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Home My WebLink AboutPermit Building 2008-10-2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01436 ISSUED: 10/02/2008 APPLIED: 09/18/2008 EXPIRES: 04/02/2009 VALUE: $ 42,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6721 MOSES PASS ASSESSOR'S PARCEL NO.: 1702341106700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Expand Living Room, Entry Way, and Bedroom ' Residential Owner: KIM THIELE Address: 6721 MOSES PASS SPRINGFIELD OR 97478 Phone Number: 541-747-1930 I CONTRACTOR INFORMATION . Contractor Type General Contractor JEFFREY FRANK SOUTHWICK License 181791 Expiration Date 04/2912010 Phone 541-726-7881 BUILDING INFORMATION t. VB # of Stories: Height of Structure 21.00 Type of Heat: Forced Air Gas Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 6,098 300 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setb'ack: Solar Setbacks: 11.00 6.50 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact:. U to ATT~:ffbN: Oregon la~hr:6~~~~X~tilitY folloW rules_a~?~.te~h~Y." rules are set forth NO\III"''''U'' '" -, 0010 through OAK tlO"-VU , In OAR 952-001- btain copies of the rules by ~~1\i)J:f\\~~ 0 (Note: the telephone callinglt'ie n~r~ on Utility Notification I?1'lJmuIlPun~ s1'Sg00.332.2344). Center IS - 0.00 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Notes: ,Storm to tie into existing sxstem OOIl:J3d AVO 08 ~ AN\! ou~ U~IWUI~\1~V SI tJu ~;~;:;;,;::;;'.;;!';'::;j ,ION SIIIWl:J3d SIHll:ElONIiI rValuation,Descriotion I. >fHOM 3Hl:lI 3l:JldX3 11'v'HS ! IL'j~I.'d '!i I " . . . $ Per S!I Ft ., Square Footage DescnptlOn Type of Construchon '.' ;-.'. '. . or mIJlhpher or Bid Amount Value Date Calculated Paee I of 3 Sta tus Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01436 ISSUED: 10/02/2008 APPLIED: 09/18/2008 EXPIRES: 04/02/2009 VALUE: $ 42,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line Estimate Estimate $1.00 42,000.00 $42,000.00 $42,000.00 09/18/2008 . Total Value of Project J<'pp< PlLilIJ Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review Minor - Planning' SDC SanitarylStorm Admin Storm Drainage Impervious Area Amount Paid Date Paid Receipt Number $239.74 9/18/08 1200800000000000981 $38.38 10/2/08 1200800000000001029 $44.26 10/2/08 1200800000000001029 $24.39 1012/08 1200800000000001029 $368.83 10/2108 1200800000000001029 $15.00 10/2/08 1200800000000001029 $119.00 1012/08 1200800000000001029 $5.57 10/2/08 1200800000000001029 $111.31 10/2108 1200800000000001029 Total Amount Paid Initial Review 09/22/2008 $966.48 I Plan Reviews I 09/22/2008 APP LLH 09/2512008 APP LKW 09/2612008 APP DDK 09/29/2008 APP CJC Storm to tie into existing system Public Works Review 09/24/2008 Plan nine Review 09/22/2008 Structural Review 09122/2008 Approved as noted on plans 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. ~~nllir~,rI In,li',oprti"fijli', I Footing: After trenches are excavated. Foundation: After forms are erect~d but prior to concrete placement. Post and Beam: Prior to 11001' insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Walllnsnlation: Prior to cover. Ceiling Insulation: Prior to cover. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01436 ISSUED: 10/02/2008 APPLIED: 09/18/2008 EXPIRES: 04/0212009 VALUE: $ 42,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Bnilding Inspector. Final Bnilding: After all reqnired inspections have been requested and approved and the building is complete. By signature, I state and agree, that I have earefully 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree to ensnre 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 ti::;~ /L~/?0< /,(/' '/'7" Owner or Contractors Signature Date Paee 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET COM2008-0 1436/ Addition Thiele, Kim 6721 Moses Pass 1702341106700 Single Family Residence o BUILDING SIZE (SF' 300 LOT SIZ.E (SF): 6098 I [{J~ 10 .0 'u .1 ct:. I~ '" I. (3 ~ JOURNAL OR JOB NUMBER: ' NAME OR COMPANY: LOCATION: ' TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S,F, x I COST PER S.F, I I CHARGE I 312,00 I $0,357 I = . $111,31 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F, I x I COST PER S,F. I x I DISCOUNT RATE I I I 0.00 I I $0.357 I 1 50% 1 ~ I DISCOUNT $0,00 $111.31 11070 .--.- ITEM I TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY $111.31 A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I x I 0 I B. IMPROVEMENT COST: I NUMBER OF DFU's' I , I 0 I COST PER DFU $27.67 $0.00 1091 COST PER DFU $21.04 $0.00 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $0.00 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE 1 x 1 NUMBER OF UNITS I xl, COST PER TRIP x INEW TRIP FACTORI 9.57 I I 0 I I 21.06 I 1.00 1 I $0.00 1093 B. IMPROVEMENT COST: 1 ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x [NEW TRIP FACTORI I 9.57 I 1 0 I $92,89 I 1.00 I $0.00 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC ~I $0.00 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $97,90 = $0.00 IIOS4 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I 0 1 I $1,009,17 = $0.00 1 lOSS, MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I IOS4 ,I MWMC ADMINISTRATIVE FEE $0.00 IIOS6 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $111.31 =, S, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE I~ CHARGE I $llUI I 5% I $5,57 TOTAL SANITARY ADMINISTRATION FEE: 5.57 1079 TOTAL TRANSPORTATION ADMINJSTRATION FEE: $0,00 1078 .. Kaye Wilson 9/25/2008 TOTAL SDC CHARGES =1 $116.88 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATl9N TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE I UNIT FIX1lJRE -II FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETe. 0 0 3 = 0 i IINTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 ,I ICLOTHESW ASHER 1 MOP SINK 0 0 3 = 0, i ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 , IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG I WATER STATION 1 ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER 1 ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADS) 0' 0 2 = 0 I SINK: COMMERCiAL/RESIDENTIAL KITCHEN 0 0 3 = 0 iSINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0 I URINAL. STALL 1 WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 I -EDU (Equivalent Dwellin,g Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day I MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IL I I I I I [ CREDIT RA TEfSI ,000 ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 .1996 1997 1998 1999 2000 2001 ,,_~i - "'E _$5.29~r I'" ~~~!~,t ~,<~ i~.~~( ~~'; "~,'~~~~_:f:' ~:6;i; '~;1 r'~liJ~'>,;~~;- $4:0711,-,'.;?ijti' "', -"~:$3.67- :~"~1i' ~'J~t~$~22:Pf~_ ~_~1";~~!-~~_$~-.7~~~r ;~~Wi!!~~i.- :'~':~~~:11" 4j -, II IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 2000 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE SO.OO x SO.09 ~ I SO,OO CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0,00 x $0.09 ~ I o I !I TOTAL MWMC CREDIT SO.OO = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1436 COM2008-0 1436 COM2008-0 1436 COM2008-0 1436 COM2008-0 1436 COM2008-01436 COM2008-0 /436 COM2008-01436 Payments: Type of Payment Check cRcceintl RECEIPT #: 1200800000000001029 Date: 10/02/2008 Description Stonn Drainage Impervious Area SDC SanitarylStonn Admin Plan Review Minor - Planning Building Pennit . Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JEFFREY F, SOUTHWICK Item Total: <';heck Number Authorization Received By Batch Number Number How Received njm 104 In Person Payment Total: . . Page I of I 1:15:15PM Amount Due 111.31 5,57 119.00 368.83 15,00 24.39 44.26 38.38 $726.74 Amount Paid $726,74 $726.74 10/2/2008 City of Springfield Building Permit & Inspection S,ummary lOll 0/2008 2:35:33PM Job #: CO M2008-0 1436 225 Fifth Street 54]-726-3753 Phone 54]-726-3676 Fax Project Status: Issued Job Address: 6721 MOSES PASS Springfield Scope of Work: Single Family Residence Description of Work: Expand Living Room, Entry Way, and Bedroom Insoections Conducted Insnections Foundation Post and Beam Floor Insulalion Shear Wall Nailing Framing Inspection Wall ]nsulation Ceiling Insulation Hold Downs Installed Final Building Footing Footing Comments Date Result Insnector 10/09/2008 OK RWC ~ 2 0~2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000001057 Date: 10/10/2008 2:33:47PM Job/Journal Number COM2008-0 1436 COM2008-0 1436 COM2008-01436 COM2008-0 1436 COM2008-01436 Description ....Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Paid By JEFFRY SOUTHWICK Hem Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 21.00 .52.00 2.60 6.24 5.20 $87,04 Amount Paid cjc 106 ]n Person Payment Total: $87,04 $87.04 cReceintl Page 1 of I 10/1 0/2008 Construction TVDe Cost.Per S!l.Ft rrSll;Et~you to Valuation J\TTEN i ,'.)1'<, ""'"e,v.. '-", '~, 'Utility I~" lei "ct,......-J by toe ureqon follow I'll ',~$' \',\,00' "p.OooOo'tforth $42,000.00 Notification CentH, !.Mse IlJl'~('~A-R' "9'5"2-001- $42,000.00 ... _ .~,... ~ "r'\._I" 1-1,.,. '--.1 In '\ j "' \.1M" 'N~ v_, --,,_ ,..:;S of the rules by 0090 You may oFees Patd _ eliinfl 'he ~-enter. (['IDle: the te\e.~h.one A1~,~,~~,~~ld"e Oregon UDa~elPaJda\!On . r.eoter is 1-800-332-2344). $239',/4 091l8/2008 $111.31 10/02/2008 $5,57 10/02/2008 $119,OO 10/02/2008 $368,83 10/02/2008 $15.00 10/02/2008 $24.39 10/.02/2008 $44.26 10/02/2008 : ,\TlCB:3838 IO/02(:;.oP.&ORK ~":'~(' r>~,f,\\~OSHALL EXPIRE Ilij/ifdilRl(j~ T ~"I, 'I:I':'~I'O~$I~t.ll,OUNDER THIS p[e'IMl/ldS8NO rlL" n $2'.6'0 rlRillIYWR COIVllVln!f6Q4 OR IS ABAND"1O!i0/2008 ANY 180SBMl PERIOD. 10/10/2008 $1,053.52 225 Fifth Street 541-726-3753 Phone 541-726-3676 Fax Project Status: Issued Name CON JEFFREY FRANK SOUTHWICK OWN THIELE OccuDancv Estimate Estimate Descriotion Plan Review Residential Storm Drainage Impervious Area SDC Sanitary/Slonn Admin Plan Review Minor - Planning Building Penn it Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcl)arge + 10% Administrative Fee -Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Total Amount Paid City of Springfield Building Permit & Inspection Summary 10/1 0/2008 2:35:33PM Job #: COM2008-0I436 Job Address: 6721 MOSES PASS Springfield Scope of Work: Single Family Residence Description of Work: . Expand Living Room, Entry Way, and Bedroom Owner & Contractorls) KIM Address . 395 WEST N ST 6721 MOSES PASS City. State. ZiD SPRINGFIELD OR 97477 SPRINGFIELD OR 97478 Phone 541-726-7881 541-747-1930 Valuation of Proiect Date CalCulated Staff 2008/091l8 NJM ReceiDt # 1200800000000000981 120080000000000]029 1200800000000001029 1200800000000001029 1200800000000001029 . 1200800000000001029 1200800000000001029 1200800000000001029 1200800000000001029 1200800000000001057 1200800000000001057 1200800000000001057 1200800000000001057 1200800000000001057 Plans Reviewed Deoartment Received Due Date Comoleted Result Reviewer Comments Initial Review 09/22/2008 09/22/2008 APP LLH Public Works Review 09/24/2008 09/25/2008 ' APP LKW Stonn'to tie into existing system Planning Review 09/22/2008 09/26/2008 APP DDK Structural Review 09/22/2008 09/29/2008 APP CJC Approved as noted on plans IltJ OCI~ tM~c,.+ I of2 , , ,J ~<(,.j!) \ ~ 0<<;0v \ \J'v~ ; / Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6721 MOSES PASS ASSESSOR'S PARCEL NO.: 1702341106700 CITY OF SPRIN\JJ:<mLD- Building/Combination Permit PERMIT NO: cOM2008-01436 ISSUED: 10/02/2008 APPLIED: 09/18/2008 EXPIRES: 05/14/2009 V ALUE:$ 42,000.00 Springfield TYPE OF WORK: Sirigle Family Residence TYPE OF: USE: Addition PROJECT DESCRIPTION: Expand Living Room, Entry Way, and Bedroom Residential Owner: KIM THIELE Address: 6721 MOSES PASS SPRINGFIELD OR 97478 Phone Number: 541-747-1930 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechauica' Contractor JEFFREY FRANK SOUTHWICK ROBS ELECTRIC INC OWNER BUILDING INFORMA nON, License 181791 156678 Expiration Date 04/29/2010 08/14/2011 Phone 541-726-7881 541-686-5444 # of Units: Primary Occupancy Group: Secondary Occupancy Group; Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 1 Height of Structure 21.00 Type of Heat: Forced Air Gas Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,098 300 R-3 VB / I OEVE~OPMENT INFORMA nON , Frontyard Setback: Side 1 Setback: Side 2 Setback: - Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: 11.00 6.50 0.00 I PUBLIC IMPROVEMENTS' Street Improvements: StornOOif~~ailable: Speci'l'Hffit~, SHAll EXPIRE IF THE WORK N AUT.tlQRIZEQ, U~RER.THIS PERMIT IS NOT otestmJl~ffic'E~eo'tt1~xAsgR~~o~fu FOR ANY 180 DAY PERIOD. ".j~>>' ;J Page 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: 29.56 Si.H-I'li?j~T!(!!~.J: Oregon law requires you to Dtr~'S~d'u\\m}~ted by the Oregon Utility Notification Center. Those rules arE! set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area -Mechanical Issuance Fee..... + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Minimum/Adjustment Mechanical + 10% Administrative,Fee + 12% State Surcharge + 5% Tecbnology Fee' Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid CITY OF SPRINGFIE;LD . Building/Combination Permit PERMIT NO: cOM2008-01436 ISSUED: 10/0212008 APPLIED: 09/18/2008 EXPIRES: 05/1412009 VALUE: $ 42,000.00 I Valuation Descriution , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 42,000.00 Valne Date CalCulated Total Value of Project $42,000.00 $42,000.00 09/18/2008 Fees Paid' Amount Paid Date Paid Receipt Number $239.74 $38.38 . $44.26 $24.39 $368.83 $15.00 $119.00 $5.57 $111.31 $21.00 $5.20 $6.24 $2.60 $52.00 $6.00 $7.20 $3.00 $50.00 $10.00 9/18/08 10/2/08 10/2/08 10/2/08 ]0/2/08 10/2/08 10/2/08 10/2/08 10/2/08 10/10/08 10/10/08 10/10/08 10/10/08 10/io/08 11114/08 11/14/08 11/14/08 ] 1/] 4/08 ] 1/]4/08 1200800000000000981 1200800000000001029 1200800000000001029 1200800000000001029 1200800000000001029 120080000000000]029 1200800000000001029 120080000000000 I 029 1200800000000001029 1200800000000001057 1200800000000001057 1200800000000001057 1200800000000001057 1200800000000001057 2200800000000001646 2200800000000001646 2200800000000001646 2200800000000001646 2200800000000001646 $1,129.72 I Plan Reviews I Initial Review 09/22/2008 09/22/2008 APP LLH Public Works Review, 09/24/2008 09/25/2008 APP LKW Planning Review. 09/22/2008 09/26/2008 APP DDK Structural Review 09/22/2008 09/29/2008 APP CJC' Storm to tie into existing system Approved as noted on plans 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 _~!it!!I.~~~I~~: lUg . . ". . Mk CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: cOM2008-01436 ISSUED: 10/02/2008 APPLIED: 09/1812008 EXPIRES: 05/1412009 VALUE: $ 42,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line RentJ i red I nsnections 1 1111111 Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection':, Prior to cover and after aU rough in inspections have been approved. Wallln~ulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: SpeCial Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After aU required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU information hereon is true and correct, and I further certify that any and aU work performed shaU be done in accordance with the Ordinances ofthe 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 aU 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 remaiu on the site at aU times during construction. Owner or Contractors Signature Date Page 3 of 3 City of Springfield ElectricalAuthorization To Begin Work E':'mailed To: robselectric@hotmail.com ,Receipt # RC542075 11/14/20082:29:30 PM Check on status of permit By Phone: (541)726-37'53 or Email: permitcenter@ci.springfield.or.us I ] ,000 sq. n. or less I Ea. add! 500 sq. ft. or portion ~ I D New construction [X] ~dditio~JalterationJrepJacement W 1 or 2 family dwelling D Multi-family D .CommerCial / Industrial IJob no.: 4914 IJob address: 6721 MOSES PASS I City/StatelZIP: SPRINGFIELD, OR 97478-2106 ,I Sllite/bldg./apt.no.: I Project nam~; Kim Thiele Crossstn'etJdircctions to job site: , I Subdivision: ITlIx.map/parcel no.: 1702341] 06700 ILot no.: 1 . Limited energy, residential (with above sq,ft.) I-Limited energy, multiHunily residential (with above sq. ft.) I-Limited energy, commerci<:iJ (with above so. (1.) 1_ - Stand-alone limited energy, residential I - Standcalone limited energy, multi-family I - Stand-alone limited energy, commercial 3 branch circuits - remodel - extending circuits for addition I 200 amps or less I 20 I amps to 400 amps 40 I ainps to 599 amps I Name: Kim Thiele I Phone: (541P47-1930 IEmail: IF", 200 amps or less 120 I amps to 400 amps 140] amps to 599 amps lie,lIo,: 20-462C I CCB lie. no.: 156678 I Business Name: ROBS ELECTRIC INC I Contad:- Gena Baker IAddress: PO BOX 2821 I City/SJi\mfnFGENE OR 97402 .IPhon'THtS6~flt.m ~YALL EYPII'llf"~'I\I~~ Ernanll(qtnlro~ImY'tJN'rJE~A1~~J~Rn.nIT I~ ~!O-'!" Met~OMl~ENCS~ Q~ I~ "f~'I!(lq' SOP''#':f!rf "ffl(1'l'liN'PtRl tID;S Supervising electrician's name: DAVID R LAWLER I A. Fee lor branch circuits with service or feeder fee, each branch circuit. - I 8. Fee for branch circuits 1 $50.00 $50.00 without service or feeder fee, I first branch AlliriENTlON' 0 'Q~nn I~\ II rl3lql,ire ; you to I I:,,~~=; ~.lD.w.~I~.s ~~~D!ed~t!h~ 0.~ '.n UIIBW I Id\,~,s~~I~~l!l~tlqn.;QelJter,;;:lIl1qse'ruleSIarel.set,fortt I I Se",i" nMlE~l;1,@52-001-110l 0 thrD~gh OARJ952-001. I I Eoeh rn"n~_d ~l.n..'hl"Y · ~~''''(~~I~e~h~t tn, rUles D) dwclling..sc~A1liml!'lltRc:UlRAn r. . tolJ"l"\h~ne- I I Pump oc iccRUi<l'lbi:1l'<for the Oreoon I Jlilitv Nnfliiication I I Sign oc outlinelightiuCenter j, i 1-800-~ 32-23441l I I Signal,Circuit(S) or li.mited- I I 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 ~btained. Subtotal I $60.00 State Surcharge (12% ofperfnit fee) $7.20 CitY Of Springfield fees'" I $9,00 l TOTALPERMITFEE $76.20 '" City Of Springfield fees: 10% Administration Fee; 5% Technology Fee 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. COM'::;~- [:f Lj~(r.. RCPT #. /X)(D{) -lu,L/Lv DATE PROCESSED: i III LiI ()'i< This Auth'orization To Begin Work must'be posted at the job site until replaced bya Permit. PROCESSED BY' , ) f\ / K -kiP" y;:, 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone tj Job/Journal Number COM200S-01436 COM200S-0 1436 ' ,COM200S-01436 COM2008-0 1436 COM200S-01436 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee . + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERM1T CHGS 2200800000000001646 City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/14/2008' 2:46:03PM Amount Due 50.00 10.00 3.00 7.20 6.00 $76.20 Item Total: LheckN umber Authorization Received By Batch Number Number How Received KR Page 1 of I Amount Paid ONLINE ROBS Online ELECTRIC Payment Total: $76.20 $76.20 Il114/200S