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Home My WebLink AboutPermit Building 2006-04-10Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00092ISSUED: 0411012006 APPLIEDz 01123/2046EXPIRES: 1110112006YALUE: $ 4,560.00 SITE ADDRESS: 1060 2lST ST Springfield TYPE OF WORK: Carport ASSESSOR'S PARCEL NO.: 1703361200400 TYPE OF USE: Repair PROJECT DESCRIPTION: Replace carport and repair interior of residence Residential PhoneNumber: 208-798-1687Owner: Address: ROBERTA MAXFIELD 1338 29TH ST LEWISTON ID 83501 Contractor Type General Electrical Mechanical Plumbing Contractor EHLERS CONSTRUCTION INC BURRELL BROS ENTERPRISES INC EHLERS CONSTRUCTION INC RS PLUMBING CONTRACTING License 04231 136446 4231 103816 Expiration Date tUt9t2006 0812012009 llltg12006 0u0412008 Phone 541-689-6177 54t-747-2724 541-461-4714 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImproYements: 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: R-3 U VN nla 31.40 5.00 REQUIRED PARKING Total: Handicapped: Compact: a Fully Improved yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Storm drainage piped to existing to curb lhce 3/8/2006 CASNotes: Paee I of3 LUN I t(AL r UK rl\r(ryJ I'UILUTNU II\T(,,KlYTA I IUI\ I DE v ELUTVTEN I rN [l$!!]!Ll\..1 in O, ON: Ore FIELD Building/Combination Permit PERMIT NO: COM2006-00092ISSUED: 0411012006APPLIED: 0112312006EXPIRES: 1110112006VALUE: $ 4,560.00 Status Issued 225 Fifth Streeto Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Descrintion Carport Fee Description + lOoh Administrative Fee + 87o State Surcharge Temp Power 200 amps or less Plan Review Residential + l0%o Administrative Fee + 87o State Surcharge Building Permit Encroachment Permit -Mechanical Issuance Fee- + l0'h Administrative Fee + 87o State Surcharge Dryer Vent Exhaust Hoods Fixture Minimum/Adj ustment Mechanical Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Vent Fan Total Amount Paid Type of Construction Carport $ Per Sq Ft Square Footage or multiplier or Bid Amount $19.00 240.00 Total Value of Project Amount Paid Date Paid Value $4,560.00 $4,560.00 Date Calculated 03/01/2006 $5.00 $4.00 $50.00 $44.46 $6.84 $s.47 $68.40 s130.00 $10.00 $18.80 $15.04 $6.00 $9.00 $84.00 $24.00 $4s.00 $14.00 $6.00 $s46.01 2t27t06 2t27t06 2t27t06 3nt06 4n0t06 4tr0t06 4n0t06 4t10/06 5nt06 5nt06 snt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 Receipt Number 2200600000000000245 220060000000000024s 2200600000000000245 1200600000000000221 2200600000000000445 2200600000000000445 2200600000000000445 2200600000000000445 1200600000000000571 1200600000000000571 1200600000000000571 1200600000000000571 1200600000000000571 120060000000000057r 1200600000000000571 1200600000000000571 1200600000000000571 r200600000000000571 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 03t02/2006 03t02/2006 03t02t2006 03t02t2006 03n0t2006 03/08/2006 APP APP APP SKG TAJ CAS No Planning issues. Contractor verified fall to curb face, encroachment permit required for work in ROW. storm drainage issue 3/6/2006 CAS 03t02t2006 04t03t2006 APP RJB To Request an inspection call the24 hour recording at 726-3769. AII 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 Valuation Description I lr'ees Paid I 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: COM2006-00092ISSUED: 0411012006 APPLIED: 0112312006EXPIRES: 1l/0112006VALUE: $ 4,560.00 Temporary Electric: Approval required prior to Utility Company energizing pole. 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. Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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. F-'1 5*t -o6 Owner or Contractors Signature Date Paee 3 of3 q Keourreo lnspecuons I 225 Fifth Sfreet Springfield, Oregon 97 477 541-726-3759 Phone Ci' of Springfield Official Receipt D.-;lopment Services Department Public Works Department RECEIPT #: 1200600000000000571 Date:05/0U2006 l0:14:15AM Job/Journal Number coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 Description Fixture Storm Sewer - I st 50 Feet Storm Sewer Each Addtl 100' Vent Fan Exhaust Hoods Dryer Vent M inimum/Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + llYo Administrative Fee Amount Due 84.00 4s.00 14.00 6.00 9.00 6.00 24.00 10.00 I 5.04 18.80 Item Total $231.84 Payments: Type of Payment Paid By Received By CheckNumber Authorization Batch Number Number How Received Amount Paid Check EHLERS CONST dlm 36612 In Person $231.84 Payment Total: -573T3ii- cReceint I Page I of I 51U2006 rtllxeftS.s 5 d? ' -SPFI' ing unit. , 106 1225 FIFTH STREET o SPRINGFIELD, OR 97417 o PH:(541)726-3753 o FAX: (541)726-3689 EI-E C7' RI CAL P E RM IT AP PLI CATI ON Ciry Job Number I. LOCATIO lo6o couvt?poC-ooo7Z 3. CO]VIPLETE FEE SCHEDULB BELOVV W, Date 6 t[OF INSTALLAT-ION zls+ LEGAL DESCzuPTION t703 36tz b oLIO(J^ JOB DESCzuPTION P-eN t0+-#au..s€ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Phone A. , Nerv R.eSldeliiaf .-1.!ingle or Nlulti=Family per drvell Service Included I 1000 sq. ft. or less I $106.00 Each additional 500 sq. ft. or I t et ponionthereof / SIS.OO I I 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 1000Amps Over 1000 Amps/Volts Reconnect Only Ciry Supervisor License Number Ltr Expiration Date 1 Constr. Contr, Number (t Expiration Date s50.00 Etectrical cont SIJFR€LL BROS. €L€CfflCffi lUoltervllle, OR 97489Aooress s4l*741e724 B. Scrliccs or: Fecders - Instrrllation, Alterations or Rcloc:rtion: $ 63.00 s 7s.00 s 125.00 s I 63.00 $375.00 $ 50.00 2-23441 Al5 C. Installation, Alteration or Relocation 200_Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps 5100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension 0 D S of Supervis lICE One '\frht{'+" PlR c Ns+-E lF lHE s 43.00 H ER OR ED t0R- $ 3'oo Owners Name OR\SA Address I 3r S Ciry k:w*trN* ?og'7? OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature *oBf+i&Eus (Servi ceifceder no t incl udcd) -Eac h Instal lati o n Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4, SWTOTAL OF ABOVE tzi /o ,74tizso COMI $ 50.00 $ 50.00 s 2s.00 $ 45.00 ,8% State Surcharge l0% Administrative Fee TOTALInspection Request: 726-31 69 r&,Shared Drive(T:)/Building Forms/Electrical Permit Application l -06.doc J ., CQNTRACTOR CLil D 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: COM2006-00092ISSUED: 0411012006 APPLIEDz 0112312006 EXPIRES: 1110412006VALUE: $ 4,560.00 ION SITE ADDRESS: 1060 2lST ST Springfield TYPE OF WORK: Carport ASSESSOR'S PARCEL NO.: 1703361200400 TYPE OF USE: RePair PROJECT DESCRIPTION: Replace carport and repair interior of residence Residential PhoneNumber: 208-798-1687Owner: Address: ROBERTA MAXFIELD 1338 29TH ST LEWISTON ID 8350I -.st1\O Contractor Type General Electrical Mechanical Plumbing # 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: INC # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o 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: R-3 U VN License 04231 136446 4231 103816 nla Expiration Date tu19l2006 08t20t2009 t!1912006 0u04/2008 Phone 541-689-6177 541-747-2724 s4t-461-4714 ARKING Curbside 5' Curb and Gutter 31.40 5.00 Fully Improved yes Sidewalk Type: Downspouts/Drains: Notes: Storm drainage piped to existing to curb face 3/8/2006 CAS Page I of3 .0u \0ln\ INC IJEVELUTMEN I INIUKNTAI IUi\ I Compact: 1 BURRELL EHLERS RS v N$* Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2006-00092ISSUED: 0411012006APPLIED: 0l/2312006 EXPIRESz 1110412006VALUE: $ 4,560.00 Description Carport Tyne of Construction Carport $ Per Sq Ft Square Footage or multiplier or Bid Amount s19.00 240.00 Total Value of Project Amount Paid Date Paid Value $4,560.00 $4,560.00 Receipt Number 2200600000000000245 220060000000000024s 2200600000000000245 I 20060000000000022 l 2200600000000000445 2200600000000000445 2200600000000000445 2200600000000000445 r200600000000000571 1200600000000000s71 1200600000000000s71 1200600000000000571 1200600000000000s71 1200600000000000571 I 200600000000000571 1200600000000000s71 I 200600000000000571 1200600000000000571 l 200600000000000608 1200600000000000608 1200600000000000608 1200600000000000608 Date Calculated 03/01/2006 Fee Description + lloh Administrative Fee + 87o State Surcharge Temp Power 200 amps or less Plan Review Residential + l0o Administrative Fee + 87o State Surcharge Building Permit Encroachment Permit -Mechanical Issuance Fee- + lOoh Administrative Fee + 87o State Surcharge Dryer Vent Exhaust Hoods Fixture Minimum/Adjustment Mechanical Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Vent Fan + l0'h Administrative Fee + 87o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Total Amount Paid $s.00 $4.00 $50.00 $44.46 $6.84 $s.47 $68.40 $130.00 $10.00 $18.80 $15.04 $6.00 $9.00 $84.00 $24.00 $45.00 $14.00 $6.00 $12.50 $10.00 $r06.00 $r9.00 2/27t06 2t27t06 2t27t06 3nt06 4t10t06 4n0t06 4n0t06 4n0t06 5nt06 5nt06 stU06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 snt06 5t5t06 5t5t06 5t5t06 5t5t06 $693.s1 ['ees Pa Plan Reviews Initial Review Planning Review Public Works Review 03t02t2006 03t02t2006 03t02t2006 03t02t2006 03/10/2006 03/08/2006 APP APP APP SKG TAJ CAS No Planning is.sues. Contractor verified fall to curb face, encroachment permit required for work in ROW. storm drainage issue 3/6/2006 CAS APP RJBStructural Review 03t02t2006 04t03t2006 Pase 2 of3 Valuation Descriptiou ] 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: COM2006-00092ISSUED: 0411012006APPLIED: 0112312006EXPIRES: 1110412006VALUE: $ 4,560.00 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. Temporary Electric: Approval required prior to Utility Company energizing pole. 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. Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. 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 Electric Service: Approval required prior to utility company energizing service. 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 Communify 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 Date Page 3 of3 Keourreo lnsDectrons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C: of Springfield Official Receipt D*elopment Services Department Public Works Department RECEIPT #: 1200600000000000608 Date: 05/05/2006 e:07:30AM Job/Journal Number coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 8% State Surcharge + l0Yo Administrative Fee Amount Due 106.00 19.00 10.00 12.50 Item Total:$147.50 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard JASON BURRELL djb 023868 In Person Payment Total: $ 147.s0 -mi7so- cReceint I Page I of I 51512006 *sniil#Frilr.s uhecl(Number Authorrzatron 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: COM2006-00092ISSUED: 0411012006 APPLIEDT 0112312006 EXPIRES: 10/1012006VALUE: $ 4,560.00 SITE ADDRESS: 1060 2lST ST ASSESSOR'S PARCEL NO.: 1703361200400 Springfield TYPE OF WORK: Carport TYPE USE: Repair Residential PhoneNumber: 208-798-1687 PROJECT DESCRIPTION: Replace carport and repair interior of residence n coptet Owner: Address: Contractor Type General Electrical Mechanical Plumbing ROBERTA MAXFIELD 1338 29TH ST LEWISTON ID 8350I cen ter is 1-800- he 44).Oreg o1 on Utility n 332'23 Contractor EHLERS CONSTRUCTION INC BURRELL BROS ENTERPRISES INC EHLERS CONSTRUCTION INC DONN B MERRICK Expiration Date tut9t2006 08t20t2009 tutgt2006 tUt8t2006 Phone 54t-689-6177 541-747-2724 541-687-1907 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: R-3 U VN rt 31.40 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Storm drainage piped to existing to curb face 3/8/2006 CAS \T INFORMATION PUBLIC IMPROVEMENTS Page I of3 the ruies by nber {o( CE License 04231 136446 4231 57159 # of Stories: Height Type of Water Range Energy Sprinkled Sq Ft Other: nla Occupant Load: Irultrl-rll\rJ ll.\I \rlltlvlA I l(J1\ | 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: COM2006-00092ISSUED: 0411012006 APPLIEDz 0112312006 EXPIRES: 10/10/2006VALUE: $ 4,560.00 Description Carport Type of Construction Carport $ Per Sq Ft Square Footage or multiplier or Bid Amount $19.00 240.00 Total Value of Project Amount Paid Date Paid Value $4,560.00 $4,560.00 Date Calculated 03/01/2006 Fee Description + l0oh Administrative Fee + 87o State Surcharge Temp Power 200 amps or less Plan Review Residential + l0oh Administrative Fee + 87o State Surcharge Building Permit Encroachment Permit Total Amount Paid $s.00 $4.00 $50.00 $44.46 $6.84 $5.47 $68.40 $r30.00 $314.17 2t27106 2t27/06 2t27t06 3lu06 4n0t06 4n0t06 4n0/06 4n0t06 Receipt Number 220060000000000024s 2200600000000000245 220060000000000024s 1200600000000000221 2200600000000000445 2200600000000000445 2200600000000000445 220060000000000044s rilt*rDffir Plan Reviews Initial Review Planning Review Public Works Review Structural Review 03t02t2006 03t02t2006 03t02t2006 03/02t2006 03fiot2006 03/08/2006 APP APP APP SKG TAJ CAS No Planning issues. Contractor verified fall to curb face, encroachment permit required for work in ROW. storm drainage issue 3/6/2006 CAS 03t02t2006 04t03t2006 APP RJB 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections haye been requested and approved and the building is complete. Reouired Insnecfions Page 2 of3 Valuation Descrintion 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: COM2006-00092ISSUED: 0411012006 APPLTED. 0u23t2006 EXPIRES: l0/1012006VALUE: $ 4,560.00 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 street, that the permit card is times during constru Owner or all required located at th inspections are requested at the proper time, that each address is readable from the e front of the property, and the approved set of plans will remain on the site at all v5 o( DateSignature Pase 3 of3 a JOURNAL OR JOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENTTYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECTRUNOFF TO CITY STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN ' -/ORKSHEET coM2006-00092 Roberta Maxwell 1060 2l st I 703361 200400 STNGLE FAMILY RESIDENCE 0 BUTLDTNG SIZE (SF. 240 LOT SIZE (SF):0 IMPERVIOUS S.F. x 0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS COST PER S.F $0.323 COST PER S.F. $0.323 COST PER DFU $25.07 $ 19.07 NUMBEROF LINITS 0 NUMBER OF T]NITS 0 ADM. FEE RATE 5% CHARGE $0.00 DISCOI.INT RATE 5jYo $0.00 DISCOI.'NT $o.oo IMPERVIOUS S.F 0.00 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: x x x x x x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 3. TRANSPORTATION A. REIMBLIRSEMENT COST: NUMBER OF DFU'S 0 B. IMPROVEMENT COST: NUMBER OF DFU's 0 ADTTRIP RATE 9.57 B.IMPROVEMENT SUBTOTAL $0.00 xx xx COST PER TRIP $ 19.09 COST PER TRIP s84. I 9 $0.00 NEW TRIP FACTOR r.00 NEW TRIP FACTOR 1.00 x ITEM 3 TOTAL.TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NLIMBEROF 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 ITEMS l, 2, 3, & 4\ 5. ADMINISTRATIVE F-EE: $0.00 $0.00 CHARGE $0.00 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 3/8/2006 ADTTRIP RATE 9.57 $0.00 $0.00 $0.00 #DIV/OI #Drv/0! $0.00 1070 t09l 1092 1093 1094 105 I 056 1079 I 078 V)glo l-\ O & rr.lFa trl t I COST PERFEU $82.03 COST PERFEU $865.31 PREPARED BY DATE TOTAL SDC CTIARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FDOURES x UNIT EQUIVALENT:DRAINAGE FXTURET]NTIS FOR CALCULATE ONLY T}IE NET ADDITIONAL NO. OF FIXTTIRES T'NIT FXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE UNITS isa toa unit set at 167 NTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE LINITS 0 0 0 1979 +EDU BEFORE 1979 1979 1980 198 I 1984 1986 1985 l99l 1992 $5.19 $5.12 1982 1983 1987 1988 1989 1990 1993 1994 1995 1996 1997 1998 1999 2001 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 VALUE / 1OOO $0.00 CREDITRATE $5.29x $2.25 $1.80 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT 0 0 3 0BATHTUB DRINKING FOT]NTAIN 0 0 1 0 3 0FLOORDRAIN00 0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0006INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 2 0LAUNDRY TUB 0 0 0 3 0CLOTTIESWASHER / MOP SINK 0006CLOTTTESWASHER - 3 OR MORE (EA) 0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER) 0001RECEPTORFORREFRIG / WATER STATION /ETC. 3 0RECEPTOR FOR COM. SINK / DISHWASTIER / ETC.0 0 0 0 2 0SHOWER" SINGLE STALL 0002SHOWE& GANG (NT]MBER OF HEADS) 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0002SINK: COMMERCIAL BAR 0002SINK: WASH BASIN/DOUBLE LAVATORY 0 1 0SINK: SINGLE LAVATORY/RESIDENTTAL BAR 0 0005T]RINAL, STALL/WALL 6 000TOILET, PTIBLIC INSTALLATION 0 0 3 0TOILET. PRIVATE INSTALLATION 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 0 2000 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 (IF APPLICABLE) $1.59 $1.45 $1.25 $1.09 $0.e2 $o.72 $0.48 $0.28 $0.09 $0.05 225 Fifth Street Springfield, Orqgon 97 477 541-726-3759 Phone C ' of Springfield Official Receipt L-velopment Services DePartment Public Works Department RECEIPT #: 2200600000000000445 Date: 0411012006 2:28:30PM Job/Journal Number coM2006-00092 coM2006-00092 coM2006-00092 coM2006-00092 Description Encroachment Permit Building Permit + 8% State Surcharge + l0o/o Administrative Fee Amount Due 130.00 68.40 5.47 6.84 Item Total:$210.71 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard EHLERS CONSTRUCTION INC djb 040748 In Person $210.71 PaymentTotal: TiffiT' cReceintl Page I of I 411012006 L% Ir\\P oes not ' sF$.t$t &korro*irO ific land qse RK OT c)5o 225 FIFTH STREET o SPRINGFIELD, OR 97417 o PH:(541)726-3753 o FAX: ELECTRICAL PEKMIT Ciry Job Number Date r. LaCATT1N OF rN1rALtrAzol,r, ,, ,1,,,. i, t. ' cOlutpLnTt fEE ScHi,outb nEt oW rnbo $ zler LEGAL DESCRIPTION A. Neri $9;idcltial:r Single or l\lulti-Family per drvelling unit. o 6D JOB DESCR]PTION Permits nsferable expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. lnstallation, Alterations or Rclocltion 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 B. Scrviccs or Fecders - 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsAy'olts Reconnect Only $ 106.00 s 19.00 $50.00 2s Electrical Contractor Address Supervisor License Number Expiration Date 0 1' :ll CO NTRACT OR INSTALI-ATI ON OWLY,, Ciry t h l{t*.l/< Ph,^" 7Ll)-7.7ztl $ 63r00 $ 7s.00 $ 125.00 $ r 63.00 $375.00 s 50.00 Constr. Contr. Number Expiration Date l0 a1 of Supervi ,-LD {35'I OWNER INSTALLATION The instaliation is being made on properr-Y I own which is not intended for sale, lease or rent. Owners Signature: , ",, ,[gi [E##g fi $ffi hHffiJfi,llii l',t, i:?psr\:r'4q1lQED oR ts ABA+$tfu{ iDH i|i ffiiltiffi f,ffiPERroD. r],* oo Over 600 Amps or 1000 Volts see "B" above. D, Branch Circuits 0 (,(- lan rs Name OOOr.,Nliscellaneous (Service/fcedcr not inclutlcd) -Each InstlllationE Phone $ 50,00C New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sign/Outline Lighting Limited Energy/Residential $ 43.00 $ 3.00 s 50.00 s 25.00 a12 69 & Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4, SUBTOTALOFABOVE 5A 8% State Surcharge l0% Administrative Fee TOTAL 4 Inspection Request; 726-37 69 Shared Drive(T:)/Building FomVElectrical Permit Applicatron l-06.doc fu*t'--_ *-nls C. Terq$& ig6i"id.1"i Feeders J CITY Building/C ombination Permit PERMIT NO: COM2006-00092ISSUED: 0212712006 APPLIEDz 0112312006 EXPIRESz 0812712006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line SITEADDRESS: 106021STST ASSESSORTSPARCELNO.: 1703361200400 PROJECT DESCRIPTION: Fire Damage Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Owner: Address: Contractor Type Electrical MAXFIELD ROBERTA F 1338 29TH ST LEWISTON ID 83501 Contractor BURRELL BROS ENTERPRISES INC License 136446 . Expiration Date 08t20t2009 Residential Phone 541-747-2724 CONTRACTOR INFORMATI BUILDIN()none ication # 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: Notes: # 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 ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport rit PER DORISAI Y PERIOD. Sidewalk Type: Downspouts/Drains: WOBK BANDONED FOR REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value Date Calculated S Valuatiou Description I Status Issued 225 Fifth Street Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00092ISSUED: 0212712006APPLIEDz 0112312006 EXPIREST 0812712006 VALUE: F Fee Description + l0%o Administrative Fee + 87o State Surcharge ., t.-, Power 200 amps or less Total Amount Paid Amount Paid $s.00 $4.00 $s0.00 $s9.00 Total Value of Project Date Paid 2t27t06 2t27t06 2127t06 Receipt Number 220060000000000024s 220060000000000024s 2200600000000000245 Plan Reviews To Request an inspection caII the 24 hour recording at 726-3769. AIt inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Temporary Electric: Approval required prior to Utility Company energizing pole. * By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. z-z7 -06 Contractors Signature Ptse2 of2 Date Bees l,ztd I Keourreo InsDecuons I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Jevelopment Services Department Public Works Department RECEIPT#: 2200600000000000245 Date: 0212712006 8:29:58AM r,.Iob/Journal Number :COM2006-00092 ,COI,IZOOO-OOOSZ icoNazooo-ooosz Description Temp Power 200 amps or less + 8% State Surcharge + l0o Administrative Fee Amount Due 50.00 4.00 5.00 Item Total:$s9.00 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard JASON BURRELL nJm 0s l 888 051888 In Person Payment Total: $s9.00 -s5:6d'' I t nl. r( ( ,(j . , i ; 2/2712006 Page I of I