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Home My WebLink AboutPermit Building 2006-07-13Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRESz 0710312007VALUE: $ 280,018.00 PhoneNumber: 541-726-4077Owner: Address: Contractor Tvpe General Electrical Low Voltage Electrical Mechanical Plumbing MARK FERRY 2274 IOTH ST SPRINGFIELD OR 97477 Contractor License IVERSON & CO INC 50854 TURNBO CARTER ELECTRIC INC 156308 APEX SYSTEMS INC 100283 ANDY'S HEATING AND AIR CONDITIONIN 164497 DOUGS PLUMBING INC 110163 Expiration Date 06t02t2007 0711412009 05/13/2008 Phone 541-686-8275 541-607-1556 541-744-8949 541-461-1282 541-688-3385 CONTRACTOR INFORMATION 07n it, les areI sett gsaool # 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: Sprinkled Building nla Overlay Dist: Sq Ft Other: Occupant Load: REQUIRED PARKING Total: 2 4 Handicapped: Compact: 1 R-3 U VN Size:ruES b'l Floor: 1,144 1,472 809 4 20.00 20.00 38.00 12.00 0.00 R\OD Fullv Improved Yes Sidewalk Type: Curbside 5, Downspouts/Drains: To Storm Sewer Notes: Storm drainage to stub provided shown as sanitary on plans called Contractor 611312006 DEVELOPMENT INFORMATION Page I of4 Building/Combination Permit SITE ADDRESS: 2260 37th St Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1702194308700 TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Ambleside lst lot 155 #of Height Type Water Range Energy centef {orthe SHALL UNDER Tl\\8PBs[1 ED FORAUlHOR\ANDON Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 lnspection Line Building/Combination Permit PERMIT NO: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRESz 0710312007VALUE: $ 280,018.00 Description Dwellinss Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + lOoh Administrative Fee + 87o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Imper"vious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + l0oh Administrative Fee + 5%o Technology Fee + 87o State Surcharge Total Value of Project Date Paid Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,616.00 809.00 Value $258,984.00 $21,034.00 $280,018.00 Date Calculated 06/08/2006 06/08/2006 Amount Paid Receipt Number 1200600000000000825 1200600000000001060 1200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 r200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 r200600000000001060 120060000000000r060 1200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 1 200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 I 200600000000001060 2200600000000001763 2200600000000001763 220060000000000r763 $750.04 $10.00 $176.32 $127.35 $306.00 $31.00 $1,153.90 $40.00 $80.00 $6.00 $9.00 $171.25 $12.00 $1s.00 $4.00 $12.00 $198.00 $-30.00 $629.31 $827.31 $10.00 $86s.31 $82.03 $183.41 $61.43 $805.70 $182.69 $80.00 $1,494.52 $50.00 $24.00 $1,000.00 $20.10 $10.05 $16.08 6t8t06 7n3t06 7n3t06 7n3t06 7n3t06 7n3106 7n3t06 7/13t06 7n3t06 7n3t06 7n3/06 7n3/06 7tr3t06 7lt3t06 7n3t06 7n3t06 7n3t06 7n3t06 7lt3106 7n3t06 7/13t06 7tr3106 7n3t06 7n3t06 7n3106 7n3t06 1n3t06 7n3t06 7fi3t06 7/13t06 7n3/06 7n3/06 12t28t06 12t28t06 12t28t06 ['ees Peid Pase 2 of 4 Valuation Descrintion I FIELD 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: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRES: 07i0312007VALUE: $ 280,018.00 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 + l}oh Administrative Fee + 5%o Technology Fee + 87o State Surcharge Low Voltage - Residential Minimum/Adj ustment Electrical Total Amount Paid $106.00 $9s.00 $4.50 s2.25 $3.60 $2s.00 $20.00 $9,670.15 12t28t06 12t28106 u3t07 u3t07 il3t07 u3t07 u3t07 2200600000000001763 2200600000000001763 2200700000000000006 2200700000000000006 2200700000000000006 2200700000000000006 2200700000000000006 Plan Initial Review Planning Review Public Works Review 06t09t2006 06t09t2006 06t09t2006 06t0912006 06t28t2006 06n6t2006 APP APP APP LLH TAJ CAS Storm drainage piped to stub provided 611312006 Structural Review 06t09t2006 06n9t2006 APP RJB 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 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. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Paee 3 of4 Renrrirerl Insnecf \._i F 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: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRESz 0710312007VALUE: $ 280,018.00 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is instatled and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 Cify of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Page 4 of 4 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci' of Springfield Official Receipt D.-.:lopment Services Department Public Works Department RECEIPT#: 2200700000000000006 Date: 0110312007 9:22zt5AM Job/Journal Number coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 Description + 5olo Technology Fee + 8% State Surcharge + l0oh Administrative Fee Low Voltage - Residential Minimum/Adj ustment Electrical Amount Due 2.25 3.60 4.50 25.00 20.00 Item Total:$55.35 Payments: Type of Payment Paid By CheckNumber Authorizatlon Received By Batch Number Number How Received Amount Paid Check APEX SYSTEMS In Person Payment Total: $5 5.3 s -ffi djb 3306 cReceint I Page I of 1 11312007 rnffiil*& -&Nr)/. T.a.P1!,,,O? (3 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(5.41)726-3753 o FAX: (541)726-3689 Date ELE PERMIT City Job Number I. LOCAT'ION AF LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferabte and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. coNT'RA,iroR INS',t',ALtAT:ION 0NI;Y Electrical contractor Mt a Address city ltlyuLt!- rr,on"5s+ZZ3 B.ServicesorFeer]ers-Inst:lIlution,.{lterationsorRelocatir-rrr: APPLI TION \r n)Service Included 1000 sq. ft. or less Each additional 500 sq. ft' or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 AmPs or less 201 Amps to 400 AmPs tpflS{Utt9 600 AmPs f9tr$prfl?,ftrtfrtf: fl1Td,ffi,3fi9'[,ti51-, $50.00 $ 63.00 $ 75.00 s i 25.00 $ 1 6i.00 $37s.00 $ s0.00 $ 106.00 s 19.00€ Supervisor License Nunrber Ll77o s C. Tentporlrt-'services or Feeders Expiration Date - l-07 Installation, Alteration or Relocation 200 Amps or less S 50'00 201 Anrps to 400 AmPs S 69'00 401 Amps to 600 -\mPs $100'00 Over 600 Amps or I000 Volts see "B" above' p.- nar"aftCiicuits r : ir ''r :i ' '':' :li 1::,. ;.i : /o Constr. Contr. Number 3o8lsb 1-ttl-oExpi Sign Date of Supervisin clan New Alterltion or Extcnsion Per Panel One Circuit S 4i 00 Each .\dditional Circuit or "vrth Service or Feecer Permit S l'00 C Owners Name rno""pQ;4!e7 O}VNER INSTALLATION The installation is being made on property I own which is not intended lor sale, lease or rent' Owners Signature Pump or inigation SigniOutline Lighting Limited EnergY/Commercial Nlininrum Electric Permit Inspection Fee is 5'{5'0 OFABO\-E $ 50.00 s 50.00 s 25.00 $ 45.00 0 + Surcharges /a.o$4. SUBTOTAL ,5% TlYo Stut" Surcharge l0% Administrative Fee TOTAL t Inspection Request: i26-37 69 Shurcd Drive(T:)/Buildi ng Penllit Application t-0l.doc 3. CO\\IPLEt'E t'EE SCHITDL:LL' BELOl\r , - '',,, A.NervResidential-sirrgleorNtulti.Famill.perdlvellingunit. toQ q5;, E. SPFIINGFIELD'1 rr : .. .:':: t:,. I ,,,..i., , Qp,'';.,,, ZON b:'- INITIALS DATE I '1-c r'? . 225 FIFIH STREET o SPRINGFIELD,OR97477 r PH:(541)726-ll$f o FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job N umber @ul/\@ 06-cr(2 6? ?Date 3 -o 3 COMPLETE FEE SCHEDULE BELO$ A.New Residential - Single or Multi.Family per dwelling unit. souRC4vY+:iezl}{ I. LOCAruAN ?'6 a, LEGAL o 87co11 0z t?Ll 9 JOB DESCzuPTION 9eZov,tL t Vtnioe Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 7 CANTRACTOR INSTALLATION ONLY Electrical Contractor 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 200 Amps or less 201 Amps to 400 Amps Pump or irrigation \ Sign/Outline Lighting Limited Energy/Residential 8% State Surcharge l0% Administrative Fee 57o Technology Fee $ 63.00 $ 106.00 $ 19.00 $50.00 B.Services or Feeders - Installationo Alterations or Relocation: Address A Bo, F"f {€ City d( rnon" 7z Supervisor License Number /'l70 l2c.- Expiration Date ,/O ^/-O? Constr. Cont.. Nr-b ", /O O >g 3 Expiration Date 5-/3-o 7 Si Electrician Owners Name fllfre-tc ftlqq- 60 I Amps to I 000 Amps $ I 63.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 C. Iemporary Services or Feedors. , Installation, Alteration or Relocation $ 7s.00 $ 125.00 $ 50.00 r $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3'00 Nliscellaneous (Service/feeder not included) -EachAddressZ?--7L\toW'si City 5PF\Phone 7?6 - {O: -l OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: E $ s0.00 $ s0.00 Installation $ 25.00 Z{ 00Limited Energy/Commercial $ 45. Minimum Electric Permit Inspection f""it * S 4. SUBTOTLLOFABOW urcharges Ll f a@ t{ to?rf SQ'Inspection Request: 726-37 69 TOTAL Shared Drive(T:/Building Forms/Electrical Permit Application 846.doc " ,' CITY OF OREGON 7/t-/-87?7 Buitding/C ombination Permit Status: Issued 225 Fifth Street, Springfield, OR 54L-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRESz 06107/2007VALUE: $ 280,018.00 SITE ADDRESS: 2260 37th St Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO': 1702194308700 TYPE OF USE: New Residential PROJECT DESCRIPTION: Singte family residence - Ambleside lst lot 155 Phone Number: 541-726-4077Owner: Address: MARK FERRY 2274 IOTH ST SPRINGFTELD OR 97477 Contractor Tyrre General Electrical Mechanical Plumbing Contractor License IVERSON & co INC 50854 TURNBO CARTER ELECTRIC INC 156308 ANDY'S HEATING AND AIR CONDITIONIN 164497 DOUGS PLUMBING INC 110163 Expiration Date 06t02t2007 07t14/2009 0711112007 1U2412007 Phone 541-686-8275 541-607-1556 541-461-1282 541-688-3385 # 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: 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: 1,144 1,472 809 Curbside 5' To Storm Sewer I R-3 U VN 4 I 29.00 Gas Gas Path I nla 20.00 20.00 38.00 12.00 0.00 4 Yes 20.30 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Fully Improved Yes Notes: Storm drainage to stub provided shown as sanitary on plans called Contractor 611312006 Pase I of4 !i DEVL,LUPNI]-Nl lNryJ FIE Buildin g/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: COM2006-00699ISSUED: 07/1312006 APPLIED: 06/0812006 EXPIREST 06/0712007VALUE: $ 280,018.00 Description Dwellings Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC NIWMC Improvement SDC IUWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or Iess Vent Fan Willamalane Single Family + l0oh Administrative Fee + 5%o Technology Fee + 87o State Surcharge Total Value of Project Date Paid Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,616.00 809.00 Value $258,984.00 $21,034.00 $280,018.00 Date Calculated 06/08/2006 06/08/2006 Amount Paid Receipt Number 1200600000000000825 1200600000000001060 r200600000000001060 120060000000000r060 r20060000000000r060 1200600000000001060 1200600000000001060 1200600000000001060 120060000000000r060 r200600000000001060 1200600000000001060 1200600000000001060 120060000000000r060 1200600000000001060 r200600000000001060 1200600000000001060 120060000000000r060 1200600000000001060 r20060000000000r060 1200600000000001060 1200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 r20060000000000r060 1200600000000001060 120060000000000r060 r200600000000001060 r200600000000001060 2200600000000001763 2200600000000001763 2200600000000001763 $750.04 $10.00 $r76.32 $127.3s $306.00 $3r.00 $1,153.90 $40.00 $80.00 $6.00 $9.00 $u1.25 $12.00 $15.00 $4.00 $12.00 $198.00 $-30.00 $629.31 $827.31 $10.00 $86s.31 $82.03 $r83.41 $61.43 $80s.70 $182.69 $80.00 $1,494.52 $s0.00 $24.00 $1,000.00 $20.10 $10.05 $16.08 6/8t06 7n3106 7n3106 7fi3106 7t13t06 7n3t06 7t13106 7tr3t06 7n3t06 7n3t06 7tr3t06 7n3t06 7tL3106 7n3t06 7n3t06 7fi3t06 7n3t06 7t13106 7n3t06 7n3t06 7t13t06 7n3t06 7tr3t06 7t13106 7n3t06 7n3t06 7n3t06 7n3t06 7tr3t06 7n3t06 7fi3t06 7/13t06 12t28106 12t28t06 12t28106 ees Paid Pase 2 of 4 Valuation Description I LD Building/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: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRESz 0610712007VALUE: $ 280,018.00 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid $106.00 $95.00 $9,614.80 12t28106 12t28106 2200600000000001763 2200600000000001763 Plan Reviews Initial Review Planning Review Public Works Review 06t09t2006 0610912006 06t09t2006 0610912006 06t2812006 0611612006 APP APP APP LLH TAJ CAS Storm drainage piped to stub provided 61L312006 Structural Review 06t09t2006 06t1912006 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 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. 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. Paqe 3 of4 Reouired Insnections I Buildin g/C ombination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54L-726-3676 Rax 541-726-37 69 Inspection Line PERMIT NO: COM2006-00699ISSUED: 0711312006 APPLIED: 06/08/2006 EXPIRESz 0610712007VALUE: $ 280,018.00 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete' Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing' Water Line: Prior to filling trench and including required testing' sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When atl plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After tine is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 bL 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 "r.ui. that all required inspections are requested at the proper time, that each address is readable from the street, thaittre 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 Pase 4 of 4 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: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRES: 0l/1312007VALUE: $ 280,018.00 t\r SITE ADDRESS: 2260 37th St Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1702194308700 TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Ambleside lst lot 155 PhoneNumber: 541-726-4077Owner: Address: Contractor Type General Plumbing MARK FERRY 2274 IOTH ST SPRINGFIELD OR 97477 n Center. T # 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: -0010 on Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ol Lot Coverage: CO Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Contractor IVERSON & CO INC DOUGS 009 calli 1 truin-,bCr R-3 iules adoPted Expiration Date 06t02t2007 Lu24t2007 Phone 541-686-8275 541-688-3385 ne ation 2 29.00 Gas Gas Path I nla U VN I,144 1,472 809 4 20.00 20.00 38.00 12.00 0.00 4 Yes 20.30 Type: REQUIRED PARKING Total: Handicapped: Compact: F THE WORK FOR 1 Curbside 5' To Storm Sewer L EXPIRE I D UNDE CED SidewalkFullv Improved Yes ANY 1BO DA}Downspouts/Drains: Notes: Storm drainage to stub provided shown u, ,unitury'on plans called Contractor 6/13/2006 \T INFORMATION Pase I of4 rqt r:r. , the rules ATTEI 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: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRES: 01/1312007VALUE: $ 280,018.00 Description Dwellings Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets l-4 Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Value of Project Date Paid Receipt Number 1200600000000000825 1200600000000001060 1 200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 r200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 I 200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 1200600000000001060 r200600000000001060 1200600000000001060 1200600000000001060 120060000000000r060 1200600000000001060 1200600000000001060 120060000000000r060 r200600000000001060 Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,616.00 809.00 Value $258,984.00 $21,034.00 $280,018.00 Date Calculated 06/08/2006 06/08/2006 Amount Paid $750.04 $10.00 s176.32 $127.3s $306.00 $31.00 $1,153.90 $40.00 $80.00 $6.00 $9.00 $17r.2s $12.00 $15.00 $4.00 $12.00 $198.00 $-30.00 $629.31 $827.31 $10.00 $86s.31 $82.03 $183.41 $61.43 $805.70 $182.69 $80.00 $1,494.52 $50.00 $24.00 $1,000.00 6t8t06 7n3t06 7n3106 7n3t06 7n3t06 7n3t06 7n3t06 7n3/06 7n3t06 7tr3t06 7n3t06 1n3t06 7n3t06 7n3106 7n3t06 7n3t06 7n3t06 7n3t06 7n3t06 7/13t06 7fi3106 7n3t06 7n3t06 7n3t06 7fi3t06 7n3/06 7n3106 7 n3t06 7n3t06 7n3t06 7n3t06 7n3/06 Fees Total Amount Paid $9,367.57 Pase 2 of 4 e Valuation Description Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676 Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00699ISSUED: 0711312006 APPLIED: 06/0812006 EXPIRES: 01/1312007VALUE: $ 280,018.00 Plan Reviews Initial Review Planning Review Public Works Review 06t09t2006 06t09t2006 06t0912006 06t09t2006 06t2812006 06n6t2006 APP APP APP LLH TAJ CAS Storm drainage piped to stub provided 611312006 Structural Review 06t0912006 06n912006 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to utility company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 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. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Paee 3 of4 Reouired lnsnections 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: COM2006-00699ISSUED: 0711312006APPLIED: 06/0812006 EXPIRES: 01/1312007VALUE: $ 280,018.00 Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner Pase 4 of 4 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689 ELECTRICAL TION City Job Number 1.I,OCAT'ION h LECAL DESCRIPTION t-tuL\qd6 OAlDD \J outl 3. COMPLE'I'E T.'EE SCHEDTJLE BELAW' A. Nen Rrsiderttial - Single or \tulti-Famill per drrelling urrit' 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 -t, JOB DESCRIPTION Permits not started within 180 days Suspended for 180 days. Elecffical Contractor Address ' $106.00 $ 19.00 CON'IRAgnOR INSTALI-ATION A^ILY B. Scrvices or !'eetlers - lnstallation, Altcrations or Relocation: rg- oit€-o+- $50.00 $ 63.00 $ 75.00 $ 12s.00 $ 1 63.00 $375.00 $ 50.00 $ s0.00 $ 69.00 $100.00 Cify Phsne 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 C. 'I'emporarv Scrvices or l."cedersSupervisor License Numbef./ / Constr. Contr. Nuinber/ Exoiration Ddte,// of Supervising Electrician Address \\D I Installation, Alteration or Relocation 200 Amps or less 1 201 Amps to 400 Amps 401 Amps to 600 Amps Expiration Date Cify 5 pnon. [4&] 8!r\3 N Over 600 Amps or 1000 Volts see "B" above. D. Branclr Cirtuits New Alteration or Extension Per Panel OneCircuit -'$43.00 Each Additional Circuit or with Service.or Feeder Permit $ 3'oo E. Miscellaueous (Service/feeder not included) -E,ach lnstallation OWNER INSTALLATION The installation is being made on property I own which is not intended for sale,or rent. Pump or irrigation Sign/Outline Lighting iimited Energy/Residenti al Limited Energy/Commerci al $ s0.00 $ 50.00 $ 2s.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges Sign SUBT'OTAI, OIIABOVE D 8% State Surcharge l0% Administrative Fee TOTALInspection Request: 726-3769 4. Shared Drive(T:)/Building FormVElectrical Permit Application l-06.doc CITY OF ORECON 0-Q,l ot)SL( -Orrnc+s Name fffi?r9 a! JOURNAL OR JOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEWDWELLTNG UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM CITY OF SPKINGFIELD SYSTEMS DEVELOPMEN] -ORKSHEET coM2006-00699 Mark 2260 37thst 17021 SINGLE FAMILY RESIDENCE BUTLDING SIZE LOT SIZE (SF):9619 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS DISCOT]NT RATE 50,h IMPERVIOUS S.F 0.00 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENTCOST: t n tPERvrous sJ.l-| 4627.00 NUMBER OF DFU's 33 B. IMPROVEMENT COST: NUMBER OF DFU's 33 ADTTRIP RATE 9.57 B.IMPROVEMENT SUBTOTAL $4,896.8? COST PER S.F $0.323 COST PER S.F. $0.323 COST PER DFU $25.07 $r 9.07 NTIMBEROF T]NITS t NUMBER OF TINITS I ADM. FEE RATE 5Yo CFIARGE $1,494.52 x x x x x x x x x DISCOI.JNT $0.00 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,456.62 3. TRANSPORTATION A. REIMBURSEMENTCOST: xx xx COST PER TRIP $19.09 COST PER TRIP $84. I 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER. MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MVTMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS t, 2, 3, & 4) 5. ADMINISTRATIVE FEE: $957.34 CHARGE $244.84 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CherylSlaymaker 611312006 494.52 $629.31 $82.03 ${t6s.3r $10.00 r 83.41 I $5,141.71 1 070 l09l 1092 1093 1094 I 055 1 056 1079 I 078 a rrlooO &r]]Fa t) E]& I 1 ADT TRIP RATE 9.57 COST PER FEU $82.03 COST PERFEU $865.3 r 896.87 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBEROF NEWFXTURES XUMT EQUTVAIENT: DRAINAGE FXTURE LTNTTS FOR CAICULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES UNITFIXTURE TYPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FD(TURE UNITS lsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COTJNTY ASSESSED VALUE 20 DRAIjIAGE FIXTURE TINITS 0 2 1979 BEFORE 1979 1979 1980 l98l I 982 1983 I 984 I 985 1986 1987 1988 1989 I 990 199',I 1992 1993 1994 1995 1996 1997 1998 1999 $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 FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 2 VALUE/ IOOO $0.00 CREDITRATE $5.29x CREDIT FOR IMPROVEMENT GF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $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 $0.05 BATHTUB 2 0 3 6DRINKING FOL]NTAIN 0 0 1 0FLOORDRAIN0030 INTERCEPTORS FOR GREASE / OIL /SOLIDS /ETC,0 0 3 0 INTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 b 0 LAI.INDRY TIIB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBTLE HOME PARK Ig4I11 iEli TRATLER)0 0 12 0 RECEPTOR FOR REFRIC / WATER STATION/ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER /ETC.1 0 3 3 SINCLE STALL 2 0 2 4 SHOWE& GANG OTUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCTIEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 4 SINK: SNGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 URINAL, STALL/ WALL 0 0 5 0 TOILET, PI.IBLIC INSTALLATION 0 0 6 0 TOILET, PRTVATE INSTALLATION 3 0 3 I YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 $0.00 2000 2001 225 Fifth Street Springfield; Oregon 97 477 541-726.3759 Phone C" ' of Springfield Official Receipt L . elopment Services Department Public Works Department RECEIPT #: 1200600000000001060 Date: 0711312006 10:12:20AM Job/Journal Number coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 coM2006-00699 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit Curbcut - Additional Driveway PW Disc - 2nd Permit (Street) Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets l-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- Plan Review Major - Planning + 8% State Surcharge + l0o/o Administrative Fee Amount Due 31.00 I,000.00 50.00 171.25 80.00 80.00 40.00 (30.00) 1,494.52 827.31 629.3t 182.69 805.70 82.03 865.31 10.00 I 83 .41 61.43 r ,l 53.90 306.00 12.00 24.00 9.00 6.00 4.00 r 5.00 12.00 10.00 198.00 t27.35 176,32 Item Total $8,617.53 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check CreditCard BOYD IVERSON BOYD IVERSON b b dj dj 2347 In Person I 89545 In Person Payment Total: $6 r 7,53 $8,000.00 $8,617.53 cReceint I Page 1 of2 711312006 |lramR*&