HomeMy WebLinkAboutPermit Building 2006-07-19Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-126-3676 Fax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006
APPLIED: 0412112006
EXPIRESz 0312512007VALUE: $ 23,400.00
Owner:
Address:
SITE ADDRESS: 2419ITTH PL
ASSESSOR'S PARCEL NO.: 1703243400347
PROJECTDESCRIPTION: Garage
Springfield TYPE OF WORK: Garage
TYPE OF USE: New Residential
PhoneNumber: 541-744-0066
Expiration Date Phone
1211812006
1211012007 541-485-0922
RON DAVIS
2419 ITTH PL
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
BUILDERS ELECTRIC INC
OWNER
License
08699
4296
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Typel
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# 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:
l0 ' away from
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
U
VN
17.00
Urban Fringe
REQUIRED PARKING
Total:
Handicapped:
Compact:
900
nla
10.00
10.00
12.50
27.70
Sidewalk Type:
N0TICE:uornn.pouts/Drains: Drywell - Provide
THtS PERMIT SHALL EXPIRE lF UltE Wmfineering
,."8H.ff lf8^l&BtauPEry#iJi^?$li'*-"
ANY 180 DAY PERIOD.
Paee I of3
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LUI\ I t(AL I uK T1\T UKIYIA T TL'N J
t ulLlrll\(, l1\I(,ruYtAlrt l\ |
ull v lll-urlvllll\ I 11\ F (rl(lYlA I rul\ I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 I nspection Line
PERMIT NO: COM2006-00473ISSUED: 0711912006
APPLIED| 04t2U2006
EXPIRES: 0312512007VALUE: $ 23,400.00
Description
Garage
Tvpe of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$26.00 900.00
Total Value of Project
Amount Paid Date Paid
Value
$23,400.00
$23,400.00
Date Calculated
04t2y2006
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Fire SF Fee - Residential
Garage/Carport
Perm Serv/Fdr 200 amps or less
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ l0o/o Administrative Fee
+ l0oh Administrative Fee
+ 87o State Surcharge
+ 8%o State Surcharge
Fixture
Gas Outlets l-4
Minimum/Adjustment Mechanical
Miscellaneous Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 10oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Receipt Number
2200600000000000493
1200600000000000720
I 200600000000000720
l 200600000000000720
l 200600000000000720
I 200600000000000720
l 200600000000000720
l 200600000000000720
1200600000000000720
I 200600000000000720
I 200600000000001 095
1 20060000000000r 096
1 200600000000001 095
l 200600000000001 096
I 200600000000001 095
1200600000000001 096
I 200600000000001 096
I 200600000000001095
l 20060000000000 I 095
r200600000000001 095
I 200600000000001095
2200600000000001353
2200600000000001 353
220060000000000 I 353
220060000000000 l 353
2200600000000001 353
$140.79
$14.40
$7.92
s36.00
$45.00
$2r 6.60
$63.00
$l12.00
$3.18
$63.67
$4.s0
s4.50
$3.60
s3.60
$28.00
$4.00
$4r.00
$17.00
$19.07
$2s.07
$2.21
$4.60
$2.30
$3.68
$43.00
$3.00
4t2u06
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5t26t06
5t26106
5t26106
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5t26t06
5t26106
st26t06
5t26t06
7 t19t06
7n9t06
7n9t06
7n9t06
7n9106
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7fi9t06
9t26t06
9t26t06
9t26106
9t26t06
9t26t06
$91 t.69
Fees
Plan Reviews
Initial Review
Planning Review
04t24t2006
04t24t2006
04t24t2006
05n2t2006
APP
APP
SKG
TAJ
Pase 2 of3
TotalAmount Paid
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -126-37 69 Inspection Line
CITY
Buildin g/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006
APPLIEDz 0412112006
EXPIRESz 0312512007VALUE: $ 23,400.00
Public Works Review
Structural Review
04t24t2006 0412512006 APP CAS
04t24t2006 05t23/2006 OK RWC
Storm drainage into french drain 3'
below surface gravel and perf pipe
l0' away from property line
4t2st2006 cAS
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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
fou ndation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
red Insnections
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
streeto 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 du ring construction.
Owner or Contractors Signature
Paee 3 of3
Date
225 Fifth Street
Springfieldo Oregon 97 477
541-726-3759 Phone
Ctt of Springfield Official Receipt
_ velopment Services Department
Public Works Department
RECEIPT #: 2200600000000001353 Date: 0912612006 l:55:02PM
Job/Journal Number
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5%o Technology Fee
+ 870 State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
3.00
2.30
3.68
4.60
Item Total $s6.s8
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard C. PERKINS ELECTRIC nJm 021445 021445 In Person
Payment Total:
$56.s 8
-$s6-35-
c Receint I Page I of I 9t26t2006
sFn$lfiFrr&e
a'?(-
225 FIffH STREET . SPRINGFIELD,OR|T4TT . PH:(541)726-ll!f r FAX: (541)726-3689
PERMIT APPLICATION
Ciry Job
SPRII{GFIELD ZON
INITIALS
DATE
SOU
Date
3 COMPLETE FEE S CHEDULE BEL,O\Y
e 1-LG- ZoroO
1.
LEGAL DESCRIPTION
ot 3 C'D3 1
JOB DESCzuPTION
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 Po R,.,, // 93 ?rUt"
Feeder
B. Serfi&d
ION SIIII,lU]d SIHl U]CNN O]ZIUOHINV
lg0flPsPrl'ff I u I dxl I I vH S-rur&td $[ji;201 Amps to 400 AmPs
4ol Amps to 6oo Amps --- 'TIlt0Noo
601 Amps to 1000 AmPs 5163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
Installation, Alteration or Relocation
200 or less $s
D.
'00jHld AVo 0B t ANV :. l
G}+qehlvflilsgrU0{a$fErfi iry.0s|r Rel oca t io n :
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
$ 106.00
$ 19.00
$s0.00
Supenisor License Number ,?o70 - S C' Temporarl'services or Fceders
ciry Q *,r- ll Pho^e ' fl//- ?/6/"
Expiration Date /O - D/-27
Constr. Contr. Number
Expiration Date ?- /5 .- ,/) /
Signature of Supervising Electrician
Owners Name
pnonJgg -6bb
OWNER TALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature
3
E.Miscellaneous (Serviceifeeder not included) -Each Installation
a3
C Pump or inigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Cornmercial
Minimum Electric Permit Inspection Fee is $45.00 +
4. SUBTOTALOFABOW
8% State Surcharge
10% Administrative Fee
5% TechnologY Fee
$ 50.00
$ s0.00
$ 25.00
$ 45.00
Surcharges
na Cn)
o
o
859:sInspection Request: 726-3769 TOTAL
Shared Drive(T: )iBuilding Forms/Elech'ical p.,','t't;1 4ffibution 8-06.doc
{
\A
CONT RACT O R IN STALIATI O N ONI }-
(.,Q.* f,,,, t -Ta
\
/5? {q 7
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006
APPLIEDz 0412112006
EXPIRES: 0l/1912007VALUE: $ 23,400.00
SITEADDRESS: 2419 ITTHPL
ASSESSOR'S PARCEL NO.: 1703243400347
PROJECT DESCRIPTION: Garage
Springfield TYPE OF WORK: Garage
TYPE OF USE: New Residential
Owner:
Address:
Contractor Type
General
Electrical
RON DAVIS
2419 ITTH PL
SPRINGFIELD OR 97477
Contractor
OWNER
BUILDERS ELECTRIC INC
Phone Number: 541-744-0066
License Expiration Date Phone
4296 t2n0t2007 541-485-0922
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:
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:
17.00
Urban Fringe
27.70
Sidewalk Type:
Downspouts/Drains:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
900
Drywell - Provide
Drywell Engineering
U
VN
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
10.00
10.00
12.50
Improved
No
gon v
rth
)1-
1e rules by
French drain 3' depth gravel & perf pipe l0'away from properfy line 412512006 CAS
DEVELOPMENT INFORMATION
Notes:
Page I of3
rrulLDrN u rN r utl1YrAl-$lll-l
reqon law
tter. J
-0010
Dy the
C
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006
APPLIEDz 0412112006
EXPIRESz 0111912007VALUE: $ 23,400.00
Description
Garage
Type of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$26.00 900.00
Total Value of Project
Amount Paid Date Paid
Value
$23,400.00
$23,400.00
Date Calculated
04t2u2006
Fee Description
Plan Review Residential
+ l0o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Fire SF Fee - Residential
Garage/Carport
Perm Serv/Fdr 200 amps or less
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ l0oh Administrative Fee
+ lO"h Administrative Fee
+ 87o State Surcharge
+ 8%o State Surcharge
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Miscellaneous Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
Receipt Number
2200600000000000493
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
120060000000000r09s
1200600000000001096
1200600000000001095
1200600000000001096
1200600000000001095
1200600000000001096
1200600000000001096
1200600000000001095
1200600000000001095
1200600000000001095
1200600000000001095
$r40.79
s14.40
s7.92
$36.00
$4s.00
$216.60
$63.00
$112.00
$3.18
$63.67
$4.50
$4.50
$3.60
$3.60
$28.00
$4.00
$41.00
$17.00
$19.07
$2s.07
s2.21
4t2u06
5t26t06
5t26t06
5t26t06
5t26t06
st26t06
st26t06
st26t06
5t26t06
st26t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7/19t06
$8ss.l l
Fees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
04t2412006
04t24t2006
04t24t2006
04t24t2006
0sn2t2006
04t25t2006
APP
APP
APP
SKG
TAJ
CAS Storm drainage into french drain 3'
below surface gravel and perfpipe
l0' away from properfy line
4t25t2006 CAS
OK RWCStructural Review 04t24t2006 05t23t2006
Paee 2 of3
I
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006
APPLIEDz 0412112006
EXPIRES: 01/1912007VALUE: $ 23,400.00
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.
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Reou
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.
,z*r{
Owner or Contractors re Date
Pase 3 of3
I
225 Pifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C:+v of Springfield Official Receipt
- -- ;elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001096 Date: 0711912006 l0:20:49AM
Job/Journal Number
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
Description
Gas Outlets I -4
M inimum/Adjustment Mechanical
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
4.00
4l .00
3.60
4.50
Item Total:$s3.10
Payments:
Type of Payment Paid By Received By
Fheck Number
Batch Number
Authorization
Number How Received Amount Paid
Check RON DAVIS lkw In Person
Payment Total:
$53.1 0
-$sl-ld-
9008
cReceinl I Page I of I 7/19/2006
F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006
APPLIEDz 0412112006
EXPIRES: 01/1912007VALUE: $ 23,400.00
SITEADDRESS: 2419 ITTHPL
ASSESSOR'S PARCEL NO.: 1703243400347
PROJECTDESCRIPTION: Garage
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
CO
Residential
Owner:
Address:
Contractor Type
General
Electrical
RON DAVIS
2419 ITTH PL
SPRINGFIELD OR 97477
Contractor
OWNER
BUILDERS ELECTRIC INC
I SHALT
IHIS PER
NED FOR
License Expiration Date Phone
4296 12n0t2007 541-485-0922
IHIS PEfifu,I PhoneNumber: 541-744-0066
AUIHOBIZE D UNDER
EXP'RE ,F IH E WORK
# 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:
r0.00
10.00
12.50
Partially Improved
No
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Urban Fringe
27.70
Sidewalk Type:
Downspouts/Drains:
U
VN
Lot Size:
rules
-0010 through
may obtain copies of tfig f&(NoEathe
900
Drywell - Provide
Drywell Engineering
er:h.
Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
)
Notes: French drain 3' depth gravel & perf pipe 10 ' away from property line 412512006 CAS
PUBLIC IMPROVEMENTS
Page I of3
|1 U ll,l,rli\ rJ rN I UKlvrrq'-!-!!2fJ
#of
Center.Those
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006APPLIEDz 0412112006EXPIRES: 01/1912007VALUE: $ 23,400.00
Description
Garage
Type of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$26.00 900.00
Total Value of Project
Amount Paid Date Paid
Value
$23,400.00
$23,400.00
Date Calculated
04t21/2006
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Fire SF Fee - Residential
Garage/Carport
Perm Serv/Fdr 200 amps or less
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ l0oh Administrative Fee
+ 87o State Surcharge
Fixture
Miscellaneous Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
$140.79
$14.40
s7.92
$36.00
$4s.00
$216.60
$63.00
$112.00
$3.18
$63.67
$4.50
$3.60
$28.00
$r7.00
$19.07
$2s.07
$2.21
$802.01
4t2u06
5t26t06
s/26t06
st26t06
5t26t06
5t26t06
5t26t06
st26t06
st26t06
5t26t06
7fi9t06
7n9t06
7n9t06
7n9t06
7n9106
7n9t06
7n9t06
Receipt Number
2200600000000000493
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
r200600000000000720
I 200600000000000720
1200600000000000720
1200600000000000720
l 20060000000000r 095
1200600000000001095
I 200600000000001 095
1200600000000001095
1200600000000001095
I 200600000000001095
r200600000000001095
tr'ees Pa
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
04t24t2006
04t24t2006
04t24t2006
04t24t2006
05n2t2006
04t25t2006
APP
APP
APP
SKG
TAJ
CAS Storm drainage into french drain 3'
below surface gravel and perfpipe
l0' away from property line
4/2512006 CAS
04t24t2006 05t23/2006 OK RWC
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.
Page 2 of3
]T
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
OF
Building/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0711912006APPLIED: 0412112006
EXPIRESz 0111912007VALUE: $ 23,400.00
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing 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 durin g construction.
6
Owner or Contractors Signature
Page 3 of3
o^(
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;+v of Springfield Official Receipt
^ elopment Services Department
Public Works Department
Date: 0711912006 l0:14:03AM
Job/Journal Number
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
Description
Fixture
Miscellaneous Plumbing
+ 8% State Surcharge
+ l0o/o Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Amount Due
28.00
17.00
3.60
4.s0
25.07
19.07
2.21
Item Total:
-$9115
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check RON DAVIS lkw 9007 In Person $99.45
Payment Tota I :
-599-ii5
cReceint I Page I of 1 711912006
RECEIPT #: 1200600000000001095
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING TJNITS
I. STORMDRAINAGE
DIRECT RTNOFF TO CITY STORM SYSTEM
CITY OF SPKINGFIELD SYSTEMS DEVELOPMEN. ,ORKSHEET
coM2006-00473
Ron Davis
2419 l7thPlace
t'703243400347
SINGLE FAMILY RESIDENCE
0 BUILDING SIZE LOT SrZE (SF):0
IMPERVIOUS S.F x
0.00
RUNOFF
NUMBER OF DFU's
I
B. IMPROVEMENT COST:
NUMBER OF DFU's
I
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
COST PER S.F
$0.323
COST PER S.F
$0.323
COST PER DFU
$25.07
$ r 9.07
NLMBER OF LINITS
0
NUMBEROF LINITS
0
ADM. FEE RATE
sYo
CHARGE
$0.00
DISCOT]NT RATE
500/,
$63.67
DISCOT]NT
$63.67
TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
ITEM I TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBT]RSEMENT COST:
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBI.]RSEMENT COST:
x
x
x
x
x
x
$,14.14
COST PER TRIP
$19.09
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. REIMBURSEMENTCOST:
NUMBER OF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD rTEMS 1,2,3, & 4\
5. ADMINISTRA'IIVE FEE:
$0.00
$r07.81
CHARGE
$5.39
SUBTOTAL
$107.81
TOTAL SANITARY ADMINISTRATION FEE
ADMINISTRATION FEE:
Cheryl Slaymaker 7 t1912006
IMPERVIOUS S.F
394.25
COST PER FEU
$82.03
$r9.07
$0.00
$0.00
$0.00
$0.00
00
$113.20
1070
l09l
1092
l 093
1094
105
l0s6
1079
a
IJ]aoO
rrlFa
()
rrld
tlb
I@
IM
COST PER FEU
$865.31
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNTT EQUTVALENT: DRAINAGE FXTURE UMTS
FOR CArcULATE ONLY TI{E NET ADDITIONAL
NO. OF FIXTURES
LINIT
FIXTURETYPE NEW OLD
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
TOTAL DRAINAGE FXTURE UNITS
rsa toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
DRAINAGE
FIXTTIRE
LNITS
0
2
1979
BEFORE 1979
1979
1980
198 r
1982
I 983
I 984
I 985
t986
1987
1988
I 989
1990
1991
1992
1993
1994
1995
1996
1997
I 998
1999
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$+.+o
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE / IOOO
s0.00
CREDIT RATE
$5.29
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
2
x
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
$o.72
$0.48
$0.28
$0.09
$0.05
BATHTTIB 0 0 3 0
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 b 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLOTI#SWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER GANG (NTJMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL K]TCTIEN 0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTTAL BAR 1 0 1 1
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
$0.00
2000
-ffil
EI
2001
20
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
S4l-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0512612006
APPLIEDz 0412112006
EXPIRESz 1112612006VALUE: $ 23,400.00
FIELD
SITEADDRESS: 2419 ITTHPL
ASSESSOR'S PARCEL NO.: 1703243400347
PROJECTDESCRIPTION: Garage
Springfield TYPE OF WORK: Garage
TYPE OF USE: New Residential
Owner:
Address:
Contractor Type
General
Electrical
RON DAVIS
2419I7THPL
SPRINGFIELD OR 97477
Contractor
OWNER
BUILDERS ELECTRIC INC
Phone Number:541-744-0066
License Expiration Date Phone
4296 12n0t2007 541-485-0922
# 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:
"h of Lot Coverage:
r7.00
nla
Urban Fringe
27.70
Sidewalk Type:
Downspouts/Drains
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
900
Drywell - Provide
Drywell Engineering
U
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
10.00
10.00
12.50
Partiallv Improved
No
Notes: French drain 3' depth gravel & perf pipe 10 ' away from property line 412512006 CAS
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Page I of3
'':
l9cz-'
You n
..-^ th rcation
I'UILUrl\ (J rNI Utllvl.q. ] rgN_l
0
Vj0l
Iltl'j
lHl
I
CITY
Building/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0512612006
APPLIED: 0412112006
EXPIRESz 1112612006VALUE: $ 23,400.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Description
Garage
Tvpe of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$26.00 900.00
Total Value of Project
Amount Paid Date Paid
Value
$23,400.00
$23,400.00
Date Calculated
04t2u2006
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Building Permit
Fire Fee - Residential
Perm Serv/Fdr 200 amps or less
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage lmpervious Area
Total Amount Paid
$140.79
$14.40
s7.92
$36.00
$216.60
$4s.00
$63.00
$112.00
$3.18
$63.67
$702.56
4tzu06
5t26t06
5t26/06
5t26/06
5t26t06
5t26t06
5t26t06
5t26t06
5t26t06
5/26t06
Receipt Number
2200600000000000493
1200600000000000720
1200600000000000720
1200600000000000720
r200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
1200600000000000720
Fees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
04t24t2006
04t24t2006
04t24t2006
04/24t2006
05fi2t2006
04/25t2006
APP
APP
APP
SKG
TAJ
CAS Storm drainage into french drain 3'
below surface gravel and perfpipe
10' away from property line
4t2st2006 cAS
04t24/2006 05t23t2006 OK RWC
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.
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Paee 2 of3
Reouired Insnecfions
Valuation Descrintion I
F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00473ISSUED: 0512612006
APPLIED: 0412112006EXPIRES: ll/26/2006VALUE: $ 23,400.00
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building 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.
Uu
Owner or Contractors Signature Date
Page 3 of3
UYZ_[i,b.*
Wl,pq.*'t1
225 FTFTH STREET r SPRINGFIELD, OR 97477 o PII:(541)726-3753 o FAX: (54t)726--1689
ELECTRI CAL P E RM IT APPLI CA'I' I ON
City Job Number (J, '<p+,73 Date
I. LOCA'I'IONOI'TNST'EINTTTION- l.{^ ?rz\1 t-7r--* \ t-
/.+OG
3. COMI'IN'fii N'ND SCHEDULE TIIil,OW
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
One Circuit
Each Additiorral Circuit or with
Service or Feedcr Permit
LEGAL DESCRIPTION A. Nerv Residential - Single or l\{ulti-Farnily per dwelling unit.
2 @3
JOB DESCRIPTION
lZ Lrrc-,*
Permits are and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
2. 00NTRAG?]ORTNSTALT,ATTON ONLY
Electrical Contractor cierS krc-t ric ln( 2oo Amps or less
Address fi 5 Mc{clrS o r\201 Anrps to 400 Antps
401 Arnps to (r00 Antps
601 Arnps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
Supervisor License Number 3"1 o -3 'i i't 'C. Tenrporary Seryices or Feeddiq
Expiration Date to -l'o)lnstallation. Alterntion or Relocation
200 Anrps or less $ 50.00
Constr. Contr. Number 4Nito 201 Arnps to 400 Anrps $ (r9.(X)
o-o 401 Amps to 600 Amps $100.00
Over 600 Arnps or 1000 Volts see "B" above.
D. Bronch Circuits
New Alteration or Extension Per Panel
sing Electrician
$ 43.00
$ I0(r.00
$ 19.00
$50.00
B. Scrvices or Fecders - lnstallatiotr, Alterations or Relocation
City 6 e e Phone 48-a- 09'ZZ
$ 63.00
s 75.00
$ 1 25.00
$ r 63.00
$375.O0
$ 50.00
63
S
lL s yoo 7e
Owners Name
Address L E. Mlscelltncous (Servlce/teedcr not inclutted) *liach lnstallrtion
7tt(-d;City
OWNER INST
The installatio *<6iei on property I own which
isnotinte,ddd for sale,
Owners Signature
Pump or irrigation
Sign/Outlinc Lighting
Limited Energy/Residential
Lirnited Energy/Cornmercial
Minimum Electric Permit Inspection Fee is $45.00 * Strrcharges
4. SUBTOTAL OII ABOW
Jw st^t" Surcharge
I 0% Adnrinistralivc Fec
't'o'rAL
$
$
$
$
50.00
50.00
25.00
45.00
?7N
?1u
t lb,6LInspection Request: 126-37 69
rent.
Sharcd Drivc(T:)/Building Fornrs/Elcctrical Pcrnrit Application l {3.tloc
CITY OF SPRINGFIELD, OREGON
JOURNAL ORJOBNUMBER:
NAME ORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
CITY OF SF. /GFIELD SYSTEMS DEVELOPMENT WORKSHEET
coM2006-00473
Ron Davis
2419 lTthPlace
1703243400347
SINGLE FAMILY RESIDENCE
0 BrrrLDrNG SrZE (SF, 900 LOT SrZE (SF-
I. STORM DRA]NAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F
0.00
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
394.2s
NUMBER OF DFU'S
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIPRATE
9.57
SUBTOTAL
s63.67
COST PER S.F.
$0.323
COST PER S.F
$0.323
COST PER DFU
$25.07
$r 9.07
NUMBER OF UNITS
0
NUMBER OF TNITS
0
ADM. FEE RATE
5Y"
CHARGE
$0.00
DISCOUNT RATE
50o/o
$63.67
DISCOUNT
$63.67
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL- CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBTIRSEMENT COST:
$0.00
COST PER TRIP
$r 9.09
COST PER TRIP
$84. r 9
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
r.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OFFEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMIMSTRATIVE FEE:
$0.00
s63.67
C}IARGE
$3.1 8
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE
COST PER FEU
$82.03
$0.00
$0.00
$0.00
$0.00
$0.00
3. l8
$66.8s
I 070
1091
1092
1093
1094
1 054
I 055
1054
1056
1079
I 078
o
E]aoQ
r!Fa
rI]d
COST PER FEU
$865.3 r
TOTAL SDC CHARGES
x
CherylSlaymaker 4/2512006
PREPAREDBY DATE
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OFNEW FXTURES X UNTT EQUTVALENT: DRAINAGE FXTURE UNTTS
FOR CAICUI-ATE ONLY THE NET ADDMONAL
NO. OF FIXTURES
LiNIT
FXTTIRE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NTII\4BER OF EDU'S
TOTAL DRAINAGE FD(TURE fINITS
lsa toa mit set a1 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTT'RE
UNITS
0
2
2
1979
*EDU
BEFORE I979 $5.29
$5.29
$5.19
$5.12
$4.98
$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 FOR LAND (TF APPLICABLE)
1979
1980
l98l
1982
I 983
1984
I 986
1987
1988
1989
1991
1992
1994
1995
1996
7997
1998
1999
xt 985
VALUE/ IOOO
$0.00
CREDITRATE
$5.29
1990
1993
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
$o.72
$0.48
$0.28
$0.09
$0.05
0 0 3 0BATHTUB
1 0DRINKING FOTINTAIN 0 0
0 0 3 0FLOOR DRA]N
0003INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0 b 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.0
0 0 2 0LAT]NDRY TUB
0003CLOTHESWASHER / MOP STNK
0 6 0CLOTHESWASHER - 3 OR MORE (EA)0
0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)
0RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1
0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0
0 0 2 0SHOWER, SINGLE STALL
0SHOWER. GANG (NUMBER OF HEADS)0 0 2
0 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCMN
0 0 2 0SINK: COMMERCIAL BAR
0SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2
0 1 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0
0 0 5 0T]RINAL, STALL / WALL
TOILET. PUBLIC INSTALLATION 0 0 6 0
0 3 0TOILET, PRIVATE INSTALLATION 0
0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALTIE
2000
2001
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;+v of Springfield Official Receipt
^ _ . elopment Services Department
Public Works Department
RECEIPT #: 1200600000000000720 Date: 0512612006 2:40:14PM
Job/Journal Number
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
coM2006-00473
Description
Fire Fee - Residential
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
+ 8% State Surcharge
+ l0o Administrative Fee
Amount Due
45.00
63.00
36.00
63.67
3.18
I 12.00
216.60
7.92
14.40
Item Total:$561.77
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check RON K. DAVIS 2763 In Person $561.17
PaymentTotal: ffi
cReceiotl Page 1 of I 512612006
*F*$|SF*W,;0I