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Home My WebLink AboutPermit Building 2008-7-30 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00994 ISSUED. 07/30/2008 APPLIED' 07/07/2008 EXPIRES. 01/30/2009 VALUE $ 6,400.00 --,._~ IfiiI ~ Status Issued 225 FIfth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon LIOe SITE ADDRESS 235 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO 1703233307000 Spnngfield TYPE OF WORK SIOg!e FamIly ResIdence Overlay Dlst # Street Trees Rqd Paved Dnve Rqd NOTtt}k~ot Coverage THI.~ ern;- ~,~hP:'FI.~~Q~ e ANY 180 OR IS AB ER/IH)'f IS N p DAY PERIOD, ANDONEeJ'FtJIiPIJl,TsfDralOs TYPE OF USE PROJECT DESCRIPTION PatIO cover Owner Address DAPHNE WING HAM 235 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I. CONTRACTOR INFORMATION I Contractor Type General License 162665 Contractor RB N ME CONTRACTORS INC # of DOlts PrImary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary Consll uctlOn Type # of Bedrooms ATTfN I BUILDING INFORMATION' TI'-'" vregon I follow rules acitPilf1S:t aw requIres You to Notification Cenii: TitrU}c!he q~~J/on Utility In ~AR 952-00 1- ~Ig o~~tulll~fe setforth 0090. You may Z-//fltlllt'h OAR 952-001_ c'!!.~ng the cenw,r C1:J/JIes of the rules b number for the 'i?ftiMlW.e1he telephone Y Centsr 1s.'p~98"iUli1Ity NObflcatlon ~~~aUl8Il4~ No 1 DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback S,de 2 Setback Rearyard Setback Solar Setbacks Urban Fnnge 3300 5800 Street Improvements Storm Sewer AvaIlable Speclallnstrucllon Notes Storm water to dralO IOto eXlstlOg system of gutter I Valuahon Descriotion I DescriptIOn $ Per Sq Ft or mulllpher Square Footage or BId Amount Tvpe of Construchon Pa!!e I of3 Addlhon Resldenhal Phone Number 541-521-8698 ExpIration Date 01106/2009 Phone 541-521-8698 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 320 REQUIRED PARKING Total HandIcapped Compact Curb and Gutter Value Date Calculated Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO ISSUED: APPLIED' EXPIRES: VALUE: CO M2008-00994 07/30/2008 07/07/2008 01/30/2009 $ 6,400 00 225 FIfth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIOe PatIO/Porch Vse BId Amount $100 6,400 00 $6,400 00 $6,400 00 07/07/2008 Total Value of Project ~ Fee DescrIptIOn Amount PaId Date PaId ReceIpt Number Plan Rev,ew Resldentml $60 39 7/7/08 1200800000000000740 + 10% AdmlOlstrallve Fee $1589 7/30108 1200800000000000827 + 12% State Surcharge $1715 7/30/08 1200800000000000827 + 5% Technology Fee $715 7/30/08 1200800000000000827 BUlldmg PermIt $92 90 7/30/08 1200800000000000827 FIre SF Fee - Resldentml $1600 7/30108 1200800000000000827 SDC Samtary/Storm Admm $1525 7/30108 1200800000000000827 Storm Dramage ImpervIOus Area $305 02 7/30/08 1200800000000000827 Storm Sewer - 1st 50 Feet $50 00 7/30/08 1200800000000000827 Total Amount Pa,d $579 75 Plan RevIews I Imllal RevIew 07/08/2008 07/1112008 APP LLH Pubhc Works RevIew 07/1112008 07/14/2008 APP LKW Storm to dralO mto eXlstmg system of gutters Structural Review 07/16/2008 07/16/2008 WE DJB Contractor wIll take copy to Lane Co to apply for septll setback varIance Hold tIll done Planmne: Review 07/11/2008 07/29/2008 APP TAJ No Plannmg Issues Structural Review 07/1112008 07/29/2008 APP CJC To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7:00 a m will be made the same workmg day, mspections requested after 7 00 a m. will be made the tollowmg work day ~ir~lI '\I.npPtJo,IjiJ EroslOn/GradlDg InspectIOn Pnor to ground disturbance and after erosIOn measures are IDstalled Footmg After trenches are excavated Frammg InspectIOn Pnor to cover and after all rough m IDspectlOns have beell approved FlDal BUlldlDg After all reqUIred IDspectlOns have been requested alld approved and the buIldmg IS complete Storm Sewer LIOe Pnor to filhng trench Pa!!e 2 of3 -Wir? CITY OF ~nur~GFIELD Building/Combination Permit PERMIT NO. COM2008-00994 ISSUED: 07/30/2008 APPLIED: 07/07/2008 EXPIRES: 01130/2009 VALUE' $ 6,40000 Status Issued 225 FlIth Street, Sprmgfield, OR 541-726-3753 Phone 54J-726-3676 Fax 541-726-3769InspeclIon Lme By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all mformatlOn hel eon IS true and correct, and I fUl ther certIfy that any and all work performed shall be done m accordance wIth the OrdlOances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCVP ANCY wIll be made of any structure wIthout permISsIOn of the Commumty Serv,ces DIVIsIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m comphance w,th ORS 701005 wIll be used on thIS proJect I turther agree to ensure that all reqUIred mspectlOns are requested at the proper lIme, that each address IS readable from the Stl eet, that the permIt card IS located at the front of the plOperty, and the apPlOved set of plans WIll rem am on the SIte at all "m'Z)~":4~4! '/'" Nf Owner or Contractors S'gnature Date Paee3of3 CITY OF ~t'J(Il'l\.Jt'lJ<.LD Status Issued Building/Combination Permit PERMIT NO: COM2008-00994 ISSUED. 07/30/2008 APPLIED' 07/0712008 EXPIRES: 02120/2009 VALUE' $ 6,400.00 225 F,lth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 InspectIOn Lme SITE ADDRESS 235 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO 1703233307000 Springfield TYPE OF WORK Smgle Family ReSIdence TYPE OF USE AddItIOn ReSIdentIal PROJECT DESCRIPTION PatIO cover Owner DAPHNE WINGHAM Address 235 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number 541-52]-8698 I CONTRACTOR INFORMATION I Contractor Type General MechdDlcal Contractor RB N ME CONTRACTORS INC CHARLES ISAAC OSGOOD License 162665 168942 ExpIratIOn Date 01106/2009 03/07/2010 Phone 541-521-8698 541-988-5674 BUILDING INFORMATION I # of UDlts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Seconddry ConstructIOn Type # 01 Bedl ooms VB # of Stories HeIght of Structure Type of Hedt Water Type Range Type Energy Path Sprmkled BUlldmg Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Cdrport Sq Ft Other Occupant LOdd 320 R-3 No I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback SIde I Setback Side 2 Sethack RearYdrd Sethack Sola. Setbacks Overlay DlSt ATTEf1IJrban Frmge - ,," Total 33 00 # Street Trees Rqdlollow n:I' , HandIcapped Paved Drive Rqd Notification ('r" Compact 5800 % of Lot Covera~ OAR 952-0U I c 0090 You may Ol c - ~lIma the cent8r (, I PUBLIC IMPROVEMEj'q'l'Sf'" for the Grey" , -- "" .. Center IS 1-800-"h'>"-.cv '"I S,dewdlk Type Street Improvements Storm Sewer Available flOT'CE' Special InstructIOn I THIS PERMIT SHALL EXPIRE IF THE WORK Notes Storm water t~ldfldU1rrli![-iNJmg~r.slFmsf~MF.,nT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. DownspoutslDrams Curb and Gutter Pal!e 1 01 3 Status Issued 225 F,fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn Lme DescriptIOn Tvpe of ConstructIOn PatIO/Porch Use B,d Amount Fee DescriptIOn Plan RevIew ReSidential + 10% AdmmlStratlve Fee + 12% Stdte Surcharge + 5% Technology Fee BUlldmg PermIt FIre SF Fee - ReSldelltldl SDC SaDltary/Storm Admm Storm Dramage ImpervIOus Area Storm Sewer - 1st 50 Feet -MechaDlcal Issuance Fee- + 10% Admmlstratlve Fee + 12% State Surchdrge + 5% Technology Fee AIr Hdndhng UDlt Up to 10,000 Heat Pump MIDlmum/AdJustment MechdDlcal Total Amount Pdld Imtlal Review 07/08/2008 Pubhc Works RevIew 07/11!2008 Structurdl Review 07/16/2008 PldnnID2 Review Structural Review 07/11/2008 07/1112008 I Valuation Des~nntlOn I $ Per Sq Ft or mulhpher $100 Square Footage or BId Amount 6,400 00 Total Value of ProJect Ji'pp~~ Amount Paid Date Pdld $60 39 $1589 $1715 $715 $92 90 $1600 $1525 $305 02 $50 00 $2100 $520 $624 $260 $900 $1400 $29 00 717108 7/30108 7/30108 7/30/08 7/30/08 7/30/08 7/30/08 7/30/08 7/30/08 8/20/08 8/20/08 8120/08 8120/08 8120/08 8/20/08 8/20/08 $666 79 I Plan RevIews, , 07/11/2008 APP LLH 07/1412008 APP LKW 07/16/2008 WE DJB 07129/2008 07/29/2008 APP TAJ APP CJC Paee 2 of 3 CITY OF SPRIN\.Jl'lJ!,LD Building/Combination Permit PERMIT NO: COM2008-00994 ISSUED. 07/30/2008 APPLIED 07/07/2008 EXPIRES 02/2012009 VALUE: $ 6,400 00 Value Date Calculated $6,400 00 $6,400 00 07/0712008 Receipt Number 1200800000000000740 1200800000000000827 1200800000000000827 1200800000000000827 1200800000000000827 1200800000000000827 1200800000000000827 1200800000000000827 1200800000000000827 3200800000000000585 3200800000000000585 3200800000000000585 3200800000000000585 3200800000000000585 3200800000000000585 3200800000000000585 Storm to dram mto eXlstmg system of gutters Contractor will take copy to Lane Co to apply for septll >etback VdrlanCe Hold tIll done No Pldnnmg ISsues -ii:~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00994 ISSUED: 07/30/2008 APPLIED. 07/0712008 EXPIRES: 02/20/2009 VALUE' $ 6,40000 225 FIfth Street, Sprlngtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspecllon Lme To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIons requested before 7:00 a.m. wIll be made the same working day, IDspectIons requested after 7'00 a.m wIll be made the followmg work day. I RPIlUlre~ I n~I!~~tlOns I EroslOn/Gradmg InspectIOn P, lOr to ground dISturbance and after erosIOn measures are mstalled Footmg After trenches are excavated Frammg InspectIOn Prior to cover and after all rough m mspectlOns have been approved Fmal BUlldmg After dll required mspectlOns have been requested and approved and the bUlldmg IS complete Storm Sewer Lme Prior to filling trench Rough MechanIcal Prior to Cover Fmal MechaDlcal When all mechaDlcdl work IS complete By SIgnature, I state and agree, thdt I have carefully exammed the completed apphcdlloll dlld do hereby certIfy that all mformdtlOn hereon IS II ue and correct, and I further certIfy that any dnd dll work performed shall be done m accordance wIth the Ordmances of the Clt} of Springfield and the Laws of the Stdte of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be made of any structure wIthout pel miSSIon of the CommuDlty ServIces DIVIsIOn, Bulldmg Safety I further certIfy that onl} contractors and employees who dre m comphance wIth ORS 701 005 will be used on thIS proJect I further agree to ellsure that all reqUIred mspecllons are requested at the proper lime, that each address IS reddable from the street, that the permIt card IS located at the front of the property, and the approved set of pldns will remam on the Site dt dll times dunng construction Owner or Contractors SIgnature Date Pal!e 3 of3 CIty of Sprmgfield Mechamcal Authorization To Begm Work E-malled To C-Hheatmg@comcast net ReceIpt # EC536461 8/20/2008751 19 AM ~ Check on status of permit By Phone (541)726-3753 or Emall permltcenter@clsprlngfieldorus TYPE OF WORK FEE SCHEDULE I D New constructIOn I [K] 1 or2 tamlly dwelllllg DMulufo.lmlly o Accc.'>sory Bulldmg 1 Dc.'>cnptlOn Ileatmg/coollng upplJances Furnace up to ] 00 000 BTU rurnacL above 100 000 BTU Electnc furnace Duct altcl1ltlOns and addItIons Gas hUller umts/ 10 wall In duct susoended, elel Vent Oue Imer for above AIr CondItIOner I Heat Pump 11 AIr Handler ] I Qly L. 101111 lliJ AddltlOn/altLfJllOn/replaccmenl CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION I Job no I Job llddres.'> 235 HA YOCN BRIDGE WAY IOt)/SldlelZIP SPRINGFILI D OR 97477 1435 I SUltefbldg lapt no IproJet.t nllmt. Cross street/directIOn.'> to Job site Jurkway roundabout south Side of road couple of blocks ellst of pIOneer 1 $15 001 $10 001 I I 1 $15 00 1 $10 001 1 1 1 1 1 1 1 I ]Subdnl.'>lOn I fax map/pared no I ILot no Other furl burnmg upphancc!I Water heater Gas fireplace/msert/slove Gas log/log lighter Gas clothes dryer I GaS stovur .mge Pool or spa heater kiln Wood/pellet stovc/msen Wood Iircplace Chlmney/hnerlllue/vent w/o aooilance lnvlrollmcntal exhaust AND ventilatIOn ]703233307000 DESCR]PT]ON OF WORK replace healpump and aIr handlt,r SITE CONTACT I Name Charley Osgood I Phone (54]) 988 5674 IFma11 [ [... CONTRACTOR I I I I MECHAN]CAL PERMIT FEES I Subtotal $2500 MInimum fee uscd lllstead of Sublotal $5200 ! State Surcharge (12% of permit reel $624 I City Of Sprmgfield fees. $28 80 I I TO rAI PFRMII H..l $8704 I . City OfSpnngfie]d fet,s 10% AdrmmslratlOn Fee 5% lechnology I ee Range hood Clothesdryercxhaust ~lllgle duct exhaust (bathrooms, tOIlet compartments utility rooms) AttKkraw]space fan~ ICCD he no ]68942 I Busmc,~ r\lIme CHARLE<i ISAAC OSGOOD I Contact CHAR] rs OSGOOD IAddre!o!o PO BOX 70564 ICIly/Sidle/ZIP EUGLNC, OR 9740] I Phone (54] )9885674 I", (54 ])7477026 ! lmall C Hheatmg@comcast net I Metro he no I City he no hel plpmg upto first 4 out]cts( enter Qty= I) each addltlonal outllt Upon review and approval by your local Jurisdiction, your permit Will be e-malled or faxed Within one business day, With mstructlons on how to schedule your mspectlon ~ NOTE ThiS Authoflzatlon To Begin Work expires wlthm 180 days If a permit IS not obtamed COy~J(rJo -{flYtJ-</ RCPT# -:;; d (J7J %'" -5%5 DATE PROCESSED 'PdO/U i =mL;p/t(F ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit The local bUlldmg department may determine that an Authoflzatlon To Begin Work IS null and VOid If It does not meet applicable land use laws and local ordinances 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~~ ~. Job/Journal Number COM2008-00994 COM2008-00994 COM2008-00994 COM2008-00994 COM2008-00994 COM2008-00994 COM2008-00994 Payments Type of Payment ONLINE CHGS cRecelOtl RECEIPT # 3200800000000000585 Descnptlon Heat Pump Air Handlmg VOlt Up to 10,000 MmlIDumlAdJustment Mechamcal + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee -Mechamcallssuance Fee- CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Date. 08/20/2008 Item Total <"':heck Number Authorization Received By Batch Number Number How Received PaId By ONLINE PERMIT CHGS NJM Page I of] ONLINE CHARLES Onlme OSGOOD Pdyment Total 8 52 49AM Amount Due 1400 900 2900 260 624 520 2100 $H7 04 Amount Paid $87 04 $87 04 8/20/2008 Status' Issued 225 Fifth Street, Springfield, OR 541'726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Com~ination Permit PERMIT NO: COM2008-00994 ISSUED: ' 07/30/2008 APPLIED: 07/0712008 EXPIRES: 03/15/2009 VALUE: $ 6,400.00 SITE ADDRESS: 235 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703233307000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Patio,cover and Heat Pump Owner: DAPHNE' WING HAM Address: 235 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-521-8698 I CONTRACTOR INFORMATION 1 Contractor Type General Electrical Mechanical Contractor RB N ME CONTRACTORS INC SOURCE ELECTRICAL INC CHARLES ISAAC OSGOOD LiceIise 162665 160918 16894'2 Expiration Date 01/06/2009 07/28/2008 03/07/2010 Phone 54 I -521-8698 541-520-6466 541-988-5674 BUILDING INFORMATION Ii VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: ~, No , LolSize: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 320 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMA nON 1 :1 " REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 3~.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Ul',ban Fringe Total: Handicapped: Compact: 58.00 ~ '~:.,,~, '. '..,~ "'.. I PUBLIC IMPROVEMErd~~NTION' 0 ' .' 'reg , Not'" rUle~d'_' ,01) b.., . It/Cetio Sl ew~%~y'pe:' reqUlr ',. " , ,"< <'" . In OAR 9 '! e'enter 7', Vy //1" () ,es YO/j tt.\ 0090 v 52-iDo,wnspoutsfDrains:regOn Gurt'o and Gutter . TOU . -UIJ, 0 It . 'UTes el' "'/ Y Calling th:ay Obtain ;'OL,lgi) OAR ~ Set forth nUmber ~ center. (N oP1es of II' ;52'001. Or the, Or ate: the Ie, Ulos b . Center Is 1 ~gon Utility ~el~Pl1one Y , 00-332'23~4~1f/'IiO" I \~~. ~_\\o$ '~0A Page 1 of 3 i 'i Street Improvements: Storm Sewer Available, Special InstructionNOrtCE:' THIS PFRM!T ~u Notes: Storm waten-/toodiRrl!J. IDtO',,<,~LingXl11ffl>m nf i!u.tte,r.. ",. f1 ILED UND 81m:'w Frlt vvORK COMMENCED OR IER THIS PERMIT IS NOT ANY 1 GO DAY PERI~D~BANDONED FOR _~!j!~I:N,~I"'''~, II ;1. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrin~io~ I Description $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 6,400.0.0 Patio/Porch Tvpe of Constructi~n Use Bid Amount Total Value of Project ~ Ff'~', P.WJ CITY OF SPRINGFIELD ,Building/Combination Permit PERMIT NO: COM2008-00994 ISSUED: 07/30/2008 APPLIED: 07/07/2008 EXPIRES: 03/15/2009 VALUE: $ 6,400.00 Value Date Calculated $6,400.00 $6,400.00 07/07/2008 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $60.39 7/7/08 1200800000000000740 + 10% Administrative Fee $15.89 7/30/08 1 1200800000000000827 + 12% State Surcharge $17.15 7/30/08 1200800000000000827 + 5% Technology Fee $7.15 . 7/30/08 1200800000000000827 . Building Permit $92.90 7/30/08 1\ 1200800000000000827 Fire SF Fee - Residential $16.00 7/30/08 I 1200800000000000827 SDC Sanitary/Storm Admin $15.25 7/30/08 1200800000000000827 Storm Drainage Impervious Area $305,02 . 7/30/08 1200800000000000827 , Storm Sewer - 1st 50 Feet $50.00 7/30/08 1200800000000000827 ~Mechanicallssuance Fee- $21.00 8/20/08 3200800000000000585 + 10% Administrative Fee $5.20 8/20/08 3200800000000000585 + 12% State Surcharge $6.24 8/20/08 3200800000000000585 + 5% Technology Fee $2.60 8/20/08 3200800000000000585 Air Handling Unit Up to 10,000 $9.00 8/20i08 3200800000000000585 Heat Pump $14.00 8/20/08 , 3200800000000000585 Minimum/Adjustment Mechanical $29.00 8/20/08 3200800000000000585 + fO% Administrative Fee $5.50 9/15/08 3200800000000000657 + 12% State Surcharge $6.60 9/15/08 3200800000000000657 + 5% Technology Fee $2.75 9/15/08 3200800000000000657 Add, Alter, Extend Circ $50.00 9/15/08 3200800000000000657 Add, Alter, Extend Circ Ea Add $5.00 9/15/08 3200800000000000657 Total Amount Paid $736.64 I Plan Reviews I Initial Review 07/08/2008 07/1I!2008 APP LLH Public Works Review .o7/1I!2008 07/14/2008 APP LKW Struct,ural Review 07/16/2008 07/16/2008 WE DJB , Planning Review Structural Review 07/1 112008 07/1l/2008 07/29/2008 APP -TAJ 07/29/2008 APP CJC Page 2 01'3 Storm to drain into existing system of gutters Contractor will take copy to Lane Co to apply for septic setback variance: Hold till done. No Planning issues -G~r~!'l~IiZI~"'I:l' jI " , ", ,"'" . '.. ".' ',..~., ~.~..' CITY OF SPRINGFIELD ~uilding/Combination Permit P:ERMIT NO: COM2008-00994 ISSUED: 07/30/2008 APPLIED: 07/07/2008 EXPIRES: 03/15/2009 VALUE: $ 6,400.00 Status ,Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the.24 hour recording at 726-3769. All inspections requested before 7:00 a.m. wili be made the same wOJ'king day, inspections requestedaft~.r 7:00 a.m. will be made the following work day. ' ,. Reollired Insneetions 1 Erosion/Grading Inspection: Prior to ground disturbance and after eros!on measures ar~ installed. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections ha~e been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to miing trench. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover 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 wOl'k performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon p~rtaining 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 coniractors 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 tbe property, and the approved set of plans will remain on the site at all times during construction. . Owner or Contractors Signature Date Page 3 of 3 , , I. i. I Electrical Authorization To Begin Work E'":"mailed To: jrwireman@comcast.nef Receipt # EC53799I 9/1S/200811:18:55AM City of Springfield Check on status of permit I' . By Phone: (541)726,3753 or Email: permitcenter@ci.spririgfield.or.us I Job no.: I Job address: 235 HAYDEN BRIDGE WAY ICity/StatcJZIP: SPRINGFIELD, OR 97477~1435 I Suite(bldg.!llpt.no.: I Project name: Cross strcet/directionsto job site: I Descriptio';" . J Qty. lEa. J Total IfRCSid~ntial!SING EE~tjI{~ultEr:l'mi1Yd"'elling:iiQit;: iilCiu~ci,~&~f;:1 trwr~~e~i~1~~~~~:~~:'~;r:~"'1i.;;1~~~~'it"~+.tf;;;.~'5: /1,000 sq. tl:; or less I Ea, add! SpO sq. ft. or portion o !'lew construction lliJ Addition/alteration/feplacemem I !XI I or 2Jamily dwelling o Multi~family o Commercial/Industrial r Subdivision: ITax mllp/parcel no.: 1703233307900 (Lot no.: I-Limited energy, residential ,(with above so. It.) I - Limite~, energy, multifamily residential (with above SQ. ft,) 'I, - Limited'cnergy, commercii:l] . (with nbove Sq,ft.) 1 - ~tand-alone limited energy, residentia]~' I - Staild-al,on'e limited energy, mu]ti-famlly I - Starid,alone limited energy, '/ commercial , l~efYl~~q.~~t?f1~,~Tn~~~.~t~!i?~tr~~r1t~~NRLQ.R~-i~5~ti~i~. 1200 amps ?r less 120] amps~o 400 amps 1401 mnps to 599'amps Install one dedicated circuit for genera] purpose receptacles in covered,porch and exterior of house. Extend existing 15amp'brailch circuit forcei]ing fa~in covered porch I N:lme: Daphne Wingham jPhone: (541) 741-4492. IEmail: IF"" 1200 amps pr less 1201 amps;'o 400 amps 140] amps to 599 amps J]~~,~~~:~i~~~t1:B,~~'Yl:ill~ta~6~;~qK~~~f~l~i()Jh,:i?1irpa,nej"Y-" 1 A. Fce for!branch circuits \'/ith 1 service or fceder fee, each branch circuit. lB. Fee for, branch circuits without service or feeder fee, first branch circuit 1 each addi branch circuit $50.00 $50001 $5.001 El..lie. no.: 20-529C ICCH lie. no.: ]60918 I Business Name: SOURCE ELECTRICAL INC I Contact: Jim Riggs IAddress: 3465 STARK ST I City/State/ZIP: EUGENE OR 97404 I Phone: (541 )5206466 l..-ax: (541 )6070891 I Email: jrwireman@comcast.net /Metrolic. no.: jCitylie. no.: I Supervising electrician's lie. no.: 32855 1 Supervising electrician's name: WI~LiAM H SCHAENZER $5.00 1'1 Service reconnect only lEach manufactured'or modular dwellinl!" !;crvice and/or feeder 1 Pump or i~'rigation circle ) Sign or ouiline lighting 1 Signal CirC,Uil{s).or limited- enl;'rgy pal).e], alteration, or extension. I 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. This Authorization To Subtotal I $55.00 I State Surcharge (]2% of permit fee)' $6.60 I CIty OrSpringfieJd fees. $8:25 I I TOTAL PERMIT FEE~____ $69.85 I -. ~';"'5"iJeF:j3"ff..)o;Oj"LJ ''', "" ,'conology Fcc COM., _,. " . RCPT#' 3;;;()'Dt;'..... &:; S7 . DATEPR~SED: 9/N">/ (1 r . JROCESS~-B'f~'IJ )7~yJ , Begin Work must be post< I at the iob site ntll real ec'_i')v" pp,m .It. I I ' / II . I " , , " NOTE: This Authorization To Begin Work expires within 180 days if a pennit 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 or~inances. 225 Fifth Strcet Springfield, Oregon 97477 541 c 726-3759 Phone I ,City of Springfield Official Receipt Development Scrvices Department Public Works Department Job/Journal Number COM2008-00994 COM2008-00994 COM2008-00994 COM2008-00994 COM2008-00994 Payments: Type of Payment ONLINE CHGS cReceintl' RECEIPT #: 3200800000000000657 Date: 09/15/2008 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5%"Technology Fee I + 12% State Surcharge +'10% Administrative Fee I (" Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received nJm ONLINE source elect Online Payment Total: Page I of I II :33:26AM Amount Due 50.00 5.00 2.75 6.60 5.50 $69.85 Amount Paid $69,85 $69.85 9/15/2008