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Home My WebLink AboutPermit Building 2010-12-30 S~.\IIN;E~ ~'"~-"~ ,j1;li,_. . '. i"_~,' 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00385 IVR Number: 811000051732 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@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: 744 28TH ST 746, Springfield ASSES OR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Duplex - Same as 748-750 281h Slreel (C9-384) - SDC Credil given on Ihis duplex for previous slruelure. - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00297 FOR PERMIT EXTENSION, DUKES & DUKES CONSTRUCTION . PO BOX 71095 EUGENE OR 97401-0182 Phone Number: OWNER: ADDRESS: CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor DEt:.JNIS SCOTT EGGERS CCB 142776 05/05/2012 541-459-0110 Mechanical Contractor PACIFIC AIR CONTROL tNC CCB 164092 04f18f2011 206-682-6393 Electrical EASTSIDE ELECTRIC INC ELECTRICAL 20-405C 07t01/20i1 541-741-1499 General Contractor DUKES & DUKES CONSTRUCTION CO CCB 65060 03/16/2011 541-747-3130 BUILDING INFORMATION '1 # of Units: o # of Stories: Height of Structure: Type of Heal: Water Type: Range Type: Hazmat: 2 24.00 WH E E Lot Size: Sq Ft 1 sl Floor: 976 Sq Ft 2nd Floor: 920 Sq Ft Basement: Sq FI Garage: 406 Sq FI Carport: Sq Ft Olher: 0 Occupancy Load: Construction Type Occupancy Type Occupancy Comments U # of Bedrooms: Sprinkled Building: Fire Alarms: 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 Site Information 1 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: in OAR 952-001-0010 through OAR 952-001- Soils Report Required!090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). 12/30/201 3:02:45PM ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Ulility Nolification Center. Those rules are set forth N OTI C E: . ."\\.,,;:>':';.,i,';},',,;"". ' THIS PERMIT SHALL EXPIRE IF THE WORK ..:. AUTHORIZED UNDER THIS PERMIT IS NOT C COMMENCED OR IS ABANDONED FOR ,.;:i,':" ANY 180 DAY PERIOD.'--" ..",', Pi~ig'e'1' of 7 Springfield Building Permit SP~~::.:l~ .~,~ ::::-'0'"",,,, OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00385 IVR Number: 811000051732 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@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: 744 28TH ST 746, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Duplex - Same as 748-750 28th Street (C9-384) - SDC Credit given on this duplex for. previous structure. - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00297 FOR PERMIT EXTENSION. DEVELOPMENT INFORMA nON I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 24.20 25.00 14.00 Overlay Dist: # Street Trees Reqd:. Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 3 Yes 26.70 REQUIRED PARKING Total: 4 Handicapped: Compact: . 21.00 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Storm drains to proposed 10 storm sewer. FI SS Yes Sidewalk Type: C5 Downspout/Drains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value Springfield Building Permit 12/30/201 3:02:45PM Page 2 of 7 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00385 IVR Number: 811000.051732 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/24/2009 . . ,"' "'fl' ~_ 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 06/18/2011 $205,312.00 SITE ADDRESS: 744 28TH ST 746, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - Same as 748-750 28th Street (C9-384) - SDC Credit given on this duplex for previous structure. - DO NOT FINAL UNTil DPA has been. paid - SEE CASE 811-SPR2010-00297 FOR PERMIT EXTENSION. I FEES PAID I PROJECT DESCRIPTION: SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Temp Powe~ 200 amps or less ~ 12% State Surcharge Residence Wiring Ea Addtl 500 + 5% Technology Fee Residence Wiring 1000 Sq Ft Refund - Electrical Refund - Surcharge Building Permit Plan Review Same As Fire SF Fee. Residential + 5% Techn_ology Fee Plan Review Major - Planning SDC Sanitary/Storm Admin ~.~itary Sewer - Reimbursement SDC Trans Improvement-Resident Stor!:!2.~~!nage Impervio~_s Area Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Transportation Admin + 12% State Surcharge Willamalane Attached (duplex) Addressing Assignment Fireplace (Listed) Gas Outlets 1-4 -------_._.~._._-_._--- ------ Vent Fan Exhaust Hoods Dryer Vent __ 2 Baths One or Two Family 1 st Appliance Amount Paid $195.80 ._--~----,-"---- $2,018.34 $10.00 $63.00 $45.72 $50.00 .__._w._____._. $19.05 $268.00 $50.40 $6.05 _.~._-"~._,, -"'-----"--- $1,140:17 --,_...,---~._--,,~_. $250.00 $115.10 $110.91 $211.00 $164.24 $636.30 $1,777.96 $1,054.19 $483.84 $403.08 $152.47 $240.86 $6,200.00 $76.00 $20.00 $14.00 $36.00 .*"----..--,,-,.-.,.-. $26.00 $18.00 $674.00 $79.00 $16,609.48 Reciot # 1200900000000000985 -'1200900000000000985 1200900000000000985 1201'~000000160 1201000000000000160 1201000000000000160 1201000000000000160 1201000000000000160 160850 160850 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 2010001185 _._._~-"-- 2010001185 ..-.---.-..------ 2010001185 2010001185 2010001185 2010001185 -_._~_..",---- 2010001185 2010001185 Descriotion Total Amount Paid Springfield Building Permit Date Paid 08/25/2009 08/25/2009 08/25/2009 02/22/2010 -_._----,- 02/22/2010 02/22/2010 02/22/2010 02/22/2010 03/12/2010 03/12/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/201 3:02:45PM Page 3of7 .......d..u...~; ..~t.'~.. t:. ~ STN..<;.fl e L:1iJ .-- ~.~.. ~ ,f.~...:" OREGON CITY OF SPRINGFIELD Building I Residential Permit 225 Fifth 51 Springfield,OR 97477 Phone: 541~726~3753 Inspection Phone: 541~726~3769 Fax: 541~726~3676 www.ci.springfield.or.us PERMIT NO: COM2009-00385 IVR Number: 811000051732 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 $205,312.00 SITE ADDRESS: 744 28TH ST 746, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Duplex - Same as 748-750 281h Slreel (C9-384) - SDC Credil given on Ihis duplex for previous slruclure. - DO NOT FINAL UNTil DPA has been paid - SEE CASE 811-SPR2010-00297 FOR PERMIT EXTENSION. Plan Review I DeDartment Received Due Date ComDleted Public Works Review 03/24/2009 Comments: Waiting on information from planning. Resull WI Reviewer BJG Structural Review 03/25/2009 WE Comments: Need updated firewall details- called David Dukes 03/26/09 ~.~bfi~~Q,tKs'~el.:ie~..~~'~;'~:'~Y' i ~'\;ft:~~~?:t~;;'i~~5;~~,~.,:-~,3~~,~/~~~~;'.: '. :I?, ~'" .~'~'_: '. ~~,;- B~~, ~:":' -~~-:--~,~.~- ~._- l . Com~m'en~:',i" Indi9c;ussion'on:p~9?3~ed'1 ,o,i!n,\~to~i!J~e"a.~d,;V{p_a~~Y'!i!l~q,_e,[equ,i!~.d. t9 'c9!1,nec~ ~baqo: 1h~~4'jnstofm ttne 011,2~th st .! Public Works Review 03/27/2009 APP BJG Comments: Storm sewer to proposed 10 in. line. Planning RevlevJ:-:;,.' -:;v:.""^:4i.l-.1f-ti*;;V~j0,:' &;t?;.}-F'f '::;'-{-:^>'~i&*~:;^;" ;0410t/2009~it.PP~~rJ;~~~* ::> _J:.;~' ,>~ D[jK:~ .~~ .*:.~ ::;rj' '>t*.~ '\ , " i~:~'-:->"'~J>'>i-ic'.>''''.''-' ..'. ;;:;y;.*J't' . .}, ~_.' ,:;'i~k;'<-i: -_' '" .'" }~ _: '-"";',.Jr~;1/.'.J.'::. 1i" ~y;*,."..:'$ -' . . >-,~ '.:>..:. """,' . c -Co~mel(tS:j:'~frojec:tto~t5e.co'}~trLJ_c,t~9,.as:,s~ho~' 0~p,~al!si@p!~ns.,fpr:p~S?pOl?:O.l!Q7~:j~9fGU~~NGY"VYILl':NO.T..~E'~IV_EN UNTI~ '. .J'_' ~-" r," " .'~;i\c'~TI;I~~IT~l!M~Fl~,Y~~M~~TS%~~,!tj,A,NP;I~~!:~~'IbEp;~;r,g:~N"t!J!'J2diiS~!14~!'X,~1~,K"II~,@;!:!,t11~?!$r,fin",\~it~_, . ,,:';;'''' Pf,:"_1f":>f~.' '- ____ "lnsRectt9lli..PI~~~g\ve 48,t'\Q1ln>.J1Qtl.Qe,-.; ..", '. . .;,(, . ,w!~ }1 '~~~," '" r ~"tf'*^ti/"'T" ;~\- C 'x.., '~V" ,. >' . '" - , ',' ' Accept Plans For Review 05/12/2009 REG CJC Comments: Fire wall details recieved 5/11/09 Initial Review 06/10/2009 10 LLH Comments: RE: Credits ... Willamalane will not credit this project. Public Works adjusted their SDG's for the previous structure. 0812512009 OK DJB Deferred Payment Agreement Print Permit 0212212010 OK DJB Comments: issue electrical only I '. ..... .... .'Y. -.----,,~~ '. ". ... d"~~~'~-r-------C--~~--~----'--l ;:~~:~~~:sr;fi i~~p'~ct0~s; "x~c~t;~in~I;'!:a~'be:::~:uGt~~~~~~~~~~nno;~:;~~~;~a~~\fr:n;; ;~:;~~~~~;::~:~;:'te-:;q'd~;:;r~~ . .' :'" "J L::~~~:p.aYI1JE!nU~,f.~.g:!;,I.\I,ec:i;\,,~;;k,_~::'L:L_':'-__~:".._"~...::::"'m.""~__~,-~:~~1:"':"Jr:...:',;..~~,._~;~_-.:.._..;;.~._'":.._;: _;' .~.,.__~ __~". InspectJon Comments: Inspection in process 11105/2010 In Process Guy Dixon Springfield Building Permit 12/30/201 3:02:45PM Page4of7 -- SP~"'l GFIE~,D'" .- -', ~~ :~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00385 IVR Number: 811000051732 www.ci.springfield.or.us 225 Fifth S\ Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 12/30/2010 03/24/2009 Issued 12/30/2010 ISSUED: APPLIED: EXPIRES: VALUE: 06/18/2011 $205,312.00 SITE ADDRESS: 744 28TH ST 746, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - Same as 748-750 28th Street (C9-384) - SDC Credit given on this duplex for previous structure. - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00297 FOR PERMIT EXTENSION. 11/05/2010 In Process PROJECT DESCRIPTION: Inspection Comments: Inspection in process Robert Castile Inspection Comments: Inspection in process In~pe:~itY?n~~,:< ')~:'4,0:}~)\;;it: i"'" ; c' -^ :~;~'e~t;:'_ 'ihspeCtI?n fn'p~oces'~ 12/20/2010 In Process , 12/30/2010 "'f'>.;,," .c:c. )~F}. . . ~ .. 'lgroC~3\_;".,: ~>; '{ .,#, ~.:,;' ''1~% ; N:;'.~ -.", ,'~"", " Springfi.e1d Building Permit 12/30/201 3:02:45PM ;-''''-'; .; 0_ ~ _"'~~~' H ~. Guy Dixon _~.'....__ ...,.---:-'-"--"r'~ .;?uYQi~on '. '" '" : ",,'" ., ~ ';f.,.:"'+J/"_': ',~, ,-,,~, ',-,--'1 "J""~ 2':- '. ',~ 0, ", "," " ' .. Page 5 of 7 -... ;~ Spr~,~L,'~ .,:~ ..,,":...\.. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00385 IVR Number: 811000051732 225 Fifth 5t 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone 541-726-3769 Fax: 541-726-3'676 perm ilce nter@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: 744 28TH ST 746, Springfield ASSESOR'S PARCEL NO: 1703,361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRtPTION: Duplex - Same as 748-750 28th Street (C9-384) - SDC Credit given on this duplex for previous structure. - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010.00297 FOR PERMIT EXTENSION. INSPECTIONS REQUIRED I Inspections 1829 Special Inspection 1510 UFER 1120 Foundation 1110 Footing 4120 UFER Ground Foundation: After forms are erected but prior to concrete placement. Footing: After trenches are excavated. 3200 Sanitary Sewer 2300 Rough Mechanical 1540 Gypsum Board/Lath/Drywall Sanitary Sewer Line: Prior to filling trench and including required testing. Rough Mec~anical: Prior to Cover 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. 4220 Electrical - Service 1170 Post & Beam Framing Inspection: Prior to cover and after all rough in inspections have been approved. Post and Beam: Prior to floor insulation or decking. Wall Insulation: Prior to cover. 1260 Framing 1430 Insulation Wall 3500 Rough Plumbing 3170 Underfloor Plumbing 4500 Rough Electrical 3400 Storm Sewer Rough Plumbing: Prior to cover and including required testing. Underfloor Plumbing: Prior to insulation or decking. Rough Electric: Prior to Cover Storm Sewer Line: Prior to filling trench. Firewall: Located and constructed according to plans. Rough Plumbing: Prior to cover and including required testing. 1550 Firewall 3500 Rough Plumbing 1260 Framing 1260 Framing 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. 1260 Framing 3500 Rough Plumbing 4220 Electrical. Service Springfield Building Permit 12f30f201 3:02:45PM Page 6 of7 S~:NG_ F IE~ ~)\,' ..' . ,,,,,if. (!;J .. .. ".""- '''O'REGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-003B5 IVR Number: 811000051732 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@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: 744 28TH ST 746, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Duplex - Same as 748-750 28th Street (C9-384) - SDC Credit given on this duplex for previous structure. - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00297 FOR PERMIT EXTENSION, 4220 Electrical. - Service 1996 Final Inspection ~ Planning 2999 Final Mechanica! Final Mechanical: When all mechanical work is complete. 3999 Final Plumbing 4999 Final Electrical 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. 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 yo.'ork 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. )?51~~~~~rJ Owner or Con)ractor Signature J L~ -30-~) D Date r Springfield Building Permit 12f30f201 3:02:45PM Page 70f7 " $P",BE&~!Y,rO ,; ~'\II"I "IlS ..~ -Ql"DI\~G DEI'"", ,,,tON! " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 1/ - 30 o o , City Job Number' CO...vl z..:s c:> (f. - 0 I 5" Z 3. ~ & 2 Family Dwelling or Accessory ~New Construction o Multi-Family 0 Addition/Alteration/Replacement ~b A~:r:s;ercialllndus7Ilft/ 7l/~ . TPn28.{l:men~+- Bldg No. 'Lot Block Subdivision Tax MapfTax Lot Date -Pemolition Other Project Name , Description of Wark/location on premlses/specia\ condit\ons O ;,{i~;r~'!'~;ty"';!~oit~~5;~~~~~i:~~/0~~'~~~~J0,'k~tl1f~!~;~~~~;; Na;;' ....21~/;,.)~;4;~;'~'.aZ~.W&~. Mailing' Address 215:'" .y;UJ.4 4/c.. City 50'/)"1/'(0(' d State tJ-f. . Zip q ;:</77 / Phone ~/- <f11;- 0 <(Ot, . Fax 10/(- >/~ C) O~ner Representativ~ ~L/I'/ alf.~< p,Hone 7'1'7- Y'5o Fax. 7t,/"?-- '5/3Cl , <l! t' ~~^7 t:~ ~",,;~,~~t.;;;;;s ~:.tr:i ",w"~(~b. '9 H\--1.e..Y'.. ~;&"~ . '" "_.' _ \.".",,~~ "'" <, ~n.w.~ ~~<';>!it!'" .~;v tc:"" O "'Apphcant,-,J".~,,,4"J?)~r;.>'t'1~; .~' < ~JtJ!:~", - \fI~,::~~..~t1,)'.~&;S:,"4~ ~'- Name' ~ - ,- , "^-" "--'-" ,""."~' -' ,~~~"._---~-- {\~(;r-Mailmg Address '0 City Phone ~ ,.) ~ ~ t:J = . Value /877Ol( 10 SSb SQ Fj X $/S~ Ft I B90 '1'7. 40 b e~ New Dwelling Area Garage/Carport Area Other Structure Area Total Value I f!S ZbC> . rN9~~ifi~~W~i{li;J~~~i*tii[1{1~YiFF:~~~.l!1yt~J:~,;t~~~~}~ . SQ Ft X $/SQ Ft = Value Existing Building Area New Building Area Zip State Total Val ue Fax o New Existing Name Occupancy Group(s) Const. Type(s) Number of Stories Address . Zip State City Contact 'Person Phone ....-'" ~ o General C, Plumbing Mechanical Electrical e c;(, '" ~as ~Sl~O:~~;~:':;~~?!:~:;S~~:~!d~C~~;; ~at ~~~~c:~d~~~~~~OtJi2l:.3[J~;t~tY~';s;~:~~!~~~~F;(~~,@ji$f'l'X'~~~ DYes 0 No 0 N/A Water Heater (!!;" Range t=:: Energy Path If so, Name of Planner Do you require,any of the following for this project? Journal Number Over-width or Second Driveway 0 Yes ~No _ Temporary Power ~Yes 0 No Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under rovisions o(ORS 701 and ma be re uired to be licensed in the 'urisdictiorl where work is being erformed. 'For Office Use;Only PLAN CHECK FEE ~ "- ~ o ~ ... ,.j . ,-. ~ ct: AP PLICA TION PERMIT BUILDING Shared Drive(T:)lBllilding FonnslBuilding Penn!t APplication IO-02.doc f(; ~ !~I!!!!~l~~e Job. No. ~q..~ . SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: 'ro.\)\<l tAlX 0 ~ PHONE: C\ '<. ~- C1\ttJ ADDRESS~C\:>5\(o~ITY. STATE'tfLZIP:Cf1418 LOCATION OF PROPOSED BUILDING SITE: StreetAddress: l.Ar\P"'tO ~Pft'.. J'*v. oo~ Plat Name: Tax Lot Number: \\03~'o\\ ll.3:i> . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) , A. Sinqle-Familv Detached NO. OF UNITS X $2,858 per unit = $ B. Sinqle-Familv Attached NO. OFUNITS 'l- X $3,100 per unit = $ lo'lJr){i) C. Multi-Familv Apartment NO. OF UNITS X $2,641 per unit = $ . D. Sinqle Room Occupancy NO. OF UNITS X $1,321 per unit = . $ E. Accessory Dwellinq Unit NO, OF UNITS X $1,550 per unit = $ $'la1fD.(t/ {j $ l.o'lJ1).aJ , ~~ 9D\'O Date . WILLAMALANE SDC '. , 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ i 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) Developmen e c City of Springfield 5 Electrical Permit Application ,~"",;_:,"_~.,..v:.", .....r'."~ii'" '~"-~...L "'".{,~.'~~, 'CIT\H,)F'SPRINGFIELD~!OREGON;". . "'.....:1. ~;!&~1,...... t':.}.~ - --, ".." .~b -." ~~.... -.''''t.., ;r~~,?, ~, ~,..~..,.:'.,<;;; Y. 225 Fiftb Street. Springfield, OR 97477. PR(541)726.3753t FAX(541)726-3689 _i%',gifAKjl;~l5m/",,,,,~. ..' ,OEflARmMENmiWSEONI.>Y"." 1(2'1;; ~f'tJ;Lk;W-<<i.W~i::;;\~j'&i>jj\8:ESk~2rirJt\t"ii[ ,{ '; COWlzc01 - 0 0 S g-S' Permit no.: Date: Z - f <; - I D This permit is issued uuderOAR 918-309-0000. Permits are uontransferable. Permits expire if work is not started within 180 . ,days.ofissuanceorJfJ'I'ork is.suspended.for.180Aays.. . ' .... ... .. ... . '. ..... .....' . "P/1.r1 ~ Address: 0 ~ 0 )C City: ~g- ~,^~E:-:S 7/0 '7 ~ State: OIL ZIP: C; 7<1 () Phone: Fax: 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: Rji!JBI!QQNm~c:;mQ~IfNsll';t.;l!~mfQ!'I"R~lli$lltIfJlliIIJ~~ Business name: E" S7 <; JOE EL. f G,fO ( Address: 3iD S' J Bose A 6" f U.Nt City: 5PfitD State: 0 ZIP: q7 Y 7 Pbone: 5 t.( /.7'1/ -/ VQ9 Fax: - 7](; - </'1(,0 E-mail: 1<.)::.IC ~ "575/0 f 8 Yfl !fit\) , Lom CCB license no.: J /77 7 (j BCD license no.:.;z 0 -Vu J C. ~7)7.5 ROG-(f( Sigrring supervisor~s license no.: Print name of signing supervisor: Signature of signing supervisor: 440.2584-J (9/08/COM) Residential, per unit, service included: 1,000 sq. ft. or less (4) --z. $134.00 $ZbB Each additional 500 sq. ft. or portion Z $ 25.00 $50 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 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ S 201 to 400 amps (2)' $ 87.00 $ 401 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 $ 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 $ Miscella~eous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-:energy panel, alteration, or extension (2) Each additional inspection: (1) $ 63.00 $ $ 63.00 $ $ 63.00 $ $58.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AD (C) Tecimology Fee (5% of[AD TOTAL fees and surcharges (A through C): $ 3Z1 $ L(S 7Z $/9 oS $ LfllS 77 SJ:...~ IN. G~FlaEL~ ~!,\".... '. ......".,""-. . ..','Ii:;>> OREGON www.ci.springfield.or.us TRANSACTION RECEIPT COM2009-00385 744 28TH ST 746 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726--3753 perm itcenter@ci.springfield.or.us RECEIPT NO: 2010001185 RECORD NO: COM2009-00385 DATE: 12/30/2010 'O"E"'S'''C''R'''IP'TI-O' "N")(i~~:!lil',!~':,~,w'.>"""~-\\t"'",",,'!iS!lI'''''';'''~4'i'' ........_--..."'............~..t~'&'~"="...... ............. ...._-'....';riii~"..I.. "~. '.' i-'--_,~.~~L~" " ....f '.7'. w'. ~~lE~~i$li;mlrj!...fl\G_c:.QtlNffii.C.QOEif.w~~.d'lll~1il\MCltlNJ$.O_U.Eit-lll\@<1#!.-~~fj~ijli;~ .2_~~!I:'''-'O'~.-''r:I~o Fam~y._____.___ ___._____________.... ...._~~-!!.0~9!!:~356~~__ __.__._._ ___ __ _.~6?4,99_ .1.:'~!-.!'pJiance ________.____________...__..-.2.34-0~~9_~:425604 . _..._..__..___ .~!~OO pryer Vent 224.00000.425604 $18.00 Exhaust Hoods 224-00000-425604 $26.00 .-----" _.~- -- - Vent Fan 224-00000-425604 $36.00 ---._----- ----------- -"--.---.--.. Gas Outlets 1-4 224.00000-425604 $14.00 "_.""_' ..._,._o..__.w..... .,.~.._.__....,_._._ _~..___ _.______ . _._ __._____._____.______.__._,_,,_~__,_.~~,_.._.,.. ,___,___,,,_,___.,__~,,_ Fireplace (Listed) .._..3.2.4.:9_00.?~~~2~??4. _ $2009. i\dqressing Assignrnont_..._. 22~:??0.Oo.'::2.5.~~2... .___. . .. _$1.6.09 .Wi.llam.a!ane Att~ch"djduplex).. ~2.1:0.?0.90:3.15.0.2.~. $6,20000. +~~~~~)~tel3_u!~h~r~.~.._.. .._..... ... _..".,_ 821;~?OIl.?:21_5.~94 $240.86 ~lJ.c;.::r:ra_n.sp.?r.t~.o~l\.<!.rn~..,_ ....___.... .__ _.... _...... . _ ....7.1 ~.O'O'Il.9_?:~3.66.O'4__.. $152,47 ~Dc::_I~"-l3.oimb.~rs.Residenti~J__.__ .___...___. _.____ ______._._~4.6:~O'~~.~~481l.2~__.. _ _~~.03. ?8. .~~_n.iJ.a.')'...?~"r:.:..lI11provem~"-t.._m.____________.._____._...~~.~.<!.~~O.~~~~ ..___,___.....___.. _~~~~~~. Storm Drainage Impervious Area 440-00000-448028 $1,054.1 9 _~__._.~~.~,~~~..._.M~._.__~._._____",_~.._.'._______~.___~'___".'.~'_~~""___'_____"~_ !3.l:J.<:. Tra_,,-s Impro.~ment.Resl.<!.e~_. ._ ._______ 447 -00000-44802!._.__.___--!:1,!!7.9~ ~~nitary.~~,,'. - Reim~C'.,,'!C<:.".!.____________ ..___.._______::"3:~0000-448024________.___~3.6.~9.. SDc; .~a.nital}'!!3toIrn.JI.9_rni~_.___.______._.... ... __....... ....___.__..._.?1~:.0.~~.?9:::2.6.604 "______""_" ._....__~:.6.4:2~ .Plan_F<_ey.i".:':_~a.!()!:.~Janni!'.~ '__""_'''_'____''_ .__.._...._~~:9.?0~9.:~3~09? _..___,__.... ____.._ .~21::09. :".5."(ol-"t:.h!'()I()~yf'e_"__._ _______.__._ ..__.... _ ...__100-0??O'O~2~6'O3____...__ "__. ~.11?!!1. F~e SF Fe" . Resident~a.!. 1 OO.00000~2~~05 $115.10 Buildin~ Permit .224~00000:4256~_2 $1.140.17 Plan R_e~ie.w_S.~rn-"_!\s.____....___,.._. __......._._. _._.. __,_ _22~:01l.0o..o:~2.~6.0? ..._ $25000 101AL OtlE: $13,883.12 ~~Yr;,iIENjf.1lli~E;il!:lillRA.YJ>R:mWQ:sBiE!<J!pi!i~'iiJl!!I,'c.lQMMl;Ni'l!~1'~l!B<}t~d4M.0J.iN1fi[ND~'\.""'.1l Check 1003 ab mcguire trust $13,883.12 ,.. . ---.....-.. .........:,_..',. -~ .......... -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'