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Home My WebLink AboutPermit Electrical 2008-10-16 ~ " 225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 " ELECTRICAL !jERMIT APPLICATION City Job Number (;ob, z.o-o g-, 0/ ~3.? !I 1_ I!lIEO'€ArfioMOEriNST~il70N1!i1l!il1iilib'illl3_ ~'ii!i,",#!",,,",~,,,,,;vN'WW%'i'l.,,,j;]",k\"'~':1'l'T''''>l'''''''''r''''~,w'b-'''%~""ii!r",\;ifi~ 4(,511 BI\)e~h)f' ' i 'i LEGAL DESCRIPTION: I ' J10?-"3d 4.3{) !07o 2- Ii II . 'I I, Signature of Supervising Electrician V~~ JfI /7_ v,L - " ' Owners Name f:::.-O--/u.:;C~ ;;. f\Jp A-t' p" ; ~5 , !u .. ~' ''''' ' ~nNL""'''=i!K_''''- "~i(#<~"-~i"'\j";+J"i"'\;-X!4(",^,~?27!Wm",i'=""1SVj;<<,>"", 8 3 0 /~ ' j) II h - , E. >MiScelill'n'eOuslft-serWi~~fE&I~Hlim'fiiiclua~:r)."""i1l1:'[j,lliisi3lljjtion' Addre~ ,~~ IP / YJY(1 - <;/ r:0 On/ ,1.- -ATTENflol~t-51'~godr;b-'\~t"'t'\~'C~:~~~~~Y'~"'''-~'5- -.- City '-'q/ U v-- Phone Pump orgWP!lleS adopte_ Y 18 ,'~- ~ ,ii'!r?8nr u Signl01\lliJiitiJ:;ightifig::enter. Those [t-:'~r~~'6$:5'i\Qq)1' , . _ \ r.il.R~?a01,(1010th[U"""-"""~""' OWNER INSTALLATIO:,! Lmllted Energy,slt1entiBbtain cr"~;"<,' -,nh$ 29.0, ooy The installation is being made on property I own whic/k' Limitedqp*21ix ~~~~1!l!r. (Ne,ie: the :81~r52'Q()) is notfWe1ia~Ji'or saleS lep,t\"E5,'flRE IF THE WOR Minimum EleCmi~i...,":itrll18jlec~i~'iiJ;e}I~!$~t~~''i-\~~~C;:harges '0 1\1\~ PERM!! UHND'E' n THIS PH\~II\T IS NO! 4. ~,lv~%;'Q~e"'Q1VE~I1!!llI'll~'ld!ll1 ( ,--' 15'-/ wne{~~~;~n OR ,; A8 !\ND 0 NEt) foOR , ~;~~;;:';;;;:=~_'wt_"0ffi"i,,'Ii<IlIil'0 T{fl;'IftJ,>~~. ~ 5 , AVNy""i'SD DAY PER"I,IOU. 10% Administrative Fee / 0. fin 5% Technology Fee / '" . <:'() )(77_ 55 JOB DESCRIPTION: S~-- 'ii Permits are nOD:-transferable and expire if work is _ not started within 180 days of issuance or if work is Suspended for 180 days. il 1-"',',!!!;oCOhiBf1<<',","",_,,"jjf0GW0Y-$ID ,;mSi:r"?driJ~ )!A"",*,~4~~~$:ij;lf,!W<',)>'*'*" ,',-,!,-;'~l#:!;?~%W ','eON'FJW:er(;iRffi1N~:A'rqn4:rn()Ni!()m*% ~ 2. """.""YW'NFi,,,n:,W'!"''::::'il'' ""~:'~3__'!" , Electrical contractor, tveru I LI e \ c.... , 'I I Address 1'74'12 ,~ P UL ' City -J(YV',cll'M C,-t "'{ Phone 9/~;)'9)'1, Expiration Date LJ~O'A5 / oj 1':/2016 Supervisor License Number I , Constr. Contr. Number . il { "] (.., ]11 '3) bJ 09 ~ Expiration Date Inspection Request: 726-3,769 II , Date A. ''''jP.~I11W'\.~'~9PiiW:mFm''''lU$iW;mp3*''-'.aw,,',:~'' -J1IW';""'~"'~" 1; ~..~). . '" 'eW1!Resiilenfiilf!!:fSili"'leYor,:fMu(tl~Eiinur %lwr~'Qwrm1r@{Uni{; '. ". ,,,;% ." ,-- ',' .. ..~ig.""'h<ww.",,".....;;;:m.f~~,,,,,. ";P~~""~;;.""~",,,,,,,~,,,g~. Service Included $121.00 I]..} vb 1 { .E2. I ?/ $ 22,00 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof ' Each Manufact'd Home or Modular Dwelling Service or Feeder $57,00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426,00 $ 57.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 600 Amps or 1000 Volts see "B" $ 57,00 $ 79.00 $114,00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5,00 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-08.doc. Eiifl;"IHGEiI~H" -I~ . . .,'." '''''~ ~y. Status Issued \ I 225 Fifth Street, Springfield, OR 541-726-3753 Phone " 541-726-3676 Fax 541-726-3769 Inspection Line ;; ]1 SITE ADDRESS: 4659:iBLUEBELLE WAY " ASSESSOR'S PARCEL N0.: 1702324305702 'r '~' PROJECT DESCRIPTION: Single family residence I JI CITY OF SPRlNtJ1'lJi.LD Building/Combination Permit PERMIT NO: COM2008-01233 ISSUED: 09/17/2008 APPLIED: 08/18/2008 . EXPIRES: 04/0112009 VALUE: $ 152,040.00 SPRINGFIETYPE OF WORK: Single Family Residence I' Owner: RAKOCZY ENTERPRISES Address: 3496 AMBLESIDE DR SPRINGFIELD OR 97477 :i ii TYPE OF USE: New Residential Phone Number: 513-2228 I, CONTRACTOR INFORMA nON , Contractor Type Electrical Mechanical Plumbing Contractor " E;VERYDA Y ELECTRICAL SERVICE " DEAN M SCHULTZ " RS PLUMBING CONTRACTING License 136371 183169 103816 Phone 541-607-6908 541-767-0626 541-461-4714 Expiration Date 08/12/2009 07/1512010 0110412010 BUILDING INFORMATION' I! f1"IT','T, ~,'" DEVELOPMENT INFORMATION I it f.' .,~: " " " "/ ... ...'..... ~vu lU I, " .~... '.:'. .:; '::. r-,. 0::, ,;.c. !)\,' rtJe Ore(1o~ Ut{lity , ~()U"l ' -"",' 'c ,. -, ~ "If' "()' ,,37.00 ':" ,,,,,r, :,10verlaYEDi~J:3 set forth 'i t lin _..1'_ . 001 n'h[' " , , I 0000 \!l:~,O:, " 'c"_"; #IStre:et '[re~~~!ld001_ " "', I'rodnay ob!alclp"''''dtD ... !{ d Yes ~, Calli"(8"~e center '(':~;~f."t"':~~'\)S by nu b~" ' ''Yo 0 ,,,,o,,,,,,,,,,,,-,,,gl1e 24.50 II m~~r the, Oregon Utility Notiiication ], nter IS 1-800',~:i?,'J';""l I PUBLIC IMPROVEMENTS I Street Improvements: I' Sidewalk Type: Stor~ sewe~IIIC~. 1~HALL EXPIRE IF THE WORK " D?wnspout~/Drains: SpeclalInstructiiln9E MI Stl'!-r~tmrn'lOtB1!ii.lTtd6/[1jlnm water on driveway dIvert to ram garden AUTHORIZED II U DONED FOR Notes: COMMENCED,IOR IS ABAN ANY 180 DAY!I PERIOD., ' " II # of Units: ,I Primary Occupancy Group': Secondary Occupancy Group: Primary Construction Type , Secondary Construction Type: # of Bedrooms: 'I I R-3 U VB # of Stories: Height of Structure Type of Heat; Water Type: Range Type: Energy Path: Sprinkled Building: 3 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Page I of 4 I 18.00 Electric Electric Electric 7,107 1,336 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 420 REQUIRED PARKING Total: 2 Handicapped: Compact: To Culvert - Provide Drainage Plan Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Gara2e Dwellin2s Gara2e Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee, 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Resideutial Furnace - up to 100,000 btu Heat Pump Plan Review M'ajor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each AddtlIOO' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Storm Drainage Impervious Area Storm Sewer Each AddtllOO' Temp Power 200 amps or less Vent Fan Water Line - Each AddtlIOO' Willamalane Single Family + 100.10 Administrative Fee + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01233 ISSUED: 09/1712008 APPLIED: 08/18/2008 EXPIRES: 04/01/2009 VALUE: $ 152,040.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $105.00 $28.00 Square Footage or Bid Amount 1,336.00 420.00 Value Date Calculated $140,280.00 $11,760.00 $152,040.00 08/18/2008 08/18/2008 Total Value of Project Fpp" ~ Amount Paid $545.76 $42.00 $139.24 $156.56 $75.78 $289.00 $37.00 $839.63 $8.00 $22.00 $87.80 $15.00 $15.00 $211.00 $462.80 $608.63 $17,00 $10.00 $1,009.17 $97.90 $134.76 $888.98 $201.54 $74.39 $904.00 $17.00 $57.00 $8.00 $17,00 $2,513.00 $16.50 $19.80 $8.25 $121.00 $44.00 Date Paid Receipt Number 8/18/08 9/17/08 9/17/08 9/17/08 , 9/17/08 9/17/08 9/17/08 9/17108 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17/08 9/17108 9/17/08 9/17/08 9/17/08 9/17/08 9/17108 9/17/08 9/17108 9/17/08 9/17/08 9/17/08 9/17/08 10/16/08 10/16/08 10/16/08 10/16/08 10/16/08 1200800000000000879 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 1200800000000000975 2200800000000001514 2200800000000001514 2200800000000001514 2200800000000001514 2200800000000001514 Pa2e 2 of 4 Status Issued CITY OF SPRINGI'lJ<.LD Building/Combination Permit PERMIT NO: COM2008-01233 ISSUED: 09/17/2008 APPLIED: 08/1812008 EXPIRES: 04/0112009 VALUE: $ 152,040.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,714.49 I Plan,Reviews I Initial Review Plaooine: Review 08118/2008 08/18/2008 0811912008 08/19/2008 APP APP NJM DDK Public Works Review 08/18/2008 08/22/2008 APP LKW Storm water runoff to ditchl Storm water on drivcl\o,'ay divert to rain garden Structural Review 08/18/2008 08/25/2008 , WE CJC Waiting for truss documents Structural Review 09/05/2008 09/05/2008 APP CJC 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. r Rp~ In<.npf't~ ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches arc 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 aftcr all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. 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. Perimcter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underlloor Plumbiug: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Page 3 of 4 _SI!!AI~~!,!I~'~; CITY OF SPRINGFIELD Building/Combination Permit . Status Iss u ed PERMIT NO: COM2008-01233 ISSUED: 09/17/2008 APPLIED: 08/18/2008 EXPIRES: 04/01/2009 VALUE: $ 152,040.00 225 Fifth Street, Springfield, OR 54] - 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Drain: Prior to cover or placement of concrete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: ,When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: 'Prior to Cover Final Mechanical: When'all mechanical 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, andI 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 contractnrs and employees who are in compliauce 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 Contr~ctors Signature Date Page 4 of 4 225 Fifth Street J Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department \i. RECEIPT #: " 2200800000000001514 Date: 10/16/2008 II :25:26AM " Job/Jourmil Number ,/" Description COM2008-01233'-/ Resi,'dence Wiring 1000 Sq Ft " , COM2008-0 1233 Residence Wiring Ea Addtl 500 " COM2008-0 1233 + 5% Technology Fee COM200S-01233 + I2% State Surcharge - " COM200S-01233 + 10% Administrative Fee " COM2008-0 1 OS5 Residence Wiring 1000 Sq Ft I COM200S-01085 Residence Wiring E~ Addtl500 l .. COM2008-0 I OS5 + 5% Technology Fee :1 . COM200S-010S5 + 12% State Surcharge COM200S-0 1 OS5 + 10% Administrative Fee i! Payments: Type ~f Paymerit CreditCard jl II Paid SYil W A YNB!L ANTONE III Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Doe 121.00 ,44,00 S.25 .19,80 16,50 117,00 42,00 7,95 19,08 15,90 $411.48 AmountPaid njm 021899 In Person Payment Total: $411.48 $411.48 I" " . 'I ,I cReceintI Page ] of 1 10/16/2008 . '-",~.; -,.' .,;. "'" ."",.. '+, , "~-, ,!,. , . 'i,,' "; '.~ :CmnY-OESRRINGEIELD OREGON .9....~'~(t~_;-. ~"," '2,:' ..:,~..-"'-"i .'J".~'> -, ~l' '_~' ,,", ...-..' ., "'-1- J' -it: ,.;. . I, 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICALfERMITAPPIJCATION City Job Number ( fWb,'d67J %,; 0/ () gs , i 1. ~!TiQI1lAlTi(jNiV~iNST~6N.~i!i"t",",f3. ~.c~"'0J>''"'''Plid::''~"''_.'-''',*K#ftj~",,'''''''''''''''''''''''''''''''''",''',,"),;<..''''3, """",j'fu-T tN, 5'1 Rlue b.k II {? LEGAL DESCRIPTION: il )70,;)..3 ~ ~3t)S'7o.;: JOB DESCRIPTION: New Alteration or Extension Per Panel,..._ /liT~~A~konaF~~~t'~;,wi~~:-y~'~~:'" $ 50.00 ' ' i~~~1=~f.tt~d2S,:i'".",;~'~.,2",.~,~~ri~~i};~[~_~",:,:,:~"""~",_",,,,,""""I'" JI. . " 'ila .' '''''i<(seiMWfe.iIe~o'~' udea""'E~cIiFr1l'siallation 009er. .:, -,' . - ~:." .',' ,~-,j,jWj1":"""",,;\~), .. :w.__._.'-.."...-,,^- -"""'hmfi;f;;;;d'4-mrmmwiikW~-.\"'WI , , ,1 ii, calling the cenl~r. (NZie'Clh~'tel' rhu es y City dJ.:,j.-r'cR-/1 PIione num~f'f~~g'b '".~p one $ 57.00 , V S'",",C\ntG~ t iahtiJJ!Ullty Nollflcation $ 57 00 . 1""""''''''''':J'1'-11tJ1F932-2344),' ' OWNER INSTALLATION Limited EnergylResidential, $ 29.00' , !he m.s~llatJ.tIJ~nrifg mIde on ,v>")(jSM'E1Fwmt WORK Limited Energy/Commercial $ 52.00 IS not mtend~Silh>~e'aWe ~~ E Mfimum Electric Permit Inspection Fee is $52.00 + Surcharges . AUTHORIZEP, UNDER THIS PERMIT IS r~4:_';""":~:":!i'~F:~~~;1;r~'""~""'''il_ 'CJ co Owners Slgn~lMENCED OR IS ABANDONED FOR 4. '\Yl'.lB!fQT~"Qi~R~<IN~\!1 ~ 5 -( . f\~Y 1~011^V Di=Rlnn 12%StateSurc~ge '7,9G . 10% AdministratIve Fee / (} . <1;;;- 5% Technology Fee I S '10 1(:) () I. 13 I" " S~ " Permits are non-transferable and expire if work is not started within 180 days of issnance or if work is Suspended for 180 days. II II leowJl!f~~o~~iNsT~T:t"tiloMeE~i 2. 1lill0"",{U)tU'tiW;;:i0E&",@j,jiif'~iiH,i;f"ii!!i#1w$"';;;;';d<;-;;UT"'70!Y,ij,;;rJ.(->.#t~&'?itJ:;-0$].'!hillim~ ~II - Electrical Contractor tve(lj \ e- 11 r Address 1'71.f'12 ~ P U<.. 'City-J(W\cl,'u.r-, c\i~ PIione 9fJ:2951 "'( Supervisor License Numb~r Lf. ~ O?; S / ()J 1':/2() 16 I Ii Constr. Contr. Number!: I J t... 3'71 gJbJo9 ';1 , Signature of Supervising Electrician , ~~~~ II " ' F 11 OwnersName J2.o-itr-oCZV EN r Address 34 r?- ,p.",b u:",' ~ ---. ' ~-, / Exprral1on'Date Expiration Date Inspection Request: \i " 726-3769 II !I !I ]1 II Date ZON L A,Y' INITIALS rlf'Y'" DATE I O~ 10 .~ cJ:? SOURCE rro 9~ / fJj;w!~!f' I , Rllir'?i2;;~oi"'t~fi~11S'lffi~a;m~~n'!1ili1Et"illi~~"'1~<S~*4'Wt@12W@M_df:I~'YrJJ:';%WM~ A. Ill!~~~P.es!~~!I,.t~m~'!l~e,.m:",l\lul~...F.l!l!!,-tY$It\,~jiiwett!ng,u!!II!. ' Service Included I 7/ IJIEB 1'f.EE. 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $121.00 $ 22.00 Each Manufuct'd Home or Modular Dwelling Service or Feeder $57.00 B. 200 Amps or less 20f Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 73,00 $ 86.00 $143.00 $186,00 $426.00 $ 57.00 C. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 $ 57,00 $ 79,00 -'$114.00 D. TOTAL Shared Drive(T:YBuilding Fonns!E!ectrical Permit Applieation 7-08,doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ,; 541-726-3769 Inspection Line J~ 'Ii. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0108S ISSUED: 08/28/2008 APPLIED: 07/1712008 EXPIRES: 03/24/2009 VALUE: $ 165,907.00 ;c SITE ADDRESS: 4657 BLUEBELLE WAY ASSESSOR'S PARCEL NO.: 1702324305703 '; SPRINGFIETYPE OF WORK: Siugle Family Residence TYPE OF USE: New Residential :1 PROJECT DESCRIPTION: New Single Family Dwelling " 1 Phone Number: 513-2228 Owner: RAKOCZY ENTERPRISES Address: 3496 AMBLESiDE DR SPRINGFIELD OR 97477 II Contractor Type General Designer Electrical Mechanical Plumbing I CONTRAC~OR INFORMATION I Contractor AAKOCZY ENTERPRISES LLC "' MONTY LUKE DESIGNS " EVERYDAY ELECTRICAL SERVICE SUNSET HEATING & AIR INC RS PLUMBING CONTRACTING # of Units: Primary Occupancy Group:, " Secondary Occupancy Group.: Primary Construction Typer 'I Secondary Cons,truction Type: # of Bedrooms: !I ,I II II " ,i Ii II ji Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 182734 Expiration Date 06123/2010 Phone 541-513-2228 541-746-7757 541-607-6908 541-988-3181 541-461-4714 136371 171706 103816 08/12/2009 08/18/2010 01/04/2010 BUILDING INFORMATION I I R-3 U VB # of Stories: I Height of Structure 19.00 Type of Heat: orced Air Electric Water Type: Electric Rauge Typ")j Electric Energy pam:l}IONrJO Sprinkle!lJ~<<i.liling'I';",y. Oro No " tlltr,...... .,~ ,":;JI"/~ YOn f_ Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 7,157 1,407 400 4 30.00 8.40 15.00 26.40 ' 7.50 ' I DEVELOPMEN;f;iNFO'RMA'fION:,bY;"I;eqUlres y,., Cel'; 'VU rna. . vU10 ,""SO rUI"OrogOn &r;10U1RED PARKING nt,- ';flalh YOb/_, "lfoIJ ~Sa.re tlll~ Overlay Dist:'r' If Ce'll_, "If! Cap: Oh OA'" Setf;ot : 2 - fa f- . t>f Ie -Ii 9. VI # Street Tree~~j{d:~e Or~ (Note t S co Ihe r 52.ltar. icapped: Paved Drive Rqil[er IS I ,90'1 U' ,he 101 U/e<Oompact: -800 ilIIIt". Op!) ~y % of Lot Coverage: '33225.20Jllf/ Ofle -<314), Ca.llon I PUBLIC IMPROVEMENTS I ,~ , II Sidewalk Type: ., NOTICE:, ID . , nile:: P"RMIT "H ^l' ~.YPIR" I" THF WnRI( Downspouts rams: Storm water'runoffto dl chNStbrm-wllte'r Un lli'iV~Way divert to rain garden 11 AUTHORIZED UNDER THIS PERMIT IS NOT II COMrv'1El'JC.ED OR IS ABANDONED FOR ANY 1 SO DAY PERIOD, To Culvert - Provide Drainage Plan Pa2e I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvne of Construction A.C. - Residen Dwellines Garaee AC - Residential V Wood Frame Garage Fee DescriDtion Plan Review Residential + 10% Administrative Fee + 12% State Surcharge '+ 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Boiler/Comp Up To 100,000 btu Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Plan Review Major - Planniug Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer.;. Reimbursement. SDC MWMC Administrati,on SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Trans po Improvement SDC Transpo Reimbursement SDC. Transportation Admin Storm Drainage Impervio~,s Area Storm Sewer Each AddtI 100' Temp Power 200 amps or less Vent Fan Willamalane Single Family + 100/0 Administrative Fee + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01085 ISSUED: 08/2812008' APPLIED: 07/1712008 EXPIRES: 03/24/2009 VALUE: $ 165,907.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount 1,407.00 1,407.00 400.00 Value Date Calculated $7,035.00 $147,735.00 $11,200.00 $165,970.00 07/22/2008 07/17/2008 07/17/2008 Total Value of Project ~ Amount Paid $542.14 $136.65 $153.13 $74.36 , $280.00 $35.00 $14.00 $859.12 $5.00 $0.75 $7.00 $10.00 $90.35 $14.00 $211.00 $16.29 $462.80 $608.63 $10.00 $1,009.17 $97.90 $102.39 $888.98 $201.54' $78.82 $345.15 $16.00 $55.00 $21.00 $2,513.00 $15.90 $19.08 $7.95 $117.00 Date Paid Receipt Number 7/17/08 8/28/08 8/28/08 8/28/08 8/28/08 8/28108 8/28/08 8/28108 8/28/08 8/28/08 8/28/08 8/28108 8/28/08 8/28/08 8/28/08 8/28/08 8/28/08 8/28108 8/28/08 8/28/08 8/28108 8/28/08 8/28/08 8/28/08 8/28/08 8/28/08 8/28/08 8/28/08 8/28/08 8/28/08 10/16/08 10/16/08 10/16/08 10/16/08 Page 2 of 4 1200800000000000790 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001300 220080000000000]300 2200800000000001300 2200800000000001300 2200800000000001300 2200800000000001514 2200800000000001514 2200800000000001514 2200800000000001514 SP-IllINOFltn.J), -WMt't' ,""" "", 1 ' - 'c., .' ,~ :'~'~m',," >"d~ ,~'c CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01085 ISSUED: 08/28/2008 APPLIED: 07/17/2008 EXPIRES: 03/24/2009 VALUE: $ 165,907.00 . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring Ea Addtl 500 $42.00 10/16/08 2200800000000001514 Total Amount P,aid $9,061.10 Plan Reviews I . Initial Review 07/21/2008 07122/2008 APP LLH Public Works Review 07/22/2008 07/30/2008 APP LKW Storm water runoff to ditchl Storm water on driveway diverfto rain garden Structural Review 07/22/2008 07/31/2008 WE CJC Waiting for energy path option Structural Review 08/05/2008 08/07/2008 APP DLM Truss drawings submitted. Also, additoional energy efliciellcy measuer to be Item #23, Performance tested ductwork (per owner),8/5/08dlm See documents for Plan review comments. PlaiInine: Review 07/22/2008 08/20/2008 APP TAJ 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. ~ Rfrr\/}rp~1 I.,snections I, ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 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 Iinish materials. Framing Inspection:, Prior to cover and after all rough in inspections have been approved. . Wall Insulation: Prior to 'cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Pa2e 3 of 4 _~~F!.I!JIC3,~!I1~!:.!? ;,tj , :;f CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-01085 ISSUED: 08/28/2008 APPLIED: 07/17/2008 EXPIRES: 03/24/2009 VALUE: ' $ 165,907.00 225 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 Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underlloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling treuch and including required testing. Sanitary Sewer Line: Prior to -tilling trench and including required testing. Storm Sewer Line: Prior to tilling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including reqnired testing. Rough Mechanical: i Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approvalrequired prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. , , Final Electric: When all electrical work is complete. By sign'ature, I state and agree, that 1 have carefully examined'the completed applicatiou 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 Divisiou, Building Safety. I further certify that only contractors aud 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 frout of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Sign~ture Date Paee 4 of 4 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ' 2200800000000001514 Date: 10/16/2008 II :25:26AM Paid By WAYNE L ANTONE III Item Total: <":heck Number Authorization Received By Batch Number Number How Received Amount Due 121.00 44,00 8.25 19,80 16,50 117,00 42,00 B5 19,08 15,90 $411.4~ Job/Journal NumbV Description COM2008-01233 , Residence Wiring 1000 Sq Ft COM2008-01233 ~, Residence Wiring Ea'Addtl 500 COM2008-01233 + 5% Technologx Fee COM2008-01233 + 12% State Surcharge COM2008-01233 + 10% Administrative 'Fee COM2008-0 1 085 Residence Wiring 1000 Sq Ft COM2008-0 1 085 Residence Wiring Ea Addtl 500 COM2008-0 1 085 + 5% Technology Fee COM2008-0 1 085 + 12% State Surcharge COM2008-0 I 085 ' + 10% Administrative Fee Payments: Type of Payment CreditCard Amount Paid nJm 021899 In Person Payment Total: $411A8 $411.4~ cRcceintl Page I of 1 10/16/2008