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Home My WebLink AboutPermit Building 2007-7-16 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00853 ISSUED: 07/16/2007 APPLIED: 06/12/2007 EXPIRES: 01/16/2008 VALUE: $ 100,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1445 S ST ASSESSOR'S PARCEL NO.: 1703252302200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Addition to existing single family residence Owner: LENORA LEE Address: 1445 S ST SPRINGFIELD OR 97477 Phone Number: 541-744-7932 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 2 25.00 Wall Heat Electric Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 720 1 R-3 U VB Path 1 n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 70.00 11.60 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 0.00 J-.'"IN ~ -.- - - 1-'" _A~"";'''''''' 1'''" tn "",\1 I\.;._ IIV . tj...,~_.. ._~. . j . I PUBLIC IMPROVE~es adopted by the Oregon Utility ~n Ce~1~r Tn~~ rules are set forth 1,~, t1M~enprovements: in o~~R 952-00r~o6'rd'thMtPgh OAR 952-001- rH~f\i!~lrSHAhlwitXPIRE 1F THE WORK Yes 0090, You mapnbtliip<Oilp1JlllRU~e rules by 1~~f/.,fjRillrorlYf~0iiR THIS PERMIT IS NOT calling the center, (Note: the telephone "OMMENCEP. OR IS ABANDONED FOR number for the Oregon Utility Notification AN~~e8b D~fJ!'F{~,conveyed to existing stub. Center is 1-800-332-2344). Pal!e 1 of 3 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00853 ISSUED: 07/16/2007 APPLIED: 06/12/2007 EXPIRES: 01/16/2008 VALUE: $ 100,600.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Description Tvpe of Construction Use Bid Amount V Wood Frame Garal!e $ Per Sq Ft or multiplier $1.00 $103.00 $27.00 Square Footage or Bid Amount 7,000.00 720.00 720.00 Bid Amount Dwellinl!s Garal!e Total Value of Project ~ Fee Description Plan Review Residential Amount Paid Date Paid $352.46 6/12/07 Total Amount Paid $352.46 I. Plan Reviews , 06/14/2007 06/14/2007 OK NJM 06/14/2007 06/22/2007 APP TAJ 06/14/2007 06/19/2007 APP .TSS 06/14/2007 06/13/2007 APP DLM Initial Review Planninl! Review Public Works Review Structural Review Value Date Calculated $7,000.00 $74,160.00 $19,440.00 $100,600.00 07/13/2007 06/12/2007 06/12/2007 Receipt Number 1200700000000000741 New storm connects to existing eaves. Talked to applicant by phone, requested additional documentation to clarify the proposed construction 7/6/07dlm. Met w/ applicant, received add'l dwgs 7/9/07dlm. See documents for Plan review comments. 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. ~eouiredJnsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Pal!e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00853 ISSUED: 07/16/2007 APPLIED: 06/12/2007 EXPIRES: 01/16/2008 VALUE: $ 100,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. 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. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all 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. llAvuv&L . J 1. .-0 7-1j-Oj Owner or Contractors Signature Date Pal!e 3 of 3 Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 . Web Address: www.ccb.state.or.us Permit #: LIJJU~7-dt?'85:? . Address: 144,<)' (f... ,)r'~ ~ ... ,-: Is'"edby/Ja/Yl~~ Date, 7-/(, r07 ~.. L Statement: Info. mation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701:055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building > permit can b..e issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed drchitect and engineer applicants, exempt from licensing under . ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fil!' in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: % .' 1... lown, reside in, or will reside in the completed structure. . % 2. ' I understand that I must become licensed aSa construction contractor if the structure is sold or offered for sale before or on completion. o 3A. My general c:ontractor is. (Name) (CCB #) I will instruct my general co~tractor that all subcontractors who work on the structure must be' licensed with the Construction Contractors Board. I hereby certify that the above information is correct and that t have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side ofthisform. ' x ' 1,.t\ft);"Yi'l...- ,l.,L S - 1,-0 ~7 (Signature of permit applicant) '(Date) (White copy to issuing agency permit file, pink copy to applicant) Property- owner. doc 06-01-04 Att1!~raf~~t~wn General Contractor? ", \. \INFdRMA110N\NOTICE TO PROPERTY OWNERS . ABOUT CONSTRUCTION RESPONSiBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new or make a substantial improvement to an existing structure, you can prevent fuany problems by being aware of the following responsibilities and. concerns. Employer You will; in most instances, be ruled to be an "employer" you use contractors not. licensed yYith the Construction . construction or improvement of a residential~structure.. . the contractors you contract with wiJI be "employees" if Board to do labor in constructing or to assist in the you .must co~ply with the fonowing: r .- . Oregon's Tax Law: As an employer, you must income taxes, frorp {;.uiployee wages at the time employees are paid. You will be 1ia~le for the taxpa)lments even if you don't actually withhold the tax from your employees. more information, cail the Department of 503-378-4988.' ' on the topay'a tax for unemploYment irisurance.purpos~S"~. Employment Department at 503-941~1488. " ,~' ;...(< Business Identification Number (BIN) is a combin~4. number for both Oregon Withholding and --'. Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or \\'\vw.dor.state.or.us/fonnspuv.htmll for the appropriate forms. Insurance Tax: As an employer,. you of all employees. For more information, can the Workers' Compensation Insurance: As an employer, you are and must obtain workers' compensation insurance for your insurance, you could be subject to penalties and 'be Hable . job. For more information, can the Workers' Compensation Services at 503-947-7815. to the Ort;~O~ ,,!orkers' CompensatiogLJ,IW, If you fail to obtain workers' compensation costs if one of your employeesjs injUred,on the the Department of Consurrief' and Business '" U.S. Internal Service: As an employer, you must withhold federal income tax from'employees' wage~(,~~ You will be liable for the tax payment even if you didn't withhold the tax. For a Federal EIN number, call tbe i. IRS at 1-'800-829-4933 or visit their. web site an.V\vw.irs.gQY. ' .^ ". Other Concerns Code Compliance: As the pennit holder for this project, you are requirements that may be brought to your attention through for resolvingany failure to meet code Liability and Property Damage Insnrance: Contact coverage for accidents and omissions such as falling work that must be redone. , , agent to see if you have adequate insurance over spray, water damage pipe punctures, fire or ~ ..I . , j". Time: Make sure you bave sufficient time to supervise your Expertise: Make su.re you have the skills to act as your own and finish trades, and to notify building officials as contra~tor,' to' coordin~te the work of rough-in times so they can perform required inspections. If you have additional questions call the Construction Box 14140, OR 97309-5052. (503-378-4621) or the agency at PO Property _ owner. doc 06-01-04 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Co jV\ ~I..A.JO:"-7 - Q O~ S'-=>'::> 1. LOCATION OF INSTALLATION: \L-\4~ C;;. ~I LEGAL DESCRIPTION: I 'I. 0 s OS" d- 'S 6 dd a-o JOB DESCRIPTION: () . I C r? L-- ") 11) \~ L-I A,~ D \ 11010 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. >.11<-"." >;."dCGNrRACTOR IN.s.'IALL.AXlf)~(jf(lk y T t.\ :::. FERMiT SHALll:XVIKl: ~t, 11"t1: . f~Je.~t9~Wlm\)rij\\mER TH!S P;:RMIT_ is_NOT ~OMMENCEO OR IS ABANUUNtU hlh tf80 DAY PERIOD. / C phA' ~ Ity \e\N '("'::t!fJI\e~~,~~-, ON' regU\ I '" gon Ul.lil'Y p;(\E.N'T' I...! eO bY the so'(10rth \\ >1" r,,'\'~2> auO '\\~S are v 04 ~O 0." ,"-""'" ,. 0 v...... 95tl-O 16 S\11tl8 '-"i.rTn&m11.~~ 'i\ OAR Go N\!Il:Ifia~~' OO,-O~ .oli.91 t t\.c 'E':J\o~J\rL- \n OAR~5Z- Diain co eSh~ \e\eohO.\i6 f()q}9Qtion ~ (No'i.e: _ .. _ ~at\on caUing II ....'" QiGOon Ul'hl.~" r ,ot \11"" . '" ni\ 3$2.- "" Co "one~ijlb~..1.,svv- . ;;:iOO D,te ~ Signature of Supervising Electrician Owners Name lJ(;)D6fZ4 L.e.l::::- Address I L1 L\. ~ S '5 T City 'SP t=<..-D Phone -ILJLi.i Ct-;, 2- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners ~ignature: . L ' l iA'l.f)-rt-L 0 ( - Inspection Request: 726-3769 ZON INITIALS DATE SOURCE Date 1,- llo -- Or 3. COMPLETE FEE SCHEDULE BELOW A. New Residential - Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. Services or Feed.ers - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 43 $ .48..00 z- $.J..OO . 4.-1. cf\) 39.UO E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $SO.OO + Surcharges 4. SUBTOTAL OF ABOVE S(- 2 . 0lJ 4./0 &> . 5 ,., 5r < '-.0 8% State Surcharge 10% Administrati ve Fee 5% Technology Fee TOTAL ill 6TU . f)~ Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FlXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER., SINGLE STALL 1 0 2 = 2 SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 I URINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS L 7 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day I I .~ MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$l,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter J for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT = $0.00 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHeET JOURNAL OR JOB NUMBER: COM2007-00853 NAME OR COMPANY: Lenora Lee LOCATION: 1445 S Street TAX LOT NUMBER: 17-03-25-2302200 DEVELOPMENT TYPE: SINGLE F AMll., Y RESIDENCE NEW DWELLING UNITS 0 BUILDINO SIZE (SF: 896 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 896.00 I $0.336 = I $300.71 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x . I COST PER S.F. x I DISCOWT RATE I I 0.00 . I $0.336 I 50% I ITEM! TOTAL-STORMDRAINAGESDC I $300.71 I 2. SANITARY SEWER'- CITY DISCOUNT $0.00 o $300.71 C/) p:.1 Cl o u ~. p:.1 E-< r:/) ...... o ~ 1070 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001131 Date: 07/1612007 Description Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement Plan Review Minor - Planning Plan Review Residential Building Permit Fixture Vent Fan Minimum/Adjustment Mechanical ~Mechanical Issuance Fee- Add, Alter, Extend Circ Plan Review/Residential Hourly Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + '10% Administrative Fee Paid By LENORA LEE Item Total: Check Number Authorization Received By Batch Number Number How Received 1471 In Person Payment Total: nJm Page 1 of I 8:22:50AM Amount Due 36.00 300.71 182.19 138.53 112.00 17.33 568.90 56.00 6.00 39.00 10.00 43.00 225.00 39.00 43.20 60.15 78.79 $],955.80 Amount Paid $1,955.80 $],955.80 7116/2007 _&eFlI~'IJ,l1'JlU.~.. " J 1 -r Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00853 ISSUED: 07/]612007 APPLIED: 06/1212007 EXPIRES: 10/2412009 VALUE: $ ]00,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1445 S ST ASSESSOR'S PARCEL NO.: 1703252302200 Springfield TYPE OF WORK: Single Family Residence - TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: LENORA LEE Address: 1445 S ST SPRINGFIELD OR 97477 Phone' Number: 541-744-7932 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: requireS youto ._.~", nreQon law, ,...,_~"nn Utility . to\I\~~I'~BMnIDIN~t1!'Rb~g'I~)N'j~~g~~: Noti\ica\lOl1z,~~;"no\O thrOUgl{ l,ith; rules by in O/'.R 95 IHl1 Sfll,r!f\ti COpies 0 hone 2 R-30090. '(ou fiI!l1~1gf.SVww~e"e tele~c~fu\lll U calling t\1Y~ e ?tIM~tJl1 \!Jtlllty N~all "eat VB number tw ft ft\Il'I'@l)O-33Z-2.34 'Electric Cfi~nge Type: 3 Energy Path: ' Path I 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: 10,454 720 I DEVELOPMENT INFORMATION I REQUIRED rARKING 0.00 Overlay Dist: . ,..' " ILW~ # Street Trees d: 'f 1\'\'t. mM apped: Paved Ilt~;rl!q~;' Ii S\'Ir>.L\- ~1l'R~ER',^,i ~~ ct: % of L"tf\re'<\i'~ mmER 1\'1'S NEt) fO? . j:>,Ul\-10~)!:~" fiR IS j:>,\3r>.~\)O I PUBLIC IMP.MV~m~~ IlERIUU. r'1I1'. Sidewalk Type: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 70.00 11.60 Street Improvements: Storm Sewer Available: Speciallnstrnction: Yes Down'spouts/Drains: Notes: Stormwater conveyed to existing stub. Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvoe of Constrnction Use Bid Amount V Wood Frame Garaee Bid Amount Dwellines Caraee Fee Descriotion Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mecbanical Plan Review Minor - Planning Plan Review Residential Plan Review/Residential Hourly Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Storm Drainage Impervious Area Vent Fan + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet Sanitary Sewer Each Addtl100' Water Line - 1st 100' Total Amount Paid I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $103.00 $27.00 Square Footage or Bid Amount 7,000.00 720.00 720.00 Total Value of Project fpn P",,\ilU Amount Paid Date Paid $352.46 $10.00 $78.79 $43.20 $60.15 $43.00 $39.00 $568.90 $36.00 $56.00 $39.00 $1l2.00 $17.33 $225.00 $138.53 $182.19 $300.71 $6,00 $20.52 $8.55 $76.00 $19.00 $76.00 '6/12/07 7/16/07 7/16/07 7/16/07 7116/07 7/16/07 7/16/07 7/16/07 7/16/07 7116/07 7/16/07 7/16/07 ,7/16/07 7/16/07 7/16/07 7/16/07 7/16/07 7/16/07 6/2 5/09 6/25/09 6/25/09 6/25/09 6/25/09 $2,508.33 I Plan Reviews , Paee 2 of 4 CITY OF SPRINul'lJ!,LD Building/Combination Permit PERMIT NO: cOM2007-00853 ISSUED: 07/]6/2007 APPLIED: 06/12/2007 EXPIRES: 10/24/2009 VALUE: $ ]00,600.00 Value Date Calculated $7,000.00 $74,160.00 $19,440.00 $100,600.00 07/13/2007 06112/2007 06/12/2007 Receipt Number 1200700000000000741 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 220070000000000113] 2200700000000001131 2200700000000001131 2200700000000001131 2200700000000001131 1200900000000000739 1200900000000000739 1200900000000000739 1200900000000000739 1200900000000000739 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-00853 ISSUED: 07/]6/2007 APPLIED: 06/1212007 EXPIRES: ]0124/2009 VALUE: $ 100,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 06/14/2007 06/13/2007 APP DLM. Talked to applicant by phone, request~d additional documentation to clarify the proposed construction 7/6/07dlm. Met w/ applicant, received add'l dwgs 7/9/07dlm. See documents for Plan review comments. Initial Review 06/14/2007 06/14/2007 OK NJM Public Works Review 06/14/2007 06/19/2007 APP TSS New storm connects to existing eaves. Plannin2 Review 06/14/2007 06/22/2007 APP T AJ , 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. Ue(]lIirerUnsnecti~"s I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foull.dation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and tiller cloth is installed but prior to' backfill. Underfloor Plumbing: Prior to insnlation or decking. Underlloor Drain: Prior to cover or placement of concre.te. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filli~g trench and including required testing. Final Plumbing: When all plumbing work is complete. Paee 3 of 4 CITY OF SPRINGlill',LD . Building/Combination Permit Status Issued PERM]T NO: cOM2007-00853 ISSUED: 07/]6/2007 APPLIED: 06/1212007 . EXPIRES: ]0/2412009 VALUE: $ ]00,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 54 I -726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. Water Line: Prior to filling trench and including required testing. 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 Springtield and the Laws of the State of,Oregon pertaining to the work described herein, and that NOOCCUP ANCY will be made of any structure without permission of the Community Services Division, Bnilding 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 a'-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. . IDMAhrll ~ ip /'2- 5/09 Owner or Contractors Signature Date Paee 4 Jf4 225 Fifth.street Springfield,Oregon.97477 54]-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 COM2007-00853 Payments: Type of rayment Check cReceintl RECEIPT #: ]200900000000000739 Date: 06/25/2009 Description Water Line - 1st 100' Sanitary Sewer - I st 100 Feet Sanitary Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge Paid By LENORA LEE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1666 In Person Payment Total: Page 1 of 1 12:01 :49PM Amount Due 76.00 76,00 19,00 8,55 20,52 $2UU.t17 Amount Paid $200,07 $200.t17 6/25/2009