HomeMy WebLinkAboutPermit Building 2008-8-15
-~~
CITY ut< ~rKll~\.J1<l.l!-LD
Status
Issued
Building/Combination Permit
PERMIT NO. COM2008-0I089
ISSUED' 08/15/2008
APPLIED, 07/18/2008
EXPIRES: 02/15/2009
VALUE: $ 10,752,00
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon LlDe
SITE ADDRESS 807 W FAIRVIEW DR
ASSESSOR'S PARCEL NO 1703274200802
SPRINGFIETYPE OF WORK Shop
TYPE OF USE New
Resldenhdl
PROJECT DESCRIPTION Shop
Owner DOWNEN JOHN
Address 807 FAIRVIEW DR
SPRINGFIELD OR 97477
Phone Number 541-747-2370
I CONTRACTOR ~NFORMATION I
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
License
ExpiratIOn Date Phone
#ofUmts
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Seconddry ConstructIOn Type
# 01 Bedrooms
U
I BUILDING INFORMATION I
" - , -" ~OC'du" ,,,.. lequlres you to
NtOlt'Ot WiWf~dl-OOPted by the Oregon UtJlrty Lot SIze
OIIBCO .f> I Th~M I
In ill 0 uCtUf'e" ru es arEl!eflllforthSq Ft 1st Floor
oo~~ 8" ~t tlO through OAR 952-D01-Sq Ft 2nd Floor
Ii fl{Jay aln CopIes of the rules bySq Ft Basement
ca ~ e~~r, (Note, the telephone Sq Ft Garage/Carport
nurn E ~'Y~ regon Ulilrty Nollflcatlon Sq Ft Other
s~e u9.R~g132.2344)'D/a Occupant Load
11,761
VB
384
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
SIde I Setback
S,de 2 Setback
Rearyard Setback
Solar Setbdcks
2600
4800
350
000
Overlay DlSt
# Street Trees Rqd
Paved Drive Rqd
% 01 Lot Coverage
Total
Hdndlcapped
Compact
Street Improvements
StorlD Sewer AvaIlable
SpeCIal InstructIOn
NnTr,.~=
, B F
~ OR/ZED UNDER THIS PER~yfOdrype
IlEMMENCED OR IS ABANDONED R9RnspoutslDralDs
Storm water to h\nXtJ~~~~ ~I61Dlcurb, per convershon WIth John Downen on 7-24-2008
Notes Sod IS 101 Oxley urbdn-Iand complex
Page 1 of 3
Status
[ss u ed
225 FIfth Street, Spnnglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DescrIotlon
Tvpe of ConstructIOn
Garaee
Garaee
Fee DescriptIOn
Pldn RevIew Re"dentldl
+ 10% Admmlstratlve Fee
+ 12% Stdte Surchdrge
+ 5% Technology Fee
BuIldmg PermIt
Plan Review Mmor - Plannmg
SDC Samtary/Storm Admm
Storm Dramage ImpervIOus Area
Total Amount PaId
ImtIal Review
PuhlIc Works RevIew
Structural Review
Planum!?: Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED,
APPLIED,
EXPIRES.
VALUE
COM2008-01089
08/1512008
07/1812008
02/15/2009
$ 10,75200
I Valuahon DescnotlOn I
$ Per Sq Ft
or multIplIer
$28 00
Square Footage
or BId Amount
384 00
Value
Date Calculated
Total Value of Project
$10,75200
$10,75200
07/18/2008
F~p<. Pqul J
Amount PaId
Date Paid
ReceIpt Number
$82 69
$12 72
$1527
$1231
$127 22
$11900
$685
$136 99
7/18/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/1 5/08
8/15/08
1200800000000000791
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
$513 05
I Plan ReVIews I
07/21/2008 07/22/2008 APP LLH
07/22/2008 07/24/2008 APP LKW Storm water to he mto eXlstmg
system to curb, per converstlOn With
John Downen on 7-24-2008
07/22/2008 07/30/2008 APP CJC
07/22/2008 08/12/2008 APP TAJ 3' IS mlDlmum setbdck tor dClCSSOry
buIldmg No portIOn of the bUlldmg
mcludmg the eave may be closer
than 3'
To Request an mspectIOn call the 24 hour recordmg at 726-3769 All mspectIOns requested before 7 00
a m Will be made the same workmg day, mspectIOns requested after 7,00 a"m, Will be made the followmg
work day
Rp?"Wil~,.ln<'9Pft~
Footmg After trenches are excavated
FounddtlOn. Alter lorms dre erected but pnor to concrete placement
Paee 2 of 3
_'i>PRINGI'.ao
~
jj
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED,
APPLIED,
EXPIRES:
VALUE:
COM2008-01089
08/15/2008
07/18/2008
02/15/2009
$ 10,752,00
225 FIfth Street, Spnngtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Shear Wall NaIlmg Before covenng sheathmg wIth timsh matenals
Frammg InspectIOn Pnor to cover and afte. all rough 10 mspectlOns have been approved
Fmal BuIldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
By Slgnatm e, I state and agl ee, that I have carefully exammed the completed apphcatlOn and do hel eby certIfy that all
mformahon hereon IS true and con ect, and I turther ce. tlfy that any and all work performed shall be done 10 accordance w,th
the Ordmances of the CIty of Sprmgtield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY "Ill be made of any structure Without permISsIOn 01 the Commnmty ServIces DIVISIOn, BuIldmg Safety
I further cerhfy that only contractors and employees who are 10 comphance WIth ORS 701 005 will be used on thIS project
I lurther agree to ensure that all reqUIred mspechons are requested at the proper hme, that each address IS readable from the
street, that the permIt card IS located at the front of the property, and the approved set 01 plans Will remam on the site at all
times dUrIng constructIOn
~
'% -/5 - Zuo;;(
Contractors SIgnature
Date
Paee 3 of3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-0 I 089
NAMe OR COMPANY John Downen too
" CI.!
LOCATION 807 W faIrvlew 10
fAX LOT NUMBER 1703274200802 ,0
'U
DEVELOPMENT TYPE Smgle Fanllly ResIdence I~
NEW DWELLING UNITS 0 BUILDING SIZE (SF 384 LOT SIZE (SF) 0 ICI.!
,f-
[/)
1 STORM DRAINMiE ~
0
DIRECT RUNOFF TO CITY STORM SYS reM g2
I IMPFRVIOUS S F x I COST PER S F CHARGE I
I 384 00 I $0357 I = I $13699
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CI ry STANDARDS
1 IMPERVIOUS S F I x I COST peR S t I x I DISCOUNT RATE I ~ : DISCOUNT
I 000 I I $0357 I 1 50% $000
ITEM I TOTAL - STORM DRAINAGE SDC $136 99 $136 99 11070
7 SANITARY seweR - CIlY
A REIMBURSEMENT COST
r NUMBER OF DFU's 1 x COST PER DFU
I 0 I $27 67 $000 11091
B IMPROVEMENT COST I
I NUMBER OF DFU's I x COSI peRDFU
I 0 I $2104 $000 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I $000 I
3 I RANSPORTATION
A REIMBURSEMEN r COST
I ADT IRlP RATE I x I NUMBER OF UNITS I x I COST peR TRIP x IN"W rRlP rACIORI
957 I 0 I I 2106 I 100 I $000 11093
B IMPROVEMENT COST
I ADl TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INew TRIP FACTORI
1 957 1 1 0 I I $92 89 I 100 I $000 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I $000
_._.._.._n ..-.---
4 SANITARY seweR - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $97 90 = $000 11054
B IMPROVEMEN I COST I
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $1,00917 = $000 1055
MWMC CREDIT If APPLICABLE (SEE RLVERSC) $000 1054
MWMC ADMINIS I RA liVE FEE $000 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $000
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , $136 99
5 ADMINIS I RA live rEE
I SUBTOTAL x I ADM FEe RAre I~ CHARGE
I $13699 I 5% $685
TOTAL SANITARY ADMINISTRATION FEE 685 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE $000 11078
Kaye WIlson 7/24/2008 TOTAL SDC CHARGES =, $143 84
PREPAReD BY DAlE II
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURh UNITS
(NOTE FOR RLMODELS CALCULATE ONLY THE NEl ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIX I URE
FIXTURL rYpe NEW OLD eQUIV ALENl UNITS
IBATHTUB 0 0 3 ~ 0
I DRINKING FOUNTAIN 0 0 1 ~ 0
IFLOOR DRAIN 0 0 3 ~ 0
I INTERCEPTORS FOR GREASE lOlL I SOLIDS I eTC 0 0 3 ~ 0
I INTERCEPTORS FOR SANDI AUTO WASH/ETC 0 0 6 ~ 0
ILAUNDRY TUB 0 0 2 ~ 0
ICLOTHESW ASHER I MOP SINK 0 0 3 ~ 0
ICLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 ~ 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 ~ 0
RECEPTOR FOR REFRlG I WATeR STATION I eTC 0 0 1 ~ 0
RECEPTOR FOR COM SINK I DISHWASHER I ETC 0 0 3 ~ 0
SHOWER SINGLE STALL 0 0 2 ~ 0
SHOWER, GANG (NUMBER OF HEADS\, 0 0 2 ~ 0
SINK COMMERCIALIRESIDENTIAL KITCHEN 0 0 3 ~ 0
ISINK COMMI:RClAL BAR 0 0 2 ~ 0
SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 ~ 0
ISINK SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 ~ 0
I URINAL, STALL I WALL 0 0 5 ~ 0
ITOILET, PUBLIC INSTALLATION 0 0 6 ~ 0
ITOILET. PRIVATE INSTALLATION 0 0 3 ~ 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 ~ 0
TOTAL DRAINAGE FIXTURE UNITS 0
_.EDU (EqUivalent Dwelling Urut) 1$ a discharge eqUIvalent lo a sln.l';le family dwellmg urnt (20 OFD's) set at 167 gallons per day
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MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR
ANNeXED
BEFORL 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO ]
ASSEsseD VALue
~~$529 '.~,'
tt ":;1 - ;r...c- 3'"F_
: ~ .,.~- $5 29 e-""Ti=ir~
~ ., $519
f',C~-;-$512 el_
I_ - ",I $4 98- Jit,,- ',0,1
~~t:r-~$4~O oo~~--
~1"_$463 ,- _
r ""'$440 ~-_- ,_~
, ~
- ~oI -
R I~ - I $4 07 '" .-
r T, I "$3 67 -:::..,~ -:;," -r
~'ti -- $3 22 - '- ~
n'-~L '_$~73
-" ,$2 25 c._
:." ." $1 80 --<l ~
tr4$1 59_
;-~,",_-rT-$145 r 4:<-0:'
- F"-- ~ = $1 25 - 'F;~'~
F - I ~ $) 09 - ~__ -
-l< I ',.J $0 92 "-
c__~ ,$0-72 ~:'~"
f .j] '1' _ _ ,I __~i
'_~", ~$048---~.
-,... $0 28 ,,!E:-,-"T~ _
~I ~_ .,.~ ~~ ~
ry I _$009 --- ~ ~-'
'$.0 05 ~~c_ _ _~,
IS LAND I:LGlBLC FOR ANNeXA nON CREDI f?
(Enter I for Ye" 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
21
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0 00 x $5 29
~ ,
$000
CREDIT FOR IMPROVEMCNT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$000 x $529 ~ ,
o
TOTAL MWMC CREDIT
$000
=
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
IPA:"": ~
..: 4i
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 I 089
COM2008-0 I 089
COM2008-0 1 089
COM2008-0 I 089
COM2008-01089
COM2008-01089
COM2008-0 1 089
Payments
Type of Payment
CredltCard
LRLcelOtl
RECEIPT #,
2200800000000001252
Date' 08/15/2008
Descnptlon
Storm Dramage ImpervlOus Area
SDC Sanitary/Stann Admm
Plan RevIew Mmor - Plannmg
BUlldmg Pennlt
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
JOHN DOWNEN
Item Total
l.:heck Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
022766 In Person
Payment Total
Page I of I
I 48 36PM
Amount Due
13699
685
11900
12722
1231
1527
1272
$430 36
Amount Paid
$430 36
$430 36
8/15/2008
'_G~..~..,..r-!~!j!l!I.}:~':""'''':.i.:.
"I .....
~', .' "
-~", .....\
.. ......"'.'... i
. . '-' i
~ ... _-,i. ,~. ',," }t "'''';'~ .'~
-,,~...."".,. " ",._""..... "'..,.,.,..,. -.-"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 807 W FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 17032742008'02
PROJECT DESCRIPTION: Shop
Owner: DOWNEN JOHN
Address: 807 FAIRVIEW DR
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01089
ISSUED: 08/15/2008
APPLIED: 07/18/2008
EXPIRES: 06/2412009
VALUE: $ 10,752.00
SPRlNGFIETYPE OF WORK: Shop
TYPE OF USE: New
Residential
Phone Number: 541-747-2370
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
U
BUILDING INFORMATION I
# of Stories: {,41Tt:; Lot Size:
Height of Stru9tu'.%w iVljOtJo.oo Sq Ft 1st Floor:
Type of Heat:~ ~bfiOq/lt/es : Or$ Sq Ft 2nd Floor:
Water Type0090 ~I? 9;01) Q qC1oIJ,,'9OI) Jiq Ft Basement:
Range Type:oq/;.: Yo1; <"oo~l1ter ~O' 6Alrfc!>,Q~rage/Carport
Energy Pa'""0 'l1g tl) 0qy OOto 7}0::i~fFt)fi~:
Sprinkled Buillflfigfo $ O$I)~~~ tl)ro)?'t~\lifri'vb.lt.t'glt:to
" r 1\ s, [''1,ph .. qr_ !JJ....
~.... ., .j1V, ~'e -"if'> vetl,y
J DEVELOPMENT INFOiW&tJ~f'ItJ Ot$: t% Oftl)" 9q~ fO'l'h
UUO Utilit $I$/, $r%f.:~JRED PARKING
. 'JJ.? :v t\t, $IJI) iii b..
Overlay Dist: '<J"" ObitCii ~ar.
# Street Trees Rqd: 9. t'Rpndicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
11,761
VB
384
if~
Front yard Sethack: ~~~~'4IS
Side I Setback: 11/0,." '\,0,,,,"02(;.00
Side 2 SetbacktlflS Cf: "48.00
Rearyard Set.\ftJf.' PI:R. 3.50
Solar Setba<etj IiORt> '/Iflr S/f,A 0.00
'/I/1A_.. <,!:". ...11_
'WI' I;O,vCI:D o;bI:R~;H.PIRI:11l?~BLIC IMPROVEMENTS I .
Street ImprovementPl/y pl:/?fS 1/81/:'S PI:RII4.'/' ,'71: WOLl'/( Sidewalk Type:
lOa "DON. IS 'l, .
Storm Sewer Available: . '1:0.. FO NOr Downspouts/Drains:
Special Instruction: Storm water to tie into Wisting system to curb, per converstion with John Downen on 7-24-2008
Notes: Soil is 101 Oxley urban-Iand'complex.
Paee 1 of 3
I Plan Reviews I
07/21/2008 07/22/2008 APP ~LH
07/22/2008 . 07/24/2008 APP LKW Storm wat~r to tie into existing
system to curb, per converstion with
John Downen on 7-24-2008
07/22/2008 07/30/2008 APP CJC
07/22/2008 08/12/2008 APP TAJ 3' is minim'urn setba~k for accessory
building. No portion of the building
including the eave may he closer
than 3'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone ,
541'726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Garaee
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Total Amount Paid'
Initial Review
Puhlic Works Review
Structural Review
Plan nine Review
CITY OF SPRINGFIELD'
Building/Combination Perrriit
PERMIT NO: cOM2008-01089
ISSUED: 08(15/2008
APPLIED: 07/18/2008
EXPIRES: 06/24/2009
VALUE: $ 10,752,00
I Valuation Descriotion ,.
$ Per Sq Ft
or multiplier
$28.00 .
Square Footage
or Bid Amount
384.00
07/18/2008
Value
Date Calculated
Total Value of Project
$10,752.00
$10,752.00
Fee~ Paid I
Amount Paid
Date Paid
ReceipfNumber
$82.69
. $12.72
$15.27
$12.31
$127.22
$119.00
$6.85
$136.99
$11.30
$13.56
$5.65
$40,00
$73.00
$7.30
$8.76
$3.65
$73.00
7/18/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
12/23/08
12/23/08
12/23/08
12/23/08
1-2/23/08
12/24/08
12/24/08
12/24/08
12/24/08
1200800000000000791
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001770
2200800000000001770
2200800000000001770
2200800000000001770
2200800000000001770
1200800000000001245
1200800000000001245
1200800000000001245
1200800000000001245
$749.27
Paee 2 of 3
CITY OF SPRINGFIELD'
)
Building/Combination. Permit
Status
Issued
PERMIT NO: cOM2008-01089
ISSUED: 08/15/2008
APPLIED: 07/18/2008
EXPIRES; 06/24/2009
VALUE: $ 10,752.00
225 Fifth Street, Springfield, OR
541-726'3753 Phone
541-726-3676 Fax
541-726-37691~spection Line
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.
Renllired r IIsneetions I
Footing: After trenches are excavated.
Foundation: After forms are erected bnt 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.
Final Building: After all required inspections have heen requested and approved and the huilding is complete.
Rough Electric:. Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that r 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, Buildiug Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction,
Owner or Contractors Signature
Date
Paee 3 of 3
City of Springfield
\
'!'IJl~~!M\
Electrical Authorization To Begin Work
E-mailedTo:JULlE-DPE@COMCAST.NET
Receipt # 1<:C544073
12/24/20089:17:23 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
[K] I or 2 family dwelling
o Multi-family
o Commercial/Industria]
11,000 sq. [1. or less
lEa, addl 500 sq. ft. or portion
[K] Addition/a]teratiorilreplacement
IJobno.: . IJobaddress: 807 FAIRVIEWDR
I City/State/ZIP: SPRINGFIELD, OR 97477-2728
I Suite/bldg.lapt.no.:
Project DlIme:
Cross street/directions to job site:'
I Subdivision:
Tax map/parcel no.: 1703274200802
ILot no.,
I Name: julie ford
I Phone: I Fax:
~~~:1:;:263;'~~7?ll;/:;J!~;qI:::;;;;=~~~~~)'k~i
I Business N,m" DOUG PAL~~~l&c;a;f.1.uc I
I Contact, JULIEFORD 0~U If{n9..:flTlrJ~(. _ . I
IAddress' 1368 BARRlNGT~J...lMIl1i.. '(to 111"~I'1I.Lf:J(/". I
ICity/Statc/ZIP, EUGENE OR'~h4<11R~ ~Cl;() nR ~R 'fl.' OrE If: r,. _ I
IpllolI" (541)4345600 ~EjYlt>i!'. (~l'A'8)fi PE1?4111t: W~"I
IEm,ik mLIE-DPE@COMCASTNET ~R,uo. 'DON!:" '/Slrln:"
I . I" Fun .} I
Metro lie. no.: City lic. no.: I] .
I Supendsing electrician's lie. DO.: 2742S I
I Supcn'ising electrician's name: DOUGLAS G PALMER I
Fee for branch circuits with
service or feeder fee, each
branch circuit:
lB. Fee for branch circuits
without service or feeder fee,
tirst branch circuit
branch circuit
, Service reconnect .only ,
I Each m. anufactured or modu\ar
dwelling. service and/or feeder
Pump or irrigation circle
S.ign or outline 1 ighting
Signal circuit(s) or limited.
energy panel, alteration, or
extension.
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with Instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determil1~ that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
Subtotal $73.00 I
State Surcharge (12% ofi:>ennit f~e) $8,76 I
City OfSpringfie]d fees'" $10.95 I
I TOl~LPERMITFEE $92.71 I
'" City Of Springfield fees: 1 0% Administration Fee; 5% Technology Fee
COM' ?X'})'f., - 01 OXY
RCPT#- 1~)(1~ - \';)l\':')
DATE PROCESSED: \ ;:Y1 ;)L\ I O~
This Authorization To Begin Work must be posted at thE j~ll&!Ess~ yy;>lac~d,'l?Y a If{e~mit.
" 1:" k'V (I ltK
225 Fifth Street
Sprfngfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2008-0 I 089
COM2008-0 I 089
COM2008-0 1089
COM2008-0 I 089
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
Description
Perm Serv/Fdr'200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge .
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
",",!!"QFI~.~.
j;f~:_uJ
1200800000000001245'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/24/2008
9:33:38AM
Amount Due
73.00
H5
8,76
7.30
$92.71
Item Total:
Check Number Authorization
Received By Batch Number Number Ho~ Received
KR
Page 1 of 1
Amount Paid
ONLINE DOUG Online
PALMER
Payment Total:
$9VI
$92.71
12/24/2008
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01089
ISSUED: 08/15/2008
APPLIED: 07/18/2008
EXPIRES: 04/05/2009
VALUE: $ 10,752.00
Status . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 807 W FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274200802
SPRINGFIETYPE OF WORK: Shop
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: ' Shop
Owner: DOWNEN JOHN
Address: 807 FAIRVIEW DR
SPRINGFIELD OR 97477
Phone Nnmber: 541-747-2370
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
20.00 Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
nla Occupant Load:
11,761
VB
384
I DEVELOPMENT INFORMATION I .
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
26.00
48.00
3.50
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
.'
I eS yoU \0
, '~"lfeQUt_I\\i)i\'.(
I PUBLIC IMPROVEME~i\Ol'l: ~~~~~db'i ttle ~~"'~; set \Ooltf
. ~ Ii '-/1 ;ules a t" mose tU ^,., 952-0' ,
\oIIOW . ~W1llk ""'" gtl 0,," I s bY
l'loti\icat\05'LnO~-00~ . ,""vUies olttle t~~ne
Storm Sewer Available: . in Op.,R 9 'IJl>m'f:III\nl'8tffi-~l~\he tele?" . on
,Special Instruction: Storm water to tie into existing system to cU~91!r 'i!gwrr~'illEWjt~'€fhf,t9,vl1lM\iIfR'l24-2008
NnT(f'I=- 'calling t~~ ttle Otegon.332.2344)-,
Notes:' S'oll is"'HlI Oxley urban-land complex. numpelC ntel is ~_800
THIS PERMIT SHALL EXPIRE IF THE WORK e
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements:
-~ . ..._~.
Page 1 of3
I Plan Reviews I
07/21/2008 07/22/2008 APP LLH
07/22/2008 07/24/2008 APP LKW Storm water to tie into existing
system to curb, per converstion with
John Downen on 7-24-2008
07/22/2008 07/30/2008 . APP CJC
07/22/2008 08/12/2008 APP TAJ 3' is minimum setback for accessory
building. No portion of the building
including the eave may be closer
than 3'.
-~~~~.",~e!!!~ti'~~at~~j~
t, ,., '. ..,. "
\' . .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Garage
Gara2c
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology ,Fee
Building Permit
Plan Review Minor - Planning
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amonnt Paid
Initial Review
Public Works Review
Strnctural Review
Plannin1! Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01089
ISSUED: 08/15/2008
APPLIED: 07/1812008
EXPIRES: 04/0512009
VALUE: $ 10,752.00
I v aluatio~ Descriotion I
$ Per Sq Ft
or mnltiplier
$28.00
Square Footage
or Bid Amount
384.00
Value
Date Calculated
Total Value of Project
$10,752.00
$10,752.00
07/18/2008
];"PP\', PIW
Amount Paid
Date Paid
Receipt Number
$82.69
$12.72
$15.27
$12.31
$127.22
$119.00
$6.85
$136.99
$ 11.30
$13.56
$5.65
$40.00
$73.00
7/18/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15108
8/15/08
12/23/08
12/23108
12/23/08
12123108
12/23/08
1200800000000000791
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001252
2200800000000001770
2200800000000001770
2200800000000001770
2200800000000001770
2200800000000001770
$656.56
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.
Page 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01089 .
ISSUED: 08/15/2008
APPLIED: 07/18/2008 '
EXPIRES: 04/05/2009
VALUE: $ 10,752.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
Reot i 'ed r Ilsnections I
111111 'I
Footing: After trenches are excavated.
Foundation: After forms are erected lint 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.
Final Building: After all reqnired inspections have bee~ requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is co.mplete.
By signature, I state and agree, that I have carefully examined the completed application and do. hereby certify that all
information bereon is true and correct, and I further certify that any and all wo.rk performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the Slate of Orego.n 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 ensnre that all reqnired inspections are requested ,at the pro.per 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 Signatnre
Date
Page 3 01'3
~LJij
ZON l
INITIAL
DATE
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726~3753 . fAX: (541)726-3689
ELEcrRIC4f'~I~PMCATlON
City Job Number CO -- (') / (J >r'1
1. I~Loe,.\'ti01Yg.f1N:~r~T.T;Afj9N:i'~'';i;j
'XoI W. ~d'''~'- D\> 5...N".
LEGAL DESCRIPTION:
1;0.3 7...7 4~ Do 062-
JOB DESCRIPTION:
to f/2. 'e. J
Shop
v
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
rtl:(jNTIe.lcr;;Jt'INSTJfifiJAT1(JN:(jNiY~ "'
2. F~~ '.~."" ~.,..'" ....,. -=.....,. ,... q,-- tl
Electrical Contractor
Address~
City ~
/
./ Expiration Date
Signature of Snpervising Electrician
Owners Name ::JO IIIV '-;;81..<-/ IV c..J
Address Y,07 VO. ,CA'P,/''-"'L.- ))>,
City S"p -0 l~, Phone <} 7'-17 7
,
OWNER INSTALLATION
The installation is being made on property 1 own, which
is not intended for sale, lease or rent.
("'wner>M~
/
Inspection Request: 726-3769
/~/~/()<f
Date
3. I'!X;Ol~y{i;k.fEEEE.$CliFJjjpiJE.BEtt5W
A. tNe;'Re;ide.;"i;~1 ;Single~~~uiti:F~ifijly perd~elling unit~ '
Service Included
1000 sq. ft. or less
Each additionalSOO sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
F ceder
$121.00
$ 22.00
$57.00
'l"'''''' .,~ n...."'''''.",.<~H'''"',''.''". .<".h~'", ".',"".,,,,,,,.J!!!~.,.., .""-~"," .... """"""','~"l. ,,"',.'......... ':':":"fj
B. ~~t~\l!~~to~i~~~!f~i,!~:s.,i3Urti~'t1;:~ir!~ti'~,~~:~':r::'~eI?~~io,i'~;~~,
200 Amps or less i:. \'1<:'0.1<. $73.00
M01\g~Amps tO~Qll:l'~~\Rt IF it\- ( ~\r\-r $ 86.00
1\-\\5 V'Q1\W',hi>~l;I 0rl1t'1'l'.~5 PERtvi\ f~'i1 $143.00
I\Ui\-\€!l,\\Afili\s4Sl ~ AI3'I\~\)ONtO ' $186.00
CO\lJ\R.fM[5d3.Q B.\tyO~ts $426.00
I\N'I ~'iffl'\9~ &IIIY' ' $ 57.00
C. ~-p-j)rary""'Ser;iTes';;tFeed,,~, ~rs, ;.
,- "'0 .... ''''''1.''''.:. ....., .........
"~l
Installation, Alt.eration or Relocation
200 Ames or less(j?:!f;(,-,,~y: 'je]- I [;1..:>),. ,$ 57.00
201 Amp?I/,84QtFA\\\ts'!I!Jn Jol5810 aln JO;$i79_001U
401 AlWl~:g~9~~tn~~1 :aiON) 'l,a;ua8 a4';$1:1~00)
. ooil I 41 Ju Sa!d08 U!eJL/U ^~W nOA '-0600
Over (j(jQ){>.mp$Jo1i\IQPOI~Il!~,?~.l]&.~~G@..~UI
D. \;,Bra~lj~.fiiIM~l!1JI!Hi.941'C:Jilii.Ja0uolliioi\!l.QN';. I
ttun. l.td1JeJO"4~ Aq 08l,(!?'p'!( 8alllJ MOIIO~
New AIlJj"'til\~!I'i~WNJ!YI8.sfj1irOe.NOI LN.'! I.~\f
One CIrCUIt -:s =
Each Additional Circuit or with
Service or Feeder Permit $ 5.00
E. r,~'Mr~~~iia~fi~~U'~',;(S~Hi~~)f~;;r1ffigt:'irigliYd~d)"!;JtEach?'i~~tal'I'i.ti~~,;,1
,.'",' .,.~".M''','' '~.'.~"",,,. "''''~'''~'.'''''''''' .~'.. .. ,,,,,.,.."',,...,.......'....,.,,,"'..,.. ..."",,,,._.. ,,,' ...''''''r. ...."'....~..1
Pnmp or irrigation $ 57.00
Sign/Outline Lighting $ 57.00
Limited EnergylResidential $ 29.00
Limited Energy/Commercial $ 52.00 ,
Minimnm Electric Permit Inspection Fee is $52.00 + Surcharges
4. '~-!,~Mit()-";.M~liE.;ii~ji~~,,;'Jr~j~,>,:~1/ /3- en
12% State Surcharge / :?' s &
10% Administrative Fee 1/, ,:.? 0
5% Technology Fee "". i" S
/S8.SI
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Pennit Application 7-08.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1 089
COM2008-0 I 089
,COM2008-0 1 089
COM2008-01089
COM2008-01089
Payments:
Type of Payment
CredilCard
cReceiotl .
RECEIPT #:
11ia.~#4;
-",
City of Springfield Official Receipt
Development Services -Department
Public Works Department
2200800000000001770
Date: 12/23/2008
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JOHN R DOWNEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 013459 tn Person
Payment Total:
Page 1 of 1
2:39:02PM
Amount Due
73.00
40.00
5.65
13.56
11.30
$143.51
Amount Paid
$143.51
$143.51
12/23/2008
.', 'C1i /" (J/ot<:;"
constructhni'contractors Boar& ,: " 'permit#; , ," '. .:.-:----:- '.,
;~::~i~~t NESuite 300, ,." " Address:!tJ7 0. I~'fi:&. viu:J ..
Salem OR 97309-5052, . ' . Issue~j),~ baie:/;2/L ~ /(J~
Phone: 503-37.8-4621 ,uuJI: . I \ ,'/ '-
'Web Address: www.ccb.state.or.us
". ..,. t:.."U'
Statel11ent: Info~mati,on Notice to' Property Owners
," "." ." . ' . . ..'. . . <...' f' .
, . .' ,.,' About. ConstructiOn. Responsibilitie~ : . ,
. .....
,
, .
,\, "
'Note: Oregon La,w, ORS 701. 055(4) requires residential construction permit applicants who are not
licensed withihe Construction Contractors Board io sign the following statemlm{before a building
permit can be issued. 'This statement is requiredfo~ residenti'al building;. el~ctrical, mechanical and
jjlumbi~g permits. Lice~sed architect and engineer applicants, exempt from licensing under
" '.. ORS 7..01. 01 0(7)"need notsubmit this statement. This~tatement will befiled with the permit.
. ,;"," .._. -: ,- <'. ," -, -i' ' -.'~'-'
"~ . - ,+ . . .
....! .' "'. . ',"' ". '. . . .. ... - .:.. .'
Fill in the appropriate blanKs ~d initial boxes Land2, lJ11d either box'3A or 3B:., , ';
...... '.' ". . ..
'A.
D
I: . . I own? reside in,:or\vill reside in.the completed/strUcture.. .
, '
2. 'I'understand that I must become licensed' as a construction 'contractot. if the structurelis sold or
offeredJor sale before orort'conipletiori:'" , ,
.. ~ .
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(NaIile) "
(CCB #)
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. . . '~ .. - . .., . .; _I: - ,',., .- . .
,lwlll instruct my general contractor that'all subcontractors who work on the stnicture must be
.. .. < . .. , , " ,~ .
licensed with the Construction' Contractors Board. -
. ~-- .,
"
, OR . ,'.
I will b~mY own general-~ontiactor.. (~C-t;:a~~tU. ')
,. ~. - , ",
,
. ~~.
'. . ',,\
,
~'
3B.
, ,
IfI hire subcontractors, twill hire only subcontractorslicensed'with the Construction Contractors
_ Board. "If Ich~ge n?-y lpU;d and hire a general contracto~,.I will contract. with a contractor who.is
licensed with theCCB .and. will' immediately notify the 'office issuing this building permit, of the
mune of the contractor. . . '
'.' ,
. '
.1 hereby certify that the above information is correct and that 1 have read and do understand the Information
, Notice toPropertyOwners~bout C.onstruction Responsibilities on the reverse side ofthisfor.m.
.., , oJ. _
"n~~"
I
/ Z - 2 3 -0 tr
(Signature ofpimnit'applicant) . (Date)
, (White copy to issuing agencyp~rm!t file, pink copy to.applicant)
,..- ' " -' .".
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Property_owner:~oc 06-01:0~
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