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Home My WebLink AboutPermit 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