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Home My WebLink AboutPermit Building 2010-12-30 .. SP;.I"IG.._f.I~~ ~>.~ ,--ft., ~ ;:7'~ORfGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00384 IVR Number: 811000051731 www.ci.springfleld.or.us 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/30/2010 03/24/2009 12/30/2010 EXPIRES: VALUE: 06/18/2011 $205,312.00 SITE ADDRESS: 748 28TH ST 750, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTil DPA has been paid - SEE CASE 811-SPR2010-00296 FOR PERMIT EXTENSION. DUKES & DUKES CONSTRUCTION PO BOX 71095 EUGENE OR 97401-0182 PROJECT DESCRIPTION: OWNER: ADDRESS: Phone Number: CONTRACTOR INFORMATION Contractor Type Electrical Contractor Plumbing Contractor Mechanical Contractor General Contractor Contractor Name EASTSIDE ELECTRIC INC DENNIS SCOTT EGGERS PACIFIC AIR CONTROL INC DUKES & DUKES CONSTRUCTION CO Lie Type eeB eeB CCB CCB BUilDING INFORMATION # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 2 24,00 WH Construction Type Occupancy Type Occupancy Comments U E E # of Bedrooms: Sprinkled Building: Fi re Ala rms: Energy Path: 4 Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 004A I Lic No Lie Exp Phone 117770 10/04/2011 541-741-1499 142776 05/05/2012 541-459-0110 164092 04/18/2011 206-682-6393 65060 03/16/2011 541-747-3130 I Lot Size: Sq Ft 15t Floor: 976 Sq Ft2nd Floor: 920 Sq Ft Basement: Sq Ft Garage: 460 Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: ~TT TION . d H dEN : Oregon law reqUires you to Floo azar r.e. . . d H d A' 11~\v rules adopted by the Oregon Utility Lan azar, real' . C Th . . . I_u," cation enter. ose rules are set forth Retalnmg W~I\:OAR 9.52-001-0010 through OAR 952.001- 50.15 Report6l0(!~~r.lbu may obtain copies of the ruies by calling the center. (Note: the teiephone number for the Oregon Utility ~iotification Center is 1-800-332-2344). Springfield Building Permit 12/30/201 3:06:33PM '. v . ..T.4.>~~~';"~_". NOTICE: ... . . .,,' THIS PERMIT SHALL EXPIRE lF THE WORK .~ AUTHORIZED UNDER THIS PERMlT \SNOT:: COMMENCED OR IS ABANDONED FOR < " ANY 180 DAY PERIOD. .,.,., Page 1 of? SP1::~,E;j WI"~<~ "k,,,,,~ OREGON www.cLspringfield,or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00384 IVR Number: 811000051731 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/24/2009 EXPIRES: VALUE: 06/18/2011 $205,312.00 SITE ADDRESS: 748 28TH ST 750, Springfield ASSES DR'S PARCEL NO: 1703361111300 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00296 FOR PERMIT EXTENSION. DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 25.00 8.00 Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 3 REQUIRED PARKING Total: 4 Handicapped: Compact: Yes 26.70 21.00 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Storm drains to private storm sewer as proposed. FI SS Yes Sidewalk Type: C5 Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value Springfield Building Permit 12/30/201 3:06:33PM Page 2 of7 .:~~~ www.ci.springfield.or.us ,.., CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00384 IVR Number: 811000051731 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/24/2009 EXPIRES: VALUE: 06/18/2011 $205,312.00 SITE ADDRESS: 748 28TH ST 750, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex. DO NOT FINAL UNTIL DPA has been paid. SEE CASE 811.SPR2010.00296 FOR PERMIT EXTENSION. PROJECT DESCRIPTION: FEES PAID ~ Description Amount Paid Date Paid ReciDt # SDC MWMC Administration $10.00 08/25/2009 1200900000000000984 ~- .- SDC MWMC Reimbursement $195.80 08/25/2009 1200900000000000984 --.- ---- -'-"--~---'~~--' --"-~---_.._. ~~MWMC Improvem~"t $2,018.34 0812512009 1200900000000000984 + 12!~~ate Surcharge .-$7-:56-.--..0BmI2C)C)9-.---- '1206900000000000994 Temp"p..".!'er 200 aml?~~~~ $63.00 08/27/2069-~.:--=-1200yoooo~000000994 + 5% Teci1n.."'ogy Fee $3.15 08/27/2009 1200900000000000994 Residence.Wiring Ea Addtl500 $50.00 02122/2010 1201000000000000159 Residence Wiring 1000 Sq Ft ...__.E.68.00_._._._~2/22/2010 1201000000.000000159 + 5% Technology Fee. $15.90 02/22/2010 1201000000000000159 :': 12% State .s,urcharge $38.16 02/22/2010 1201000000000000159 Sanitary..!?"wer -Impro.vement ..._$.~3.54 __.__...._ 12/30/2010 2010001188 Plan Review Major. Plannin~ $211.00 12/30/2010 2010001188 :': 5% Technology Fee $110.56 12/30/2010 2010001188 SDC Sanitary/Storm Admin $208.21 ._~2/30/2010 .__ 20100~ Sanitary Sewer - Reimbursement $1,161.94 12/30/2010 2010001188 SDC T~a~sportat;c;;_Ad;;:;;;;------------..-.. -$13336-- - 12/3672616--.--.--io16Oo1i8a. s;;;;;;o;ainage Impervious Area $1.359.56 12/30/2010 2010001188 SDC Trans Improvement-Resident $1,777.96 12/30/2010 2010001188 SDC Tran Reimburs-Residential $403.08 12/30/2010 ' 2010001188 + 12% State Surcharge $240.02 12/30/2010 2010001188 Willamalane Attached (duplex) $6,200.00 12/30/2010 2010001188 Plan Review Residential $741.11 12/30/2010 2010001188 ... SDC ANNEXATION CREDIT'" $-978.79 12/30/2010 2010001188 Addressing Assignment $76.00 12/30/2010 2010001188 FireplacaJ.List~._ $20.00 12/30/2010 2010001188 Gas Outlets 1-4 $7.00 12/30/2010 2010001188 ~_"'_-~,_.._-~~._,.--_.., --"._-_...._,.._-~-_.~~---------,,_._--,- !!2:.erV~n.t...______ _._ __.___. .___._..__.!~8.00_ _.._.__12/30/2.9.1~_ __' . 20~0001~8~ Exhaust Hoods $26.00 12/30/2010 2010001188 Vent Fan $36.00....i2i30i;;oio--.. .-. ";;01000i188- 1st Appliance $79.00-..-- 12/30/20i'6-----'.-'-"20i06ii118s' 2 Baths One or Two Family $674.00 12/30/2010 2010001188 Building Permit $1,140.17 12/30/2010 2010001188 Fire SF Fee - Residential $115.10 12/30/2010 2010001188 Total Amount Paid $17,312.73 Springfield Building Permit 12/30J?01 3:06:33PM Page3of7 ...-......}. ........-{'>-,., '~ ., " SPRINGFIELD . ~'I' -'.' ....... (: \?y ...." OREGON . ;r.-. 225 Fifth St " Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Residential Permit www.cLspringfield.or.us PERMIT NO: COM2009-00384 IVR Number: 811000051731 permitcenter@cLspringfield,or,us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/24/2009 EXPIRES: VALUE: 06/18/2011 $205,312.00 SITE ADDRESS: 748 28TH ST 750, Springfield ASSESOR'S PARCEL NO: 1703361111300 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00296 FOR PERMIT EXTENSION. I Plan Review ~ DeDartment Public Works Review Received Due Date ComDleted Result 03/24/2009 WI Reviewer BJG Comments: Waiting on information from planning. Structural Review Comments: Need updated firewall details- called David Dukes 03/26/09 ~"':!"'11'" ,'~'(1\'"""-' 'U"'~""'."_":: ",-"=-:~~""",-~",,,,+<~ft,',-.,", ',._" '~~~--::-~~ ~~~~;~:~;I~i~:6Js;:~~~~r~~~~:~lh~S:;~e~~;~~~~~:l~~:e';e~Ji[e~';of:~f~;~~;~~!~~~~,~':t~~~'II~e':;?~t,~~st' .'c P;::.. .' -;>'1 ~-.. , " '_'" ' _.' _ -., '"o"'^~,"---"'~~_~""''"~_''-'''_~'-_'____' , ,,~ Public Works Review 03/27(2009 APP BJG Comments: Storm to proposed 10 in line. Planning. ;R...eview>' ":~~. '.'..,:,r)~g:4-__:." ,.... ,',.~,' ~f :;,?-'J'~:~--: '04. /01/2.0Q~Ji,.:li~P&i~'&;-t'~l~~ "'~.';J~: 'rDDK~ >:!~~'C~\f~',.<'f' ,." '-t '7"~! ,,'j.,;;"y!;.'f.' 'e" :".;" ,:, ; '" " __ ";~>fr' __, ", .' ",-...;. "",h ,,"-~ <, ",," "'-. ,'; ',:;;,~,::'O\>-~""'~~";>>,', "A,:;,...:,'" :'~>":'>_'~'--=:~''''''; ,., ;"': .;,:~'" ~\'" """ """,,', ,;",,,.J ,'f , "~C,~~ e;,q~' ,'P.~9jest;t9:~fcons.~rl:lqted.;.?s'~s~oym on .fina!,sit~~plaDsJc:>r;p~~2099:002H,JP9CU.~ANg\YV~~NOT. 8~~.IYEN' UNTIL, __ ' .. ',,4,:,~' c:? THESIT~;I.M~ROVEMENTS"AREINAND INS~Ec;rEDB~Y!BLflNNIN.Gt.CaIlDeye!te~l<eIlY'@ 714"'\.156 for finaLsitec.;~ c"',' J. " ';.0< ~"",';jnSRedion. Pleas~U~liv€":48 ti(iur~tjpi-;~< _ :;;'~f;""':'~';:?'::'"':'+"::;'\" '0~'::"::Y;0~~~~"':" y},~-- ,'; ::p} '" --." """--'j;"'- ~-::" :., " Accept Plans For Review 05/12/2009 10 CJC Comments: Fire wall details recieved 5/11/09 1 1 Application Acceptance 08/12/2010 08/25/2009 Deferred Payment David Bowlsby Print Permit Comments: DPA 08/25/2009 OK DJB Print Permit 02/22/2010 OK DJB Comments: issue electrical only' !P~frrii$'l.ss'ua~'C~,>".,~,,,},; :'. . ;~:.~~>~f;C~: J~. ;,~~'~~ ~~ ,';'; ,,: ~~08{12/20Jb'f{;';;P~feffe~'~yrj1~nfr :f'";::<:',~_.~~amb&9~j~'~.~,}~,~~:, .< r~.9:~,rri~~~t~!, '4A!I,'~Sp_e'~1~9!lS7f~~~e~~51rlais, ca,?.'~ei~91!d.ui~~d,~.{c"..or9~ ~,~~.~~rb~~.i~s~~dr~~!!FfTL}~1P,'~~ti"~n~~ _~~~ 'cOI!1Plet~:- a~d: ~~.ferr~ed :. '"4:~_-:p..@ymen1J0~.~elved",- . ." ~ ~.-:::'., .~. " - "'~' . ~\:... .'." '4'"t" i ~,,--., "" ':__~,j;~~~:.;, Inspection 11/05/2010 In Process Guy Dixon Comments: Inspection in process '=:J...."'.....". ",,' .' ," ". ::r'.>o,. . .'",-" o 'I. .,-- - - ~ - .", ~ ~~"""^ Springfield Building Permit 12f30f201 3:06:33PM Page 4 of 7 .. S~~~N~_FI.EL~ ~""'JR 0'0'~ ,~ OREGOrf www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00384 IVR Number: 811000051731 225 Fifth Sf Springfield,OR 97477 Phone: 541"726"3753 Inspection Phone: 541 "726"3769 Fax: 541"726"3676 permitcenter@d.springfield,or,us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: '. APPLIED: 12130/2010 03/24/2009 EXPIRES: VALUE: 06/18/2011 $205,312.00 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTil DPA has been paid - SEE CASE 811-SPR2010-00296 FOR PERMIT EXTENSION. SITE ADDRESS: 748 28TH ST 750, Springfield ASSESOR'S PARCEL NO: 1703361111300 Inspection Comments: Inspection in process 11/05/2010 In Process Robert Castile Inspection Comments: Inspectiondn process 12/20/2010 In Process Springfield Building Permit 12/30/201 3:06:33PM Page 5 of7 51~NG.~EL~ .?(~ "'<;><~ OREGON www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00384 IVR Number: 811000051731 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/24/2009 EXPIRES: VALUE: 06/18/2011 $205,312.00 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTIL DPA has been paid. SEE CASE 811-SPR2010-00296 FOR PERMIT EXTENSION. INSPECTIONS REQUIRED I SITE ADDRESS: 748 28TH ST 750, Springfield ASSESOR'S PARCEL NO: 1703361111300 Inspections 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 4000 Temporary Power Service 1540 Gypsum Board/LathlDrywall 1110 Footing 1120 Foundation 1260 Framing Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 1170 Post & Beam Framing Inspection: Prior to cover and after aU rough in inspections have been approved. Post and Beam: Prior to floor insulation or decking. 1510 UFER 1430 Insulation Wall Wall Insulation: Prior to cover. 3500 Rough Plumbing 3200 Sanitary Sewer Rough Plumbing: Prior to cover and including required testing. 3170 Underlloor Plumbing 4120 UFER Ground 1110 Footing 4000 Temporary Power Service 1550 Firewall Sanitary Sewer Line: Prior to filling trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. Footing: After trenches are excavated. 1260 Framing Firewall: Located and constructed according to plans. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Rough Plumbing: Prior to cover and including required testing. Rough Plumbing: Prior to cover and including required testing. 1260 Framing 1260 Framing 1260 Framing 1260 Framing 3500 Rough Plumbing 3500 Rough Plumbing Springfield Building Permit 12/30/201 3:06:33PM Page6of7 sp.~~~~~ .~~ ^ '.""LLm^.OREGON www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00384 IVR Number: 811000051731 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726.3769 Fax: 541-726-3676 permitcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/24/2009 EXPIRES: VALUE: 06/18/2011 $205,312.00 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex. DO NOT FINAL UNTIL DPA has been paid. SEE CASE 811.SPR2010-00296 FOR PERMIT EXTENSION. SITE ADDRESS: 748 28TH ST 750, Springfield ASSESOR'S PARCEL NO: 1703361111300 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 4220 Electrical - Service 4220 Electrical - Service 1996 Final Inspection - Planning 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumbing work is complete, Final Electric: When all electrical work is complete. Final Electric: When all electrical work is complete. Final Electric: When all electrical work is complete. 3999 Final Plumbing 4999 Final Electrical 4999 Final Electrical 4999 Final Electrical 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 or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contract()rs 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. ~~~~~.-- / ~ -7--() -;~ / [) Owner or Contractor Signature Date Springfield Building Permit 12/30/201 3:06:33PM Page 7 of7 $.~wt~ AS" c6 -E*~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689%t~i~~JV~ir~8'", ;tf; If /!:IJ/o~ '0 'Demolition o Other " City Job Number CO&iV\ zoo' I, -.0. IS Z L Date' e-- ,I & 2 Family Dwelling or Accessory -ro- New Construction - o Multi-Family . . IT Addition/Alteration/Replacement o Commercial/Industrial / n Tp"n.nt Improvement L . . Job Address 7'Y E?J L 750 z.. 8 +1.... S'--- Bldg No. , ,.... . 'Lot Block Subdivision Tax Map/Tax Lot Project Name . Description of Work/location on premises/special conditions ~~~~~5~'~~~;;~i~i;Y)~'~~~'~~; Mailing' Address 217"7 i.//)uJ.d 4Jl:.. . City f;:ll--Jjf/.'t' (" --/ S{.;e tJ-I. Zip 77'1'77 . Phone '50/'/- ~11J- 0 'lOt, Fax 7'/'7- 3/"?' a Owner Representative ~L/~'/ alf~( 'Phone 77''7- 3/YcJ Fax 71/7- Y Of:? A,,"Ci::.r;?o~2Zi"- ..... .""" C. -1):;YW!";\'''~:'''''>jF'J,''f:{;'''(ti'':i.3h;;-;'~iXV'~~'#:h';<<~%~<:'-%::_\'?4".i.t.,,:;t'~,, o 1~0.ppJj~~cirltE~,~?;~ffjlfS::~fjJ;~}it~;t:~~1;~:{~;~~?~~~~i:~~Z~:- Suite No. \ 703 3&11 11'1 00 ze/-L. 'l> "^ jJ c..e- X ~~~::,~,"'i'#ci:!b..it!/ii~~~.1~i.i.~g::dd1~j~t;'~tZ5f~~~~i1t~~~tlr~::t~~!.~i~~~~ . . SQ Ft X $/SQ Ft . J!>~b- 91:) ljob Z b ~,~~:~~~~~t~~e~r::",QP,r~) . . '" '.92>.266 . r;;C~m!rt~ir~~~i[iiffi4_d~,tB~Tl~~~:lti~iiii~~.ly~~~~~~1l~~}t:~1~~~~ SQ Ft X $/SQ Ft ~ rti /fj~ Existing Building Area ~ ~ New Dwelling Area. Garage/Carport Area Name Mailing Address City Phone New Building Area Zip State Total Value Fax Value /8770L( lo:nb Existing ;'~m:~, ~$:;,:rt. "~~'Z~ ",,~;~,~ Mechanical . ,L .,.; Electrical C. ' d: L', '" '. o ;ScdilijnerciaZ/lndusMiIZ'.P:roject{;' Has site review application b~en submitted? ... DYes 0 No 0 N/A' Ifso, Name of Planner Journal Number f~1;_;;j/;<;:';'::;--::;_~~1;~;--~'::-~1?,~;tl't:~..'"?'?:n':;,;c';~,i~~~:~~';r;i01);;ttf,;~1,,'.L~,19,j;~>;::~;;t4 o tf1!:!=!!-_~rc~lll).~~.lg[Jgr/.Engn~"~,~,l],.1?;j':&~!)ki~~~j~ Name Address Occupancy Group(s) Const. Type(s) Number of Stories City Contact Person Phone State Zip Fax New Phone # 7'(7- 5'(?o ~at t~;c:ig<:;tr~~:~Ott2~(i'c~'f:tIi1.';;{;~)~~!~!!~;;YW\W;}'i!}iJt}ff0'fh Water Heater ~. Range.~ Energy Path Do you require any of the following for this project? Over-width or Second Driveway 0 Yes . Temporary Power 0 Yes Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under rovisions ofORS 70l and ma be re uired to be licensed in the .urisdiction where work is bein erformed. ,For Office Use,OnZ . PLAN' CHECK FEE ?~ t:::> %e~' ....~. '.;'f ~Ii/ APPLICATION / S~D\;Z;""d';:;"'Id,"g::o~~ . BUILDING. PE~~IT 5~~,.tS '. 0.."'\\9 ~ c.6-/~Z3 ~'\P k~ Job. No. ~}\~2fr\ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 ... ._~~~~: .\1iiJ\~ t'fuj(o~ PHON.E: a.{<6: (F\D'o ADDRESS!2.t\~ 1'~{)QTY ~ STATE~IPttftl1 LOCATION OF PROPOSED BUILDING SITE: Street Address: 146/:150 9})+n ~ Plat Name: Tax Lot Number: J.!)O'OCXO\ \ l\CCO . . p 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . . '. A. Sinale-Familv Detached NO. OF UNITS X$2,858 per unit ==. $ B. Sinale-Familv Attached NO. OF UNITS & X $3,100 per unit = $ l O'JJiJ .ciJ . C. Multi-Familv Apartment NO. OF UNITS X $2,641 per unit = $ . D. Sinale Room Occupancy NO. OF UNITS X $1 ,321 per unit =. $ E. Accessory Dwellina Unit NO. OF UNITS WILLAMALANE SDC X $1,550 per unit = $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ ~?~tx).cO kJ $~ \'d..- ,3Q ~\t) Date $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) Development Service City of Springfield . 5 Electrical Permit Application , CI'iix'QF:.sP~GiiELD~:'OREGON/: , ~ f?' _. . .....", ,,!.,., ,,", ~. _"H-_ *- '_'f.~' --'i-- "'~' <:, " ""\J "..... t. - 225 Fifth Stree,.SpriDgfield, OR 97477 tPH(541)726-375H FAX(541)726-3689 aW\'Zoo1-oo 3g-'f Permit no.: Date: -( 1- 10 . This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire ifwork is Dot started within 180 . . . __,days.ofissuance.or.if.work is.snspendedJor.180.days._.. . u. '. _u_ . . .. - -..,. .- ---'-- .. - -. - . l!!ll!;i'PJ!ilJ~~Q*l!I.G~.Y:!:.~I:fME,I:fJ;f~g&R.~\f~~~~J1lillll Zoning approval verified? 0 Yes 0 No liIIJfli;!JlU;~f;A.:tEG.(;)R.YIQliie~NsjjfRl!Jc;'I7l~l:fm~~~ esidential 0 Government 0 Commercial ~.W:-OB!fsf;tEJl{jNIiQR~lIiIONr~I:fJjj!ll.!!oeA.l'i~Nl!tll!;i~:PM Job site address: 7"18 7 ~O 2 &-+1... '::> City: Sf'F1) State: 0 ZIP: 7477 Reference: 170'33 Taxlot.: 1\ "5 60 Address: City: 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: . ~~"I1"~4l'fTIl!fe0NiRAC;fQR1%'iNSl'Ajg~tIQN01!llii$'jlf~i:~~ if:m_'92;r~1NME1Mt:. .., ,_ __, _,;. ;",,_' .f.. _""': .f.. ... ,,', ",1 ',' ,n,,,,,",YS*0,','4.h~~~ Business name: EJ,. 575/{) E EL-fC,/(/C Address: ? '(5). r J 13 os c: A 6" f U,,~f City: 5Pr;:w State: 0 ZIP:CJ7 Y7 Phone: 51.(1- 7 '11-1 '1Q9 Fax: - 7]0:, - 1(,0 E-mail: 'R.j(/((}U7510f ra Y(lJlvO,r:..O/i1 CCB license no.: J /77 7. () BCD license no.:;2. 0 -'-Iv S c. l.{7) 7 s RO(j-(,I( Signing supervisor's license no.: Print name of signing superviso~: Signature of signing supervisor: 440-25&4-J (9/08/COM) 1,000 sq. ft. or less (4) Z $134.00 Each additional 500 sq. ft. or portion Z $ 25.00 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 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Recooriect only (2) $ 63.00 $ Temporary services or feeders: installah"on, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feepers section above Branch circuits: new, alteration. extension per panel a Fee for branch circuits with purchase of a service or feeder fee: Each branch circu~; , $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees:~servjce or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) . Signal circuit or a limited-energy p~el, alteration, or extension (2) EDCh additionaIinspection: (1) $58.00 $ '~~.',"~..r.I.~.-~_~ ~~~IJ!I~~rliUSEL'..'HG:!_'~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL rees and surcharges (A through C): $ 63.00 $ $ $ 63.00 $ 63.00 $ $ 318 $ ~g ,I. $ /5'10 $372 Si~Jil..N;;;~ iIE"'~ , ,>:;01 . = "'OREGON WWIN .ci. springfield. or. us TRANSACTION RECEIPT COM2009-00384 748 28TH ST 750 ClTY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permilcenler@ci.springfield.or.us RECEIPT NO: 20\000\ \88 RECORD NO: COM2009-00384 DATE: 12/30/2010 tDE'SC:Ri~ff0-"~:~1::~~:",':i~~M~$~~~F~~~~.'t?l~~fr~.~{il~~~W,!i~~WACC-o'iij'Nft{C~O' .. -DE1~!+~~~'1Z\t,-m?i:f}f5?A""'M"O;'-U;t-N~"~T'rD-U\"'E'--~~4~:~X:~1!}1;{{t~jf _"._~_._ '_._,. ._,,'.__..' .:~ .=, ...,. ,,' _ ~1f1Ut.~~..L_"d'~",~~~,_",,,~;~_,,,~__, '''l~:,,,.,,'''N!L...., .~." ~ ... .....,.. .'. _ ... . l:t'>l\.h.i*""\%,.. -%;<-;-,p-M, .... .~. __ .:..._. _d_" .'.;':><-:i.~.'J...:{]i\1~~~,,,,. ~,~~~!,~.!,e~'2'it .._....._. ._. ....._... . 224.00~~0-~2S,60.2 $1,140 17 Fire SF Fee. Residential 100-00000.424005 $115.10 ..__".....__..'u'.___....__...._..__.._....___.._ ..............__.... __.._"__..._ .... .___.. "."__,,,__.___. ...._.. .. 2 Baths One. or Two Family 224.00000.425603 $674.00 .._.~._______..__,__;'"._.__~_w._..~.. ..._,.__,,__.._.__ 1st Appliance 224-00000-425604 $79.00 _______._____~_.___.._____._._.._.._...._d.________.._______.~___."'.~r.....'~.__._,_~_..,,__._..._ ._._..._~..c._ _'..n .... _._ _._._ ."~._.__ Vent Fan 224.00000.425604 $36.00 ~.~~~~~;~~-"~~ ~~~_=:=::~:==~.=:==::====.::~:=:..~--.._........=. 224~~00O'O':~25~04_.-.=~.:.:~:.==~.::==~:.=....~~~:O'~: DryerVent . p_. . _.. .. . 22.4~0.00..00.~~25.604..n .. _..!1~o.O.. l:3a~ 2!:'~~t~).~_...._.___. ..........__... ..... .._224:000o.?_~2!!~.o.4_.. ... ..._...__. _.. ... $!cOO. Fir"pl~ce.(Listed) 224:0()O.00:4~:.~.~~ $20~0..0 !\_~d!e~~in~ A~sjg~rn~nt. . . _.. _ . . _ 2~4:.o.0.9.~.o.~~.2.56o.2 $7600 ... SDc; ANN~XATION CREDIT.... 440.000.~0.448024 $.978.79 Plan Review Residential 224.00000.425602 $741.11 ~llalT1alan".A.tta~~,,~(~up.l.".x).._.... ..... .m. ...... 821:0o.o.~.o..?1 S,0.2~ $6,.20000 + 12% State Surcharge 821-00000-215004 $240.02 .. ___...n,.. ....., ___"'_.".,_~,._,__"._.._~____.._.._.,"'__ ,._.".,A"..._._~_........._._,_~. .._-.....,__..___ --_.~__.~..._ ..... _.....,._.. ..__...__'.' _, .... . ,,,_, ..._.~,_._~.__..... ~...__ SDC Tran Reimburs.Residential 446-00000-448026 $403.08 . ',".',~" .,._____.____..__ ._._____...._.~ .._.....___.______u .._..._______,,___________..._....._........., __..._..__u ..__ _ .~_ ..~. _'_".,. _ "~.". Si:J~ Ir~ns...~E':"~em~"_1:.R~sid.".~!....._._.............__. _ ....._.._._.44!:9'O'O.00:4~~O'~!__. _.__. .._ ___._$1..7.7796 Storm Drai~~~-"-'."!e".rvi()~~!'..r:e_'!.._ _._. _.._ .__ __..__.__._.~4'O'~~OOO'?:4~8..0_2~_.... ..___. .___. m' ......._~!c3:5.9:56_ s.g~.'f.'.".nsf:?..rtat~()n_A.~T.i.n.____._..__.. ....___.__.._._..._..__._.72.~.00000-4~660~_..___.._....'" ._..__...___.._~.!~~0.~.. .S.a.nit"-S/..S-"",,,,.:_~ei.rn.b~.cs."..fTl.~~t _..._.__.._..__.... ___ .__. .44.2:.o~~?:~.':..8024..___m_.. .._____..___.._~1.'.1.13..1.'.9_4. S.'2c;S."D~t~ry!S.t()rll1~~I11~n.. u.... .._" .... ...... . .,11 ~-D~0.O'O':~2~04. . ..$2.0821 Sanitary..8.<::w:.'..:Irn.p.ro.v.e:nent.. ... .. .... 443~0?9?0:~48.~~S, ..._,.. $883~54 ~lan.!.',,-vie,!,.~aj()~:"'pI."n~in.~ ..... ".._ ....._ '''.._ 10.0:0_00_00:4250?~ . $211 :0.0 ~.5_0(o..Tech!'.CJI.~Lf'."."_..._______..__.. _ ...____.__.______._... ..1.00~~~0.o.O:~2_5_~0S. _..._ .__ _. $11.056 TOTAL DUE: $14,642.82 lliiiii~~xMEN.T.l;t\xFiE!'iitr411Jgb:i\.ORT'fi!if.*lcA~8.i~~".DElOWi!SJ!X~'~'C0MME~j"'fS1*<-:j)\l't,~iL(:.'i.'!6:,~"'I-'"1l'iiW-"W!"AM6uNTJI1AID.i{\!;~~'3~~~~\'I. ~." . ~",,_,.._._. ,~..~.."_"""",,,--..,. _.~..~~."'''_~..,..........__,j{1lli~_..._."_''^_,'~_'~~SliI:''''''tm[~,,\;o;:J:tImJ;;;Ifi-''-''_"~.~".~..",~ ~~""'.A"4""~",_",-'t",,jiR~~',,, Check 1003 ab mcguire trust $14,642.82 ..-,' .;-. .... '~""" -ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules h re set forth OAR 952-001- In OAR 952-001-0010 throue of the rules by 0090. You may obtain. cop' calling the center. (Note: the telephone Oregon Utility NOtifl tion . number for the Oreg . Center is 1-$00'332--2344): MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Property Lines -Front yard to House 10 feet -Front yard to Garage 18 feet S'd d to House or Garage 5 feet ci0l3d Ab0 081 1d0A_ 03N00MV S1 HO 010N34' { 5411�N�3d SlH1 a31 X10 0971TO A� 3Hi �13HidX3 ll' HS 11��M' c JOB hl - i eyar zoE _-�._____�.— -Rear yard to House or Garage 10 feet uJVIT�S� O c-UPANCY LOAD P.U.E. MAY CHANGE SETBACKS L E GA � � : S� R, p Project to be constructed as shown on final site plans for DRC2005-00072. OCCUPANCY WIL.LNOT BE GIVEN UNTIL. TIF SITE 1WROVEMENTS ARE IN AND INSPECTED BY PLANNING. Call Deyette Kelly @ 744-4156 for final site inspection. Please give 48 hours notice. THE CONI EMI ` �!r :' + . } FEE N RZ l _ ;'-D,. WITH LTER ,i! `'v , y . =i -i LI j,-4C'LQ?ED PE iCi CHANGES OR ALTERATIiNI+ wic.t_,E TO THE APPR'JVED DRAWINGS OR PROJECT AFTER T'HE DATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL. CITY OF 21' D90REGON is r APPROVED BY'