HomeMy WebLinkAboutPermit Building 2007-05-24Status 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: COM2007-00486ISSUED: 0512412007
APPLIED: 04/0312007
EXPIRESz 1112412007VALUE: $ 8,775.00
SITE ADDRESS: 505 34TH ST
ASSESSOR'S PARCEL NO.: 1702312410700
PROJECT DESCRIPTION: Replace existing garage
Springfield TYPE OF WORK: Garage
TYPE OF USE: Addition
PhoneNumber: 541-345-7106
Residential
Phone
54r-342-4871
541-933-2653
541-688-338s
325
Owner:
Address:
Contractor Type
General
Electrical
Plumbing
# 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:
NEIGHBORIIOOD ECONOMIC
783 GRANT
EUGENE OR 97402
TU
U
VB
# of Stories:!or the Oregon
a
Note: the telePhone
I
Notiticatior-[nt Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
12.50
23.00
s.00
21.00
Fully Improved
yes
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
nla
0.00
25.90
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Notes: Storm H2O to curb & gutter. Using existing driveway. No curbcut or sidewalk permits required, (unless deviating
. from proposed plan).JLP APP4l8l07
)R INFORMATION
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Pase I of4
Contractor
RAINBOW VALLEY
L&EELECTRICINC
DOUGS PLUMBING INC
the
rules
Building/Combination Permit
PERMIT NO: COM2007-00486ISSUED: 0512412007APPLIED: 04103/2007
EXPIRESz 1112412007VALUE: $ 8,775.00
Description
Garage
Type of Construction
Garage
Amount Paid Date Paid
Value
$8,775.00
$8,775.00
Receipt Number
r200700000000000358
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000620
2200700000000000620
2200700000000000620
2200700000000000620
3200700000000000339
3200700000000000338
3200700000000000339
3200700000000000338
3200700000000000339
3200700000000000338
3200700000000000338
3200700000000000339
3200700000000000339
3200700000000000338
Date Calculated
04/03t2007
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Garage/Carport
PIan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
+ lOoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Residence Wiring 1000 Sq Ft
+ lOoh Administrative Fee
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 57o Technology Fee
+ 87o State Surcharge
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Fixture
Miscellaneous Plumbing
Perm Serv/Fdr 200 amps or less
Total Amount Paid
$64.74
$14.46
$12.83
$1r.s7
$99.60
$112.00
$7.37
$147.34
$45.00
$10.60
$s.30
$8.48
$106.00
$4.50
$7.80
$2.25
$3.90
$3.60
$6.24
$15.00
$42.00
$3.00
$63.00
$796.58
4t3t07
4t27t07
4t27/07
4t27t07
4/27t07
4t27t07
4t27t07
4t27t07
4/27t07
5nt07
5fit07
511107
51u07
5t24t07
5t24/07
5t24t07
5t24t07
5t24t07
st24t07
5t24t07
st24t07
5/24/07
5t24t07
tr'ees Paid
Plan Reviews
APP LLH Fire fee not applicable -
Replacement Garage
Initial Review 04t04/2007 04t04t2007
Pase 2 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
Valuation DescriBtion ]
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$27.00 325.00
Total Value of Project
D
Status Issued
225 Fifth Street, Springfieldo OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2007 -00486ISSUED: 05/2412007APPLIEDz 04/0312007
EXPIRESz 1112412007VALUE: $ 8,775.00
Planning Review
Public Works Review
Structural Review
04t04t2007 04n6t2007 APP TAJ
04t04t2007 04t08t2007 APP JLP
04t0412007 05t0t/2007 APP DLM
Setbacks are based on proposed
Parcel I of Tentative Partion
SUB2006-00060. The plat has not
been recorded yet. The plot plan
was corrected to reflect the proposed
parcel dimension of 77' N/S line
instead of 80'. This may affect how
close the garage is to the house. I
spoke with Rick from Rainbow
Design he is going to measure this
from the survey pins. Ifit needs to
be adjusted he will contact us.
Rcvd 41412007--Waiting in order
PW rcvd for rvw.JlPLl4lU1 **t'
Storm H2O to curb & gutter. Using
existing driveway. No curbcut or
sidewalk permits required, (unless
deviating from proposed plan).JLP
APP4t8t07
Plan approved 4125107 but not
entered in Tidemark system
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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Storm Sewer Line: Prior to filling trench.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Electric Service: Approval required prior to utility company energizing service.
Electric Seryice: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Page 3 of4
I Insnecfions
il,*t
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: COM2007-00486ISSUED: 0512412007APPLIED: 04/0312007
EXPIRESz 1112412007VALUE: $ 8,775.00
Finat Plumbing: When all plumbing 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 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 alt 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.
Owner or Contractors Signature Date
Pase 4 oI 4
a
City of Springfield
s&tsnB0
Upon revlew and approval by your localjurisdiction, 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.
rlumbing Authorization To Begin Work
E-mailed To: rrobertson@rainbowvalleyinc'com
Check on status of Permit
By Phone : (541)7 26-37 53 or Email : permitcenter@ci'sprin gfield'or'us
Receipt # EC5ll726
512312007 4:30:45 PM
Technology Feetn
OF
l-l New construction [il Addition/alteration/replacement
[] t o, Z family dwelling
l-l Commercial / Industrial
Multi-family
l-l A.".rrory Building
Job no.:Job address: 500 34TH ST
City/State/ZIP: SPRINGFIELD, OR 97478-5852
Suite/bldg./apt.no.:
Project name:
Cross street/directions to job site: Access offN35th
Subdivision:Lot no.
Tax map/parcel no.t 1702312409100
Move toilet flange
Name: Rick Robertson
Phoner (541) 968-1642 Fax: (541) 968-1642
f,mail:eyinc.com
Plmb. lic. no.: 20-l62PB CCB lic. no.: ll0l63
Business Name: DOUG'S PLUMBING INC
Contact:
Addrcss: 29503AWBREYLN
City/StateZIP: EUGENE OR 97402
Phone: (541)6883385 Fax: None
Email: rrobertson@rainbowvalleyinc.com
Metro lic. no.:City lic. no,:
Qly.
rnt 0NLY
Ea.TotalDescription
Site utilities-repair OR rtplacem
Sanitary Sewer - first I 00 feet not offered online at this jurisdiction
not offered online at thisjurisdiction- each additional 100 leet
Storm Sewer - first I 00 feet not offered online at this jurisdrction
not offered online at this iurisdiction- each additional I 00 feet
Water Servrce - first 100 feet not offered online at this jurisdiction
not offered online at this jurisdictioneach addittonal 100 leet
Backflow preventer
Backwater valve
Clothes washer
Dishwasher
Dnnking fountain
Ejectors/sump
Expansion tank not offered online at this jurisdiction
Fixture/sewer cap
Floor drain/floor sinkft ub
Garbage disposal
Hose bib
Ice maker
Primer - up to first 5 not offered online at this jurisdiction
Primer -each additional not offered online at this junsdiction
Sink/basrn/lavatory
I $r4 00 $14.00Tub/shower/shower pan
Urinal
I s14.00 $r4.00Water closet
I $l4 00 sr4 00Water heater
PLUMBI PERMIT FEEI
$42 00Subtotal
Minimum fee used instead of Subtotal $45.00
8Yo ol rt $3.60
City Of Springfield fees *$6.75
$ss 3sTOTAL PERMIT FEE
3zo,c
-07-)
DATE
RCPT
31
PROCESSEDBY:
This Authorization To Begin Work must be posted at the job site until repl a Permit
CONSTRUCTIONCATEGORY OF
JOB SITE INFORMATION AND LOCATION
DESCRIPTION OF WORK
SITE CONTACT
CONTRACTOR
FEE SCHEDULE
This sectiou applies to additions, alterations or replacements of
plumbing.
:e)
\oz(
225 Fiffh Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci+./ of Springfield Official Receipt
[ _ elopment Services Department
Public Works Department
RECEIPT #: 3200700000000000339 Date: 0512412007 8:3e:42AM
Job/Journal Number
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
Description
Fixture
Miscellaneous Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 1006 Administrative Fee
Amount Due
42.00
3.00
2.25
3.60
4.50
Item Total:$ss.35
Payments:
Type ofPayment Paid By Received By
e[eck Number
Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS njm ONLINE Rick Online
Robertson/R
ainbow
Valley
sss.3 s
Payment Total:s55.35
cReceintl Page I of I 512412007
ITY
Building/Combination Permit
PERMIT NO: COM2007-00486ISSUED: 0512412007
APPLIED: 04/0312007
EXPIREST 1112412007VALUE: $ 8,775.00
\t.
)
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
SITE ADDRESS: 505 34TH ST
ASSESSOR'S PARCEL NO.: 1702312410700
Springfield
PROJECT DESCRIPTION: Replace existing garage
NEIGHBORHOOD ECONOMIC DEVELOPMENT C
783 GRANT
EUGENE OR 97402
TYPE OF WORK: Garage
TYPE OF USE: Addition
Owner:
Address:
Residential
Phone Number: 541-345-7106
ORK
CONTRACTOJ
Contractor Type
General
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Contractor NOTICE
RAINBOW VALLEY DESIGN &
I,&EELECTRICINC lHOR\ZE
A
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled tON:O
23.00
5.00
2r.00
0.00
Fully Improved
Yes
TH\S PE
D
I Lot Size:
12.50 Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft
(eg'oft Other:totbY
\R1S Wt.Phone
541-342-4871
541-933-2653
U
VB
325
-0t
Sidewalk Type:
Downspouts/Drains
ARKING
Curbside 5'
Curb and Gutter
)
Notes: Storm H2O to curb & gutter. Using existing driveway. No curbcut or sidewalk permits required, (unless deviating
from proposed plan).JLP APP4l8l07
PUBLIC IMPROVEMENTS
Pase I of4
Overlay
# Street
Paved Drive
o/o of Lot 25.90
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: COM2007-00486ISSUED: 0512412007APPLIED: 04/03/2007
EXPIRESz 1112412007VALUE: $ 8,775.00
Description
Garage
Tvpe of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$27.00 325.00
Total Value of Project
Amount Paid Date Paid
Value
$8,775.00
$8,775.00
Receipt Number
12007000000000003s8
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000620
2200700000000000620
2200700000000000620
2200700000000000620
3200700000000000338
3200700000000000338
3200700000000000338
3200700000000000338
3200700000000000338
Date Calculated
04t03t2007
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Garage/Carport
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Residence Wiring 1000 Sq Ft
+ lOoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
$64.74
$14.46
$12.83
$11.57
$99.60
$112.00
$7.37
$147.34
$4s.00
$10.60
$5.30
$8.48
$106.00
$7.80
$3.90
$6.24
$15.00
$63.00
4t3t07
4/27 t07
4t27 /01
4t27/07
4t27t07
4t27t07
4t27 t07
4t27 t07
4t27t07
sn/07
51u07
5n/07
5nt07
5t24/07
5t24t07
5t24t07
5/24t07
5t24t07
$741.23
tr'ees Paid
Plan Reviews
Initial Review 04t04t2007 04/04t2007 APP LLH Fire fee not applicable -
Replacement Garage
Paee 2 of 4
Vafuation nescrintd
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541 -7 26-37 69 Inspection Line
GFIE
Building/Combination Permit
PERMIT NO: COM2007-00486ISSUED: 0512412007APPLIED: 04/03/2007
EXPIRESz 1112412007VALUE: $ 8,775.00
Planning Review
Public Works Review
Structural Review
04t04t2007 04n6t2007 APP TAJ
04t04t2007 04t08t2007 APP JLP
04t04t2007 05t0U2007 APP DLM
Setbacks are based on proposed
Parcel I of Tentative Partion
SUB2006-00060. The plat has not
been recorded yet. The plot plan
was corrected to reflect the proposed
parcel dimension of 77' N/S line
instead of 80'. This may affect how
close the garage is to the house. I
spoke with Rick from Rainbow
Design he is going to measure this
from the survey pins. If it needs to
be adjusted he will contact us.
Rcvd 4/4/2007---Waiting in order
PW rcvd for rvw.JlP4l4l01 ***
Storm H2O to curb & gutter. Using
existing driveway. No curbcut or
sidewalk permits required, (unless
deviating from proposed plan).JLP
APP4t8t07
Plan approved 4125107 but not
entered in Tidemark system
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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Storm Sewer Line: Prior to filling trench.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Electric Service: Approval required prior to utility company energizing service.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnections
Paee 3 of4
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: COM2007-00486ISSUED: 0512412007
APPLIEDz 0410312007
EXPIRESz 1112412007VALUE: $ 8,775.00
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 onty 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
Pase 4 of 4
City of Springfield
Supenising electrician's name: EDWARD JAMES DENOUDEN
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with instructions on how to schedule your inspectlon,
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 ordinancos.
Alectrical Authorization To Begin Work
E-mailed To: rrobertson@rainbowvalleyinc.com
Check on status of Permit
By Phone : (541)7 26-37 53 or Email : permitcenter@ci.springfi eld,or. us
r City Of Springfield l0% Local Admin Fee; 5%
Receipt # EC5ll728
5123/2007 5:01:03 PM
Fee
l-lNewconstruction lxlAddition/alteration/replacement
ATEGORY OF I
I t or Z family dwelling J_l Uulti-famity l-l Commercial / Industrial
JOI
Job no.: com2007-0048 Job address: 505 34TH ST
city/strte/zlP: SPRINGFIELD, OR 97478-5852
Suite/bldg./apt.no.
Project name:
Cross streeVdirections to job site: Access offofN. 35th
Subdivision Lot no.:
Tax map/parcel no,: I702312410700
Name: Rick Robertson
New
Fax: (541) 968-1642Phoner (541 ) 968-l 642
Email: nobertson@rainbowvalleyinc.com
EI. lic. no.: 20-383C CCB lic. no.: 105475
Contacl: ed denouden
Address: 92833 JONES ACRES RD
City/State/ZIP: SPRINGFIELD OR 97478
Phone: (541)9332598 Fax: None
Email: RICK.DENOUDEN@AOL COM
City lic. no.Melro lic. no.:
Supervising electrician's lic. no.: 4l 74S
Ila.TotalQty.
R"rid*tirt S[\rGLE- OR ti.
attached garage
I ,000 sq. ft. or less
Description
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above sq. ti.)
energy, multifamily
residential above
I $63 00 s63.00200 amps or less
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
201 amps to 400 amps
r, OR extens I
401 amps to 599 ampsffi
$3.00 $r5 00A. Fee for branch circuits wrth
above service or feeder fee,
each branch circuit.
5
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
each addl branch circuit
Miscellaneous
Service reconnect only
Each manufactured or modular
dwellins. service and/or feeder
Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
not offered online at this junsdiction
iES
s78 00Subtotal
$6.24State Surcharge (8% ofpermit fee)
$11.70City Of Springfield fees *
TOTALPERMIT FEE $95.94
7z -l()3
COlrf,
RCPT
PROCESSED
-33
DAIE
This Authorization To Begin Work must be posted at the job site until repl by a Permit.
TYPE OF WORK
DESCRIPTION OF WORK
stTE cor.tTAcr
CONTRACTOR
BusinessName: L& E ELECTRIC INC
FEE SCHEDULE
Services OR feeders installation, alteration, AND/OR relocation
TEMPORARY sen'ices OR feeders installation, alteration,
AND/OR relocation
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cii- of Springfield Official Receipt
L elopment Services Department
Public Works Department
RECEIPT #: 3200700000000000338 Date: 0512412007 7:46:35AM
Job/Journal Number
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
Description
Perm Servffdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5%o Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
63.00
15.00
3.90
6.24
7.80
Item Total:$95.94
Payments:
Type ofPayment Paid By Received By Batch Number
Check Number Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS njm ONLINE L &.8
Electric
Online s95.94
Payment Total:s95.94
cReceint'l Page 1 of I s12412001
225 FIffH STREET . SPRINGFIELD, OR97477 ' PH:(5'll)726-3753 'FAX:(541 )726-3689
E LE CTRI CAL P E RM IT AP P LI CATI A N
Ciry job Number
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmPs/Yols
Reconnect OnlY
zoN DP-
INITIALS N TE
DATE ,5=7=-o1-
SOURCE
OR
s50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
s 50.00
the rules
ty
aa?ar\
SPFITNGFIELC,
Date
1. LOCATIONOFINSIZ.II'ATION: ":' .
3. CO]ITPLETE FEE SCHEDWE BELO\F . .
'
A.NervResidential-Singleorl\,tulti-Fantil,vperdlvelliugunit.
sro6.00 100, oo
sq. ft. or
eJ 19.00
R S NOT
ABANOONED F
LEGAL DESCRIPTION:/a 07 6T
JOB DESCRIPTION:
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
Address ).e:: J Rd
Ciry \d Phone 5A \-\\18
1000
Each
,ZEO UNDE
ru.r, fi 0I$A[FU 06&,oft I S
rvr oauf, *l UrildeB AFFEff f?0
Feeder
D
Supervisor License Number HI I \-5 C. TemPoratl'Services or Feeders
:
Expiration Date rb Installation, Alteration or Relocation outu
200 Amps or ON:O irity
Constr. Contr. Number
-ts tort
\o
201
401
Expiration Date ?o o
Signature of Supervising Electrician
Ourers Name
Address
Ciry Pb,"" glK _7/0b
OWNER INSTALLATION
The installation is being made on properry I own which
is not intended'for sale, lease or rent.
Owners Signature:
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
Sign/Outline Lighting
Limited EnergY/Residential
Limited EnergY/Commercial
s 3.00
$ s0.00
$ s0.00
$ 25.00
$ 45.00
(
Over
D
New
one Circullumbe(
-oa
s 43.00
E. lVlisceltanious (Seyvice/fieder'rtot included) -Each Installation
Nlinimum Electric Permit Inspection Fee is $45'00 * Surcharges
4. SWTOTAL OF ABOW
8% State Surcharge
l0% Administrative Fee
5% TechnologY Fee
ls
Inspection Request: 726'3769 TOTAL
Shared Drive(T: )/Buildin g Forms/Electrical Permit Application 8-06 doc
l-^ ,'r,,
,,.]B. Services or Feeders - Installation' Alterations
2.
L (
Electrical Contractor
5
\
!-
law
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: COM2007-00486ISSUED: 0412712007
APPLIED: 04/0312007
EXPIRES: I ll0ll2007VALUE: $ 8,775.00
SITE ADDRESS: s05 34TH ST
ASSESSOR'S PARCELNO.: 1702312410700
PROJECT DESCRIPTION: Replace existing garage
NEIGHBORHOOD ECONOMIC DEVELOPMENT C
783 GRANT
EUGENE OR 97402
Springfield NgTfdP:oF woRK: Garage
THIS PfimlbSldisbl hil{tttiE tF THE \i0fit{entiat
AUTHORIZED UNDETi THIS PEBMIT IS NOT
ANY 180 DAY PERhO& Number: s41-34s-7106Owner:
Address:
Contractor Type
General
Electrical
Contractor
RAINBOW VALLEY DESIGN & CONSTR
L&EELECTRICINC
License
s6107
105475
Expiration Date
04t0412008
03/30/2008
Phone
s4t-342-4871
541-933-2653
# 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: ATTEN
Height of StructurtPllOW
Type of Heat: rlotiflcation
Water Type:rnoAR952-001
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
requlres you tL
on Utility
set for:
952-00
U
VB
Range Type: 0090. You may
Energy Path: Calling the cente telephone
Sprinkled Buildingh y1,16s1 f sf4he Or€gorpfii [lyddci I ri cat i r' r
REQUIRED PARKING
eS i 325
23.00
5.00
21.00
0.00
Total:
Handicapped:
Compact:
7
Curbside 5'
Curb and Gutter
Fullv Improved
Yes
25.90
Sidewalk Type:
Downspouts/Drains:
Notes: Storm H2O to curb & gutter. Using existing driveway. No curbcut or sidewalk permits required, (unless deviating
from proposed plan).JlP APP4l8l07
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Page I of3
uuN r KAU r UK rNr uKvr&!$lN__..1
I' U ILL'TN U IN T (J K1VIA I ItJl\ 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: COM2007-00486ISSUED: 0412712007APPLIED: 0410312007
EXPIRES: 11/0112007VALUE: S 8,775.00
Description
Garage
Type of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$27.00 325.00
Total Value of Project
Amount Paid Date Paid
Value
$8,775.00
$8,775.00
Date Calculated
04t03t2007
Fee Description
Plan Review Residential
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 8%o State Surcharge
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Residence Wiring 1000 Sq Ft
Total Amount Paid
s64.74
$14.46
$r2.83
$11.57
$99.60
$112.00
$7.37
$147.34
$45.00
$10.60
$s.30
$8.48
$106.00
4t3t07
4t27t07
4t27107
4t27107
4t27t07
4t27t07
4127107
4t27t07
4t27t07
5n107
5n107
51u07
5nt07
Receipt Number
1200700000000000358
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000620
2200700000000000620
2200700000000000620
2200700000000000620
$645.29
Fees Pn
Plan Reviews
Initial Review
Planning Review
04t04t2007
04t04t2007
04t0412007
04n6t2007
APP LLH
APP TAJ
Fire fee not applicable -
Replacement Garage
Setbacks are based on proposed
Parcel I of Tentative Partion
SUB2006-00060. The plat has not
been recorded yet. The plot plan
was corrected to reflect the proposed
parcel dimension of 77' N/S line
instead of 80'. This may affect how
close the garage is to the house. I
spoke with Rick from Rainbow
Design he is going to measure this
from the survey pins. Ifit needs to
be adjusted he will contact us.
Paee 2 of3
{}.1
Valuation Descriotion
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: COM2007-00486ISSUED: 0412712007APPLIED: 04/0312007EXPIRES: 11/0112007VALUE: $ 8,775.00
Public Works Review
Structural Review
04t04t2007 04t08/2007 APP JLP
04t04t2007
Rcvd 4/4/2007--Waiting in order
PW rcvd for rvw.JlP4l4l$1 )<**
Storm H2O to curb & gutter. Using
existing driveway. No curbcut or
sidewalk permits required, (unless
deviating from proposed plan).JLP
LPP4t8t07
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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Storm Sewer Line: Prior to filling trench.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
fou ndation inspection.
Electric Service: Approval required prior to utility company energizing service.
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 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 properfy, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 3 of3
Date
h t
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cih, of Springfield Official Receipt
D .lopment Services Department
Public Works Department
RECEIPT #: 2200700000000000620 Date: 0510112007 8:32:32AM
Job/Journal Number
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
Description
Residence Wiring 1000 Sq Ft
+ 5oZ Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
106.00
5.30
8.48
10.60
Item Total:$130.38
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard RICK ROBERTSON ddk 066754 In Person $130.38
Payment Total: Ti303B-
cReceinl I Page I of I 5n12007
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
CITY
Building/Combination Permit
PERMIT NO: COM2007-00486ISSUED: 0412712007
APPLIED-. 04t03t2007EXPIRES: 1012712007VALUE: $ 8,775.00
SITE ADDRESS: 505 34TH ST
ASSESSOR'S PARCEL NO.: 1702312410700
PROJECT DESCRIPTION: Replace existing garage ,fi"ff[]::
NEIGHBORHOOD ECONOMIC
783 GRANT
EUGENE OR 97402
Springfield TYPE OF WORK: Garage
DEvELoPMSltftg52-001 -0010th
0090. You maY obtain copies
calling lhe ce nter. (N ot€: thetelePhone
^..eea-oea[\
Expiration Date
04t04t2008
Residential
-345-7106
Phone
541-342-487r
Owner:
Address:
Contractor Type
General
Contractor
RAINBOW VALLEY DESIGN & CONSTR
License
56107
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 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 TIGE:
Energy MIT S
Sprinkled
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
12.50
HALL EXPI
U NseR IHl
OD
2s.90
Sidewalk Type:
Downspouts/Drains:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
OT
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
I
U
VB
325
23.00
5.00
21.00
0.00
Fully Improved
yes
Notes: Storm H2O to curb & gutter. Using existing driveway. No curbcut or sidewalk permits required, (unless deviating
from proposed plan).JLP APP4l8l07
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
Page I of3
Value Date Calculated
Valuation Descrintion 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: COM2007-00486ISSUED: 0412712007APPLIED: 04/0312007
EXPIRESz 1012712007VALUE: $ 8,775.00
Garage Garage
Fee Description
Plan Review Residential
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Total Amount Paid
$27.00 325.00
Total Value of Project
Date Paid
$8,775.00
$8,775.00
04t0312007
Amount Paid Receipt Number
r200700000000000358
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
2200700000000000603
s64.74
$14.46
$12.83
$11.57
$99.60
$1r2.00
$7.37
$r47.34
$4s.00
4t3107
4t27t07
4t27t07
4t27t07
4t27107
4t27t07
4t27t07
4t27t07
4t27t07
$514.91
tr'pee Pnid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
04t04t2007
04t0412007
04t04t2007
04n6t2007
APP LLH
APP TAJ
04t04t2007 04t08t2007 APP JLP
04t04t2007
Fire fee not applicable -
Replacement Garage
Setbacks are based on proposed
Parcel I of Tentative Partion
SUB2006-00060. The plat has not
been recorded yet. The plot plan
was corrected to reflect the proposed
parcel dimension of 77' N/S line
instead of 80'. This may affect how
close the garage is to the house. I
spoke with Rick from Rainbow
Design he is going to measure this
from the survey pins. Ifit needs to
be adjusted he will contact us.
Rcvd 4/412007--Waiting in order
PW rcvd for rvw.JlP4l4lU7 t't'x
Storm H2O to curb & gutter. Using
existing driveway. No curbcut or
sidewalk permits required, (unless
deviating from proposed plan).JLP
APP4t8l07
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.
Pase 2 of3
__l l
[};J
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: COM2007-00486ISSUED: 0412712007APPLIED: 0410312007EXPIRES: 1012712007VALUE: $ 8,775.00
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Storm Sewer Line: Prior to filling trench.
Ufer Electrical Ground: Install ground rod at footing and calt for inspection in conjunction with footing and/or
foundation inspection.
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.
4 .+ lzt let
Owner or Contractors Signature ;;-7
Pase 3 of3
Keourreo lnsDectlons I
CITY OF SPT.TNGFIELD SYSTEMS DEVELOPMEN] ORKSHEET
JOURNAL OR JOB NUMBER: COM2007-00486
NAME OR COMPANY Economic
LOCATION:505 34th st
TAX LOTNUMBER:17023124t0700
DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING S\ZE (SF, 325 LOT SZE (SF):
I. STORM DRAINAGE
0
DIRECT RLTNOFF TO CITYt rMPERVrous sr.I +:s.oo
STORM SYSTEM
COST PER S.F
$0.336
CHARGE
$147.U
DISCOUNTRATE
5l%o
$147.34
x
x
x
x
x
x
x
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A, REIMBURSEMENTCOST:
COST PER S.F
$0.336
COST PER DFU
$26.03
$r 9.79
NUMBER OF UNITS
0
NUMBER OF UNITS
0
ADM. FEE RATE
5%
x DISCOLTNT
$0.00
NUMBER OF DFU's
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
ADT TRIP RATE
9.57
B. IMPRO\'EMENT COST:
ADTTRIP RATE
9.57
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBT]RSEMENT COST:
$0.00
COST PER TRIP
$ 19.8 r
COST PER TRIP
$87.39
$0.00
xx
xx
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A REIMBTIRSEMENT COST:
NUMBER OF FEU's
0
x
SUBTOTAL
s147.34
B. IMPROVEMENT COST:
NUMBEROF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - I{WMC SANITARY SEWER SDC
SI_IBTOTAL (ADD ITEMS 1,2,3, & 4)
$0.00
$14734
CHARGE
$7.37
x
TOTAL SANITARY ADMINISTRATION FEE:
TRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw 4/9/2007
COST PER FEU
$9r.6r
$147.34
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
7.37
$154.71
1070
l09l
1092
I 093
1094
I 054
1055
I 054
I 056
079
078
a
rrlnoO
&r!Fa
r!d
ITT
COST PER FEU
$961.52
PREPARED BY DATE
TOTAL SDC CHARGES
DRAINAGE FXTURE UNIT CALCULATION TABLE
NUMBER OFNEW FD(TURES x UNIT EQUIVALENT: DRAINAGE FXTURE UMTS
FOR CALCULATE ONLY THE }JET ADDITIONAL
NO. OF FIXTURES
I.INIT
FXTTIRE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDI]'S
TOTAL DRAINAGE FIXTUR.E, []IIITS
rsa toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
*EDU
DRAINAGE
FIXTTIRE
T]NITS
2
1979
BEFORE 1979 $5.29
$5.29
$5.1 e
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.7s
$2.25
$1,80
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
21979
1980
l98l
1982
I 983
1984
x1985
I 986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
I 998
1999
2001
VALUE / IOOO
$0.00
CREDIT RATE
$5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALLIE / IOOO CREDIT RATE
$0.00 x $5.29
TOTALMWMC CR.EDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.0s
$0.05
0BATHTTIB003
DRINKING FOLINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLOT}IESWASHER - 3 OR MORE (EA)0 0 6 0
0MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 I 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
0SHOWE& SINGLE STALL 0 0 2
SHOWE& GANG TNUMBER OF HEADS)0 0 2 0
SINK: COMMERCTALiRESIDENTIAL KITCHEN 0 0 3 0
0SINK: COMMERCIAL BAR 0 0 2
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL. STALL / WALL 0 0 5 0
TOILET, PTIBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
0
YE,AR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALT]E
$0.00
2000
El
20
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit- of Springfield Official Receipt
D lopment Services Department
Public Works Department
RECEIPT#: 2200700000000000603 Date: 0412712007 l0:45:53AM
Job/Journal Number
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
coM2007-00486
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
Storm Sewer - lst 50 Feet
+ 5olo Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
147.34
7.37
I12.00
99.60
45.00
12.83
n.57
14.46
Item Total:$450.17
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check RAINBOW VALLEY DESIGN
AND CONSTRUCTION
ddk 6102 In Person
Payment Total:$450.17
$450. I 7
cReceintl Page I of I 4127/2007
affi*