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Home My WebLink AboutPermit Building 2005-10-13o Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01249ISSUED: 10/13/2005 APPLIED: 09/1312005 EXPIRES: 09/0912006VALUE: $ 51,840.00 SITEADDRESS: 2447 I9THST ASSESSOR'S PARCELNO.: 1703244301600 PROJECT DESCRIPTION: Residential addition. Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Phone Number: 541-726-8470Owner: Address: LOREN LYNCH 2447 19TH ST SPRINGFIELD OR 97477 Contractor Tvpe General Electrical Mechanical Contractor JEFFERY DUANE HARRIS DELLS ELECTRIC JEFFERY HARRIS TOMS PLUMBING SERVICE INC Expiration Date 06t0912006 Phone 503-544-3112 541-935-2154 503 544-3112 License 129155 109864 # 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: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: \t 1 \e Compact: R-3 VB 159425 I 15.00 Wall Heat Electric Path I nla J#1." 541-607-8879 ARIflNG s40 18.60 42.00 Partially Improved Yes Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Pase I of3 Curb and Gutter ll 6tJ \U \\t'J rn U('I\ II(ALIUt TI\TUryJ \N rne O\ trut(vrArruN I Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: \s1 F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Com bination Permit PERMIT NO: COM2005-01249ISSUED: 1011312005APPLIED: 0911312005 EXPIRES: 09/0912006VALUE: $ 51,840.00 Description Dwellings Tvpe of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $96.00 s40.00 Total Value of Project Amount Paid Date Paid Value $51,840.00 $51,840.00 Date Calculated 09/13/2005 Fee Description PIan Review Residential -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge ' Building Permit - Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + llVo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + llYo Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add * l0o/o Administrative Fee + 8%o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Receipt Number 2200500000000001253 1200500000000001522 1200500000000001522 1200500000000001s22 1200s00000000001s22 1200s00000000001522 1200500000000001522 1200s00000000001s22 1200500000000001522 1200500000000001522 1200500000000001522 1200500000000001691 1200500000000001691 1200500000000001691 1200500000000001691 1200600000000000163 1200600000000000163 1200600000000000163 1200600000000000395 1200600000000000395 1200600000000000395 $24s.99 $10.00 $46.85 $32.79 $378.4s $42.00 $39.00 $3.00 $10.30 $206.07 $6.00 $7.s0 $s.2s $12.00 $63.00 $1.s0 $1.20 $15.00 $12.60 $10.08 $126.00 9n3t05 10/13/05 10/13/05 r0/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 tu7l05 1u7t05 tu7los tu7t05 2fl4t06 2n4t06 2n4t06 4t3t06 4t3t06 4t3106 $1,274.58 f,'ees Paid Plan Reviews Initial Review Planning Review Public Works Review 09113t2005 09/13/2005 09/13/2005 09n3t200s 09tr6t200s 09/15/2005 APP DLM No Planning review required. Storm drainage piped to curb face 9/15/2005 CAS Subject to Lane Co. septic approval. See documents for plen review comments. Owner submitted "Owner's Responsibility Form from County 10/13/05 dlm APP APP APP LLH TAJ CAS Structural Review 09fi3t2005 09t30/2005 Paee 2 of3 Valuation Descriotion I Status 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: COM2005-01249ISSUED: 10/13/2005APPLIED: 09/1312005EXPIRES: 09/0912006VALUE: $ 51,840.00 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Reouired Insnect 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 OCCUPAI\ICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Page 3 of3 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C", of Springfield Official Receipt Dwelopment Services Department Public Works Department RECEIPT#: 1200600000000000395 Date: 0410312006 11:43:16AM Job/Journal Number coM200s-01249 coM2005-01249 coM2005-01249 Description Perm Serv/Fdr 200 amps or less + 8% State Surcharge + lUYo Administrative Fee Amount Due 126.00 10.08 12.60 ltem Total:$148.68 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard DELLS ELECTRIC djb 313014 In Person S148.68 Paymenttotal: Tlffi o .,( 'l 1,a '1 t o ( ,, 4/312006 Page I of I SPAntaotrItD L-vz -3 -(e(o 225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689 E LE CTRI CAL P E RM IT AP PLICATI ON City Job Number COIIAZOO S- O lZlll Date vrl -, I. LOCATIANOFINSTALIATIAN 3. Lqtl7 r qlk sf 3 o L /COMPLETE FEE SCIIEDULE BELOW A. New Residential - Single or Multi-Family per dwelting unit. 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 $50.00 LEGAL DESCRIPTIONl7o3 zqU3 Dt Loo JOB DESCRIPTION fAEleQ*tAta/7.*D J 6Pvc tree Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City f .,.ae,ne Phone LYY')SLl7 . CONTRACTOR INSTALIATION ONLYl. Erecrricar contractor be l' 9 { [t c-, ,l I a Address I a$tyet, 1!1 B. Services or Feeders - Installation, Alterations or Relocation: Z $ 63.00 /ZL $ 75.00 $ I 25.00 $ 163.00 $37s.00 $ s0.00 C. Temporary Services or lieeders Installation, Alteration or Relocation 200 Amps or less $106.00 $ 19.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Supewisor License Number Expiration Date 0 Consff. Contr. Number ,Dsvu'l 201 Amps to 400 Amps 401 Amps to 600 $t Over 600 "B" above. Pump or irrigation Sigrr/Outline Lighting Limited Energy/Resi denti al Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges bt7r- s t'-E $ s0.00 $ 69.00 Expiration Date I 0 Si gnature of Supervising Electrici an !*1*-'*' /QJ*:A owners Nur. Lor6r Ly,,... zq q1 t1{L SlqrL pnon" 7ZG - 8'l7O Address City $ 50.00 $ 50.00 $ 2s.00 s 4s.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease orrent. 4. SUBTOTALOFABOVE &ro rru," Surcharge l0% Administrafive Fee TOTAL l2 Lo 18 b9 17L /o og Inspection Request: 726-37 69 Shared Drive(T:)/Building FormVElectrical Permit Application I -03.doc CITY OF SPRINCFIELD, ORFCON t ,\)\(roo rO C D. Per Panel Circuit or with $ 43.00 $ 3.00or Feeder Permit E. Miscellaneous (Service/feeder not included) *Each Installation Owners Signature: 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726'3753 o f,'AX: ELE CTRI CAL P E RM IT APPLI CATI ON City JobNumberCOr{ZooS- 6lZ'4 9 Date ZLIL,I1 ot660 - - lL/- 06 $50.00 JOB DESCRIPTION *dJ 5 .,r,rc-s.:, Permits are non-transferable and expire if not started within 180 days of issuance or if work is Suspended for 180 days. 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 $ 19.00 B. Sen'ices or Feeders - Installation, Alterations or Relocation: $ 63.00 s 75.00 $ r 2s.00 $163.00 $37s.00 $ s0.00 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 $ s0.00 $ 69.00 $ I 00.00 $ 43.00 Each Additional Circuit or with Service or Feeder Permit -Ss l.oo /5 E. Miscellaneous (Servicelfeeder not inclutled) -Each Installation t-e ,SI if ,e2 Electrical Contractor City pnon" b Expiration Date Constr. Contr. Numbet /O?fl, { Expiration Date t ltq lo'l----,--1------r Signature of Supervising Electrician 200 Amps or less 201 Amps to 400,A,mps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only / Supervisor License Number L, ' /Y - __> C. Temporary Services or Feeders ,l "1,*- )L'/'^JL owners Name b t€n OL Address ZqLt -? | I :F Stf ;\ phone "Ze -7'I7o ;irrigationCity OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. EXPIR B$ection Fee is $45.00 + Surcharges 170 1.Ft-7> N T 4.s iffi.ll /f 7o/o State Surcharge l0% Administrative Fee TOTALlnspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application I -03.doc I LOCATION OF TNSTAUATIAN 3. COMPLETEFEE LEGAL DESCRIPTION 11032\L{3 A. New Residential - Single or , Owners Signature: Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fa'x 541:7 26-37 69 I nspe ction Lin e Buildin g/Co mbination Permit PERMIT NO: COM2005-01249ISSUED: 10/13/200sAPPLED: 09/1312005E)PIRES: 08/0712006VALUE: $ 51,840.00 SITE ADDRESS: 2447 I9TIJST ASSESSORS PARCEL NO.: 1703244301600 PROJECT DESCRIPTION: Residential addition. Springfield TYPE OF TYPEOF USE: Single Family Residence Addition Residential Owner: Address: LOREN LYNCH 2447 tg"rIJST SPRINGFIELD OR 97477 PhoneNumber: 541-726-8470 Contractor Type General Electrical Mechanical Plumbing Contractor JEFFERY DUANE HARRIS DELLS ELECTRIC JEFFERY HARRIS TOMS PLUMBING SERVICE INC License 129155 109864 tsg42s Expiration Date 06t09t2006 0u14t2007 Phone s03-s44-3112 541-935-2154 s03 s44-3112 541-607-8879 CONTRACTOR INFORMATION # of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm SewerAvailable: Special Instuuction: R-3 18.60 42.00 Partiallv Improved Yes Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: TEXPIR R IHIS REQUIRED PARJilNG Total: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees I Lot Size: 15.00 Wall Heat Electric Path 1 nla Mf.T SHA| 540 VB UNDE Type: DEVELOPMENT INFORMATION Notes: 1of 3 DownspoutVl)rains Curb and Gutter n Cen 2-001 is1 UtilitY N Paved Drive oh ofLot D Status: Issued 225 Fifth Street, Springfield, OR 541:1263753 Phone 541-7263676Fax 541:7 26-37 69 Inspe ction Line Buildin g/Co mbination Permit PERMIT NO: COM2005-01249ISSUED: 1011312005APPLIED: 09/131200sE)PIRES: 08/0712006VALUE: $ 51,840.00 Description Dwellinss Type of Construction V Wood Frame Amount Paid Date Paid Value $51,840.00 $51,840.00 Date Calculated 09/13/2005 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge* Building Permit' Fixture Minimum/Adj ustment Mechanical Minimum/Adjustment Plumbin g SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0Yo Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Total Amount Receipt Number 22005000000000012s3 1200500000000001522 1200s00000000001s22 1200s00000000001s22 r200500000000001522 1200500000000001522 1200s00000000001s22 1200s0000000000rs22 1200500000000001522 1200500000000001522 1200500000000001522 1200500000000001691 r200500000000001691 1200500000000001691 1200500000000001691 1200600000000000163 r200600000000000163 1200600000000000163 $24s.99 $10.00 $46.8s $32.79 $378.45 $42.00 $39.00 $3.00 $10.30 $206.07 $6.00 $7.50 $s.2s $12.00 $63.00 $1.50 $1.20 $1s.00 $1,125.90 9n3t05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/0s 10/13/05 10/13/05 tu7t05 tu7tos tu1t05 tu1t05 2n4t06 2t14t06 2lt4t06 Fees Pa Plan Reviews Initial Review Planning Review Public Works Review 09/13/2005 09n3t2005 09n3t200s 09/30/2005 APP DLM No Planning review required. Storm drainage piped to curb face 9/15/2005 CAS Subject to Lane Co. septic approval. See documents for plan review comments. Ownersubmitted "Owner's Responsibility Form from County 10/13/05 dlm 09n3t2005 09n6t200s 09trst200s APP APP APP LLH TAJ CAS Structural Review 09n3t200s 2of3 $ PerSq Ft Square Footage or multiplier or Bftl Amount $96.00 540.00 Total Value of Project Valuation Description I Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541:7 2637 69 Inspection Line CITY OF SPRIN Building/Co mbination Permit PERMIT NO: COM2005-01249ISSUED: 10/13/2005 APPLIED: 09/1312005E)3IRES: 08/0712006VALUE: $ 51,840.00 To Request an inspection call the24 hour recording at 7263769. 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Reouired Insnect 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 SpringfieH 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 Senices 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 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 b 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 3 of 3 Date 225 Fifth Street Springfield, Oregon 97 47 7 54':-726-3759 Phone -ity of Springfietd Official Receipt -/evelopment Services Department Public Works Department RECEIPT#: 1200600000000000163 Date: 0211412006 2:37:53PM Jeb/Jurrnal Number coM2005-01249 coM2005-01249 c,JM2005-01249 Description + 8% State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Ea Add Amont Due 1.20 1.50 15.00 Item Total:$17.70 Payments: Tlpe of Paynent Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard DELLS ELECTRIC djb 614112 In Person $17.70 Payment Total: --Tifr6- ,l lJ' :(i 2tr4t2006 lofl ryD 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (54 ELE CTRICAL P E RMIT APP LICATI ON City Job Number {- otZl1 Date I l- Z -o { lowing Proie urizutl Stgn I 3ulLl1 t1 S LEGAL DESCRIPTION A. JOB DESCRIPTION l>o3 zt{.,{3 o/6ocr 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 i/1(:-, 200 Amps or less $106.00 $ 19.00 $50.00 @N*:ura / ( ctrr,i o not started within 180 days of issuance or if work is Suspended for 180 days. I Electrical Contractor Address a City Supervisor License Number Expiration Date io Constr. Contr. Number Expiration Date Signature of Supervising Electrician '^l D r-s C. B. tuT ? tLq. Phone LW.,11U'I $ 63.00 $ 7s.00 $ 12s.00 $ 163.00 $37s.00 $ s0.00 $ 43.00 $ 3.00 63 0,7 r\u Cettu E Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel a D-J;k"-l-J beb,L S ?26 - Yvzo on property I own which One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sign/Outline Lighting Limited q I Owners Name Address ZLI City OWNER The installation is S E. Minimumis not intended for sale, lease or rent. Owners Signature * Surcharges 7{ 1oh State l0% Administrative Fee TOTAL 7 ,o 9"{'Inspection Request: 726-3769 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc CITY OF SPRINGFIELil, OREGON ***r***r*"*OS COIUIPLETE EEE *CIIEDULfr BELOWLOCATION OF CO.IVIX4CITO& IM9T;I"LLA TrO N Services or Feeders - Installation, Alterrtions or Relccation: q?b,-/ I rqh' D. ::Bt"ahch Circuits $ Installation 5?r J 1 OF SPRINGFIELD BuildinglCo mbination Permit PERMIT NO: COM2005-01249ISSUED: 10/13/2005APPLIED: 09/1312005E)GIRESz 0510712006VALUE: $ 51,840.00 Status: Issued 225 Ftfth Street, Springfield, OR 541:726-3753 Phone 541-726-36768a'x 541:1 26-37 69 Inspe ction Line SITE ADDRESS: 2447 I9TIJST ASSESSOR'S PARCEL NO.: 1703244301600 PROJECT DESCRIPTION: Residential addition. Springfield TYPE OF TYPE OF USE: Single Family Residence Addition Residential - Owner: Address: LOREN LYNCH 244719TIJ57 SPRINGFIELD OR 97477 Phone Number: 541-726-8470 Contractor Type General Electrical Mechanical Plumbing Contractor JEFFERYDUANE HARRIS DELLS ELECTRIC JEFFERYHARRIS RS PLUMBING CONTRACTING License 1,29155 109864 Expiration Date 06t09t2006 0u14t2007 Phone 503-544-3112 541-93s-2154 503 544-3112 541-461-4714103816 0u0412006 dby REQUIRED PARKING Total: Handicapped: Compact: # of Units: Primary Occupancy Group: Smondary Occupancy' Plimary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbaclc Side l Setback: Side 2 Setrack: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: 540R-3 VB set t orth -001- Garage/Carport Other: nla Occupa.nt Load: 18.60 42.00 Partially Improved Yes Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: DEVELOPMENT INFORMATION Notes: l of 3 and Gutter Llrr\ II(ALruK [\rv5]v+u!vN ] {rcatton Those rules are #of 952-001 1 You maY 15.00 Type the Wall Heat Water Range {or the THIS PERMIT 6 NOT FOR Center is 1 ANY 180 Building/Co mbinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspection Line PERMIT NO: COM2005-01249ISSUED: 1011312005APPLIED: 09/1312005E)?IRESz 0510712006VALUE: $ 51,840.00 Description Dwellings Fee Description Plan Review Residential -Mechanical Issuance Fee- + 1006 Administrative Fee + 7o/o State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + l0o/o Administrative Fee + 7%o Strte Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Type of Construction V Wood Frame $PerSq Ft Square Footage or multiplier or Bid Amount $96.00 s40.00 Total Value of Project Amount Paid Date Paid Value $51,840.00 $51,840.00 Date Calculated 09n3t2005 $245.99 $10.00 $46.8s $32.79 $378.4s $42.00 $39.00 $3.00 $10.30 $206.07 $6.00 $7.s0 $5.25 $12.00 $63.00 $1,108.20 9lt3tos 10/13/05 10/13/05 r0/13/05 10/13/05 10/13/05 10/r3105 10/13/0s 10/13/0s 10/13/05 10/13/05 ty7t05 tU7t05 tu7t05 tU7t05 Receipt Number 2200500000000001253 1200s00000000001s22 1200500000000001522 1200500000000001522 1200500000000001522 1200500000000001522 1200500000000001s22 1200s0000000000r522 1200500000000001522 1200500000000001s22 1200s00000000001s22 1200s00000000001691 r200500000000001691 1200500000000001691 1200500000000001691 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 09n3t2005 09n3t2005 09n3t200s 09t13t200s 09n6t200s 09115t2005 09n3t2005 09t30t2005 APP DLM No Planning review required. Storm drainage piped to curb face 9/15/2005 CAS Subject to Lane Co. septic approval. See documents for plan review comments. Owner submitted "Owner's Responsibility Form from County 10/13/05 dlm APP APP APP LLH TAJ CAS To Request an inspection call the 24 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. 2of3 Valuation Description I 11 pps rard I Status: Issued 225 Fifth Street, Springfield, OR 541:7264753 Phone 541-726367682x 541:7 26-37 69 Ins pe ction Line Building/Co mbinatio n Permit PERMIT NO: COM2005-01249ISSUED: 1011312005APPLIED: 09/1312005E)GIRESz 0510712006VALUE: $ 51,840.00 Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signaturer l 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 certiff 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 certiff 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 3 of 3 Date Keourreo lnspecuons I 225 Fifth Street Springfield, Ore gon 97 47 7 541-726-3759 Phone City of Springfield Official Receipt evelopment Services D epartment Public Works Department RECEIPT#: 1200500000000001691 Date: 1110712005 1:31:27PM Jnb/Journal Number c fM2005-01249 coM2005-01249 ccM2005-01249 coM2005-01249 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0o/o Administrative Fee Amount Due 63.00 12.00 5.25 7.50 Item Total:$87.7s Payments: Tlpe of Payment Paid By Received By ChecFNunEa Batch Number A-uffdZation Number IIow Received Amount Paid CreditCard DELLS ELECTRIC djb 002979 In Person Payment Total: $87.75 -s8-rF il l( 't I I tt/1t2005 lofl '.DIIEI|BO Status: Issued 225Eifth Street, Springfield, OR 541.:726-3753 Phone 541.-7263676Fax 541:7 26-37 69 Ins pe ction Line Buildin g/Co mbin ation Permit PERMIT NO: COM2005-01249ISSUED: 10/13/2005 APPLIED: 09/1312005E)GIRESt 0411312006VALUE: $ 51,840.00 SITE ADDRESS: 244719TH ST ASSESSOR'S PARCEL NO.: 1703244301600 PROJECTDESCRIPTION: Residential addition. Springfield TYPE OF TYPE OF USE: Single Family Residence Addition Residential Owner: Address: LYNCH LORTN H & PATRICIA E 2447 N 19TII ST SPRINGFIELD OR 97477 Phone Number: 541-726-8470 Contractor Type General Electrical Mechanical Plumbing Contractor JEFFERY DUAIIE HARRIS DELLS ELECTRIC JEFFERYHARRIS RS PLUMBING CONTRACTING License 129155 109864 103816 Expiration Date 06t0912006 0y14t2007 0u04t2006 Phone 503-s44-3112 54t-935-2154 503 544-3112 541-4614714 CONTRACTOF BUILDING tr # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyrrd Setbrck Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: R-3 18.60 42.00 # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot Coverage: 1 15.00 Wall Heat Electric Path 1 nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 540 VB Sidewalk Type: DownspoutVDrains REQUIRED PARIilNG Total: Handicapped: Compact: Curb and Gutter Center is 1-B0U-u; )PMENT INFORMATION 1of 3 ifl$l,s,fi HJ"I$15ffiflft iffiil,lrr itYHitlvrlnroo D Building/Co mbin atio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:72G3753 Phone 541-726-3676Fax 541:7 26a7 69 Inspection Line PERMIT NO: COM2005-01249ISSUED: 1011312005APPLIED: 09/1312005E)PIRESz 0411312006VALUE: $ 51,840.00 Descrbtbn Dwellings Type of Construction V Wood Frame $ Per Sq Ft Square Footage or muhiplier or Bid Amount $96.00 540.00 Total Value of Project Amount Paid Date Paid Value $51,840.00 $51,840.00 Date Calculated 09n3t2005 Fee Description PIan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7Vo State Surcharge Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing SDC Sanitary/Storm Admin Storm Drainage Impervious Area Yent Fan Total Amount $245.99 $r0.00 $46.85 $32.79 $378.45 $42.00 $39.00 $3.00 $10.30 $206.07 $6.00 Receipt Number 2200s00000000001253 1200500000000001522 r200s00000000001s22 1200500000000001522 r200s00000000001s22 1200s00000000001522 1200500000000001522 1200500000000001522 1200s0000000000rs22 1200500000000001522 1200s0000000000r522 $1,020.45 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 09n3t2005 09/30/2005 09fl3t2005 09n3t200s 09n3t2005 09n3t2005 09n6t2005 09/1s/2005 APP APP APP LLH TAJ CAS No Planning review required. Storm drainage piped to curb face 9/15/2005 CAS Subject to Lane Co. septic approval. See documents for plan review comments. Owner submitted "Owner's Responsibility Form from County 10/13/05 dlm APP DLM To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 2of3 Valuation DcseriEton l 9n3t05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/05 10/13/0s 10/13/05 r0/r3/0s r ees ralo I Keourreo lnsDecnons I CITY OF SPRINGFIELD Buildin g/Co mbin ation Permit PERMIT NO: COM2005-01249ISSUED: 1011312005APPLED: 09/1312005E)PIRES: 0411312006VALUE: $ 51,840.00 Status: Issued 225 Fifth Street, Springfield, OR 541:72G3753 Phone 541-726-3676Fa;x 541:7 26-37 69 I nspe ction Line Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signaturer l 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 certiS 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 OCC[ PAIICY will be made of any structure without permission of the Community Servhes Division, Building Safety. I further certiff 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 propert5r, and the approved set of plans will remain on the site at all times du //- /z/{ Owner Signature Date 3 of 3 CITY OF SF..TNGFIELD SYSTEMS DEVELOPMEN ORKSHEET JOURNAL OR JOB NUMBER: Com2005-01249 NAMEORCOMPANY Elaine LOCATION:2447 lgthst TAX LOTNUMBER:1703244301600 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING I,INITS 0 1. STORM DRAINAGE DIRECTRT]NOFFTO CITY STORM SYSTEM COST PER S.F $0.323 BrrrLDrNG SZE (SF) 540 LOT SrZE (SF): CIIARGE $206.07 12436 IMPERVIOUS S.F 638.00 RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 NIIMBER OF DFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU's 0 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.s7 SUBTOTAL $206.07 COST PER S.F $0.323 COST PER DFU $2s.07 $19.07 NT]MBER OF UNITS 0 NUMBER OF LTNITS 0 ADM. FEE RATE 5% DISCOUNTRATE 50Yo $206.07 DISCOLTNT $0.00 x x x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBT]RSEMENT COST: $0.00 COST PER TRIP s19.09 COST PER TRIP s84. l9 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR L00 x xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY Sf,WER SDC SUBToTAL (ADD ITENTS \2,3, & 4) 5. ADMINISTRATME FEE: $0.00 $206.07 CTIARGE $10.30 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 9/1st2005 COST PER FEU $82.03 $0.00 $0.00 $0.00 $0.00 $0.00 10.30 s2r6.37 1070 l09l 1092 I 093 1094 I 054 I 055 I 054 10s6 079 078 a rI] t-.{ (J & rI]Fa H COST PER FET] $865.31 PREPARED BY DATE TOTAL SDC CHARGES x x x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FD(TURES x TINIT EQUIVAIENT : DRAINAGE FXTURE UNITS FOR CALCULATE ONLY TI]E NET ADDITIONAL NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBEROF EDU'S TOTAL DRAINAGE FXTURE TINITS lSa toa mit set at I 67 NTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE LTNITS 0 2 2 1979 *EDU BEFORE 1979 1979 1 980 1981 1982 1983 I 984 1986 1987 I 988 1989 1990 1991 1992 t993 1994 1995 1996 1997 1998 1999 $5.1e $5.12 $4.98 $4.80 $4.6s $4.40 $3.22 $2.73 $2.25 VAI,I]E / lOOO $0.00 CREDITRATE $s.29 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CR-EDIT FOR LAND OF APPLICABLE) 1985 x CREDITFOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT BATHTUB 0 0 3 0 DRINKING FOUNTAIN 0 0 I 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LATINDRY TUB 0 0 2 0 CLOT}IESWASI{ER / MOP SINK 0 0 3 0 CLOTHESWASHER- 3 ORMORE (EA)0 0 6 0 MOBILE HOMEPARK TRAP (I PERTRAILER)0 0 12 0 RF]CEPTOR FOR RIIFRIG / WATIiR STATION / ETC.0 0 1 0 I{L,CIIP]'OR l.OR COM. SINK / DISHWASHDR / E'lC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG OTUMBER OF IIEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTTAL BAR 0 0 1 0 IIRINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 2000 rl 2001 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 225 Fifth Street Springfielcl, Ore gon 97 47 7 541-72G3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works D epartment RECEIPT#: 1200500000000001522 Date: 10/13/2005 2:18:04PM Job/Journal Number coM2005-01249 coM2005-01249 coM2005-01249 coM2005-01249 coM2005-01249 coM2005-01249 coM2005-01249 coM2005-01249 coM2005-01249 coM2005-01249 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fixture Vent Fan -Mechanical Issuance Fee- Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing + 7o/o State Surcharge + l0Yo Administrative Fee Amrunt Due 206.07 10.30 378.45 42.00 6.00 10.00 39.00 3.00 32.79 46.85 Item Total:$774.46 Phyments: Type of Payment CheckNumber Authorization Paid By Received By Batch Number Number How Received Amount Paid Cash DALE GLANT dlm In Person Payment Total: $774.46_C I t0/r3/200s lofl spttlroFralD