHER / MOP SINK 0 0 3 0 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER. SINGLE STALL 1 0 2 2 SHOWE& GANG (NUMBER OF FIEADS)0 0 2 0 SINK: COMMERCTAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 I 2 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 2 0 3 6 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 00 2000 2001 NUMBER OF EDU'S 20 , r,i,;'.: :1;'i li:i..,:. ./Z_OS_26 _.r2"'la l 9 9 ", toi. l:.>:-^ -. !.+ Ym-q4-j ?8468C9 ACCESS EASEHENT i n to this - stn , daY of sq THlS INDENTURE HADE and entered I9-- by and.+--o-- between Flovd T. Bricklev and Violet .r. Bnickley hereinafter referred to as the Grantors,and TH E: CITY OF SPRINGF IELD, a municipa co rpora-' tion, In Lane Countyr 0regon, her.einafter refe rre d to as the Grantee. I,/ITNESSETH: ln consideration of the acceptance by Grantee and the use of holding of said easement for present or future pub'l ic use by Grantee, Grantors, hereby grant, bargain, together with'the right to go upon said easement area hereinafter: described to be used as access Eo an exisiing sanita'ry sewer, said easement being described as- i'ol lows: 14.0O foot wide easements being 7.OO-feet on-each side of'the following described center- lines: The property line between Lots 39 & 40,_Lotp-43 & 44 and Lot-s 45 & 46,-second Addition to Northridge, as platted'and recorded in File 72, Slide 198, Lane County 0regon Plat Records, in Lane County, Oregon. TO HAVE AND TO H0L0 the above easement fo reve r to the sai d Grantee, i ts successors and ass i gns I I{ t,I I TN E S S \./HE REOF,the Grantors above named have hereunto set their hands and seals th i s -*gga- daY of I9zn . (sEnl (sEnl) |l 0 000 r.0 [ ( s ral)(senu) STATE 0F 0REGON, CountY narned and acknowl edged Be fo re rne: ---ted t/tn)E S ts% or /A//E the orego I ng ns t run:ent A. D 55. o'be Personal ly 7,,lEt E NotarY Pub c for Oregon appea red voluntary above and deed. the act JUII D-: Sn, 6 tgTg > f.. ,'- ,-.::' i 0F ' _; -r re5 z{/7 OTA N CIS ED Construction Contractors Board Permit #: COtr z.c,o.-- orD 63 700 Summer St I\tE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 lVeb Address: www.ccb.state.or.us Address Z ?{L sf >G Date: 2 o f A A, Issued by: Statement: Information Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not Itcensed with the Constructton Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38 l. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the stucture is sold or offered for sale before or on completion. contractoris L* ?oS€n-rs I ZZ\S t(Narne) (CCB #) I will instruct my general confiactor that all subcontractors who work on the stnrcture must be licensed with the Construction Contactors Board. OR n 38. I will be myown general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiS the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the InformationNotice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature applicant) A 3A. My general Property_owner.doc 06-0 I -04 of copy to issuing agency perrnitfile, pink copy to applicant.) 8 /os /nS/ @x") ?-: Acting as Your Own General CEntracttlr? INFORMATION NOTICE TO PROPERTY OWNERS esdFr. Cp NsrRU cnoN REsPoNstBl LlrlEso Ifyou are acting as your own conhactor to construct a new home or make a substantial improvement to an existtng structure, you can Prevent many problems by being aware of the following responsibilities and concems. Emptoyer Responsibilities you will, in most instances, be ruled to be an "employer" and the contractors you€ontract with will'be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: oregon,s withholding Tax Law: As an employer, you must withhold income taxes from employee waged at the time emp}oyeesu,*puia.Touwillbe1iab1eforthetaxpaymentsevenifyoudon,tacfua11ywithholdthetax'&omyour employees. Formoreinformati.on,calltheDepartmentofRevertue at503-3784988- "' l ./' ' Unemployment rnsurance Tax: As an employer, you are required to pay a tax fsr unenrploymentinsmance purposfr ;;,h";;g*;;i;*pby""r. r* -ore irfo*,atiln, call the oregon Employment D€pal:ent " to"1'11t*, * The oregon Business Identification Number (BII.D is a combined number for both &egon withlrolding and unemployment lnsurance Tax. To file for a BIN, call 503-9{5-8091_or ruvrvrdor.state.or.us/formspav.htmll for the w,orkers' compensation Insurance: As an employer, you are subject to-the oregon workers' Compensation Law, and must obtain ryort rr' compensation instranci I9I loy employees. lf Y,gu fail to obtain workers' compensation ;;;;", rou courd be subject to penalties arh be tiabie for all'claim costs iione'of yom employees is'iriiured on the job. For more information, call the workers' Compensation Division at the Department of consunier and Business SerYices at 503-947-78 15. U.S. Internal Revenue Service: As an employer, you must withhold federaf income tax frorn empioyees' wages' ' you will be liable for the tax payment even if you didn't actually withhold the tax- For a Federal EIN number, call the IRS at 1-8mr8294933 or visit their web site at wwur.irs.gov ,: , .i other Responsibilities and Areas of copcerns code compliance: As the permit horder for this project, you are responsible for resolving iiny failure to meet code ;qugq*.glis thar qray be brouglrt to your attention through inspections. : : Liability and property namagc rnsurihce: contact your insurance agent to see if yori liave adequate insur-anit coverage for accidents anri omissions such as falling tools" paint over spray, water damage from pipe punctures' fire or work that must be redore.. \ - :' ' ' '- '- -'--r Timr: Make sure you,have sufficient time to supervise ytlur empioyeos. Expertise: Make sure yo, haue'ihe stins'to dit as yobr owfiig&erai conkactor,'tcreoordinritc the work of rough-in and {inish trades, and to notify building officiais as the appropriate times so they can perform the required inspections' If you have a6ditional questions call the Construction Contactors Board t503-3784621) or write the agency at PO Box 14140, Saiem, OR 97309-5052. ..-i .. i, -,1 ..r, . ,. .ei^r Property--owner.doc 06-0 l -04 N6ffj This lnformation Notice to Propefty awners about Canstruction Responsibitities 'vas developed by the Gonstruction Gonfracfors Board in accordance with ARS 701.055(5), passed by tlze 1989 Aregon Legislature. fl 225 Fifth Street Springfield, Oregon 91 477 541-726-3759 Phone .City of Springfield Official Receipt lvelopment Services Department Public Works Department RECEIPT #: 2200500000000001227 Date: 0910712005 11:51:57AM Job/Journal Number coM2005-01063 coM200s-01063 coM2005-01063 coM2005-01063 coM2005-01063 coM2005-01063 coM2005-01063 coM2005-01063 coM2005-01063 coM2005-01063 coM2005-01063 coM200s-01063 coM200s-01063 coM2005-01063 coM200s-01063 Description Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Fixture Storm Sewer Each Addtl 100' Fumace - up to 100,000 btu Vent Fan Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0Yo Administrative Fee Amount Due l5 l. l6 401.12 30s.12 42.87 85.00 627.40 140.00 14.00 12.00 12.00 6.00 1s.00 10.00 57.85 82.64 Item Total:$1,962.16 Phyments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard TYRONE CZIKALL djb 001404 In Person Pavment Total: $1,962.16 -5lr6-t.to'' t 9/7/2005 Page I of I re! City of Springfield Development Services DePartment Community Services Division, Building Safety 541-726-3759 Phone 541-726-3676Fax October 17,2006 TYRONE CZIKALL 2272NORTH 9TH ST SPRINGFIELD, OR 97477 Date Permit Issued:91712005 Permit Number:coM200s-01063 Location:22729THST Project Description:2nd floor addition, partial garage conversion and garage addition to existing single family residence Dear Permit Holder: As stated on your permit and/or approved plans, work authorized under the permit issued will expire if the work is not commenced or is abandoned for any 180 day period. Because you did not contact us to request an inspection or to call us to veriS that progress has continued to be made on the project, your permit(s) has expired. This letter is a reminder that the above referenced permit(s) expired on 1011012006. Please contact our office at Springfield City Hall, 225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and 3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your project. There are additional permit fees that are due in order to complete your project. Sincerel Y, Building Safety Analyst cc: Dave Puent, Community Services Manager Code Enforcement City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676 Fax September 19,2006 CZil<AI.L TYRONE 2272 NORTH 9TH ST SPRINGFIELD OR Job Number: Location: 97477 coM200s-01063 2272 9TH ST Project:2nd floor addition, partial garage conversion and garage addition to existing single family residence The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at2272 9TH ST which is set to expire on 1011012006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 Sincerely, $qpe Lisa Hopper Building Safety Management Analyst Dear Permit Holder: Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line NOTICE: PERMIT No: CoM200s-01063 l[*,'l^l#'ttr$^?trni:{ffi8, i{iffili,ANY 190 oAY PERI0D. -' r' ' sv\ SITE ADDRESS: 22729THST Springfield TYPE OF WORI(: Single Family Residence ASSESSOR'S PARCEL NO.: 1703261201110 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: 2nd floor addition, partial garage conversion and garage addition to existing single family residence Owner: Address: Contractor Type General Electrical Mechanical Plumbing TYRONE CZIKALL 2272 NORTH 9TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-744-2896 Contractor RA ROBERTS INVESTMENTS INC MNB ELECTRJC INC MARSHALLS INC DOUG HAXBY PLUMBING COMPANY License 122431 t62t9t 25790 140768 Expiration Date 04n0t2006 tut9t2006 t2t23t2009 03/01/2008 Phone 541-461-004s 541-726-860r 541-747-744s 541-9954725 CONTRACTOR INFORMATION # 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: # ofStories: 2 Height of Structure 24.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Energy Path: Path I Sprinkled Building: nlz Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 336 888 384 R-3 VN 20.00 12.00 REQUIRED PARKING Total: Handicapped: Compact: 16.60 0.00 30.00 Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Fully Improved Yes Notes: Storm drainage piped into existing to curb face 8/9/2005 CAS on DEVELOPMENT INFORMATION PUBLIC IMPROV Page I of4 t L U lr/l-rll\ (r 11\ I Ut(lYr]lLl(rNJ r) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01063ISSUED: llll0l2005APPLIED: 08/0512005EXPIRES: 05/1512006VALUE: $ 118,704.00 Valuation f)escrintion Description Tvpe of Construction V Wood Frame Garage Garage $ Per Sq Ft or multiplier $96.00 $2s.00 $71.00 Square Footage or Bid Amount 888.00 384.00 336.00 Value $85,248.00 $9,600.00 $23,856.00 $118,704.00 Date Calculated 08/05/2005 08i05/2005 08/0s/2005 Dwellings Garage Garage Conver. Fee Description Plan Review Residential -Mechanical Issuance Fee- + l$oh Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Fixture Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin : Storm Drainage Impervious Area Storm Sewer Each Addtl 100' Vent Fan + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l0Vo Administrative Fee + 7Yo State Surcharge Heat Pump Minim um/Adj ustment Mechanical Curbcut Permit Total Amount Paid Total Value of Project Date Paid Receipt Number 1200500000000001145 2200500000000001227 2200500000000001227 2200s00000000001227 2200500000000001227 220050000000000t227 2200500000000001227 2200s00000000001227 2200500000000001227 2200500000000001227 2200500000000001227 2200500000000001227 220050000000000t227 2200500000000001227 220050000000000t227 2200500000000001227 2200500000000001465 220050000000000146s 2200500000000001465 220050000000000146s 220050000000000r565 2200500000000001s65 2200500000000001565 2200500000000001565 2200s00000000001565 2200600000000000090 Amount Paid $407.81 $10.00 $82.64 $s7.8s $627.40 $6.00 $140.00 $12.00 $15.00 $8s.00 $305.12 $401.12 $42.87 $151.r6 $14.00 $12.00 $9.30 $6.5r $30.00 $63.00 $10.00 $4.s0 $3.15 $12.00 $33.00 $80.00 8/5/05 917t05 9t7tos 9t7t05 9t7t05 917105 9t7tos 9t7t05 9t7t05 917105 9t7105 9l7t0s 9t7t05 9t7t05 917t05 9t7tos 10t20t05 10120t05 10t20t05 10120t05 11/10/05 11/10/05 11/10/05 tut0t0s 11/10/05 u24t06 $2,621.43 F'pps Pqid Plan Reviews Initial Review Planning Review 08/08/2005 08/08/2005 08/08/2005 08i18/2005 APP APP SKG TAJ Pase? oI 4 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: COM2005-01063ISSUED: 11/10/2005 APPLIED: 08/05/2005EXPIRES: 05/1512006VALUE: $ 118,704.00 Public Works Review Structural Review Structural Review 08/08/2005 08/08/200s 0910u2005 08/09/200s 08/10/2005 09t06t2005 APP WE APP CAS JB JB Storm drainage piped nito existing to curb face 8/9/2005 CAS Requested additional information to complete review Approved as noted on plans 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 worp ' day. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Paee 3 of4 ht.,t Reouired lnsnectlons I 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: COM2005-01063ISSUED: llll0l2005APPLIED: 08/0512005EXPIRES: 05/1512006VALUE: $ 118,704.00 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. a t /za /s^ Owner or Date 7 Pase 4 of 4 t. 225 Fifth Street Springfield, Oregon 97 477 541-126-3759 Phone '=ity of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 2200600000000000090 Date: 0112412006 9z27zt7ttNt Job/Journal Number coM2005-01063 Description Curbcut Permit Amount Due 80.00 Item Total:$80.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid 1 I Check TYRONE CZIKALL CAS In Person Payment Total: $80.00 -m'5d' 561 ) 'I t/24/2006 Page I of I Regarding commencement of work during Appeal Period DRC2005-00088 approved a variance to allow building setback of 16"3" for a garage located at2272- 9th Street. The appeal period for this application will be over at the end of business on January 30, 2006 Springfield Development Code Section 3.080(6) states that "Any action taken to begin development prior io the expiration of the appeal period is solely at the applicant's risk and expense. The City assumes no liability or expense if the development is ultimately terminated based upon the outcome of the appeal". I understand the above statement in SDC 3.080(6) and take full responsibility, risk and expense in continuing my garage project under building permit COM2005-01063 before the end of the appeal period. I acknowledge that the City of Springfield assumes no liability or expense if the variance is appealed and the decision is reversed. Czikall 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: COM2005-01063ISSUED: l1/10/2005 APPLIED: 08/05/2005EXPIRES: 05/1012006VALUE: $ 118,704.00 SITE ADDRESS: 2272 9THST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'SPARCELNO.: 1703261201110 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: 2nd floor addition, partial garage conversion and garage addition to existing single family residence f8s yorr Owner: Address: TYRONE CZIKALL 2272 NORTH 9TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-744-2896 -001- lone Iication Contractor Type General Electrical Mechanical Plumbing Contractor RA ROBERTS INVESTMENTS INC MNB ELECTRIC INC MARSHALLS INC DOUG HAXBY PLUMBING COMPANY License 122431 t62t9t 2s790 140768 Expiratiori 04n0t2006 tut9t2006 12t23t2005 03/01/2008 Phone 541-461-0045 541-726-8601 541-747-744s 541-9954725 Date RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 336 888 384 Curbside 5' Curb and Gutter R-3 VN 20.00 12.00 16.60 0.00 REQUIRED PARI(NG Total: Handicapped: Compact: Fully Improved Yes 30.00 Sidewalk Type: Downspouts/Drains: Notes: Storm drainage piped into existing to curb face 8/9/2005 CAS DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page I of4 ) copies Utility # ofStories: 2 Height of Structure 24.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Energy Path: Path 1 Sprinkled Building: nla SPRIN 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: COM2005-01063ISSUED: llll0l2005APPLIED: 08/05/2005EXPIRES: 05/1012006VALUE: $ 118,704.00 Description Type of Construction $ Per Sq Ft or multiplier $96.00 $2s.00 $71.00 Square Footage or Bid Amount 888.00 384.00 336.00 Value $85,248.00 $9,600.00 $23,856.00 $118,704.00 Date Calculated 08/0s/2005 08/05/2005 08/05/2005 Dwellines Garage Garage Conver, V Wood Frame Garage Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o State Surcharge Building Permit Dryer Vent Fixture Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer Each Addtl 100' Vent Fan + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Total Yalue of Project Date Paid Receipt Number 1200500000000001 14s 2200500000000001227 2200500000000001227 2200s0000000000122t 2200s00000000001227 2200s00000000001227 2200s00000000001227 2200500000000001227 2200500000000001227 2200500000000001227 2200500000000001227 2200s00000000001227 2200500000000001227 2200500000000001227 2200s00000000001227 2200500000000001227 2200s0000000000146s 2200s0000000000146s 2200s0000000000146s 2200s00000000001465 2200500000000001565 220050000000000156s 2200s00000000001565 2200s00000000001565 2200500000000001565 Amount Paid $407.81 $10.00 $82.64 $57.85 s627.40 $6.00 $140.00 $r2.00 $1s.00 $8s.00 $305.12 $401.12 $42.87 $1s1.16 $14.00 $12.00 $9.30 $6.s1 $30.00 $63.00 $10.00 $4.50 $3.15 $12.00 $33.00 8/s/05 9t7t05 9t7t05 9t7tos 9t7tos 9t7t05 9t7tos 9t7t05 917105 9t7t05 9t7t05 9t7t05 917105 9t7tos 9t7t05 9t7105 10t20t05 10t20t05 10t20t05 t0l20t0s l1l10/05 11/10/0s 11/10/05 11/10/05 tutot0s $2,541.43 tr'ees Plan Reviews Initial Review Planning Review Public Works Review 08/08/2005 08/08/200s 08/08/2005 08/08/2005 08/18/2005 08/09/200s APP APP APP SKG TAJ CAS Storm drainage piped nito existing to curb face 8/9/2005 CAS Paee 2 of 4 Valuation Descrintion I 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: COM2005-01063ISSUED: llll0l2005 APPLIED: 08/05/2005EXPIRES: 05/1012006VALUE: $ 118,704.00 Structural Review Structural Review 08/08/2005 09/01/2005 08i10/200s 09t06t200s WE APP JB JB Requested additional information to complete review Approved as noted on plans To Request an inspection call the 24 hour recording at 726-3769. Alt 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the buitding is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to lilling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Reouired Insnecfions Page 3 of4 ry! Buildin g/C ombination Permit PERMIT NO: COM2005-01063ISSUED: 11/10/2005 APPLIED: 08/05/2005EXPIRDS: 05/1012006VALUE: $ 118,704.00 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. -2 -Zz-//-/o*o f/r/' Owner or Contractors Signature Date Paze 4 of 4 L] Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000001565 Date: 11/10/2005 1:48:57pM { Job/Journal Number coM2005-01558 coM2005-01558 c.oM2005-01558 Description + 7Yo State Surcharge + l0%o Adminishative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0Yo Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Administrative Fee Pellet Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 33.00 10.00 3.15 4.50 12.00 33.00 10.00 3. l5 4.s0 30.00 1s.00 10.00 qoM2005-0 cbM2oo5-o I 558 I 558 1063 1063 1063 coM2005-01063 coM2005-01063 coM2005-01578 coM200s-01s78 coM2005-01578 coM200s-01578 coM2005-01578 Item Total:$187.95 Phyments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check NJM NJM NJM 18924 18924 t8924 s62.6s $62.6s $62.6s MARSHALL'S INC. MARSHALL'S INC. MARSHALL'S In Person In Person In Person Payment Total:$187.9s Eheck Check Number I 558 Description + 7o/o State Surcharge + l0o/o Administrative Fee Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0%o Administrative Fee Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0% Adminishative Fee Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.50 12.00 33.00 10.00 3.15 4.50 12.00 33.00 10.00 3.l s 4.50 30.00 15.00 10.00 coM200s-015s8 coM2005-01558 coM2005-01558 coM2005-01558 coM2005-01063 coM2005-01063 coM200s-01063 coM2005-01063 coM200s-01063 coM2005-01578 coM2005-01578 coM2005-0 Cbuzoos-o coM200s-0 l 578 I 578 I 578 Check Check Check NJM NJM NJM s62.6s s62.6s $62.6s MARSHALL'S INC. MARSHALL'S INC. MARSHALL'S In Person In Person In Person Payment Total: tUt0/2005 Page I of2 18924 18924 18924 $r87.95 SSIOIBD I RECETPT 2200500000000001565 -)ate: llll0l2005 1:48:57PM Job/Journal Number cbM2oos-ols58 coM2005-01558 coM2005-015s8 coM2005-015s8 coM2005-01s58 cbuzoos-oroo: ibuzoos-oroor Quzoos-oroo: Cbuzoos-oroe: coM2005-01063 coM2005-01578 coM2005-01578 coM2005-01578 coM2005-0r578 coM200s-01578 Amount Due 3. l5 4.50 12.00 33.00 10.00 3.15 4.50 12.00 33.00 10.00 3. l5 4.50 30.00 15.00 10.00 Description + 7%o State Surcharge + l0% Adminishative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + lUYo Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0o/o Administrative Fee Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Item Total:$187.9s Phvments: T$,ie of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check Check Check I t, NJM NJM NJM 18924 18924 t8924 $62.65 $62.6s $62.6s MARSHALL'S INC. MARSHALL'S INC. MARSHALL'S In Person In Person In Person Payment Total:$187.9s ,i .t , ,t tt/10t2005 Page 2 of 2 $5' q5P 225 FIFTH STREET . SPRINGFIELD, OF.97477 o PH:(541)726-3753 o FAX: (541 ELECTRICAL APPLICATION City Job Number Date 1.3. per drvelling unit.LEGAL DESCRIPTION t JOB DESCRIPTION + Permits are non-transferable and expire if work is '' not started within 180 days of issuance or if work is Suspended for 180 days. ) 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 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 000 Volts see "B" above. Pump or irrigation Sign/Outline Lighting Limited EnergyiResidential B. Services or Feeders - Installation, Alterations or Relocation: bb.oo $106.00 $ 19.00 $s0.00 $ 63.00 s 75.00 s125.00 $ 163.00 $375.00 $ s0.00 $ s0.00 $ 69.00 $100.00 $ s0.00 s s0.00 $ 25.00 $ 45.00 Fee is $45.00 * Surcharges Electrical Contractor Address J,^C Sp*,--t(.t,.City Supervisor License Number Expiration Date /0^a 7 Constr. Contr. Numb ", / (, ) Signature Owners Name Address n /rzYs C. Temporary Services or Feeders Expiration Date -t?ERMIT SHALLBP fiurtl?td$mr,' ER Electricia$QMMENCED 0R lS ANY IEO OAYPEBIOD. pted by the Oregon Utility n er.Those rules are set forth New Alteration or Extension Per Panel One Circuit $ 43.00 $ 3.00 Each Additional Circuit or with t Snt)oService or Feeder Permit E. Ciry o The instafta@f,R O6ft@t@Ot&thpotrgh@Ag/gfiA-gg.1 - Limited Energy/Commercial is not integ@ffi5dvrkgtoBran+bopies of the rules bytinimum Electric permit Inspection calling the center. (Note: the telephone ,, owners siffiAflm6r for the oregon utility Notiiication 4. s cenrer is 1 -800-332 -23441. Inspection Request: 726-37 69 7%o State Surcharge l0% Administrative Fee TOTALqtts'\tcr)Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc t roB.8l 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: COM2005-01063ISSUED: 1012012005APPLIED: 08/05/2005 EXPIRESz 0412012006VALUE: $ 118,704.00 SITE ADDRESS: 22729THST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703261201110 TYPE OF USE: Addition Residential PROJECT DESCRJPTION: 2nd floor addition, partial garage conversion and garage addition to existing single family residence Owner: Address: Contractor Tvpe General Electrical Mechanical Plumbing TYRONE CZIKALL 2272 NORTH 9TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-744-2896 Contractor RA ROBERTS INVESTMENTS INC MNB ELECTRIC INC COMFORT FLOW DOUG HAXBY PLUMBING COMPANY License 122431 r62t9t 460 140768 Expiration Date 04tr0t2006 tut9t2006 06t27t2007 03/0u2008 Phone 541-461-0045 541-726-8601 s4t-726-0100 541-9954725 CONTRACTOR INFORMATION # 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: # ofStories: 2 Height of Structure 24.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 336 888 384 VN 20.00 r2.00 16.60 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: REQUIRED PARJilNG Total: Handicapped: Compact: 30.00 Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Street Improvements: Fu[v Improved Storm Sewer Available: Yes Special Instruction: Notes: Storm drainage piped into existing to curb face 8/9/2005 CAS PUBLIC IMPROVEMENTS Paee 1 of3 tt U ll-L, I l\ (, rl\ I UKiVr.A_!_! trN I Center is 1 _lrt vt LurIYttlNI l1\r(JruvrArlLrl\ | IIOTICE: irui ietimr sHAt! uPlnl tF TltE.!9RK iuixoiuro uilDtR THls PERMIT lE NoT COMUENCED OR IS ABATIDOIIED FOR AilY ll0 9Al tlffoD. 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: COM2005-01063ISSUED: 1012012005APPLIED: 08/05/2005 EXPIRESz 0412012006VALUE: $ 118,704.00 Descrintion Tvpe of Construction V Wood Frame Garage Garage $ Per Sq Ft or multiplier $96.00 $25.00 $71.00 Square Footage or Bid Amount 888.00 384.00 336.00 Value $85,248.00 $9,600.00 $23,856.00 $118,704.00 Date Calculated 08/05/2005 08/05/2005 08/05/2005 Dwellings Garage Garage Conver. Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0%o Administrative Fee + 7Yo State Surcharge Building Permit Dryer Vent Fixture Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer Each Addtl 100' Vent Fan + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Total Value of Project Date Paid Receipt Number 1200500000000001145 2200500000000001227 2200s00000000001227 2200500000000001227 2200500000000001227 2200500000000001227 2200500000000001227 2200500000000001227 2200500000000001227 2200s00000000001227 2200500000000001227 220050000000000t227 2200500000000001227 2200500000000001227 2200s0000000000t227 2200500000000001227 2200s0000000000146s 220050000000000146s 2200500000000001465 220050000000000146s Amount Paid $407.81 $10.00 $82.64 $57.85 $627.40 $6.00 $140.00 $12.00 $1s.00 $8s.00 $305.12 $401.12 $42.87 $15r.r6 $14.00 $12.00 $9.30 $6.s1 $30.00 $63.00 8/5/05 9t7tus 9t7tos 9t7tvs 9t7tos 9t7tos 9t7t0s 917105 9t7tls 917t05 9t7t05 9t7t05 9t7tos 917t05 917t05 9t7t0s t0t20t0s t0t20t0s t0t20t0s 10t20t05 $2,478.78 tr'ees Peid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 08/08/2005 08/08/2005 08/08/200s 08/08/2005 08/18/2005 08/09/2005 APP APP APP SKG TAJ CAS 08/08/2005 08/10/2005 wE JB APP JB Storm drainage piped nito existing to curb face 8/9/2005 CAS Requested additional information to complete review Approved as noted on plansStructural Review 09/01/200s 09t06t200s Paee 2 of3 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 PERMIT NO: COM2005-01063ISSUED: 1012012005 APPLIED: 08/05/2005EXPIRES; 0412012006VALUE: $ 118,704.00 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 during construction. Owner or Contractors Signature Page 3 of3 Date Keourreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone -City of Springfield Official Receipt ,evelopment Services Department Public Works Department RECEIPT #: 2200500000000001465 Date: 1012012005 12:11:31PM Job/Journal Number coM2005-01063 coM2005-01063 coM2005-01063 coM2005-01063 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7Yo St^te Surcharge + l0% Adminishative Fee Amount Due 63.00 30.00 6.51 9.30 Item Total:$108.81 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard MNB ELECTRIC llh 020458 Phone Payment Total: $108.8r $r08.8r t0/2012005 Page I of I tlrrloiarD