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Home My WebLink AboutPermit Building 2006-10-23GF 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: COM2006-00268ISSUED: 1012312006APPLIED: 03/0612006 EXPIRES: 0412312007VALUE: $ 50,356.00 SITE ADDRESS: l87l 2ND ST Springfield TYPE OF WORK: Interior ASSESSOR'S PARCEL NO.: 1703262401200 TYPE OF USE: Remodel PROJECT DESCRIPTION: Remodel residence into Optometry Dr. office/repair san sewer line Commercial PhoneNumber: 541-913-1120Owner: Address: Contractor Type General Electrical Mechanical Plumbing ROBERT SMALLWOOD PO BOX 70576 EUGENE OR 9740I Contractor STEVE COLYER ROSE CORPORATION COMFORT FLOW LOREN DAVID WILSON License 68200 54431 460 170401 Expiration Date 08t07t2007 09i30/2008 06t27t2007 06/05/2008 Phone 541.933-1279 s41-686-0905 541-726-0100 541-689-9486 CONTRACTOR INFORMATION BUILDING INF( # 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 rype olflffilS ['waterl,rffi prRMrT sHALL EXPrRKanse tvDe: eo"igv&Htfli0B IZED UNDF R THI S Sprinkl€X]Eh[trGfld] ED 0 n I $ABAN D Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: "h of Lot Coverage: rt REQUIRED PARKING Total: Handicapped; Compact: B VB Lot Size: Sq Ft lst Floor; Sq Ft 2nd Floor: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Pase I of5 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit-' of Springfield Official Receipt D lopment Services DePartment Public Works Department RECEIPT #: 2200700000000000185 Date: 0211212007 l0:17:49AM Job/Journal Number coM2006-00268 Description Temp Occupancy Amount Due 100.00 Item Total:$100.00 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROBERT SMALLWOOD lkw 088127 In Person $100.00 Payment Total: -S1TTTT- k iqrlI A*,k st cReceint'l Page I of I 211212007 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: COM2006-00268ISSUED: 1012312006 APPLIED: 03/0612006EXPIRES: 0412312007VALUE: $ 50,356.00 Description Estimate Pavins Type of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 37,156.00 13,200.00 Value $37,156.00 $13,200.00 s50,356.00 Date Calculated 04n3t2006 04n3t2006 Fee Description -Mechanical Issuance Fee- + l0'h Administrative Fee + 87o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Plan Review Comm/Ind/Public + l0oh Administrative Fee + 87o State Surcharge Building Permit Curbcut Permit Fixture Paving Plan Review Commfl nd/Public PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area + l0'h Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Temp Power 200 amps or less + lOoh Administrative Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Amount Paid Total Value of Project Date Paid Receipt Number 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000263 1200600000000000576 1200600000000000s76 1200600000000000s76 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 r 200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000s76 1200600000000000576 1200600000000000s76 1200600000000000576 2200600000000000652 2200600000000000652 2200600000000000652 2200600000000000652 2200600000000000652 r200600000000001 123 1200600000000001 123 1200600000000001 r23 1200600000000001123 1200600000000001 r23 1200600000000001 123 1200600000000001 123 $10.00 $4.50 $3.60 $8.00 $12.00 $25.00 s120.5r $s6.s1 $34.12 $300.45 $80.00 $126.00 $138.60 s122.95 $-30.00 $r90.66 s250.74 $48.10 $20.91 $340.99 $77.31 $80.00 $520.56 $11.70 $9.36 $43.00 $24.00 $50.00 $16.30 $13.04 $4s.00 $4s.00 $14.00 $4s.00 $14.00 316106 3t6t06 3t6t06 3t6t06 3t6t06 3t6t06 3t7106 51u06 51y06 5nt06 5/u06 5fi106 51y06 5fi106 5fit06 5tu06 5n106 snt06 5nt06 snt06 5nt06 5tr/06 sfi106 5t25106 5t25106 5t25106 st25t06 5t25106 7t2u06 7t21t06 7t2u06 7/2U06 712u06 7t2u06 7t2u06 F'ees Paee 2 of5 q- Valuation Descrintion I 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: COM2006-00268ISSUED: 10/2312006APPLIED: 03/0612006 EXPIRESz 0412312007VALUE: $ 50,356.00 Temp Occupancy + lOoh Administrative Fee + 57o Technology Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Temp Occupancy Temp Occupancy Total Amount Paid $100.00 $4.s0 $2.25 $3.60 $45.00 $200.00 $200.00 $3,427.26 8tzu06 10t23t06 t0t23t06 10t23t06 r0t23t06 tu29t06 tu29t06 120060000000000131 I 1200600000000001558 1200600000000001558 1200600000000001558 120060000000000r558 1200600000000001698 1200600000000001698 Plan Reviews Fire DeDartment Review Initial Review Plan Review Comments Plan Review Comments Plannins Review Public Works Review Public Works Review Structural Review Structural Review SUB Review SUB Review SUB Review 04t26t2006 04t2612006 APP SB 03n0t2006 03/08/2006 03/10/2006 03n012006 04t26t2006 03n0t2006 03/r0/2006 04t0U2006 04t2st2006 03/10/2006 04t13t2006 04/18t2006 03t2412005 03t2u2006 0412612006 03n3t2006 03n712006 04t0U2006 04t2st2006 LLH JMP JMP EMM SB 04t26t2006 0K AG See attached Fire Department Comments. MF WE. Called Robert Smallwood to remind him that we received some drawings and the valuation but that we still are waiting on the responses to the 311312006 structural comments letter. He said he will work on getting the responses to me soon with the second set of revised drawings. Rose Electric and owner still deciding on fixtures. to be built per MDS decision DRC2006-00012 LDAP required. Hold issuance for issuance of LDAP. SDCs added' curbcut and sidewalk added. LDAP issued 3/29106. Ready to issue. Received final internal approvals. See attached documents for 14 structural comments faxed to Carl Stoner. See item 8 of l4 structural comments attached for JMP's request for the energy code forms. Received HVAC info. Still need Bldg & Lighting forms. Rose Electric still needs to provide the lighting code forms. OK IO IO APP WE APP WE JMP JMP WE JF WE APP JF JF To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Paee 3 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line GFIELD Building/Combination Permit PERMIT NO: COM2006-00268ISSUED: 1012312006APPLIED: 03/0612006 EXPIRESz 0412312007VALUE: $ 50,356.00 leorrired Insnections Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Storm Sewer Line: Prior to filling trench. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following Cify Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Temporary Electric: Approval required prior to Utilify Company energizing pole. Temporary Electric: Approval required prior to Utilify Company energizing pole. Water Line: Prior to fitling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Paee 4 of 5 FA 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: COM2006-00268ISSUED: 1012312006APPLIED: 03/0612006 EXPIRESz 0412312007VALUE: $ 50,356.00 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 wilt 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 front of the property, and the approved set of plans will remain on the site at all times during ction. llz?'ob Owner or Signature Date Page 5 of 5 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Citv ^f Springfield Official Receipt De rpment Services Department Public Works Department RECEIPT #: 1200600000000001698 Date: 1112912006 l:08:l7PM Job/Journal Number coM2006-00268 coM2006-0026E Description Temp Occupancy Temp Occupancy Amount Due 200.00 200.00 Item Total $400.00 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROBERT SMALLWOOD djb 928561 In Person $400.00 Payment total: -SZdbTT- cReceintl Page I of I \v2912006 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: COM2006-00268ISSUED: rcn312006APPLIED: 03/0612006EXPIRES: 0412312007VALUE: $ 50,356.00 SITE ADDRESS: 1871 2ND ST Springfield TYPE OF WORK: Interior ASSESSOR'S PARCEL NO.: 1703262401200 TYPE OF USE: Remodel PROJECT DESCRIPTION: Remodel residence into Optometry Dr. officeirepair san sewer line Commercial PhoneNumber: 541-913-1120Owner: Address: ROBERT SMALLWOOD PO BOX 70576 EUGENE OR 9740I Contractor Type General Electrical Mechanical Plumbing Contractor STEVE COLYER ROSE CORPORATION COMFORT FLOW LOREN DAVID WILSON Expiration Date 08107t2007 09/30/2008 06t27t2007 06/05/2008 Phone 541.933-1279 s41-686-0905 541-726-0100 541-689-9486 License 68200 s443t 460 170401 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: Notes: B VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKING Total: Handicapped: Page I of5 IturLUrNU rNrUKlYIA r ruN I rJIr v rl,urvluN r rN ! tlSn!4_I_!!f.ll__.,1 0090. number 952-0014010 through OAR the rules bY telePhone Notilicationcalling Center 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: COM2006-00268ISSUED: 1012312006 APPLIED: 03/0612006EXPIRES: 0412312007VALUE: $ 50,356.00 Description Estimate Paving Fee Description -Mechanical lssuance Fee- + l0oh Administrative Fee + 87o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Plan Review Comm/Ind/Public + l0oh Administrative Fee + 87o State Surcharge Building Permit Curbcut Permit Fixture Paving PIan Review Comm/Ind/Public PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Temp Power 200 amps or less + l0Yo Administrative Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Value of Project Date Paid Receipt Number 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 12006000000000002s2 1200600000000000263 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000s76 r200600000000000576 1200600000000000576 1200600000000000576 1200600000000000s76 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000s76 1200600000000000576 1200600000000000576 2200600000000000652 2200600000000000652 2200600000000000652 2200600000000000652 2200600000000000652 1200600000000001 123 1200600000000001 123 1200600000000001 123 r200600000000001 123 1200600000000001 123 1200600000000001 123 1200600000000001 123 Type of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 37,156.00 13,200.00 Value $37,156.00 $13,200.00 $50,356.00 Date Calculated 04n3t2006 04n3t2006 Amount Paid $10.00 $4.50 $3.60 $8.00 $12.00 $2s.00 $r20.5r $56.51 $34.12 $300.45 s80.00 $126.00 $138.60 s122.95 $-30.00 $190.66 $250.74 $48.10 $20.91 $340.99 $77.31 $80.00 $520.s6 $11.70 $9.36 $43.00 $24.00 $50.00 $r6.30 $13.04 $45.00 $45.00 $14.00 $45.00 $14.00 3t6t06 3t6t06 3t6t06 3t6t06 3t6t06 3t6t06 3/7t06 5n106 snt06 5nt06 5tU06 snt06 5nt06 5lll06 5nt06 51u06 5lll06 5nt06 5nt06 5nt06 5nt06 5lll06 5nt06 5t25t06 5tzsl06 5t25t06 st2st06 5t2st06 7t2u06 7t2u06 7t2u06 7t2u06 7t2y06 7t2y06 7t2u06 F ees Pe Page 2 of5 Valuation Description Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2006-00268ISSUED: 1012312006 APPLIED: 03/0612006EXPIRES: 0412312007VALUE: $ 50,356.00 Temp Occupancy + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Total Amount Paid $100.00 $4.50 $2.25 $3.60 $45.00 8t2u06 10t23106 t0/23t06 t0t23t06 10t23t06 r20060000000000131 1 1200600000000001 558 I 200600000000001 558 1200600000000001558 1200600000000001 558 $3,027.26 Plan Reviews Fire Department Review Plan Review Comments Planning Review Public Works Review Public Works Review Structural Review Structural Review SUB Review SUB Review SUB Review 04t2612006 0412612006 APP SB See attached Fire Department Comments. MF WE. Called Robert Smallwood to remind him that we received some drawings and the valuation but that we still are waiting on the responses to the 311312006 structural comments letter. He said he will work on getting the resPonses to me soon with the second set of revised drawings. Rose Electric and owner still deciding on fixtures. to be built per MDS decision DRC2006-00012 LDAP required. Hold issuance for issuance of LDAP. SDCs added, curbcut and sidewalk added. LDAP issued 3/29106. Ready to issue. Received final internal approvals. See attached documents for 14 structural comments faxed to Carl Stoner. See item 8 of 14 structural comments attached for JMP's request for the energy code forms. Received HVAC info. Still need Bldg & Lighting forms. Rose Electric still needs to provide the lighting code forms. 03/10/2006 03/08/2006 03/10/2006 03/r0/2006 04t2612006 03/10/2006 04t0u2006 04t25t2006 04t26t2006 03/10/2006 04n3t2006 04n8t2006 03t24t2005 03t2u2006 04t26t2006 03/13/2006 04t0U2006 04t2512006 AG LLH JMP JMP EMM SB JMP JMP 03/10/2006 03n7t2006 WE JF OK OK IO IO APP WE APP WE WE APP JF JF To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Paee 3 of5 Initial Review Plan Review Comments Status lssued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3616 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00268ISSUED: 1012312006APPLIED: 03/0612006EXPIRES: 0412312007VALUE: $ 50,356.00 Reouired Insnections Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Storm Sewer Line: Prior to filling trench. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Temporary Electric: Approval required prior to Utility Company energizing pole. Temporary Electric: Approval required prior to Utilify Company energizing pole. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filting trench and including required testing. Pase 4 of 5 ! 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: COM2006-00268ISSUED: 1012312006APPLIED: 03/0612006 EXPIREST 0412312007VALUE: $ 50,356.00 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 Safefy. 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 that alt required inspections are requested at the proper time, that each address is readable from the rd is located at the front of the property, and the approved set of plans will remain on the site at allstreet, that the times during / -zt'ob Owner or Signature Date Page 5 of5 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Citu of Springfield Official Receipt L llopment Services Department Public Works Department Date: 1012312006 1l:4e:17AM Job/Journal Number coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 Description Sanitary Sewer - lst 50 Feet + 5% Technology Fee + 8% State Surcharge + l|oh Administrative Fee Amount Due 45.00 2,25 3.60 4.50 Item Total:$55.35 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check CARDWELL CONSTRUCTION lkw 6241 In Person $55.35 Payment Total: -Sffi cReceint I Page I of I 1012312006 RECEIPT #: 1200600000000001558 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: COM2006-00268ISSUED: 0510112006APPLIED: 03/0612006EXPIRES: 0112112007VALUE: $ 50,356.00 SITE ADDRESS: l87l 2ND ST ASSESSOR'S PARCEL NO.: 1703262401200 PROJECT DESCRIPTION: Remodel residence into \cE. Springfield TYPE OF WORK: Interior NLL OF,USE: Remodel Commercial Phone 541.933-1279 541-686-0905 541-726-0100 541-689-9486 Owner: Address: \H\S NU HOR\ DUNROBERT SMALLWOOD PO BOX 70576 EUGENE OR 9740I R\S hBANDON PhoneNumber: 541-913-1120E'lr'lLvI D0rturuC Contractor Type General Electrical Mechanical Plumbing c0 Contractor STEVE COLYER ROSE CORPORATION COMFORT FLOW LOREN DAVID WILSON {P ER\UU License 68200 54431 460 160403 Expiration Date 08t07t2007 0913012006 0612712007 0611812006 CONTRACTOR INFORMATION # 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 Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sp rinkled # Paved oh of Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport B VB reg nla Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes Pase I of4 q I,U ILL'I1\U II\ I UKIYTryJ Load: 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: COM2006-00268ISSUED: 0510112006APPLIED: 03/0612006EXPIRES: 0112112007VALUE: S 50,356.00 Description Estimate Paving Tvpe of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $r.00 $1.00 Square Footage or Bid Amount 37,156.00 13,200.00 Value $37,156.00 $13,200.00 $50,356.00 Date Calculated 04n3t2006 04n3t2006 Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Plan Review Comm/Ind/Public + l0oh Administrative Fee + 87o State Surcharge Building Permit Curbcut Permit Fixture Paving Plan Review Comm/Ind/Public PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area + l0o/" Administrative Fee + 8%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Temp Power 200 amps or less + lDoh Administrative Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Amount Paid Total Value of Project Date Paid Receipt Number 12006000000000002s2 r200600000000000252 r200600000000000252 12006000000000002s2 12006000000000002s2 12006000000000002s2 1200600000000000263 1200600000000000576 1200600000000000s76 1200600000000000s76 1200600000000000s76 1200600000000000s76 1200600000000000576 r200600000000000s76 1200600000000000s76 1200600000000000s76 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000s76 1200600000000000576 r200600000000000576 2200600000000000652 22006000000000006s2 2200600000000000652 2200600000000000652 22006000000000006s2 r200600000000001 123 1200600000000001 123 1200600000000001 123 1200600000000001 123 1200600000000001 123 1200600000000001 123 1200600000000001 123 s10.00 $4.s0 $3.60 $8.00 $12.00 $2s.00 $120.51 $56.51 $34.12 $300.4s $80.00 $126.00 $138.60 $122.95 $-30.00 $190.66 $250.74 $48.10 $20.91 $340.99 $77.31 $80.00 $s20.56 $11.70 $9.36 $43.00 s24.00 $50.00 $16.30 $13.04 $4s.00 $4s.00 $14.00 $45.00 $14.00 3t6t06 3t6t06 3t6106 3t6t06 3t6t06 3t6t06 3t7t06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 5nt06 snt06 5nt06 snt06 5/25t06 st2st06 5t25106 5t2st06 5t25t06 7t2u06 7t2u06 7t2u06 712u06 7t2u06 7t2y06 7t2u06 Fees Pa Pase 2 of4 Valuation Description F 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: COM2006-00268ISSUED: 0510112006 APPLIED: 03/0612006 EXPIRESz 0112112007VALUE: $ 50,356.00 Total Amount Paid $2,871.91 Plan Reviews Fire Department Review Initial Review Plan Review Comments Plan Review Comments Planning Review Public Works Review Public Works Review Structural Review Structural Review SUB Review SUB Review SUB Review 04t26t2006 04t26t2006 APP SB 03/10/2006 03/10/2006 04t2612006 03/r0/2006 04t2512006 03/10/2006 03/10/2006 04n3t2006 04n8t2006 03t24t2005 03t2u2006 04t26t2006 03/13/2006 04t25t2006 03n7t2006 LLH JMP JMP EMM SB 04t26t2006 0K AG See attached Fire Department Comments. MF WE. Called Robert Smallwood to remind him that we received some drawings and the valuation but that we still are waiting on the responses to the 3/13/2006 structural comments letter. He said he will work on getting the responses to me soon with the second set of revised drawings. Rose Electric and owner still deciding on fixtures. to be built per MDS decision DRC2006-00012 LDAP required. Hold issuance for issuance of LDAP. SDCs added' curbcut and sidewalk added. LDAP issued 3/29106. Ready to issue. Received final internal approvals. See attached documents for 14 structural comments faxed to Carl Stoner. Rose Electric still needs to provide the lighting code forms. See item 8 of l4 structural comments attached for JMP's request for the energy code forms. Received HVAC info. Still need Bldg & Lighting forms. IO OK IO APP WE APP WE APP WE JMP JMP 04t0u2006 04t0u2006 wE JF JF JF 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Paee 3 of4 Renuired Insnections 03fi 0/2006 03/08/2006 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: COM2006-00268ISSUED: 05t01t2006APPLIED: 03/0612006 EXPIREST 0112112007VALUE: $ 50,356.00 Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved atrd the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Temporary Electric: Approval required prior to Utility Company energizing pole. Temporary Electric: Approval required prior to Utility Company energizing pole. 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. 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, thaithe 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 C tractors Signature Pas.e 4 of 4 Date 1. zt ob *: 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cib, of Springfield Official Receipt D lopment Services Department Public Works Department RECEIPT#: 1200600000000001123 Date: 0712112006 l1:00:20AM Job/Journal Number coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 Description Sanitary Sewer - I st 50 Feet Water Line - I st 50 Feet Water Line - Each Addtl 100' Storm Sewer - I st 50 Feet Storm Sewer Each Addtl 100' + 8% State Surcharge + l0o/o Administrative Fee Amount Due 45.00 45.00 14.00 45.00 14.00 13.04 r 6.30 Item Total:$t92.34 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROBERT SMALLWOOD djb 095893 In Person Payment Total: $192.34 -mt-3-u.' cReceint I Page I of I 7 t2t 12006 af,tmanfi** eC25-Z{4a V*9 225 FIFTH STREET o SPRINGFIELI), OR 97{Tt c PH:(5ar)7263753 o F'AX: (54rF2G3689 Date ?a/,6 e I. LOCATTAN OF 3. CONIPLETEFEESCIIEDULEBELOW tg1 I I LEGAL DESCzuPTION A. Nerv Residcntial - Single or ll'lulti-Family per drvelling unit. l?o3 ZbZL{ OtZoo JOB DESCRIPTION TA^P Permits ar€ non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2.ONLY B. Scn{ces or Feeders- Installati,on, Alterltions or Relotation: Electrical Contractor 200 Amps or lcss 201 Amps to 400 Arys 401 Amps to 600 Amps 601 Amps to 1000 Amps Phone -0 {05 o** rooO ampsA/olt Reconnect Only Supervisor License Number \S t"BS C. Temporary Services or Feeders Expiration Date Inctrllrrtion, Alterrtion or Relocetlon 200 tunps or less /, io.oo 9c) a0-Z,C.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 Fceder 8% State Surcharge I 0olo Administrative Fee TOTAL $106.00 $ 19.00 s50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ll zoEE City Address Constr. Conr. Number Expiration Date n t Signature of Supervising Electrician 201 tunps to 400 ArPs S 69'00 401 Amps tod)0Amps Slm.00 Over 6(D Ampe or 1000 \fole see "B" above. D. Branch Circuits New At&mtion or Extension Per Panel , one oirpuit - / $ 43.00 t/ 3 2a e**ll-o'J Each Additional Circuit or with g Service or Feeder Permit $ 3.oo ZLI Owners Name Address P o Ror 7os7 6 E. Vliscellancous (Service/feetler not iacludcd) -fl,ach Installation Phone ?ts - //zo€,1Ciry OWNER INSTALLATION The installation is being lnade on prop€rty I own which is not intended for sale, lease or rent. Owners Signafure: Inspection Request: 725'31 69 Pump or irrigation $ 50'00 Sign/Outline Lighting $ 50'00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial S 45.00 Minimurn Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTALOFABOVE lta 7"€ d0" ,.51113 I AWlur* Shared Drivc(T;)/Building Forms/Elccrical Permit Application I -06.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00268ISSUED: 05/01/2006APPLIED: 03/0612006 EXPIRES: 1112412006VALUE: $ 50,356.00 SITE ADDRESS: 1871 2ND ST Springfield TYPE OF WORK: Interior ASSESSOR'S PARCEL NO.: 1703262401200 TYPE OF USE: New PROJECT DESCRIPTION: Remodel residence into Optometry Dr. office Residential PhoneNumber: 541-913-1120Owner: Address: ROBERT SMALLWOOD PO BOX 70576 EUGENE OR 9740I Contractor Type General Electrical Mechanical Plumbing Contractor STEVE COLYER ROSE CORPORATION COMFORT FLOW LOREN DAVID WILSON License 68200 54431 460 160403 Expiration Date 08t07t2007 0913012006 06127/2007 06n8t2006 Phone 54t.933-t279 541-686-0905 54t-726-0100 541-689-9486 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 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: B VB nla REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Pase I of4 q'!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: COM2006-00268ISSUED: 05/01/2006APPLIED: 03/0612006EXPIRES: 11124/2006VALUE: $ 50,356.00 Description Estimate Paving Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 8%o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Plan Review Comm/Ind/Public + l0oh Administrative Fee + 87o State Surcharge Building Permit Curbcut Permit Fixture Paving Plan Review Commfl nd/Public PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Temp Power 200 amps or less Total Amount Paid Total Value of Project Date Paid Receipt Number r200600000000000252 1200600000000000252 1200600000000000252 12006000000000002s2 1200600000000000252 1200600000000000252 1200600000000000263 1200600000000000576 1200600000000000s76 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000s76 1200600000000000576 1200600000000000s76 1200600000000000s76 1200600000000000s76 r200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 1200600000000000576 l 200600000000000576 2200600000000000652 2200600000000000652 2200600000000000652 2200600000000000652 2200600000000000652 Type of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier s1.00 $1.00 Square Footage or Bid Amount 37,156.00 13,200.00 Value $37,156.00 $13,200.00 $50,356.00 Date Calculated 04n3t2006 04n3t2006 Amount Paid $10.00 $4.50 $3.60 $8.00 $r2.00 $25.00 $120.s1 $s6.51 $34.12 $300.45 $80.00 $126.00 $138.60 $122.95 $-30.00 $190.66 $250.74 $48.10 $20.91 $340.99 $77.31 $80.00 $520.56 $11.70 $9.36 $43.00 $24.00 $50.00 3t6t06 3t6t06 3t6t06 3t6t06 3t6t06 3t6t06 3t7t06 5fi106 5nt06 5nt06 5nt06 5nt06 5n106 5n106 51y06 5nt06 5/u06 snt06 51U06 snt06 snt06 5nt06 5nt06 st25t06 5t2sl06 s/25t06 5t2sl06 5t25t06 s2,679.57 Fees Paid Plan Reviews OK AG See attached Fire DePartment Comments. MF Fire Department Review 03/10/2006 0412612006 Paee 2 of 4 Valuation Descriotion 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: COM2006-00268ISSUED: 05/01/2006APPLIED: 03/0612006 EXPIRES: ll/2412006VALUE: $ 50,356.00 Initial Review Plan Review Comments Plan Review Comments Planning Review Public Works Review Public Works Review Structural Review Structural Review SUB Review SUB Review SUB Review 04t26t2006 04t26/2006 APP SB WE. Called Robert Smallwood to remind him that we received some drawings and the valuation but that we still are waiting on the responses to the 3/1312006 structural comments letter. He said he will work on getting the responses to me soon with the second set of revised drawings. Rose Electric and owner still deciding on fixtures. to be built per MDS decision DRC2006-00012 LDAP required. Hold issuance for issuance of LDAP. SDCs added, curbcut and sidewalk added. LDAP issued 3/29106. Ready to issue. Received final internal approvals. See attached documents for l4 structural comments faxed to Carl Stoner. Rose Electric still needs to provide the lighting code forms. See item 8 of 14 structural comments attached for JMP's request for the energy code forms. Received HVAC info. Still need Bldg & Lighting forms. 03/08/2006 03/r0/2006 03/10/2006 04t26t2006 03/10/2006 04t25t2006 03/10/2006 03/10/2006 04fi3t2006 04n8t2006 03t2412005 03t2u2006 04t26t2006 03fi312006 04t2512006 0311712006 LLH JMP JMP EMM SB OK IO IO APP WE APP WE APP WE JMP JMP 04t0u2006 04t0u2006 wE JF JF JF 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Renuired Insnections Page 3 of4 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: COM2006-00268ISSUED: 05/01/2006APPLIED: 03/06/2006 EXPIREST 1112412006VALUE: $ 50,356.00 Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following Cify Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Temporary Electric: Approval required prior to Utility Company energizing pole. 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. Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone v of Springfield Official Receipt uevelopment Services Department Public Works Department RECEIPT #: 2200600000000000652 Date: 0512512006 7:54:0lAM Job/Journal Number coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 Description Temp Power 200 amps or less Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0oh Administrative Fee Amount Due 50.00 43.00 24.00 9.36 I 1.70 Item Total:$138.06 Payments: Type of Payment Paid By CheckNumber Authorizatron Received By Batch Number Number How Received Amount Paid CreditCard PHIL ROSE djb 005772 In Person $138.06 Payment Total: -5TS66 cReceintl Page I of I 512512006 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: COM2006-00268ISSUED: 05101/2006APPLIED: 03/0612006EXPIRES: I ll0l12006VALUE: $ 50,356.00 SITE ADDRESS: 1871 2ND ST Springfield TYPE OF WORK: Interior ASSESSOR'S PARCEL NO.: 1703262401200 TYPE OF USE: New PROJECT DESCRIPTION: Remodel residence into Optometry Dr. office Residential Phone Number: 541-913-l120Owner: Address: ROBERT SMALLWOOD PO BOX 70576 EUGENE OR 9740I Contractor Type General Electrical Mechanical # 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: Contractor STEVE COLYER ROSE CORPORATION COMFORT FLOW LOREN DAVID WILSON sot Phone 541.933-1279 541-686-0905 541-726-0100 541-689-9486 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 06t18t2006 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant foad: \s 1'8 234q XPIRE IF HIS PEB q B VB nla REQUIRED PARKING E tr'ffi:x"u'1 ABANDON Sidewalk Type: Downspouts/Drains: CONTRACTOR INF( Notes: Paee I of4 [3 Date I(JI\ I I\ uI1, Y [L(rrlvllll\ I 11\ t'i (rI'(tYlA t rLrl\ | Paved [ffiEi o/" of CITY 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: COM2006-00268ISSUED: 05/01/2006APPLIED: 03/0612006 EXPIR-ES: ll/0112006VALUE: $ 50,356.00 Description Estimate Paving Type of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 37,156.00 13,200.00 Value $37,156.00 $13,200.00 $50,356.00 Date Calculated 04n3t2006 04n3t2006 Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 87o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Plan Review Comm/Ind/Public + l0oh Administrative Fee + 87o State Surcharge Building Permit Curbcut Permit Fixture Paving Plan Review Comm/Ind/Public PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number I 200600000000000252 l 200600000000000252 l 200600000000000252 1200600000000000252 I 200600000000000252 l 200600000000000252 I 200600000000000263 l 200600000000000576 1200600000000000s76 1200600000000000s76 r200600000000000576 1 200600000000000576 I 200600000000000576 I 200600000000000576 I 200600000000000576 I 200600000000000576 1200600000000000s76 1200600000000000576 l 200600000000000s76 I 200600000000000576 I 200600000000000576 I 200600000000000576 1200600000000000576 $10.00 $4.50 $3.60 $8.00 $12.00 $2s.00 $r20.51 $56.51 $34.12 $300.45 $80.00 $r26.00 $138.60 $122.95 $-30.00 $190.66 $250.74 $48.10 $20.91 $340.99 $77.31 $80.00 $520.56 3t6t06 3t6/06 3t6t06 3t6t06 3t6t06 3t6t06 3t7t06 51u06 5nt06 51u06 51u06 51u06 51u06 51y06 5nt06 snt06 snt06 snt06 5nt06 5nt06 snt06 5nt06 5nt06 $2,541.51 tr'pes Paid Plan Reviews Fire Department Review Initial Review 03n0t2006 03/08/2006 04t26t2006 03/1 0/2006 OK AG OK LLH See attached Fire Department Comments. MF Pase 2 of 4 h Valuation Description 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: COM2006-00268ISSUED: 05/01/2006APPLIED: 03/0612006EXPIRES: I 110112006VALUE: $ 50,356.00 Plan Review Comments Plan Review Comments Planning Review Public Works Review Public Works Review Structural Review Structural Review SUB Review SUB Review SUB Review 04t26t2006 04t26t2006 APP SB 03/10/2006 03/10/2006 04t26t2006 03/10/2006 04t2st2006 03/10/2006 04n8t2006 03t24t2005 03t2U2006 04t26t2006 03n3t2006 04t25t2006 03n7 t2006 JMP EMM SB JMP JMP 04n3t2006 IO JMP WE. Called Robert Smallwood to remind him that we received some drawings and the valuation but that we still are waiting on the responses to the 3/13/2006 structural comments letter, He said he will work on getting the responses to me soon with the second set of revised drawings. Rose Electric and owner still deciding on fixtures. to be built per MDS decision DRC2006-00012 LDAP required. Hold issuance for issuance of LDAP. SDCs added, curbcut and sidewalk added. LDAP issued 3/29106. Ready to issue. Received final internal approvals. See attached documents for l4 structural comments faxed to Carl Stoner. Rose Electric still needs to provide the lighting code forms. See item 8 of l4 structural comments attached for JMP's request for the energy code forms. Received HVAC info. Still need Bldg & Lighting forms. IO APP WE APP WE APP WE 04t0u2006 0410112006 wE JF JF JF To Request an inspection calt 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. Finat Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Paee 3 of4 HAFI*L& :qth Reouired lnsnections 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: COM2006-00268ISSUED: 05101/2006 APPLIED: 03/0612006 EXPIRES: I 110112006VALUE: $ 50,356.00 Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting 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 5.1-ob Owner or Contractors Signature Date Page 4 of4 "^*ow{,"[J"w 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci- of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT #: 1200600000000000576 Date: 0510112006 1l:38:20AM Job/Journal Number coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 Description Sidewalk Permit PW Disc - 2nd Permit (Street) Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo lmprovement SDC Sanitary/Storm Admin SDC Transpo Admin Curbcut Permit Paving Building Permit Plan Review Comm/Ind/Public Fixture + 8% State Surcharge + l0%o Administrative Fee Amount Due 80.00 (30.00) 520.56 250.74 190.66 77.31 340.99 48.1 0 20,91 80.00 1 3 8.60 300.45 122,95 126.00 34.12 56.51 $2,357.90Item Total: Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check ROBERT SMALLWOOD djb 2684 In Person $2,357.90 Payment total: -57ffi0d- cReceinll Pase I of I 5fi12006 Atn$,aSFlIl-,$ ATTACHMENTA CITY OF SPRINGFIELD SYSTEMS DEVEI-OPMENT CHARGE WORKSFIEET coM2006-00258 Smallwood Optometry offi ce JOURNAL ORJOB NUMBER NAMEORCOMPANY: I,OCATION: MAP & TAX LOTNI,IMBER: DEVEI,OPMENT TYPE: l87l 2nd St t7 032624 01200 s2s0.74 90.66 $441.40 $441.40 $77.31 $340.99 418.30 I $0.00 18. 00 ($239, $80.25 $69.01 48.1 0$ $1,449.27 I. STORMDRAINAGE TMPERVTOUS SQ. rr. 2. SANITARY SEWER-CIry A REIMBURSEMENTCOST: NUMBER OF DFU'S B. IMPROVEMENTCOST: NUMBER OF DFU's (SEE REVERSE SIDE) NEW DEVET.,OPED AREA (S.F.): EKSTING DEVELOPED AREA (S.F.): TOTAL TMPERVTOUS SURFACE (S.F.): Office built from a SFR 1,308.00 1.00 1,610 x $ 0.323 PER SF 10 ITE: ITE: LOT SIZE (S.F.): 715 210 TOTAL STORM DRAINAGE SDC $520.56 l0 3. TRANSPORTATION BLDG AREA TGSFx TRIP RATE x COST PER ADTXNEW TRIP FACTOR NEW A. REIMBURSEMENT COST: l.3l x 11.57 x $ 19.09 PERTRIP x EliIDa-overncvrcosl: t.3l x 11.57 x $ 84.19 PER TRIP x E)flSTING A. REIMBURSEMENT COST: -1.00 x 9.57EffilslrrcosF- -1.00 x 9.57 $ 103.28 x $ 25.07 PER DFU x $ 19.07 PER DFU $ 44.14 TOTAL LOCAL WASTEWATER SDC: x 0.9 NTF 0.9 NTF I NTF s259.97 $ l,146.70 ($l 82.66)x x $ 19.09 PERTRIP $ 84.19 PER TRIP 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU"s B. IMPROVEMENTCOST: NUMBER OF FEU's 1.3 I x l.3l x E)ilSTING: A. REIMBURSEMENT COST: NUMBER OF FELrs -1.00 B. IMPROVEMENTCOST: NUMBER OF FEU's -1.00 MWMC CREDIT tr APPLICABLE (SEE REVERSE) x NTF ($80s.71 ) TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT TOTAL TRANSPORTATION SDC: $46.88 PER FEU PER FEU $61 .3 I $494.46 $646.76 $82.03 PERFEU ($82.03) $865.31 PERFEU TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMIMSTRATTVE FEE: TOTALMWMC SDC: SUBToTAL (ADD ITEMS 1, 2, 3, &. 4) x x 5. ADMINISTRATTVE FEES : BASE CHARGE (ST]BTOTAL ABOVE) -4t",-, il A--/./ A.* SDC COORDINATOR r,380.2s x 5o/o TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SEWER ADMIMSTRATION FEE: $ 3/2rD006 DATE TOTAL SDC CHARGES 1 JULY 2OO4 I COM2005-00268, Smallwood Optometry Offce, 1871 2nd.xls DRAINAGE FXTURE UNIT (DFLI) CALCT'LATION TABLE NUMBER OF NEW FDffURES x UNTT EQUTVALENT: DRAINAGE FDOIIRE UNITS (NOTE: FOR REMODELS , CArcUI-ATE ONLY THENET ApptTloNAI FTXTURES) Smallwood Optomery offi c€ FIXTURES NEW OLD TOTAL DRAINAGE FIXTT'RE IINITS: DRAINAGE FIXTURE TINITS 0 12 l0 LINIT FD(TURE TYPE BAT}ITUB DRINKING FOUNTAIN FI,oOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AT]TO WAS}I/ETC. LAI.'NDRYTUB CI,OTHES WASHER,/MOP SINK CLoTHES WASHER-3 ORMORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCI-AL STNK/ DISHWAS}IER/ETC. SHOWER SINGLE STALL sHowE& GANG (NLJMBER OF HEADS) SINK: COMMERCIAL, RESIDENTLq,L KITCHEN SINK: COMMERCIALBAR SINK: WASH BASIN/DOI]BLE LAVATORY SINK: SINGLE T-A.VATORY/RESIDENTIAL BAR I]RINAL, STALI./WALL TOILET, PUBLIC INSTALI-ATION TOILET, PRTVATE INSTALI.A,TION MISCELI-ANEOUS: NUMBER OF EDU'S* *EDU (Eouivalent 3 I 3 3 6 ) 3 6 t2 I 3 ,, ", 3 2 2 I 5 6 J 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 J 0 0 0 Unit) is a discharge equivalent to a sinsle dwelling (20 DFU) set at 167 sallons Der dav CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNE)GD CREDIT FOR PARCEL ORI-AND ONLY tF APPLICABLE IMPROVEIVIENT (tr AFTER ANNEXATION DATE) RATE PER $I,OOO ASSESSED VALUE $ 1.45 $r,25 $1.09 $0.92 s0.72 $0.48 $0.28 $0.09 $0.0s $0.00 $0.00 x x $0.00 RATE PER $I,OOO ASSESSED VALI.IE YEAR ANNE)(ED 1979 1980 1981 1982 I 983 1984 I 985 1986 1987 1988 1989 1990 t99t or before $5.29 $5.19 $5. 12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.2s $1.80 1992 1993 1994 1995 r996 r997 1998 1999 2000 2001 2002 2003 20M $0.00 $0.00 COM2006-00268, Smallwood Optometry Office, 1871 2nd.xts CREDIT TOTAL 1 JULY 2OO4 I I I CITY O Building/Co mbination Permit Status: Issued 225 Ftfth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2006-00268ISSUED: 0310612006APPLED: 03/0612006E)GIRES: 09/0612006 VALUE: SITE ADDRESS: 18712ND ST ASSESSOR'S PARCEL NO.: 1703262401200 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF TYPEOF USE: Heating System New Owner: Address: Contractor TVpe Mechanical Contractor COMFORT FLOW Expiration Date 06t27t2007 Residential Phone 541-726-0100 ROBERT SMALLWOOD PO BOX 70576 EUGENE OR 97401 PhoneNumber: 541-913-1120 License 460 CONTRACTOR INFORMATION BUILDIN(0 il - # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: * Street Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: N'6ffcgl coverage: ANY 180 DAY PERIOD. Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla REQUIRED PARI(NG Total: Handicapped: Compact: S PEHMIT IS NOT ANOtst$DfiQEype: Downspouts/Drains $ Per Sq Ft or muftiplier Square Footage or Bid Amount DEVELOPMENT Description Type of Construction lof2 Value Date Calculated T Valuation Description I OF SPRIN Buildin g/Co mbin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541:7 26-37 69 I nspe ction Line PERMIT NO: COM2006-00268ISSUED: 0310612006APPLIED: 03/0612006E)PIRESt 0910612006 VALUE: Fee Description -Mechanical Issuance Fee- + lU%o Administrative Fee + 87o State Surcharge - Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Amount Paid $10.00 $4.s0 $3.60 $8.00 $12.00 $2s.00 $63.10 Total Value of Project Date Paid 3t6t06 3t6t06 3t6t06 3t6t06 3t6t06 3t6t06 Receipt Number 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 1200600000000000252 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired fnsnections By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shall be done in rccordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCC[ PAIICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiS that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I agree to ensu the required inspections are requested at the proper time, that each address is readable from located at the front of the property, and the approved set of plans will remain on the site at or that the ts 2of2 Date U rees raro 225 Fifth Street Springfiild, Ore gon 97 477 541:726-3759 Phone City of Springfield Official Receipt - . evelopment Services Department Public Works Department RECEIPT #: 1200600000000000252 Date: 0310612006 1:24:33PM Job/Journal Number coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 coM2006-00268 Description + 8% State Surcharge + l0% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustrnent Mechanical -Mechanical Issuance Fee- Amount Due 3.60 4.50 8.00 12.00 2s.00 10.00 Item Total:$63.r0 Payments: Tlpe of Payment Paid By Received By Check Number Batch Number Aulhorization Number How Received Amount Paid C.heck a COMFORT FLOW ,,.y djb 33072 In Person Payment Total: 10, $63.10,l ,t :( 31612006 lofl aDlllart3.o