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Home My WebLink AboutPermit Building 2009-12-6 CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-01779 ISSUED: APPLIED: EXPIRES: VALUE: SITE ADDRESS: 3847 E ST ASSESSOR'S PARCEL NO.: FOUMAL SUB E STRE 12/14/2009 06/15/2010 $ 179,000.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Overlay Dist: # Street Trees Rqd: " ..,.,:#..,...'O.~.:. ''''\'""",10:,:,.;,;1-:-'.';..- .:. ~Oi\ii.?L~~~~~{~?~~~~~{ ~I.;:~r .w, Q ("(\~~\IJ\'C nr:O\QU. Sidewalk Type: Fullv Impwve'\! \\0 UP-'1 r <.... Curbside 7' p-\lis ~ DownspoutslDrains: To Storm Sewer Roof runoff from Lots 2 will be directed to the existing city stormwater system through an 8" stormwater pipe in the joint utility trench. PROJECT DESCRIPTION: . Single family residence - DPA- SAME AS COM2009-0 1778 3841 E St Owner: Address: KLM CAPITAL INC 9712 SW ALABAMA ST TUALA TIN OR 97062 I CONTRACTOR INFORMATION ~ Contractor License BANY AN CONSTRUCTION LLC 165147 HARDING ELECTRIC INC 132089 LOWES WEATHERIZATION 176741 'I' & S PLUMBI ~ 186903 . . _~~<tel0e~' INFORMATION '. -\"".....t.\I\\\I'\ 110 ~ 'le\l1eO Ull\O). III # of Units: ..~tt e~ ~e'O~ ,,,0.0 f.,1l l.grIJ~ili 'es: 2 Primary Occu~l~se\dOO~OO-\OO- 110. Structure 29.50 Secondary Occl\ll~tlI ~el\Ol 'le\l1~':)5alW+ 0 . eat: orced Air Electric Primary Const~~ se\l\le\ . a\de'il ..ttO~ ype: Electric Secondary Con~~ 0 e~~ UOea10 Range Type: Electric # of Bedrooms: /I\\\\\(\_~ &ll1\l\b81 3 Energy Path: 0\ t\U" Sprinkled Building: n/a Contractor Type General Electrical Mechanical ." . Plumbing I DEVELOPMENT INFORMATION ~ Front yard Sethack: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 29.00 12.25 30.70 Street Improvements: Storm Sewer Available: Specialln'truc!ion: Notes: " ,', Page 1 of 3 Residential Expiration Date 06/15/2011 02/01/20lO 06/19/20 II 06/01/2011 Phone 541-434-1333 541-688-5006 541-485-2282 541-915-1000 Lot Size: Sq Ft 1st Floor: 668 Sq Ft 2nd Floor: 633 Sq Ft Basement: Sq Ft Garage/Carport 237 Sq Ft Other: Occupant Load: REQUIRED PARKING Total: 2 Handicapped: Compact: CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-01779 ISSUED: APPLIED: EXPIRES: VALUE: 12/14/2009 06/15/2010 $ 179,000.00 I Valuation Descrintion ~ Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 179,000.00 Value Date Calculated Description Total Value of Project $179,000.00 $179,000.00 . 12/1412009 ~ Fee Description SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement Amount Paid Date Paid Receipt Number $10.00 $1,044.54 $101.97 12/16/09 12/16/09 12/16/09 1200900000000001339 1200900000000001339 1200900000000001339 Total Amount Paid $1,156.51 Plan Reviews ~ Plannin2: Review Public Works Review 12/1412009 12/1412009 12/14/2009 12/14/2009 API' API' DDK LKW Roof runoff from Lot 2will be directed to the existing city stormwater system through an 8" stormwater pipe in the joiut utility trench. Structural Review 12/14/2009 12/15/2009 API' CJC 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. l...1eouiredJnsnections I Erosion/Gradiug Inspectiun: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjuuction with footing and/or 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 finish materials. I'aee 2 of3 CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-01779 ISSUED: APPLIED: EXPIRES: VALUE: 12/14/2009 06/1512010 $ 179,000.00 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 filter cloth is installed but prior to backfill. Undertloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rough Plnmbing: Prior to cover and including required testing. Waler Line: Prior to filling trench and fncluding required testing. Sanitary Sewer Line: Prior to filling trench and including reqnired testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior 10 utility company energizing service. 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 Stale 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 tim during construction. / t:l--./ b - 0 '7 Date Pa2e3 of 3 225 Fifth ~tr.eet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000001339 Date: 12/16/2009 2:28:35PM Job/Journal Number COM2009-0 1779 COM2009-0 1779 COM2009-0 1 779 Description SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Payments: Type of Payment Check Paid By KLMCAPITAL INC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 101.97 1,044.54 ]0.00 $1,156.51 Amount Paid djb 2564 In Person Payment Total: $1,156.51 $1,156.51 cRcceintl Page] of ] 1211612009 ~e-"~ 3E>C(I (!!Tsr C7~ on7$' Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 ',', [)EPARTMENT.USEON~Y COW( Z-OO ?~O ( 77 ~ Penn it no,: Date: Ie-II.( -C 't This permit is issued under OAR 918-460-0030. Permits expire if work is not started within,180 days of issuance or if work is suspended for 180 days. . C "'r".", ".,," ./~.'r.,.'.'.."-' . """-,- '..-..'",.;<,..~.,.,. " .."c""',/:' ,,_"/^j" ">'?-" -.,. "."y', .~,~, '-i;iL!0,CA"';C3QYEB!'!I'iI,~N_T;(AP,,~~QY/f,l!w;B)1';;;,)1;f;;i:~'~wr'J This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No r~~fEi1~~.i~~k~K9At~-9.9J~x~,~,~::~.G.qN"$;'T'BP,c-~1@'N~~~~*~~wi; Residential D Government D Commercial :~'~~~~~1Ef~:,~~;t;J~9B~}3,lit.~I,:JN',~'~RMAfip-N.'\VA~R~~QqAIIQ:Nr;1~~i~;~~ Job site address: .38 'i City:.s;, r Subdivision: Ro~o T G ReJerence: 1l-0'L-31- 13 :" PROPERTY QWNER' , Name: KLm C,A(->,-,At.. - OfiV.c: W{!,L~ON Address: 97 /2. ~ I-IH3I/1'>lA.s.... City:Tv....\....\-, '" State: 0 P... PhoneS03 80-'1- f) 2.(.. 2-- Fax~3- 21 E-mail: .Qne-\ '0" 757 e 00. ""- This installation is being made on residential or farm property owned by me or a member of my immediate family, a is exempt from licensing requirements n r 0 701.01 Sign here: . " ~; Business name: Address: 3 "II City: I2::u ~ Phone:t>'1f/- '1:1'1- /333 E-mail: ',,., _317 IE CCB license no,: 11.$1 '1'/ Print name: A 1\1"\ e... O~Iv-.... State: 0<2.. ZIP: '11'1oJ Fax:~/ - ~S$-9~'i 0 ~4\.1 } .. v#~__ G"'-<:-r~ Signature: t!t~l~;~~ l~T~t~'~~S~~~G.q~ltMG;f.b~)I, N.~,Q,F{~~\[IJj:Nro}~*tJ'rrr~~j:,~~~~~T Name CCO License Number Phone Number Electrical I 3- 20 89 bS~- 5"00.<" Plumbing J 'S\" ~ 0 3 9/ 5'- / 0 0 0 Mechanical I 7"- 7 '-II ,-/ISS- 2-2-'8> Z- ';J:~'.' ;'~ ~/;-~,~.;::~ ~;':::;~:,;:'~:'~;W':;~j:~E"E' ~-s~~'~pi1['~r:;;"':~~r":'-?~i~?H~>:';).~:)'<~' > ',~/ ; ~l'=~,&al~~:Wtj~Zi~f6f~~~.ti9:ri;~~*Y~~~}~~~fk,~t~f;?t1~-.i~~;,'!;J~,l~i,':,t~~t:~~"i:,:.:;_;: (aJ Job description: 51'" Occupancy \2,.) Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o alteration ,::11 z o addition DYes .E/No $ (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): {number of hours x fee per hour} (d) Enter 12% surcharge (,12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): ~~'~~j~lTIreyj~~{f~~~i~j~~~~~~~~t~3~~~~'."r~1"t $ $ $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ Plumbing Permit Application I~~{''':rt/;'l: -~~o: ~q-€cyqw~~'<: ~~~.~~~W~;~:ttl~~4If~.~tJ'g - ,."'€ITYJ)F,$P::R!NGEJE13D;,;OR$~Ol'J,.~~T _. _:....-. ..u'!."",c~..- ~~.>~,,_~- ._-,:?;-''''.~_~':-.'-=,,:~-:-~'''''-:' ':.~: ~ :.f_~ 225 Fifth Street. Springfield, OR 97477 . PH(54!)726.3753 . FAX(54!)726.3689 ~, ,.,'i.;;':>,..,....,'"-,.:t'.,...>i.'-,,,:.....' ......... ~. .~,...-,' "_ ."'~),;~,.('-- """:[IEPARTME'NTUSE ONlY,:;)1:ef, . ~ p.' -. _. , '.' ' .' "r~' Permit no.: Date: SPRINGFIELD ~". .' ~-.~ 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 if work is suspended for 180 days. '';'':jf.i~;F'' {IiObAu.GOVERNMENTcc'APf>ROV Al!I$.~i~!'1';i;t~'1'.~\ Zoning approval verified" DYes DNo Sanitation approval verified? DYes DNo CATEGORY-OF, CONSTRUCTION' . : ~ Residential 1 D Government I D Commercial ~,F4t~:;:JOB,'SI1jE 'INFORMATION!fAND~IiOcATION1tj'~'t:'."jj Job site address: 3<g" H ~ *J. City: Sfil It\l \,'i" , ';:':'0 I State:O/z" I ZIP: 97'ng Reference: 1 Taxlot.: ~~~({~%~$~ :'7;:~1~j!~1~[j ESCRIBJlbN}"OE,::W.OR-K". ~~~~~~~~%!t~~%~~~ S\,V \1 ~,k. NG<-l Ho............ 0 I .' .- " . PRORERTYl~~bWN E~RI.J;~1i,~;i~;;.W{~S1,~~~;~~:~1\ ,'p. , l-;:;' 'Name: \" L"'^ CI'rP ,....... - o l"lV 10: III ~I-~o^, Address: "1712 S..., Jh..A \3 .,....... h-. City: Tv....\~ \.._ T State: olt. I ZIP: 't70b"2- Phone: 6"03 g (3'1 - 02-" "2- I Fax:5b1-Z13. srns E-mail: &ndso.-. 757 e '.ud."o. <-...... This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 9 I 8-695-0020. Signature: .. " CONTRACTOR .INSTALLA TION . '....A'..l._~;)rl,', ,-~:,',,-' Business name: T~<:;' O.\.J.....b....o ];"'c.., Address: (-10 lSo,-< '-lU')'t 0 City: ~r._. T State: oil.. I ZIP:'n,/OL/ Phone:5'I1-9J:f jooo I Fax~/-$/J5'- g38) E-mail:Tsol""'.!.\~l1.)So",~ "M",I .~..""" CCB license no.: I/St.,'i 0,3 I i3'CD license no.: Plumbing license no.: Print name: Signature: 440.2500.) (11/08/COM) ,~~~~.~~ '~)l::':.~~;}t;@;~g~1SFEE1Is~GH EOU EEi;t~~f,_;"'1if.ff.~:J(~~Ctl:Jr:.-~~t:. ''':~';.: . - i;~;':"V'~-;"~;:"'M"-.<~:~~,~- r.-,:~:;",:i.'U",;" ,-',. ""'~"i'. C "c--(T'fl~'f ~'~pesc'riptiongi~~~~};~;:)',~~~,~A}~~~"~1(~1~. Qty.; ~j~,.. '()~~~f~ ~., 0 ~..j~, f41 ",,"It-.', .'\--';;,-t.,..:~.:;'0'~V'f;:,_c,~f:!r.)i:;';;'i'~;JI;;:)"~;;>;':'f.)1.:rf''tI~1~~ ~,~,~!."'_".\' ~_i:,,(..e.~.'.~~: .\'~{;~~.QS.~L" New residential I bathroomll kitchen (includes: first 100 feer of water/sewer lines, hose $238.00 $ bibs, ice maker, under floor [ow-paint drains and rain-drain packages) 2 bathroomsll kitchen $374.00 $ 3 bathrooms/ I kitchen $439.00 $ Each additional bathroom (over 3) $95.00 $ Each additional kitchen (over I)' $95.00 $ Residential fire sorinklers (includes Dlan review) o to 2,000 square feet $58.00 $ 2,001 to 3,600 square feet $116.00 $ 3,601 to 7,200 square feet $174.00 $ 7,201 square feet and greater $232.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and $58.00 $ water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee $58.00 $ Each fixture $19.00 $ Miscellaneous fees 100' stonn, sewer, water line $76.00 $ Each fixt.ure, appurtenance, and piping $19.00 $ Storm water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ systems exceed in I! the first 100 feet Specialty fixtures $19.00 $ Reinspection (no. ofhrs. x fee per hr.) $58.00 $ Special requested inspections (no. of $58.00 $ hrs. x fee per hr.) Each additional inspection: (I) $58.00 $ '. .'. ~-"""'-"""'-"'..z.."'. .'.......~~, i;"'e'Jir ~'. X<i?~'-". '-,''-'.~'U' ,.....' Mjnimum fee $ SM:ei:lidil~gits;pipil)gllfi4;,J~::'dH~JF~~'~.;i~ Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ ~";"'~"'~~~~P;PPLfcAN:t"USEil';~'~-{;~~<'~~ ":_~,,~ <,,_ d,wlN, .>1' ~..r;. - ","' , .- '..:, ,'. i ~,), ! '~,",r"/'-..-.i. ,l'.. !Q,~,,~.'. "_;f~ (A) Enter subtotal of above fees (Minimum Permit Fee $S8.00) $ (8) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ (D) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A through D): $ Mechanical Permit Application II ~'W,R;X2:adi1:C'~~jZ;;;y:;.j't;it';l':~",V?"Wr$:&l>},,;;I;'Jl,"~:~''''c,'i)}i,1:).~}; ':"U.;\jDEPAR:rMENT"l:JSE"ON"'Yi':"~jll ;,~.,,>~~ "Z;~,iWo- {,:",' :".,)' ,r-_.'. ',i";f;:'(;{:r,,i;.~ ',;,-:.,~_"''''~';':o'f.~.'''r.W-i?~.1. Pennit no, Date: This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 7:'~!:<jl"t'ff:'*~C',l}.J,1O G:oRl(iiQ~;rqONStRPP"tl6.N?~~fi"1~~:""" ": Residential 0 Government 0 Commercial ji!l'i1*''''f'jOB1I'SI;jjE'i,iiN,,6RM;.o;;f:IONf;ANDnrOCAf:10Ni?~~~1:;i ~)./1 ,,~. ~. _ _,_,._."""._," ...,..... _. L~. _'._.n...,'" ",.0"'_'_'" ~,-',-'.L_...._' "":,~ _..,........,.,.__L. .~,'.... ."",.' ,.,,;f;J Job site address: 38'-1 . iL ~ '?sre..dt- City:S r, ~e.ld1 State: orl- Reference: 1 - Cl..- 3) -13 ., OESCRI~tibN2pFWORK.'>" .s, H.o v><-L 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 ~~~~~11'I~~~(WgB~,ggBtfiYl@wJ~~~R~~~}Z&~~~~~~~ Name: J( lm I i-w\ - Address: '1/12... Ski &A\3. A ~"'. City:TJo...\....""'", State:O.i2. ZIP:'Pol.,Z- Phone5b3-801f -02,(" Z-. Fax:5b3- 2\.3 -Sll7S' E-mail: (l6L~^ 757 e t<.),oo_ c...o"" This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. o Signature: ~1V~;j$iW~IC':~-O:~N"" ;r.,R~A'C:';Tf0"~' R-i'il"'S-"KijEA'i'I'O'N""1Z\\\'i"4~1,::,::r,i#f$",i.,f.1 ~,.01M.fb,'i\~~.. y",_,,m.,,.., _ ~I~,.. _,~);ii:..I.~ ;'.t~.L:.-___' i~;, .",;_,:~...~,;~,jH,'"'l .''i;'~''-iii'''',~~ Business name: lo~et) vJ~ ~ Address: l"'D \) City: ~. ZIP: ')1402- Phone: 'j-JJ -485'- 2:2.ff2 E-mail: CCB license no.: 17 b 7 '-II Print name: Signature: 440-2545-J (l1/OS/COM) ': "'."'::' -''C'''F''FEE' SC;:HEOULE '"', ~ v:>' - " "..., ~!i~~lY~~l!~rt~;~i:~~~!;;:%~jg~t :Qi~:, ~~~~i~~~~ ,..;{,1:otal, ~" ~" ;",_.~', ~j~:c'oswt:A First Appliance $79.00 $ Furnace/burner including ducts and vents Upto lOOk BTU/hr. $17.00 $ Over lOOk BTU/hr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pellet/gas stovelflue $38.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system! $58.00 $ absorption system Evaporated cooler $13.00 $ Vent fan with one duct/appliance vent $9.00 $ Hood with exhaust and duct $13.00 $ Floor furnace including vent $58.00 $ Gas piping One to four outlets $7.00 $ Additional outlets (each) $4.00 $ Air-handling units, including ducts Upto 10,000 CFM $11.00 I $ Over 10.000 CFM I I $20.00 I $ Com Dressor/a bsorvtion svstem/heat DumD Up to 3 hp/! Oak BTU $17.00 $ Upto 15 hp/500k BTU $29.00 $ Up to 30 hpll,OOO BTU $43.00 $ Upto 50 hpll,750 BTU $57.00 $ Over 50 hpll,750 BTU $95.00 $ Incinerators Domestic incinerator $20.00 $ 5cBmrn'e'r1:I~~I~~~;~.j~f1~.i~?~~~:~i?,~!~?:1~~~?.;tZ~~~~~~~,~-~~j;;';~~;Z?i;{f!;Yf~~~~?5~ Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ f:IMr~~~iilla~~6i1~li:f~i~~~~i~m~~ ~j\:'-'-..:ilt ~~Costf-:'" t~}M8I)~i- Items ~'t:-'e.rv~' ~,~"<"';>:;:.;;r'-;:'T';-<-;;O"'~'-;;:'""'__",,,,~,~,,,,,,,,___!,",'i-:~~'i~,-.,,.,J-':" ""'t~!JIi!: L"'_"-'~,;"'~ ~;'"!, ;"~,,,' ,.....\cost:;.-;.,..\ Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ "il: ~il!:U"'~''''~li!llW-~' '''~'''''..' .."'" "A'iI~',,"~~~"""> [~\;~~,-i~~t1#?~~"c '>i~'ft:.;-/A~P.:l~ICANJr~,US,E~~~~' :,'};2' :1~~i'f41t> ~li-~i (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) $ (8) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [MB]) '$ (D) Seismic fee, 1%(.01 x [A]) $ (E) Technology Fee (5% of[A]) $ TOTAL fees and surcharges (A through E): $ Electrical Permit Application -- 225 Fifth slreet t Springfield, OR 97477tPH(54])726-3753t FAX(541)726-3689 .5.PR'NGFOELD ~ ij. ~~R &:"'''~1ii' ., ,A!. .. , or._ .,.,.. DEP~RTMENT USE ONLY COIN\ z,c:>o 9-0 1,7 ~ Penni] no,: Date: I z.. - / b . 0 9 This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . 'LbCAL~"GO\fERNMENT 'APPROVAG;":,,J,,"::,:';:",''y1, . -. ,\ ',. ". .. ".' Zoning approval verified? D Ves D No " :;,,'CATEGORY::OF.'CONSTRUCTlorf':."" , " PROPERTY OWNER Name: LM C.M,;'+L XNL Address: 7 (l. $l.J f,.. City:T<.A.~t..A "IV State:CNL Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent OAR 479.540(1) and 479.560(1), Signature: ZIP: 97J./o2.. -.51/'03 .9/30 E-mail: CCB license no,: /3.;(o? 9 Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: . 440.2584-1 (9/08/COM) ~\~.1 \\) >\.. ^ \ }Y 9'\5Y ~ ;~'; (:' \f?h:;;~iil~~1j'1'ti\\~~~~~~~:"'~'f,EE-;!~::SCH E,[j_l:H:!Eg:{I}~~W;W'f~~Q~;1;rf,ff~Wf~,fi.~ N bof" :t: ,', ',t'("). '": Qty' Cost., Total " ~~ ~er ..,...-I~s.pe.~.~~.~.~ ~~r,~- e.~~.:._: .~" . ;'-'~a"':, ; ~ost Residential, per unit, service included: 1,000 sq, ft, or less (4) I $134,00 $ /34 Each additional 500 sq. ft. or portion Z- $ 25,00 $5;0 thereof Limited energy (2) $ 32,00 $ Each manufactured home or modular $ 63,00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95,00 $ 40 I to 600 amps (2) $158,00 $ 60 I to 1,000 amps (2) $205,00 $ Over 1,000 amps or volts (2) $469,00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) , $ 63.00 $ b.5 201 to 400 amps (2) $ 87,00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration. extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6,00 $ b, Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder l!-ot included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63,00 $ $ 63,00 $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $58,00 $ ~r~~s::~t~~&~!.ft~&Y~~1~\A:Re._LicANTA~:ijS_"Elt~{~;;:itt?;.~:',\~Ntf~:~11;J~,'~~ '.'. ,"., $ 63,00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58,00) (B) Enter 12% surcharge (,12 x [AD (C) Technology Fee (5% of[AD TOTAL fees and surcharges (A through C): $ 247 $ Z<:ff!!. $ /Z!! $ 288. C}C} " · 2~ Willamalane t.. .' PiHk & ReCreatiOn:~i5trict . . Job. No. d'J~ /7 ~tf1i <':..-.....;;... SYSTEM DEVELOPMENT CHARGE WORK1?HEET FOR 2009 NAME:jcL.;""'~1 ri1,- . PHONE:W3 '. lft!J'f e i "'~.2~L . ADDRESS~ '1) I~ Sw rl'f4t-~it- ('T ~"""1!?t.TE:~IP: '7?/'(J:2- LOCATION OF PROPOSED BUILDING SITE: . . ..' .Z Street Address:_"?E~_E: . ~ r Tax Lot Number: /70:2- ;;r/~ '.j.~ : Plat Name: . .' . . 1. DEVELOPMENT TYPE(Ctie~kappropriaie' dw~lIing(s). Dwelling type definitions are. on the ' back.) . .' A. Sinole-Familv Detached' . . . NO. OF UNITS !.' X $2;858 per unit = $ . ?F:)~' B. Sinole~Familv Attached NO. OF UNITS' X $3,100 per unit = $ . C. Multi-Familv Apartment NO. OF UNiTS. . . X $2.641 per unit= $ D. Sino Ie Room Occupancy . NO. OF UNITS' " X $1.321 perunit= $ E. . Accessory Dwellino Unit " . NO: OF UNITS X $1.550 per unit = '$ WILLAMALANE.SDC $ 2; SDC CREDIT (If applicable) SDC payer must fumish,proofof . Willamalane Credit approval.) $' 3~-TOTAl-WlllAMALANENET'SDCASSESSED- "0 . (if SDC reduced for, Credit) ~~ Development SeNieEls Department City of Springfield "$-:;iF~,r--- _/~~'--;:--"'Y -,.~ T; I f _ I '" Datj\\) .\rt. \0 ~l~ 5 SP~i~N~L~ L~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT COM2009-01779 3847 EST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permilce nter@ci.springfield.or"us RECEIPT NO: 2010000548 RECORD NO: COM2009-01779 DATE: 10/12/2010 fDESCRIF'Tlb"N' ";'- ~ ,;A" . ".~~l~ :';!!~:"-" ,,~J!;~.!:-'i!(~~.6.C,<::.6,lJNJ[QOQ~1,"'~, ,:r'.:-AlM9JJIllJi:tlQLi(,-, , ,,'I Building Permit 224-00000-425602 $1,030.28 SDC Tran Reimburs-Residential 446-00000-448026 $211.21 Residence Wiring 1000 Sq Ft 224-00000-426102 $134.00 Residence W!ri"g Ea Addtl500 224-00000-426102 $50.00 3 Baths One & Two Family 224-00000-425603 $402.00 Vent Fan 224-00000-425604 $27.00 Exhaust Hoods 224-00000-425604 $13.00 -_...,-_.". _..._...~------,.,~,,_. .-~._".,.--,---".._....." .._--," Dryer Vent 224-00000-425604 $9.00 ::ddressing Assignment 2~4-,o.o.o.OO-4~~2.~~_~______,_ $38.00 Same As 224-00000-425602 $250.00 ~llam_~lane Sin~le Family 821-00000-~15023 $2,858.00 ~~:Y2.State Surcharge 821-00000-215004 $216.87 SDC Transportation Admin 719-00000-426604 $78.08 Sanitary Sew,:, - Reimbursement 442-00000-448024 $782.81 Storm Drain~ge Impervious Area 440-00000-448028 $635.58 ~[)C Trans Improvement-Resident 447-00000-448027 $931.65 ~anitary Sewer :J.rr1provement 443-00000-448025 $595.25 ~mc_ Sani!~.ry/Storm_Admin 719-00000-426604 $137.57 Plan Review Major - Planning 100-00000-425002 $211.00 + 5% Technology Fee 100-00000-425605 $100.91 Fire SF Fee - Residential 100-00000,424005 $80.05 1st Appliance 224-00000,425604 $79.00 Iemp Power 200 amps or less 224-00000-426102 $63.00 TOTAL DUE: $8,934,26 I ,. PAYMENTTY!,E~'t,t'~;F'A'I:()R:'"~77(;A~8i"RD8i5wLSB/,,i:i:QQMMEf:!Is~~ :"'~:"~:-Tt,,0~..;lAM9UNT PAIIiJi :"'. ; ;~+i_ -, Check 2879 klm capital inc pay outstanding dpa amount due. $8,934.26 $8.934,26 ii:_ 10/15/20 I 0 City of Springfield 2:02:27PM Building Permit & Inspection Summary Job #: COM2009-01779 225 Fifth Street 541-726-3753 Phone Job Address: 3847 E ST Springfield 541-726-3676 Fax. Scope of Work: Single Family Residence Project Status: Deferred Payment Description of Work: Single family residence - *************DPA************* - SAME AS COM2009-01778 3841 ESt. Owner & Contractor(s) Name Address Citv. State. Zip . Phone CON BANYAN CONSTRUCTION LLC 3419 VIDERA DR EUGENE OR 97405 541-434-1333 ELC HARDING ELECTRIC INC 3039 WINTERCREEK ST .EUGENE OR 97405 541-688-5006 ELC STEVE HAUCK 828 SOUTH 46TH STREET SPRINGFIELD OR 97478 541-221-2665 MEC LOWES WEATHERIZATION PO BOX 21337 EUGENE OR 97402 541-485-2282 OWN KLM CAPITALINC 9712 SW ALABAMA ST TUALATIN OR 97062 PLM BILLY GLEN 1432 W 13TH AVE JUNCTION CI OR 97448 PLM T & S PLUMBING INC PO BOX 42274 EUGENE OR 97404 541-915-1000 ValiIation of Proiect Date Occupancv Construction Tvpe Cost Per Sa Ft Sa Ftl! Valuation Calculated Staff Estimate Estimate $ 1.00 179,000.00 $179,000.00 2009/12/14 DJB $179,000.00 Fees Paid Description Amount Paid Date Paid Receipt # SDC MWMC Reimbursement $101.97 12/16/2009 1200900000000001339 SDC MWMC Improvement $1,044.54 12/16/2009 1200900000000001339 SDC MWMC Administration $10.00 12/16/2009 1200900000000001339 Total Amount Paid $1,156.51 Plans Reviewed Department Received Due Date Completed Result Reviewer Comments Planning Review 12/14/2009 12/14/2009 APP DDK Public Works Review 12/14/2009 12/14/2009 APP LKW Roof runoff from Lot 2will be directed to the existing city stormwater system through an 8" stormwater pipe in the joint utility trench. Structural Review 12/14/2009 12/15/2009 APP CJC As noted on plans Inspections Conducted Inspections Comments Date Result Inspector Final Building Final Plumbing Final Mechanical Storm Sewer Line I of4 WIL...._.I'!~-.....-......: ',.. ,":"".. ..... ! .: City of Springfield Building Permit & Inspection Summary 10/15/20 I 0 2:02:27PM Job #: COM2009-01779 225 Fifth Street 541-726-3753 Phone 541-726-3676 Fax Job Address: 3847 E ST Springfield Scope of Work: Single Family Residence Description of Work: Single family residence- *************DP A ************* - SAME AS COM2009-01778 3841 ESt Project Status: Deferred Payment Wall Insulation Ufor Electrical Ground Footing Foundation Post and Beam I) provide anchor bolts within 12 inches of the end of the sill plate. ORSC R403.1.8.1 2) provide underfloor access to all locations under floor ORSC R 408.3 3) provide 1/2 inch clearance from wood to concrete ORSC R 502 4) NOte plumbing not complete Underfloor Mechanical Underfloor Plumbing Underfloor Mechanical Post and Beam Floor Insulation Shear W all Nailing correction complete 2nd inspection ok to cover 1) renail all over driven nails on the shear walls 2) all nail spacing to be 6 inches on center forthe edges and 12 inches in the. field I) provide window flashing 2) provide attic access of 22x30 3) provide moisture conlnet letter 4) provide details for cut floor joist, or replace with new one where plumbing has removed the . top plate 5) strap top plate where removed by plumbing or electrical 6) provide trusses clips on all trusses 7) replace studs at electrical panel where more than 40% of the stud has been removed 8) replace interior barring wall at the kitchen! stairs with 2x6 studs ( note plumbing has bored a 2 inch hole in a 2x4 wall) only leaving 1/2 inch on each side 9) fix stud where mechanical duct has removes studs under stairs 10) plumbing not ready/ electrical still setting boxes Framing Inspection Hold Downs Installed 12/17/2009 12/17/2009 12/17/2009 12/22/2009 12/22/2009 12/22/2009 12/22/2009 12/23/2009 12/23/2009 02/02/20 I 0 02/02/20 I 0 02/02/20 I 0 OK OK OK NOK OK OK OK OK. OK NOK NOK OK RWC RWC RWC RWC SKG SKG RWC RWC RWC RWC RWC 2014 RWC .~.!l!:1. 1II.1lLO. ....ii.....'.i lAM i -.. i. City of Springfield Building Permit & Inspection Summary 10/15/2010 2:02:27PM Job #: COM2009-01779 Job Address: 3847 E ST Springfield Scope of Work: Single Family Residence Description of Work: Single family residence- *************DP A ************* - SAME AS COM2009-01778 3841 E St 02/02/2010 NR 02/02/2010 NOK 225 Fifth Street 541-726-3753 Phone 541-726-3676 Fax Project Status: Deferred Payment Rough Plumbing Rough Mechanical remove mechanical duct from under the stairs, seal the penatration from garage to house Rough Electric Low Voltage Shear Wall Nailing Framing Inspection Post and Beam Exterior correctil;ms complete Underfloor access provided 02/03/10 correction complete moisture content letter ok see file corrections compete Left correction notice: I.Please install long 90 degree fitting on kitchen sink vent and slope 1/4 inch per foot toward drain where located below 6 inches above flood rim of sink.(904 OPSC) 2.Provide minimum 30 inch wide finish clear floor space for master water closet(407 OPSC) 3.Fasten master shower enclosure to framing every 8 inches On verticle flanges using roofing nails or pan head screws.(31 0, 314 OPSC) 4.DWV was not full of water during inspection through roof(7120PSC) moisture content letter see file Post and Beam Framing Inspection Rough Mechanical Rough Plumbing Framing Inspection Rough Plumbing Framing Inspection Wall Insulation inspectioon completed 2/8/20 I 0 correction complete Wall Insulation provide vapior barrior letter inspection completed 2/8/2010 Electric Service Water Line provide baffels in attic vents 2) provide letter for vapior barrior Called SUb Pending approval of meter connection Around building OK Storm Sewer Line RWC RWC 02/03/20 I 0 OK BAR 02/03/20 I 0 OK BAR 02/03/20 I 0 OK CJC 02/04/20 I 0 OK RWC 02/04/2010 POK CJC 02/04/20 I 0 OK RWC 02/04/20 I 0 10 RWC 02/04/20 I 0 OK RWC 02/04/20 I O' POK SKG 02/04/2010 10 RWC 02/05/20 I 0 OK SKG 02/09/20 I 0 OK RWC 02/09/20 I 0 POK RWC 02/09/20 I 0 NOK RWC / 03/24/20 I 0 05/14/20 I 0 OK POK GAD SKG 06/22/2010 POK SKG 3of4 .~~~G"~.mD~'.. ~..! City of Springfield Building Permit & Inspection Summary 10/15/2010 2:02:27PM Job #: COM2009-01779 225 Fifth Street 541-726-3753 Phone 541-726-3676 Fax Project Status: Deferred Payment Final Plumbing Water Line Final Electric Sanitary Sewer Line Underfloor Plumbing Final Plumbing Job Address: 3847 E ST Springfield Scope of Work: Single Family Residence Description of Work: Single family residence- *************DP A ************* - SAME AS COM2009-01778 3841 E St Left correction notice: l.Please 06/22/2010 NOK complete sanitary and storm sewer connections to building.(31 0 OPSe) 2.Relocate pressure reducing valve to above ground location.(608.20PSe) 3.Secure dishwasher to countertop.(31 0 OPSe) 4.Provide two seismic. water heater straps, one within top 1/3 of tank and on within bottom 1/3 oftank.(508 OPSe) Reconfigured DWV Pending approval of storm sewer 06/22/20 I 0 06/29/20 I 0 07/13/2010 07113/20 I 0 07/13/2010 OK NR OK OK POK SKG SKG GAD SKG SKG SKG 40f4