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Home My WebLink AboutPermit Building 2008-12-5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/20/2008 EXPIRES: 06/05/2009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 MARKET ST ASSESSOR'S PARCEL NO.: 1703253203900 , Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition - utility room and carport Owner: ROSEBERRY MICHAEL W & SHEENA M Address: 1920 MARKET ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Contractor License ATT;::NTION: Oreaon law requires you to . . ""~~!W~IIUUlIlY folq"'BUlE-DlNG'I'N l?, set forth ~o~AR~9~'~~ "I -Q.01 p through OAR 952-001- 0090. YO~'fu Oolin caples of the rulesby calling e ~l: .tr~~!ltli'! the telepl\~" number . ~tI'e fllgon Utility ~lilan r T:rIl~BOO-332-2344). ange Type: Energy Path: Sprinkled Building: Expiration Date Phone # of Units: Primary Occupancy Group: R-3 Secondary Occnpancy Group: U Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: .Sq Ft Basement: Sq Ft GaragelCarport 'Sq Ft Other: Occnpant Load: 6,970 132 253 n/a I DEVELOPMENT INFORMATION . . Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.50 23.00 13.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Yes 33.20 REQUIRED PARKING Total: Handicapped: Compact: I PUB~EMEm;a'l.t"RE 'f ~ \S ~Oi Street Improvements: ) ';:~~~ ~MDER l\\\~p~n~~ ~~: Storm Sewer Available: AU1\\OR MeED OR \S I\.Bjl.lffi,wnspoutslDrains: Special[nstruction: eoMME DjI.'{ PERIOD. . N S b. d' d .. 3' AM'{ 1d80, otes: torm water emg Iverte to eXlstmg lU. storm ram. I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Valne Date Calculated Paee I of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/20/2008 EXPIRES: 06/05/2009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 18,370.00 $18,370.00 $18,370.00 11/20/2008 Total Value of Project ~ Fee Descriotion Amount Paid Date Paid Receipt Nnmber Plan Review Residential $131.70 11120/08 2200800000000001670 + 10% Administrative Fee $25.46 12/5/08 2200800000000001714 + 12% State Surcharge $30.55 12/5/08 2200800000000001714 + 5% Technology Fee $12.73 12/5/08 2200800000000001714 Building Permit $202.62 12/5/08 2200800000000001714 Fixture $34.00 12/5/08 2200800000000001714 MinimumlAdjustment Plumbing $18.00 12/5/08 2200800000000001714 SDC MWMC Administration $7.92 12/5/08 2200800000000001714 Storm Drainage Impervious Area $158.40 12/5/08 2200800000000001714 Total Amount Paid $621.38 Plan Reyiews I Public Works Review 12/05/2008 ACC JLP Called to front counter. Per David, no new washer. Additionally, sink being deleted from project. New SDC created, fee's added, worksheet added to Tidemark. JLP \ Initial Review 11/21/2008 11/24/2008 APP LLH Public Works Review 1112412008 11124/2008 APP BJG Storm water routed to existing 3 in. storm drain. Structural Review 11124/2008 11126/2008 APP CJC Approved as noted on plans and plan review letter PlanniD!! Review 11/24/2008 12/01/2008 APP DDK No Planning Issues. 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. ~eollirp<Unsilections ~ Footing:' After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insnlation or decking. Floor Insulation: Prior to decking. Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/20/2008 EXPIRES: 06/05/2009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Bnilding Inspector. Final Building: After all required inspections have been reqnested and approved and the bnilding is complete. , Perimeter Foundation Drains: After gravel and filter cloth is installed bnt prior to backfill. Underl100r Plnmbing: Prior to insulation or decking. Underl100r Drain: Prior to cover or placement of concrete. Rongh Plnmbing: Prior to cover and inclnding reqnired testing. Water Line: Prior to filling trench and inclnding reqnired testing. Sanitary Sewer Line: Prior to filling trench and including reqnired testing. Storm Sewer Line: Prior to tilling trench. Final Plnmbing: When all plumbing work is complete. Rongh Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Ufer Electrical Gronnd: Install ground rod at footing and call for inspection in conjnnction with footing andlor fonndation inspection. By signature, I state and agree, that J have carefully examined the completed application and do hereby certify that all information hereon is trne 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 ofthe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ft,~..L I' U/ ~.~ L Owner or Contractors Signatnre I ~ ~ tJ .\_0 P3 . Date Paee 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR lOB NUMBER: COM2008-01693 NAME OR COMPANY: Michael Roseberry en UJ LOCATION: 1920 Market St. 0 TAX LOT NUMBER: 1703253203900 0 U DEVELOPMENT TYPE: Sinl?lc Familv Residence c.:: NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): 0 ~ en I. STORM DRAINAGE Per David B. no new Washer or Sink. Revised Worksheet 1215108. lP ~ 0 DIRECT RUNOFF TO CITY STORM SYSTEM ~ I IMPERVIOUS S.F. x I COST PER S.F. I = I CHARGE I 444.00 50.357 $158.40 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 DISCOUNT I I 0.00 I 50.357 50% ~ $0.00 ITEM I TOTAL-STORM DRAINAGESDC I SI58.40 I I S158.40 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBERO OF DFU's I x I COST PER DFU I I 527.67 I ~ I $0.00 1091 B. IMPROVEMENT COST: I NUMBERO OF DFU's I x I COST PER DFU I 521.04 - I SO.OO 1092 ITEM 2 TOTAL- CITY SANITARY SEWER SDC = I SO.OO I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OOF UNITS I x I COST PER TRIP I x INEWTRlPFACTORI 9.57 21.06 1.00 = I SO.OO 1093 B. IMPROVEMENT COST: I ADTTRIP RATE I x I NUMBER OOF UNITS I x I COST PER TRIP I x INEW TRIP FACTORI 9.57 I 592.89 I I 1.00 I ~ I SO.OO 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC ~ I $0.00 I 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: !NUMBER ~F FEU's I x ICOST PER FEU I I S97.90 I = I SO.OO 1054 B, IMPROVEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU I I SI.009. t 7 I = I SO.OO 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ I SO.OO 1054 MWMC ADMINtSTRA TIVE FEE ~ I $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~I $0.00 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) I SI58.40 I I 5. ADMINISTRATIVE FEE: I SUBTOTAL I x I ADM. FEE RATE 1= I CHARGE I S158.40 5% S7.92 TOTAL SANITARY ADMINISTRATION FEE: I 7.92 t079 TOTAL TRANSPORTATION ADMINISTRATION FEE: I SO.OO 1078 Jeff Prociw Revised 12/5/08 TOTAL SDC CHARGES -I $166.32 PREPARED BY DATE -. NUMBER OF NEW F1XTURES x UNIT EQUIVALENT - DRAINAGE f1XTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FlXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUlV ALENT UNITS BATHTUB 0 0 3 0 DRINKING FOUNTAIN 0 0 1 - 0 FLOOR DRAIN 0 0 3 - 0 INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESW ASHER I MOP SINK 0 0 3 0 CLOTImSW ASHER - 3 OR MORE lEA \ 0 0 6 - 0 MOBILE HOME PARK TRAP II 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. I 0 0 3 - 0 SHOWER, SINGLE STALL 0 0 2 - 0 SHOWER, GANG ER OF HEADS) 0 0 2 - 0 SINK: COMMERClAURESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASlNlDOUBLE LAVATORY 0 0 2 - 0 SINK: SlNGLELAVATORYIRESIDENTIAL BAR 0 0 1 - 0 URINAL, STALL I WALL 0 0 5 - 0 TOILET. PUBLIC INSTALLATION 0 0 6 - 0 TOILET, PRlV A TE INSTALLATION 0 0 3 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS I 0 -EDU (Eauivalent Dwellinu Unit) is a discharpc t'1Iuivalent to a sinl!'le familv dwellin2 unit (20 DF1J's) set at 167 "'..lions nl':r dav DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR I CREDIT RATElS I ,000 II ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enler I for Yes, 2 for No) 1979 $5,29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enler I for Yes. 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE I 1000 CREDIT RATE 1985 $4.40 SO.oo x S5.29 ~ I SO.OO 1986 $4,07 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AITER ANNEXA TlON) 1988 $3.22 VALUE 11000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 ~ I 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = I SO.OO 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0,92 1997 $0.72 1998 $0.48 1999 $0.28 2000 I $0.09 2001 $0.05 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2008-01693 NAME OR COMPANY: Michacl Roscberrv Vl W LOCATION: 1920 Markct Sl Cl TAX LOT NUMBER: 1703253203900 0 U DEVELOPMENT TYPE: Single Familv Residence ~ NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): 0 W f-- Vl 1. STORM DRAINAGE (3 W DIRECT RUNOFF TO CITY STORM SYSTEM ~ I IMPERVIOUS S.F. x I COST PER S.F. I = I CHARGE I I 444.00 $0.357 $158.40 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IIMPER~~US S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT I $0.357 50010 = $0,00 ITEM I TOTAL - STORM DRA[NAGE SDC I SI58.40 I I S158.40 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBE~ OF DFU's I x I COST PER DFU I I S27.67 I ~ I S[38.33 1091 B. IMPROVEMENT COST: I NUMBER5 OF DFU's I x I COST PER DFU I S21.04 = I S105.18 1092 ITEM 2 TOTAL- CITY SAN[TARY SEWERSDC = I S243.51 I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRlPRATE I x I NUMBER OOF UNITS I x I COST PER TRIP I x INEW TRIP FACTORI 9.57 21.06 ~ I SO.OO 1093 1.00 II. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OOF UNITS I x I COST PER TRIP I x INEWTRIPFACTORI 9.57 S92.89 1.00 ~ I SO.OO 1094 ITEM 3 TOTAL - TRANSPORTATION SDC ~ I SO.OO I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU I I S97.90 I = I SO.OO 1054 B. IMPROVEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU I I $1.009.17 I = I SO.OO 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) = I SO.OO 1054 MWMC ADMINISTRATIVE FEE ~ I SO.OO 1056 ITEM 4 TOTAL- MWMC SANITARY SEWER SDC = I SO.OO I SUBTOTAL (ADD ITEMS 1,2,3, & 4) -I $401.91 I I 5. ADMINISTRATIVE FEE: I SUBTOTAL I x I ADM. FEE RATE I- I CHARGE I $401.91 5% $20.10 TOTAL SANITARY ADMINISTRATION FEE: I 20.10 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: I SO.OO 1078 Ben Gibson 11/24/2008 TOTAL SDC CHARGES -I $422.01 PREPARED BY DATE '. NUMBER OF NEW FlXTIJRES x UNIT EQUIVALENT - DRAINAGE FIX11JRE UNITS (NOTE' FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FlXTURESl NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 0 0 3 - 0 DRINKING FOUNTAIN 0 0 1 - 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO W ASHI ETe. A- 0 6 = 0 LAUNDRY TUB t/r-J 0 2 - 2 CLOTIIESW ASHER I MOP SINK ........,. 0 3 - 3 CLOTIIESWASHER - 3 OR MORE lEA) 0 0 6 - 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 - 0 RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 - 0 RECEPTOR FOR COM. SINK I D1SHW ASIIER I ETC. I 0 0 3 - 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG fNlJMllER OF HEADS) 0 0 2 = 0 SINK: COMMERCIALlRESIDENTIAL KITCHEN 0 0 3 - 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLELAVATORY 0 0 2 - 0 SINK: SINGLE LAVATORYIRESIDENTlAL BAR 0 0 1 - 0 URINAL. STALL I WALL 0 0 5 - 0 TOILET, PUBLIC INSTALLATION 0 0 6 - 0 TOILET. PRIVATE INST ALLA TION 0 0 3 - 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS I 5 .EDU (Eauivalcnl Dwellin2 Unit) is a dischar2e couivalenl1o a sin!i!.lc familv dwellin2 unit (20 OF11s) set at 167 ".llons....... da" DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR I CREDIT RATEI$I,OOO JI ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (EllIer I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4,98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE I tOOO CREDIT RATE 1985 $4.40 $0.00 x $5.29 ~ I $0.00 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE I 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 = I 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = I $0.00 1993 $1.45 1994 $1.25 199' $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 1 $0.09 2001 $0.05 225 Fifth Street Springfield, Oregon 97477 541'-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ,2200800000000001714 Date: 12/05/2008 11:46:08AM Job/Journal Numbe!" COM2008-0 1693 COM2008-0 1693 COM2008-0 1693 COM2008-0 1693 COM2008-0 1693 COM2008-0 1693 COM2008-0 1693 COM2008-0 1693 Payments: Type of Payment Check cReceinl J Description Fixture Minimum/Adjustment Plumbing Building Permit Stann Drainage Impervious Area SDC MWMC Administration + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By MICHAEL ROSEBERRY ReceivedBy Check Number Batch Number djb I Page 1.01' I Item Total: Authorization Number How Received Amount Due 34,00 18,00 202.62 158.40 7.92 12.73 30,55 25.46 $489.68 Amount Paid 901 $489.68 $489.68 In Person Payment Total: , 12/5/2008 . DEVELOPMENT SERVICES DEPARTMENT December 8, 2008 Michael and Sheena Roseberry 1920 Market Street Springfield, Oregon 97477 On December 5, 2008 ollf office issued permits to you or your representative foran addition to your residence located at 1920 Market Street, Springfield, Oregon. While calculating the fees for that permit, the plan reviewer negle'cted to include the Fire Department Fee, leaving a balance due of $21.18 for this project. 225 FIFTH STREET SPRINGFIELD, OR 97477 , (541) 726-3753 FAX (541) 726.3689 www.ci.springfield.or.us Please pay the amount due prior to requesting your fmal inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make paYment by mail, or you are welcome to make payment in person at our office. Our office hoUrs are 8:00 a.m. -noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologize for any inconvenience this may cause you. If you have any questions please feel free to contact me at 541-726-3790. ~~ Lisa Hopper Co=unity Services Building Safety Status Issued CITY 01' ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12105/2008 APPLIED: 11120/2008 EXPIRES: 07109/2009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691pspection Line SITE ADDRESS: ' 1920 MARKET ST ASSESSOR'S PARCEL NO,: 1703253203900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition - utility room and carport Owner: ROSEBERRY'MICHAEL W & SHEENA M Address: 1920 MARKET ST SPRINGFIELD OR 97477 Phone Number: 541-741-2393 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I 13.00 Wan Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 6,970 132 253 nla I.DEVELOPMENTINFORMATlON I REQUIRED PARKING Overlay Dist: A7'j, Total: 12.50 # Street Trees Rqd: fOIIOl/,:t:"rrION: 0 Handicapped: 23.00 Paved Drive Rqd:, NOlifi 'Uley~ regOnY<l1mpact: 13.00 % of Lot Coverage: In OA.Rllt/OIJrw, OPted b W'equ' NOnZ^ 0,00 0090 .,.,95<-001 bear. rhoJethe Or;greS You to -,., ,_~. ('0';' Ou Ih~i - lrJ '" rUlo" On II,,,.. A,U7-~ PER;"'T . I PUBLIC IMPROVEMEN~b~~ J.ne C~n~~l11in d~~~h OA.R ~~et fo~ti-, f'A '70R/.> SIi ' , ' O'!he rl r. (Not s Ofth <-001 Street Improvements:lM,t1l" ~FO ~ 'ALL E"" ~t'r111<'~ U': the tel e rUles b . A,~/v 'ONCE NOE!> "PIRE . s 1-Bnn tl/ity IV epho Y Storm Sewer Avaihible:7 800 0 OR /. '} THfS If: TIi. DownspOufS7l:l~23 otifica.te Speciallnstrnction: 'AI' PER S A,SA,M PERM/T'E' WOR/( , . . 44). IOn fOo. VOIVE. /S IVn Notes: Storm water being diverted to existing 3 in.qJjfl,q dr'lifu. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I Valuation Descrip,tion I DescriPtion Type of Construction $ Per Sq Ft . or multiplier Square Footage or Bid Amount Value Date Calculated Piee I of 4 _SI'!!~I",Pijl!>'~i. f, ' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 1112012008 EXPIRES: 07/0912009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amounl Use Bid Amount $1.00 18,370,00 $]8,370.00 $]8,370.00 ] 1/20/2008 Total Value of Projecl L-FpPIii P'lirl I Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $131.70 11/20/08 220080000000000]670 + 10% Administrative Fee $25.46 12/5/08 ' 220080000000000]7]4 + 12% Siate Surcharge $30,55 ]215/08 220080000000000]7]4 ,+ 5% Technology Fee $12,73 1215/08 2200800000000001714 Building Permit $202.62 1215/08 2200800000000001714 Fixture $34,00 ,1215/08 2200800000000001714 Minimum/Adjustment Plumhing $18.00 12/5/08 2200800000000001714 SDC MWMC Administration $7,92 1215/08 2200800000000001714 Storm Drainage Impervious Area $158.40 1215/08 2200800000000001714 + 10% Administrative Fee $1.93 1/6/09 2200900000000000016 + 12% State Surcharge $12.60 1/6/09 22009000000000000]8 + ]2% State Surcharge $21.36 1/6/09 2200900000000000016 + 5% Technology Fee $5,25 1/6/09 2200900000000000018 + 5% Technology Fee $8.90 1/6/09 2200900000000000016 Add, Alter, Extend Circ Ea Add $24.00 1/6/09 2200900000000000016 Add, Alter, Extend Circ Ea Add $24.00 1/6/09 2200900000000000018 Fire SF Fee - Residential $19.25 1/6/09 2200900000000000016 Perm Serv/Fdr 200 amps or less $73.00 1/6/09 2200900000000000016 Perm Serv/Fdr 200 amps or less $81.00 1/6/09 2200900000000000018 Perm Serv/Fdr 200 amps or less $81.00 1/6/09 2200900000000000016 Reversal - ;+ 100/0 Administrativ $- 1.93 1/6/09 2200900000000000017 Reversal- + 12% State Surchar $-21.36 1/6/09 2200900000000000017 Reversal - + 5% Technology Fee $-8.90 1/6/09 2200900000000000017 Reversal - Add, Alter, Extend $-24.00 1/6/09 2200900000000000017 Reversal - Fire SF Fee - Resid $-19.25 1/6/09 2200900000000000017 Reversal- Perm Serv/Fdr 200 a $-81.00 1/6/09 2200900000000000017 Reversal - Perm Serv/Fdr 200 a $-73.00 1/6/09 2200900000000000017 + 12% State Surcharge $44.88 1/9/09 2200900000000000027 + 5% Technology Fee $18.70 1/9/09 2200900000000000027 2 Baths One or Two Family $374.00 1/9/09 2200900000000000027 Total Amount Paid $1,181.81 Initial Review Plan Reviews , 12105/2008 ACC JLP Called to front counter. Per David, no new washer. Additionally, sink being deleted from project. New SDC created, fee's added, worksheet added to Tidemark. JLP 1l/21J2008 1l/24/2008 APP LLH Paee 2 of 4 Public Works Review CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01693 ISSUED: 12/0512008 APPLIED: 11/20/2008 EXPIRES: 0710912009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone .541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 11/24/2008 11/24/2008 APP BJG Storm water routed to existing 3 in. storm drain. Structural Review 11/24/2008 11/26/2008 APP CJC Approved as noted on plans and plan review letter PlanniD!! Review 11/24/2008 12/01/2008 APP DDK No Planning Issues, To Request an inspection call the.24 hour recording at 726-3769. All inspections requested hefore 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. L.Reolliref}Jnsnections I 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 all rough in inspections have been approved, Wall Insulation: 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 all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill., Vnderlloor Plumbing: Prior to insulation or decking. Undertloor Drai~: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. . 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection.. Pace3 of 4 I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED:, 12/05/2008 APPLIED: 11120/2008 EXPIRES: 07/09/2009 VALUE: $ 18,370.00 By signature, I state and agree, thai 1 have 'carefully examined t~e co'mpleted application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther 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. !lAAA~1 1// I?t6uL --- ~ Owner or Contractors Signature , i P42e 4 of 4 , I-g-DC] Date Plumbing Permit Application . . 225 Fifth Street. Springfield, OR 97477 . PH(541)726'3753 . FAX(541)726-3689, , I Permit no: tXf(y\,!:)CCf)- 01 LoQ31 I Date: \ -q -:-D9 I This permit is issued under OAR 918-780-0060, Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or ifwofk is suspended for 180"days, , ' 1~1!''\'''!iilf0g'AL,!lJIG0VE~N1IIIENJEi!'~f!,e~0y~~~.1t~~1.\';k~'!i1!l, ~;;'7:;Yi1'iil..~4t~t.~~I;EI::.~s.cI;lE,()l!JIiE!f~;Y~~~~i~1 I Zoning approval verified? 0 Yes 0 No I: ~!~~:E_.1l12:11i}1li!JII!J~}~1 I Sanitation approval verified? 0 Yes 0 No I r I New residential I 1-'~~P'.MiEG:O~"'(10F,!C:0NsmRl!JC:1F10Ni:i~1 1 bathroomll kitchen (includes, first " . l[a/Reside~tial",' d ...,ID~~v.e~ent . " m.m1 g. COrnlI1~rcial_ _ _.1: bf~:~~; %cl~~~r~~de~fl~~::~~~;~int $238.00 $ 1~~J0BltSI[!jEl!'lryIiORlVIAillIQry~?~NQi!iL!0_C7.\'TI10Nf~r~l, drains and rain.drain packages) I Job site address: i CI J 1') 1m (tiC-ICC'::! r r::- I I 2 bathroomsll kitchen. $374.00 I C' .<" ., Is. 01'. (ZIP' C7.A 1'. "7 ,13 bathroomsll kitchen $439.00 tty.. )P R t ~6-~1 eL--D tate.. . 'I 'f, I ,I Each additional bathroom (over 3) $95.00 I SubdlYlslOn: I Lot no.: : I Each additional kitchen (over I) 1 $95.00 1~~1!!IIl!!ID]:SC~IF1mI0N!1.01".aW.ORK~~~~~~11'l'lil I I Residential fire sprinklers (includes plan review) I f.&fIPG -, b-mtlt'1ifl IIOt02,000squarefeet $58.00 I ; I 2,00 I to 3,600 squarefeet $116.00 11r~'l!\~-41jRRQaEBJrY~QW.NERw.:~"I~ii1f-iPliiilIlt~ I 3,601 to 7,200 square feet $174.00 I Name: n11c.U-IH?L f<oc;([!8r;R..R..t/ . 1,17,201 squarefeet and greater $232.00 I c-: I ' I Manufactured dwelling or pre-fab (circle one) Addres: I q:n M k.R..1CP/ ) r.., I Connections to building sewer and I I $58.00 I $ I C' . r: ,/'-?fA r S . (!I R.. I ZIP' "'."7 . 7) water supply tty. _I A IlIu.o//!t3 1) tate. . f /: I Commercial, industrial, and dwellings other than one- or I Phone: 5'<((-l'lf 2) if ') I Fax: I, two-family . I E-mail: I ' 1 Minimum fee I I $58.00 I $ Th" II' . b . d "d' I ' I Each fixture $19.00 $ IS msta atlOn IS emg ma e on resl entIa or ,arm property .' . owned by me or a member of my immediate family, and is 1 MIScellaneous fees' exempt from licensing require~ents ~~I:r OAI)o918-69S-0020, ,1100' stonn, s/~,trrf"M"'&le. . j $76.00 $ Signature: IJi1AAAI tV, !\r:tM../h. 1 Each fixtur~i!?pp1Jtt~.. ~WPfI!m, ~., $19.00 $ 1=::~:~Nm~GIIlQR'i'N$$p.:[!lb'A!mc1Nf~~~t~~if~~I..1 ;~~::i::::~~~~~~:~b~~;~Y:;'~L~/U~~~~, I Address: I' ;~~:~~~:~g~~^,\~~~Jf~~ '~~; ~~~h JA~fa~ ;C~fh I City: I State: I ZIP: I : I Specialty fixl6ffisH.'O(/h~ ~r. (No/, " :~~ Tft~~i'}J6, 'ji' I I I I RemspectlOn (no. ~tt;e~ fse.pei')ml U 'iN.. l~et$511il1.ih ,"y Phone: Fax: I I Special requested inspections (nll':W-33 2-iJ, 'Ul~~o'~ ~ $ I E-mail: Nn..., I : I hrs, x fee per hr.) 4), .' I I CCB license no.: rHI-;" 1tm':n license no.: . I' Each additional inspection: (I) $58.00 $ I Plumbing license no. _I/Ur!-t;;t:!rMI7" "c: I~M~1lic'li'I[gi-;;Wipi""111j#jl![IIf:~;~JI Minimum fee 1 $ 1 I P. t. vU/iAAn-'flI<'[D I uI"f4ll I Enter ,value of installation and equipment $_. 1 I s;;a:::e 1:lr7;;~~~~t~1~~:~i~f:: rife ~ i~_~;i~o~i~~~~lw;Ji~~~~1 . 'fRIOD 'l/IVDON. 'fVtlr IS Pfi'I'(\) Entersubtotalofabovefees 'I .' ,,'fD FOR ~q71Minimum Permit Fee $58.00)' $;j'lLI : I (B) Investigative fee (equal to [AJ) $.1 : I (C) Enter 12% surcharge (.12 x [A+BJ) . $ qL\. 'i"-I<: I , I (D) Technology Fee (5% of[AJ) $ I IS, 101 i TOTAL rees and surcharges (A through D): $ L~31, elf $ $ $ $ $ $ :. $ 440-2500-1 (I t/OB/COM) 225 Fifth Street Springfield, Oregon 97477 541.726-3759 Phone Job/Journal Number COM2008-0 1693 COM2008-01693 COM2008-01693 , Payments: Type of Pay~ent CreditCard cReceintl RECEIPT #: '. ,Description , .. 2 Baths One or Two Family + 5% Technology Fee + 12% State Surcharge Paid By MICHAEL W ROSEBERRY , I j I. 2200900000000000027 Received By I L:heck Number Batch Number KR I. Page 1 of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/09/2009 Item Total: Authorization Number How Received 214508 In Person Payment Total: 8:22:20AM Amount Due 374,00 18.70 44.88 $437,58 Amount Paid $437.58 $437.58 119/2009 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 MARKET ST ASSESSOR'S PARCEL NO.: 1703253203900 CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/0512008 APPLIED: 11/2012008 EXPIRES: 07/0912009 VALUE: $ 18,370.00 Springfield. TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Addition - utility room and carport Owner: Address: ROSEBERRY MICHAEL W & SHEENA M 1920 MARKET ST SPRINGFIELD OR 97477 TYPE OF USE: Addition Residential Phone Number: 541-741-2393 I CONTRACTOR INFORMATION I Contractor Type ' Electrical Contractor CROW VALLEY ELECTRIC . BUILDING INFORMATION I # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: Height of Structure Type of Heat: ' Water Type: Range Type: Energy Path: Sprinkled Building: License 149834 Expiration Date 12/13/2009 Phone 541-4614062 I 13.00 Wall Heat Lot Size: Sq Ft 1st Floor: . Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport. Sq Ft Othef: Occupant Load: 253 6,970 132 nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: , Side 2 Setbac~ Rearyard Set6'~ Solar Setba.!k,;S 7C~. .4,._ b;... CO-'IfO~iy14lr . . 411/,,'1414;:/</:0 Sif4.' Street Improvem~t.: U;j;1' <( ~ . 'O'O/) (:0 n <//:/> <'.f'p Storm Sewer Avai'~%e:''f? IS 'J rlf/. 7,S>/: ,I, Special Instruction: ~'f?10 484, 0' p/:1' rlf/: Z? WOO 't1411: *0 Notes: Storm water being diverte~6l~tWll1J..~storm drain, OR ~vUr 12.50 23,09 13.00 , 0,00 Overlay Dist: # Street Tree~ Rqd: Paved Drive Rqd: % of Lot Coverage: . I PUBLIC IMPROVEMENTS I I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount TVP~~~ . \' ~--v~ Paee 1 of 4 REQUIRED PARKING Total: Handicapped: Yes Compact: 33,20 I.A"""f::',~ VI/OW . 'VIV: Nor. rUl . Ore I. "'0a.1' es a.do gon Ia. . ~lV 10'tar~ Pted W re OOlJo.' ,,~2_(jQ,lter. Ih by the (JUires Yo CI} , T~ ,'1l.iIf'd' oSe r rego U to ~~~mgMe;YOb~~M~~~~a.~~f:~ er far th enter. (/I{,ooPies o,'AA 9520 Orth Cente e Oreg Ote'th the rUI - 01. r is 1_8001] Utilit e teleph es by O-?o^ y Nn...,. on" - <044). "-cillon Value Date Calculated Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 ,Phone 541-726-3676 Fax 541-726-3769Inspection Line Bid Amount Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Minimum/Adjustment Plumbing SDC MWMC Administration Storm Drainage Impervious Area + 10% Administrative Fee + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 200 amps or less Perm ServlFdr 200 amps or less Reversal - + 10% Administrativ Reversal- + 12% State Surchar Reversal - + 5~o Technology Fee Reversal - Add, Alter, Extend Reversal - Fire SF Fee - Resid Reversal - Perm ServlFdr 200 a Reversal - Perm ServlFdr 200 a + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $131.70 $25.46 $30,55 $12,73 $202,62 $34,00 $18,00 $7,92 $158.40 $1.93 $12,60 $21.36 $5.25 $8,90 $24.00 $24.00 $19.25 $73.00 $81.00 $81.00 $-1.93 $-21.36 $-8.90 $-24.00 $-19,25 $-81.00 $-73.00 $44.88 $18.70 $374,00 $10.44 $4,35 $6.00 $81.00 $1,283,60 $1.00 Total Value of Project 18,370.00 ,Fee., Paid I I Plan Reviews I Date Paid 1l/20/08 1215/08 12/5/08 . 12/5/08 12/5/08 12/5108 12/5/08 1215108 12/5108 . 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/9/09 1/9109 1/9/09 1/12/09 1/ 12/09 1/12/09 1/12/09 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/20/2008 EXPIRES: 07/09/2009 VALUE: $ 18,370.00 $18,370,00 $18,370,00 11/2012008 Receipt N umher 2200800000000001670 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200900000000000016 2200900000000000018 2200900000000000016 2200900000000000018 2200900000000000016 2200900000000000016 2200900000000000018 2200900000000000016 2200900000000000016 2200900000000000016 2200900000000000018 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000027 2200900000000000027 2200900000000000027. 2200900000000000039 2200900000000000039 2200900000000000039 2200900000000000039 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/20/2008 EXPIRES: 07/09/2009 VALUE: $ 18,370.00 Status ,Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 12/05/2008 ACC JLP Called to front counter. Per David, no new washer. Additionally, sink being deleted from project. New SDC created, fee's added, worksheet added to Tidemark, JLP Initial Review Public Works Review ll/21/2008 ll/24/2008 ll/24/2008 11/24/2008 APP , APP LLH BJG Storm water routed to existing 3 in, storm drain. Structural Review 11/24/2008 11/26/2008 APP CJC Approved as noted on plans and plan review letter Planning Review 11124/2008 12/01/2008 APP DDK No Planning Issues. 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. Re(]~irerllns'lections' ...... 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 Ins~ection: Prior to cover and after all rough in inspections have been,approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of conc,rete, Provide report to City Building Inspector. Final Building: After all required inspections have been requested and. approved and the building is complete. Perimeter Foundation Drains: After gravel and tilter cloth is installed but prior to backfill. U nderlloor Plumbing: Prior to insulation or decking. Underlloor Drain: Prior to cover or placement of concrete, Rough Plumbiug:' Prior to cover and including required testing, 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. Page 3 of 4 CITY OF SPRlr~u1'lJ!,LD Building/Combination Permit Status Issued PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/2012008 EXPIRES: 07/09/2009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, Final Electric: When all electrical work is complete, Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footiug andlor foundation inspection. '! By signature, I state and agree, that I have carefully 'examiued the completed application and do hereby certify that all infonnation 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 tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I fnrther 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 ofthe property, and theapprnved set of plans will remain nn the site at all times during construction. Owner or Contractors Signature Date Pa2e 4 of4 City of Springfield Electrical Authorization To Begin Work E-mailedTo:crowvalleyelectric@comcast.net Receipt # EC544940 1112/200912:50:18 PM Check on status of permit By Phone: (541)726-3753 or Em.il: permitcenter@ci.springfield.or.us I [K] 1 or 2 family dwelling D Multi-family D Commercial I Industrial I D New construction [X] Addition/alteration/replacement IJob no.: IJob address: ]920 MARKET ST I City/ScateIZIP: SPRINGFIELD, OR 97477-3346 J Suitelbldg./apt.no.: I Project name: Cross street/directions to job site: I Subdivision: I Tax map/parcelno:: 1703253203900 ILot no.: - Limited energy, (with above SQ. ft.) I-Limited energy, multifamily residential (with above SQ. ft.) I "Limited energy, commercia") not offered online at this jurisdiction (with above sq. ft.) I . Stand-alone limited energy, I residential . I - Stand-alone limited energy, I multI-family I - Stand-alone limited energy, commercial SERVICE CHANGE 1200 amps or less [2] 120 I amps to 400 amps [2] 140 I amps to 599 amps [2] $81.00 $81.001. I I 1200 amps or less [2] 201 amps to 400 amps [2] 1401 ampS'to 599 amps [2] IName: MARTY GRAY IPhone: (541) 501-6842 jFax: CROWVALLEYELECTRIC@COMCASTNET I A Fee for branl;)f8'~.... \~ilh sefVlceorfe if )t~ branch C1rc~"~~ ':lJ' 0,11 I 8 F"fOr~l"iK'l~ts ~e8 . VrS I without ~ '<'&/ ~~ 1/( 0 '()Ol} first bnlndi ~~ll1f. :5";> ;; Cep: _ ~t~r:' ;; Ic 'If, ,_ e,chad 1~9."R4it 0,_ ;': l'h/rl)~ "ClIJ/I", ~ 2M'fscell1l1l ~~.~T'*. Jio;::diJ./t.Lf:~q,"};U'l!~llo~?/;;t;e~"%"7l;'j6~,^~:R ""=",,,,"~,,,,,,,,,,,,,.."'~"''<'~~^_,,>.,,^,,Ur_..l'''../II'''''''''''''' - "",."=.tz.. P.i:i!". ~.,t= 1 Service reconn;n.-9gymf(}fer ;/~! Co:',,!Pf, ;':'~,,^qie ~ i Ut/~i~. 1 I Each ?1anufac~ureir6tG9oauJ.a{re rivO{~"l;;;'05. Of -i'18S "{fo~.r I dwellmg, servICe and/or f6Bdj": ~ 01} (.;,"!, tl) tl)e ' "00' il) 121 . -BG 1 _ fJl,. ,'t"", rUl, 1. I Pump or irrigation circle [2] l1d<~;~_ VOh~~ho~; 0)/ 1 I Sign or outline lighting [2] ....'-11). .'L.-G>It;,C I Signal cin.:uit(s) or Ii.mited- I /. energy panel, ulteratlOn, or extension $6,00 $6,00 lie. no.: 20-317C I CeB lie; no.: 1 Business Name: CROW VALLEY ELECTRIC I Contact: MARTY GRAY IAddrcss: 2952 ALLANE LN STlfP I my/State/ZIP: EUGENE OR,9,~l4hw I Phone: (541)4610387 '1i-~: IFax: (541)4614062 I Emaii: crowv.lIeye1cctr;<;@<:p~~):J>l.1l).41J.. I. --'MA, 'If.f 'j",.." Metro he. no.: 41' "'Wl?~. <'!:Il . r""1:l11" no.: 1 Supervising electrician's Ii. ol@/)4f~/) ~1V!Jr-:.i CJ.-.~. ISnpcrv;s;ng electr;c;an's name: -MI.ltFr'j.Yli'l~rJ...YHie)J.(~ (r-_ . tJ>; - /off) . P. lit Upon rev;ew and approval by your locar1@hdri~.f!g;(i-9,A, 'I: /1t, permit will be e-mailed or faxed within one~Slnes~ 'vii,. ,V~ with instructions on how to schedule your Inspection. 'I:() J'o /S A/V :t " ~ ~r NOTE: This Authorization To'Begin Work expires within 180 'Ii days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it d09$ not meet applicable land use laws and local ordinances. I Subtotal I State Surcharge (12% of permit fee) I City Of Springfield fees. I TOTAL PERMIT FEE. . City"OfSpringfield fees: 5% Technology Fee [Default number oj inspections allowed] $87,00 I $10.44 I $4,35 I $101.79 I . C[)f<\20D~- Ouleq 3 . d dOOq - 3C) 1\&09 . This Aut~orization To Begin Work must be posted ~t th~~ite until replaced by a Pern~it. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal.Number COM2008-0 1693 COM2008-0 1693 COM2008-0 1693 COM2008-0] 693 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000039 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Clrc Ea Add .;: 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Date: 0111212009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE CROW Online VALLEY ELECTRIC Payment Total: Page 1 of I 1:01:32PM Amount Due 81.00 6,00 4,35 10.44 $101.79 Amount Paid $101.79 $IU1.79 1/12/2009 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 MARKET ST ASSESSOR'S PARCEL NO,: 1703253203900 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I693 ISSUED: 12/05/2008 APPLIED: 11120/2008 EXPIRES: 07/13/2009 VALUE: $ 18,370.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Addition - utility room and carport . Owner: ROSEBERRY MICHAEL W & SHEENA M Address: 1920 MARKET ST SPRINGFIELD OR 97477 TYPE OF USE: Addition Residential Phone Number: 541-741-2393 " I CONTRACTOR INFORMATION 1 Contractor Type Electrical Mechanical Contractor CROW VALLEY ELECTRIC . MARSHALLS INC License 149834 25790 Expiratio~ Date 12/13/2909 12123/2009 Phone 541-4614062 541-747-7445 BUILDING 1NFO~MATlON.1 . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I 13,00 Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ga;age/Carport Sq Ft Other: Occupant Load: 253 6,970 132 nla I DEVELOPMENT INFORMATION 1 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12,50 23,00 13,00 0,00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Yes 33,20 REQUIRED PARKING Total: Handicapped: .. <Compact: -"~"'.'~._"'::::-::-' Street Improvements: I ~UBLlC IMPROVEMENTS 1 Storm Sewer Available: Special Instruction: Notes:Nd'ttC!~ater being diverted to existing 3 in, storm drain, THIS PERMIT SHAll EXPIRE If THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, , Paee I of 4 AT)"ENTIO,N: Oregcih law requIres you to fo~b*'Yal~gl~Bfipted by the Oregon Utility NO~@&&!II~l>inli~ose rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling fhe cenfer, (Note: fhe 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 Descriotion Tvoe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential + 10%Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Fixture MinimumlAdjustment Plumbing SDC MWMC Administration Storm Drainage Impervious Area + 10% Administrative Fee + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Perm ServlFdr 200 amps or less Perm ServlFdr 200 amps or less Perm ServlFdr 200 amps or less Reversal- + 10% Administrativ Reversal- + 12% State Surchar Reversal - + 5% Technology Fee Reversal - Add, Alter, Extend Reversal - Fire SF Fee - Resid Reversal- Perm ServlFdr 200 a Reversal - Perin ServlFdr 200 a + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less + 12%StateSurcharge + 5% Technology Fee I Valuation Descriqtion I $ Per Sq Ft or multiplier $1.00 Amount Paid $131.70 $25,46 . $30,55 $12,73 $202.62 $34,00 $18,00 $7.92 $158.40 $1.93 $12,60 $21.36 $5,25 $8,90 $24,00 $24.00 $19,25 $73.00 $81.00 $81.00 $-1.93 $-21.36 $-8,90 $-24,00 $-19,25 $-81.00 $-73,00 , $44,88 $18,70 $374,00 $10.44 . $4.35 $6,00 $81.00 $9.48 $3.95 Square Footage or Bid Amount 18,370,00 Total Value of Project Fees P~id 1 Date Paid 1lI20/08 1215/08 1215108 12/5108 1215/08 12/5/08 12/5/08 12/5/08 1215/08 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 116109 1/6/09 1/6/09 116/09 1/6/09 1/6/09 1/6/09 1/6/09 1/6/09 116/09 1/9109 1/9/09 119109 1/12/09 1/12/09 1/12/09 1/12/09 1/13/09 1113/09 P.ee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/20/2008 EXPIRES: 07/13/2009 VALUE: $ 18,370,00 Value Date Calculated I $18,370,00 $18,370,00 11/2012008 Receipt Number 2200800000000001670 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200800000000001714 2200900000000000016 2200900000000000018 2200900000000000016 2200900000000000018 2200900000000000016 2200900000000000016 2200900000000000018 2200900000000000016 2200900000000000016 2200900000000000016 2200990000000000018 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000017 2200900000000000027. 2200900000000000027 2200900000000000027 2200900000000000039 2200900000000000039 2200900000000000039 2200900000000000039 2200900000000000042 2200900000000000042 CITY OF SPRINGFIELD i Status Issued Building/Combination Permit PERMIT NO: COM2008-01693 ISSUED: 12/05/2008 APPLIED: 11/20/2008 EXPIRES: 07/13/2009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541_726-3676 Fax 541-726-3769 Inspection Line Air Haudling Unit Up to 10;000 Heat Pump MinimumlAdjustment Mechanical $17,00 $17,00 $45,00 1113/09 1113/09 '1/13/09 2200900000000000042 2200900000000000042 2200900000000000042 Total Amount Paid $1,376.03 Public Works Review 12/05/2008 I Plan Reviews I ACC JLP Called to front counter. Per David, no new washer, Additionally, sink being deleted from project. New SDC created, fee's added,worksheet added to Tidemark, JLP Initial Review Public Works Review 1lI2112008 11124/2008 11/24/2008 11/24/2008 APP APP LLH BJG Storm water routed to existing 3 in, storm drain. Structural Review ,11124/2008 1112612008 APP CJC Approved ~s noted on plans and plan review letter Plannine Review 11124/2008 12/01/2008 APP DDK No Plannin'g Issues. 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 b~ made the following work day. Reonirecllnsnections 1 Footing: After trenches are excavated, Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or deckiug. 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, Walllnsulation: 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 all required inspections have been requested and approved and the building is complete, Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to.insulation or decking.. Paee 3 of 4 CITY OF Sr~mL.l'l~LD ' Building/Combination Permit Status Issued PERMIT NO: COM2008-01693 ISSUED: ' 12/0512008 APPLIED: 11/20/2008 EXPIRES: 07/1312009 VALUE: $ 18,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone ,541-726-3676 Fax 541-726-3769 Inspection Liue Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing, 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, Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, Final Electric: When all electrical work is complete, Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, Rough Mecbanical: 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, and I further. certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State 'of Oregon pertaining to the work described herein, and that NO OCCUpANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify .that only contractors and employees who are in compliance with ORS 701,005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. O~ner or Contractors Signature Date Paee 4 of4 City of Springfiel~ Mechanical Authorization To Begin Work E-mailed To: Lindsey@m~rshallsinc.~om Check on' status of.permit . By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.~r.us Receipt # EC545023 1/13/2009 II :44:37 AM D New construction [K] Addition/alteration/replacement I [K] 1 or 2 family dwelling D Multi-family o Accessory Building I Furnace- up to 100,000 BTU I Furnace - above 100,000 BTU I Electric Fumace Duct alterations and additions Gas heater units! in-wall, in- duct. susoended. ete! I Vent, flue, liner for above I.Air Conditioner I Heat Pump I Air Handler I I I I 1 I I $17 001 $17.001 $17,00 $17,00 IJob no.: IJob address: 1920 MARKET ST I City/Stale/ZIP: SPRINGFIELD, OR 97477-3346 I Suitelbldg.lapt.no.: I Project name: ROSEBERRY Cross street/directions to job site: I Subdivision: . ITax map/parcel no.: 1703253203900 ILotno.: I Water heater I Gas fireplace/insert/slove I Gas Jog! log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/in~,~~",. I Wood fireplace --' :...;,'.' _. I. Chi~ney/linerlf1ue/~e.~t W/O, 1 appliance , Is~yji2EiIlltg,!~!rr.a::itkR3:~:M~~4"!1i~~~3i~~r41l~~c~4!:;~1 I Range hood... '. I' h~Et;TI::Jtl: OregG Hal\" r!'l1'~:"s y:' ~: Clotf~~,gry'er:x u t t' . , S.])~_{IOO~ I e- C e aus atra~ 5'T I t rth I 10;1 p.;R Q.\l Wer, lOSe ru e are se 0 , mcmsOAR >152:001-0010 throuah AR 952- 01- i~~~~~r: I 1ll;"_~j:!~~i,:'!1MECHANiC'AI.~'~ERMfT;EEEi>~~i,;'''.!!ll 11~.~,~=,;m0_"~"_''''---~~~'~~'''s;~;~~''''''"' "~""'"$3'~~OO' I I Minimum fee used instead or Subtotal $79.00 I State Surcharge (12% ofperrnit fee) $9.48 I CitY OfSorlngfield fees" $3.95 . I TOTAl. PERMIT FEE $92.43 * City Of Springfield fees: 5% Technology Fee I I Name: MIKE ROSEBERRY I Phone: (541 )741-2393 I Email: I Fox: I CCB lie. no.: 25790 I Business Name: MARSHALLS INC I ConflIct: Lindsey Baeth IAddress: 4110 OLYMPIC ST ICity/Stole/Z,P: SPRINGFIELD, OR 974785620 IPhone: (541)7477445 IFox: (541)74]082]' I Email: Lindsey@marshallsinc.com I Metro lie. no,: I City lie. no.: CCB 25790 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 Aut~~jQt!Io Begin Work expires within 180 days;fa perm;l'lUbdbb!lained, 1 E IF THE WORK The local buudihW~p\1.mMl1~tIA\,~;EJ\~1f\'I\\-oUIT IS NOT Author;zaUon Vlll1l~i!!l!i)1l!ll'f~;ilt\'!E:i:reiilOll meet app]jcab]t1Jn~ME~tttY'tJ't{'YS'rA;ll'J\'lW{)NED FOR ANY 180 DAY PERIOD. COM: ..:ao/JB~ 0\ l ~q~ RCPT #. 'O'OOD=I - L\it DATE PROCESSEO:AJ3\ 0<1 PROCESSED BY: V :9 ~ This Authorization To Begin Work must be posted at fhe job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development1Services Department PublIc Works Department RECEIPT #: 2200900000000000042 Date: 01/13/2009 11 :55:54AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 17.00 17.00 45.00 3.95 9.48 $92,43 Job/Journal Number COM2008-01693 COM2008-0 1693 COM2008-0 1693 COM2008-01693 COM2008-0 1693 Description Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE MarshaUs Online lNC PayruentTotal: $92.43 $92,43 "1 cReceintl , Page I of I 1113/2009