HomeMy WebLinkAboutPermit Building 2007-06-05Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00673ISSUED: 0610512007APPLIED: 05/1012007EXPIRES: 1210512007VALUE: $ 50,000.00
SITE ADDRESS: 1122 sTH ST
ASSESSOR'S PARCELNO.: 1703263402900
PROJECT DESCRIPTION: Single family residence - fire restoration
TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair Residential
PhoneNumber: 541-954-5169
License E Phone
Springfield
Owner:
Address:
DON WARD
54l WILLAMETTE ST 214
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Tvpe
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:
Contractor
OWNER
VALLEY ELECTRIC CO, LLC
RONS HEATING AND AIR CONDITI
WEST COAST PLUMBING C
# of Sto
R-3
U
VB
Height of
Type of
15364
1
s D.'{
e
1
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
s03-838-0447
541-343-6829
s41-926-s300
re:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees
Paved Drive
oh of Lot
nla
19.40
8.00
10.40
54.00
6.50
Street Improvements:
Storm Sewer Available:
Special Instruction:
Type:
Downspouts/Drains:
Notes: Fire Damage. No new imp area. Adding one bath. SDC fees reflect additional DFU's only. JLP APP 512912007
Pase I of3
t\s
\$
)
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: COM2007-00673ISSUED: 0610512007
APPLIED: 05/1012007EXPIRES: 1210512007VALUE: $ 50,000.00
Descrintion
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$r.00 50,000.00
Total Value of Project
Amount Paid Date Paid
Value
$50,000.00
$50,000.00
Date Calculated
05/10t2007
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Dryer Vent
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Temp Power 200 amps or less
Total Amount Paid
Receipt Number
1200700000000000557
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
1200700000000000756
12007000000000007s6
12007000000000007s6
1200700000000000756
s240.92
$10.00
s47.17
$29.18
$37.73
$370.65
$6.00
$56.00
$27.00
$112.00
$118.74
$156.16
$r3.7s
$12.00
$s.00
$2.s0
$4.00
$50.00
$1,298.80
5n0t07
6tst07
6tst07
6t5t07
6tst07
615t07
6t5t07
6tst07
6lsl07
6t5107
6t5t07
6t5107
6t5t07
6t5t07
6t12t07
6fi2t07
6lt2l07
6fizt07
Fees Paid
Plan Reviews
Initial Review
Plannins Review
Public Works Review
Structural Review
05tr4t2007
05n4t2007
05n4/2007
06t0t/2007
APP
APP
LLH
TAJ
05n4t2007 05t29t2007 APP JLP
05fi4t2007 05n412007 APP RJB
2 street trees are required unless
they are already in.
Fire Damage. No new imp area.
Adding one bath. No plat maps
pulled. SDC fees reflect additional
DFU's only. JLP APP 512912007
To Request an inspection call the24 hour recording at 726-3769, All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Paee 2 of3
-t
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00673ISSUED: 0610512007APPLIED: 05/1012007EXPIRES: 1210512007VALUE: $ 50,000.00
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
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.
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.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building 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 ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is
times during construction.
the front of the property, and the approved set of plans will remain on the site at all
Owner Contractors Signature
Paee 3 of3
Date
l(eourreo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cr+v of Springfield Official Receipt
zelopment Services Department
Public Works Department
RECEIPT #: 1200700000000000756 Date: 0611212007 3:08:46PM
Job/Journal Number
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
50.00
2.50
4.00
s.00
Item Total
Payments:
Type of Payment Paid By Received By
Check Nnmber
Batch Number
Authorization
Number How Received Amount Paid
CreditCard ADW LLC djb 217643 In Person
Payment Total:
1.50
$61.50
cReceint I Page I of I 611212007
-ffii=r
SPRINGFIELO zoN
INITIALS
DATE&225 FIFrH STREET . SPRINGFIELD, OR 97477 o PH:(541)72G3753 r FAX: (541)72G3689
E LE CTRT CAL P E RMIT APP LI CATI ON
City Job Number C oua LoOT - c)o673
SOURCE
Date ( -rz _o1
1.
JOB DESCRIPTION
f1leyqr ?an&
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Nerv Residential - Single or l\{ulti-Fa
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
A.LEGAL DESCRIPTION:--tlosz*q o 7oo
$106.00
$ 19.00
ss0.00
2.
Electrical Contractor
Address
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmpsA/olts
Reconnect OnlY
$ 63.00
$ 75.00
s 125.00
$163.00
$3 75.00
$ s0.00
City Phone
Supervisor License Number
Expiration Date
Constr. Contr
Expiration Date
Signature of Supervising Electrician
Installation, Alteration or Relocation
200 Amps or less ).
-
. 201 AmPs to 400 AmPs' 401 Amps to 600 AmPs
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits :
New Alteration or Extension Per Panel
one circuit $ 43'oo
Each Additional Circuit or with
Service or Feeder Permit $ 3'00
$ 50.00
$ 69.00
$100.00""7
U^,/Owners Name ru
Address /tt 4tFu E. l\.Iiscsllaneous (service/feeder not included) -Each Installation
Ciry 1u Phone Les " lz
OWNER INSTALLATION
The installation is being made on properfy I own which
is not intended for sale, lease or
Pump or irrigation
SignrOutline Lighting
Limited Energy/Residential
$ 50.00
$ 50.00
$ 2s.00
$ 45.00
00 + Surchargesj()
---
::
4. SLBTOTAL OF ABOW :
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $45.t
8% State Surcharge
10% Administrative Fee
5% Technology Fee
i-\
6r s9
Inspection Request: 726'3769 TOTAL
Shared Drive(T:)/Building FormsiElectrical Permit Application 8{6'doc
CO NT RACT O R IN STALI.AT I O N O NLY
.{o\}
3. : OoMPLETE FEE.SCHEDL-|LE BELO\q,
unit.
\otj
o01
$a'J
$L*(f\be{
-----r------zF-
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00673ISSUED: 0610512007
APPLIED: 05/1012007EXPIRES: 12/0512007VALUE: S 50,000.00
SITE ADDRESS: 1122 sTH ST
ASSESSOR'S PARCEL NO.: 1703263402900
PROJECT DESCRIPTION: Single family residence - fire restoration
TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair Residential
PhoneNumber: 541-954-5169DON WARD
54I WILLAMETTE ST 2I4
EUGENE OR 9740I
Springfield
Center Those rules
Owner:
Address:
Contractor in OAR 952-001-001 0 through
n vLicenserth Expiration Date Phone
it
Contractor Type
General
Electrical
Mechanical
owNER 0090.oAR 9s2_0 01-
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
N0lff elLot coverage:
Afty
OD
VALLEY
RONS HEA
WEST COAST
19.40
8.00
10.40
54.00
6.s0
tn copies 1s364 by
Ing
t0/24t2010
05/04/2008
03/03/2008
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
K
s03-838-0447
s4t-343-6829
541-926-5300
R-3
U
VB
nla
16.90
IF THE WOR
ER
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
)
IIIENCED OR,S AEANDON
l$itrJ$rilOtrvp"'
I80 OAY PER,EBf0ftprrts/Drains:
Notes: Fire Damage. No new imp area. Adding one bath. SDC fees reflect additional DFU's only. JLP APP 512912007
DEVELOPMENT INFORMATION
Page I of3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2007 -00673ISSUED: 0610512007APPLIED: 05/1012007
EXPIRES z 121A512007VALUE: $ 50,000.00
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 50,000.00
Total Value of Project
Amount Paid Date Paid
Value
$50,000.00
$50,000.00
Date Calculated
05n0t2007
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ lloh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Dryer Vent
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
Total Amount Paid
$240.92
$10.00
$47.17
$29.18
$37.73
$370.65
$6.00
$56.00
$27.00
$112.00
$118.74
$156.16
$13.7s
$12.00
$1,237.30
sn0t07
6t5t01
6t5t07
6t5t07
6t5t07
6tst07
6tst07
6t5t07
6t5t07
6t5t07
6tst07
6tst07
615107
6t5t07
Receipt Number
1200700000000000557
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
2200700000000000904
tr'ees Pn'
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
05n412007
05n4t2007
osn4t2007
0610u2007
APP
APP
LLH
TAJ
05n4/2007 05t29t2007 APP JLP
05n4t2007 05n412007 APP RJB
2 street trees are required unless
they are already in.
Fire Damage. No new imp area.
Adding one bath. No plat maps
pulled. SDC fees reflect additional
DFU's only. JLP APP 512912007
To Request an inspection call the24 hour recording at 726-3769, All inspections 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.
Reouired Insnections
Floor Insulation: Prior to decking.
Paee 2 of3
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00673ISSUED: 0610512007APPLIED: 05/10/2007
EXPIRESz 1210512007VALUE: $ 50,000.00
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.
Drywall: Prior to taping.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
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.
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.
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 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 properfy, and the approved set of plans will remain on the site at all
times during construction.
LJ*/,\
Owner or Signature
Page 3 of3
Date
1 0
225 Fitth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Citu of Springfield Official Receipt
t ;lopment Services Department
Public Works Department
RECEIPT #: 2200700000000000904 Date: 0610512007 e:15:05AM
Job/Journal Number
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
coM2007-00673
co}i{2007-00673
Description
Building Permit
Fixture
Vent Fan
Dryer Vent
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
+ 5%o Technology Fee
+ 8% State Surcharge
+ 10o Administrative Fee
Amount Due
370.6s
56.00
12.00
6.00
10.00
27.00
ls6.l6
I18.7 4
13.7 5
t12.00
29.18
37.73
47.17
Item Total $996.38
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check AIC djb 39884 In Person $996.38
Payment Total:
-5096158-
cReceint I Page I of 1 6ts12001
Status
Iss u ed
-1'1
L,,~~ t O~
.(l~~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00673
ISSUED: 06/05/2007
APPLIED: 05/10/2007
EXPIRES: 02/17/2008
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1122 5TH ST
ASSESSOR'S PARCEL NO.: 1703263402900
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Single family residence - fire restoration
Owner: DON WARD
Address: 541 WILLA METTE ST 214
EUGENE OR 97401
Phone Number: 541-954-5169
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
OWNER
V ALLEY ELECTRIC CO, LLC 15364
RONS HEATING AND AIR CONDITIONING 169680
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORMATION I
Expiration Date
Phone
10/2412010
05/04/2008
03/03/2008
503-838-0447
541-343-6829
541-926-5300
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
19.40
8.00
10.40
54,00
6.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Total:
Handicapped:
Compact:
2
16,90
I PUBLIC IMPROVEMENIS..._
~NTlON: Oregon law requIres you to
Street Improvements: follow rule&~pUkflby>tt1e Oregon Utility
Storm Sewer Available: Notification ~tl[.....lbRMlMHWl are set forth
S . l:w. . In OAR 952-dO'i:{)lj1lnnroug uAR 952-001-
peC13 NtiTff!!: 0090. You may obtain copies of the rules by
Notes: TMI&rt&BMdt SM~b~ &Xi18E.J~1ibli~O~'th. SDC fees ~1~~~.t~~1&~1&i~!~I3fS~12007
AUTHORIZED UNDER THIS PERMIT IS NOT Center is 1-800-332-2344).
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pae:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00673
ISSUED: 06/05/2007
APPLIED: 05/10/2007
EXPIRES: 02/17/2008
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
50,000,00
Value
Date Calculated
Description
Total Value of Project
$50,000.00
$50,000.00
05/10/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $240.92 5/10/07 1200700000000000557
~Mechanical Issuance Fee~ $10,00 6/5/07 2200700000000000904
+ 10% Administrative Fee $47.17 6/5/07 2200700000000000904
+ 5% Technology Fee $29,18 6/5/07 2200700000000000904
+ 8% State Surcharge $37.73 6/5/07 2200700000000000904
Building Permit $370,65 6/5/07 2200700000000000904
Dryer Vent $6.00 6/5/07 2200700000000000904
Fixture $56.00 6/5/07 2200700000000000904
Minimum/Adjustment Mechanical $27,00 6/5/07 2200700000000000904
Plan Review Minor - Planning $112.00 6/5/07 2200700000000000904
Sanitary Sewer - Improvement $118.74 6/5/07 2200700000000000904
Sanitary Sewer - Reimbursement $156,16 6/5/07 2200700000000000904
SDC Sanitary/Storm Admin $13.75 6/5/07 2200700000000000904
Vent Fan $12.00 6/5/07 2200700000000000904
+ 10% Administrative Fee $5.00 6/12/07 1200700000000000756
+ 5% Technology Fee $2,50 6/12/07 1200700000000000756
+ 8% State Surcharge $4,00 6/12/07 1200700000000000756
Temp Power 200 amps or less $50.00 6/12107 1200700000000000756
+ 10% Administrative Fee $16,60 8/17/07 1200700000000001059
+ 5% Technology Fee $8.30 8/17/07 1200700000000001059
+ 8% State Surcharge $13.28 8/17/07 1200700000000001059
Low Voltage - Residential $28.00 8/17/07 1200700000000001059
Residence Wiring 1000 Sq Ft $117.00 8/17/07 1200700000000001059
Residence Wiring Ea Addtl 500 $21.00 8/17/07 1200700000000001059
Total Amount Paid $1,502.98
I Plan Reviews I
Initial Review
Plannine: Review
05/14/2007
05/14/2007
05/14/2007
06/0112007
APP LLH
APP T AJ
2 street trees are required unless
they are already in,
Fire Damage. No new imp area.
Adding one bath, No plat maps
pulled. SDC fees reflect additional
DFU's only, JLP APP 5/29/2007
Public Works Review
05/14/2007
OS/29/2007
APP JLP
Pae:e 2 of 4
CITY OF SPRINGFIELD-
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00673
ISSUED: 06/05/2007
APPLIED: 05/10/2007
EXPIRES: 02/17/2008
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
05/14/2007
05/14/2007
APP RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eo1JiredJnsnections I
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials,
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
Drywall: Prior to taping.
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,
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill,
Underfloor Plumbing: Prior to insulation or decking.
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,
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,
Pal!e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00673
ISSUED: 06/05/2007
APPLIED: 05/10/2007
EXPIRES: 02/1712008
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ofany 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
Page 4 of 4
'City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:valleyelectricco@netscape.com
Receipt # EC515632
8/1712007 8:27:28 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
[X] New construction
o Addition/alteration/replacement
Description
Qty.
Ea.
Total
[X] 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
11,000 sq, ft, or less
lEa, addl 500 sq, ft. or portion
I-Limited energy, residential
(with above SQ. ft)
- Limited energy, multifamily
Jesidential.(with above sq, ft,) .
I'Sel'Vites OR fet?'d~~I;jii'stallatiori;'fljttf~tion;AND/6Rlrelocation ' ,
.-;:i-. - '-:,,'- _'_'i._ '_J W";_'h_&J.<j_;m!;:/:'~0"i,,~,:);i-,;--,::,,: .- -"" :r::::'<-_: '_' -':_\'_"111_' ~1:1!i!1@:i6~,:,0{~,--';;": ,- "_ -co>,:,' - >.' ,"",,: i"'I'illiili_n~<J
:,;: i-j,:: ',:,:. -Y/(::':_ ': '-"_ '<Ii'..,:,:::,,'I. 1,<,,<. ,:_,:,t;
[200 amps or less I
1201 amps to 400 amps I
1401 amps to 599 amps I
$117,00
$2100
$2800
$117001
$2100 I
$2800 I
I
1.1
1
I
I
I
Job no.: 07-313 I Job address: 1122 5TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-3018
I Suite/bldg.lapt.no.:
I Project name: 5th St. Project
Cross street/directions to jOb site:
Subdivision:
I Lot no.:
Tax map/parcel no.: 1703263402900
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I Branch cin:ijjiSJ!NEW, alte~H()n;.OR eXfen~ion';per panel" ,I
-', :_',: :\':":~II!'i'i>i',' ': ~::, _,::,,^. ___ :_,::' ~_ _" ',,','I"I:i::<!j::::."tt' t .~:, ".', __ " " 'I',:i!i+::i, t-.:.o:S.n: .:: n.:.::n., n". '.' '.' . Ii-- .'< '. '. n
A, Fee for branch circuits with
above service or feeder fee;
each branch circuit.
B, Fee for branch circuits
without service or feeder fee,
first branch circuit;
I each addl branch circuit
electrical wiring of a single family dwelling,
Name: Jeff Landauer
I Phone: (503) 838-0447
I Email: valleyelectricco@netscape.com
I Fax: (503) 838-] 000
I Service reconnect only
I Each manufactured or modular
dwell ing, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Sigl1al circuit(s) or limited-
energy panel, alteration, or
extension,
E'. lie. no.: 27-78C ICCBlic.no.: 153264
Business Name: VALLEY ELECTRIC CO LLC
Contact: Jeff Landauer
Address: 19707 GRANT RD
I City/State/ZIP: MONMOUTH OR 97361-9520
I Phone: (503)8380447 I Fax: (503)838] 000
I Email: valleyelectricco@netscape.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 3980S
I Supervising electrician's name: JEFFREY L LANDAUER
I
I
I
· City Of Springfield
Subtotal $166.00
State Surcharge (8% of permit fee) $13,28
City Of Springfield fees · $24,90
TOTAL PERMIT FEE I $204.18 J
10% Local Admin Fee; 5% Local Technology Fee
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth' Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00673
COM2007-00673
COM2007-00673
COM2007-00673
COM2007-00673
COM2007-00673
Payments:
Type of Payment
ONLINE CHGS
c Receint 1
RECEIPT #:
1200700000000001059
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Low Voltage - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/17/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE Valley Online
Electric Co.
LLC
Payment Total:
10:27:37 AM
Amount Due
117.00
21.00
28.00
8.30
13.28
16.60
$204.18
Amount Paid
$204.18
$204.18
8/17/2007