HomeMy WebLinkAboutPermit Building 2007-8-7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 02/0812007
VALUE: $ 181,180.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 485 S 32nd St
ASSESSOR'S PARCEL NO.: 1702313402815
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
Overlay Dist: ~:rTENTION: Oregon law reqlt~W. :.yo~.~.o
# Street Trees R: uies adopteaby the ~n9i1rl.lPP~~:
Paved Drive R~b~i~i~a~ion Center.~,ose rule~Q,~~forth
% of Lot CoverrrfDAR 952-001-00'7t.dlthrough OAR 952-001-
0090. You may obtain copies of the rules by
l 'j'-''C' ...." ..prnno
"'fU.!!,1J I Lilt;: VC"I~I. \ oil.......... .0" - . ~ .
NOTICE: . PUBLIC IMP M r for the Oregon Utility Notification
Street Improvemenl,",IS PERM\T S~~~EX ffi~l!RMIT IS NOT Cen~&~\li~OPy~~:2-2344). Setback 5'
Stor~ Sewer A~ail~~il:HORIZED UOR IS :AN1:'JtJNED FOR Downspouts/Drains: Curb and Gutter
Special InstructlOn:vOMMENCED
ANY 180 DAY PERIOD.
Notes: Stormwater to weep hole in curb.
Owner: KENYA WILKINS
Address: 739 S 68TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON,
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
ADW LLC 172229
V ALLEY ELECTRIC CO, LLC 15364
RONS HEATING AND AIR CONDITIONING 169680
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure: 24.00
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
1
R-3
U
VB
4
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
18.00
6.00
6.00
44.00
8.00
Pal!:e 1 of 4
Phone Number: 541-510-3283
Expiration Date
09/22/2008
10/24/2010
05/04/2008
03/03/2008
Phone
541-683-3279
503-838-0447
541-343-6829
541-926-5300
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: I
5,000
937
708
435
REQUIRED PARKING
2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 02/08/2007
VALUE: $ 181,180.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!:s
Garal!:e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,645.00
435.00
Value
Date Calculated
Description
Total Value of Project
$169,435.00
$11,745.00
$181,180.00
07/09/2007
07/09/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $595.66 7/9/07 1200700000000000886
-Mech Iss 2+ Appliances- $40.00 8/7/07 1200700000000001008
+ 10% Administrative Fee $136.24 8/7/07 1200700000000001008
+ 5% Technology Fee $80.17 8/7/07 1200700000000001008
+ 8% State Surcharge $100.67 8/7/07 1200700000000001008
2 Baths One or Two Family $280.00 8/7/07 1200700000000001008
Addressing Assignment $35.00 8/7/07 1200700000000001008
Building Permit $916.40 8/7/07 1200700000000001008
Curbcut - 2nd Curbcut $-30.00 8/7/07 1200700000000001008
Curbcut Permit $85.00 8/7/07 1200700000000001008
Dryer Vent $7.00 8/7/07 1200700000000001008
Exhaust Hoods $10.00 8/7/07 1200700000000001008
Fire SF Fee - Residential $104.00 8/7/07 1200700000000001008
Fireplace (Listed) $17.00 8/7/07 1200700000000001008
Furnace - up to 100,000 btu $14.00 8/7/07 1200700000000001008
Plan Review Major - Planning $205.00 8/7/07 1200700000000001008
Sanitary Sewer - Improvement $550.91 8/7/07 1200700000000001008
Sanitary Sewer - Reimbursement $724.50 8/7/07 1200700000000001008
SDC MWMC Administration $10.00 8/7/07 1200700000000001008
SDC MWMC Improvement $961.52 8/7/07 1200700000000001008
SDC MWMC Reimbursement $91.61 8/7/07 1200700000000001008
SDC Sanitary/Storm Admin $137.44 8/7/07 1200700000000001008
SDC Transpo Admin $70.99 8/7/07 1200700000000001008
SDC Transpo Improvement $862.25 8/7/07 1200700000000001008
SDC Transpo Reimbursement $195.48 8/7/07 1200700000000001008
Sidewalk Permit $85.00 8/7/07 1200700000000001008
Storm Drainage Impervious Area $772.32 8/7/07 1200700000000001008
Vent Fan $14.00 8/7/07 1200700000000001008
Willamalane Single Family $2,303.00 8/7/07 1200700000000001008
Total Amount Paid $9,375.16
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 02/08/2007
VALUE: $ 181,180.00
Status
Issued
Initial Review
Planninl!: Review
07/10/2007
07/10/2007
1_ Plan Reviews I
07/10/2007 APP
07/31/2007 APP
LLH
TAJ
Public Works Review
Structural Review
07/10/2007
07/10/2007
07/11/2007 API>
08/01/2007 10
BRC
LLH
Structural Review
08/01/2007
08/07/2007 APP
LLH
The following are conditions from
the tentative partition approval
(SUB2006-00050) for this lot: 10.
Prior to final occupancy the house
gutters and downspouts shall be
connected to weep holes in the curb
along S 32nd. 14. Prior to final
occupancy the driveway shall be
paved.
Stormwater to weep hole in curb.
Forwarded to the Building
Department for review
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield
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.
UeouiredJnSDections ,
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Pal!:e 3 of 4
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 02/08/2007
VALUE: $ 181,180.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
r(~A 1A/.. -
Owner or Contractors Signature
1/1 JOY)
Date / /
Pal!:e 4 of 4
/
~'.:
CITY OF SPRINGFII;:LD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE: .
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS SoF. x, COST PER S.F. CHARGE
2232.00 $0.346 = I $772.32
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x COST PER S.F. x I DISCOUNT RATE I I
0.00 I $0.346 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$772.32 I
C0M2007-01000 :
Kenya Wilkins
485 South 32nd Street
17-02-31-3402800
Single Family Residence
1 . BUILDING SIZE (SF:
2. SANITARY SEWER c CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 27 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 27
COST PER DFU
$26.83
COST PER DFU
$20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=,
$],275.41
3. TRANSPORTATION
. A. REIMBURSEMENT COST:
, ADT TRlP RATE x
9.57
I NUMBER OF UNITS x I
I 1. I
COST PER TRlP
20.43
B. IMPROVEMENT COST: .
I ADT TRlP RATE x I NUMBER OF UNITS x I COST PER TRlP
I 9.57 I 1 I $90.10
ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,057.73
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
1
ICOST PER FEU
$91.61 .
B. IMPROVEMENT COST:
'NUMBER OF FEU's I x
1 I
ICOST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
, SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = ,
5. ADMINISTRATIVE FEE:
SUBTOTAL xl ADM. FEE RATE
$4,168.59 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$1,063.13
$4,168.59
CHARGE
$208.43
Billy Curtiss
2232
LOT SIZE (SF):
DISCOUNT
$0.00
x I NEW TRIP FACTOR
I 1.00
x I NEW TRlP FACTOR
I 1.00 -
PREPARED BY
DATE
TOTAL SDC CHARGES
5000
$772.32
I . $724.50
$550.9]
$195.48
$862.25
$91.61
$961.52
$0.00
$10.00
if)
.fL1
/8
I~
if)
>-<
o
~
I.
I ]070
109]
]092
I.
1093
]094
1054
]055
11054
]056
137.44 ]079
$70.99 J 1078
I
$4,377.02 I
~
=,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
iFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTIffiSWASHER/MOP SINK 1 0 3 = 3
ICLOTIffiSWASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit(?O OFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALVE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,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 1 for Yes, 2 for No)
BASE YEAR
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 -Fifth Stre.et
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01000
COM2007 -0 I 000
COM2007-01000
COM2007-01000
CO M2007 -0 I 000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-0 I 000
COM2007-01000
COM2007-01000
COM2007-01000
CO M2007 -0 I 000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
CO M2007 -0 I 000
COM2007-01000
COM2007-0 1000
COM2007-01000
COM2007-0 1000
COM2007-01000
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Curbcut Permit
Sidewalk Permit
Curb cut - 2nd Curb cut
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Fireplace (Listed)
~Mech Iss 2+ Appliances~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CHANDRA
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001008
Date: 08/07/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
1007
In Person
Payment Total:
Page I of 1
2:37:15PM
Amount Due
35.00
2,303.00
104.00
772.32
724.50
550.91
195.48
862.25
91.61
961.52
10.00
137.44
70.99
85.00
85.00
(30.00)
205.00
916.40
280.00
14.00
14.00
10.00
7.00
17.00
40.00
80.17
100.67
136.24
$8,779.50
Amount Paid
$8,779.50
$8,779.50
8/7 /2007
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 09/28/2008
VALUE: $ 181,180.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 485 S 32nd St
ASSESSOR'S PARCEL NO.: 1702313402815
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 1 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Covera~t-TTENT!ON Oi~Si'On law requires you to
110w f!.ltes adopted by the Oregon Utility
NotificatIon Center. Those rulec; ;:!rp ,~ot fndh
I PUBLIC IMPROVE~wlb<::-0Ul-001? through OAR 952-001-
~ou may obtain copies of the rules by
n~~/bneg tfheSlthatJW:tO Ik(tY-pe:. the telephone Setback 5'
r or e regon,WJII!:t Notiflcatk\n
Cen~?'r~~QBB~!jlf~-':tj~4). t-'Utb and Gutter
Owner: KENY A WILKINS
Address: 739 S 68TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
ADW LLC 172229
VALLEY ELECTRIC CO, LLC 15364
CENTRA FLO 64940
RONS HEATING AND AIR CONDITIONING 169680
WEST COAST PLUMBING CONTRACTORS 168880
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
# of Stories: 2
Height of Structure 24.00
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building n/a
4
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
6.00
44.00
8.00
Street Imllrovements: F II I d
NOTICE- u v mprove
Storm S'tinFJ ~PHW*SHALL EXPIRE IF THE W~RK
Special IdllYuftt611tE'O UNDER THIS PERMIT IS NOT
AUTHORI ONED FOR
Notes: CSMMEn\t&QoMJS ~l\~~urfj.
ANY 180 DAY PERIOD.
Pa!!:e 1 of 4
Phone Number: 541-510-3283
Expiration Date
09/22/2008
10/24/2010
04/18/2009
05/04/2008
04/13/2008
Phone
541-683-3279
503-838-0447
541-343-6829
541-926-5300
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,000
937
708
435
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Gara!!:e
Dwellin!!:s
Gara!!:e
Fee Description
Plan Review Residential
~Mech Iss 2+ Appliances~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut - 2nd Curbcut
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
WilIamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 09/28/2008
VALUE: $ 181,180.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,645.00
435.00
Value
Date Calculated
$169,435.00
$11,745.00
$181,180.00
07/09/2007
07/09/2007
Total Value of Project
~
Amount Paid
$595.66
$40.00
$136.24
$80.17
$100.67
$280.00
$35.00
$916.40
$-30.00
$85.00
$7.00
$10.00
$104.00
$17.00
$14.00
$205.00
$550.91
$724.50
$10.00
$961.52
$91.61
$137.44
$70.99
$862.25
$195.48
$85.00
$772.32
$14.00
$2,303.00
$5.50
$2.75
$4.40
$55.00
$18.00
$9.00
Date Paid
Receipt Number
7/9/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/31/07
8/31/07
8/31/07
8/31/07
10/15/07
10/15/07
1200700000000000886
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
1200700000000001008
2200700000000001379
2200700000000001379
2200700000000001379
2200700000000001379
1200700000000001305
1200700000000001305
Pa!!:e 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backflow Device
Minimum/Adjustment Plumbing
Total Amount Paid
Initial Review
07/10/2007
Public Works Review
07/10/2007
Planninl!: Review
07/10/2007
Structural Review
07/10/2007
Structural Review
08/01/2007
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 09128/2008
VALUE: $ 181,180.00
$14.40
$117.00
$63.00
$5.00
$2.50
$4.00
$28.00
$22.00
$5.00
$6.00
$2.50
$16.00
$34.00
10/15/07
10/15/07
10/15/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
3/28/08
3/28/08
3/28/08
3/28/08
3/28/08
1200700000000001305
1200700000000001305
1200700000000001305
1200700000000001438
1200700000000001438
1200700000000001438
1200700000000001438
1200700000000001438
1200800000000000282
1200800000000000282
1200800000000000282
1200800000000000282
1200800000000000282
Stormwater to weep hole in curb.
The following are conditions from
the tentative partition approval
(SUB2006-00050) for this lot: 10.
Prior to final occupancy the house
gutters and downspouts shall be
connected to weepholes in the curb
along S 32nd. 14. Prior to final
occupancy the driveway shall be
paved.
Forwarded to the Building
Department for review
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield
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.
$9,789.21
I Plan Reviews'
07/10/2007
APP LLH
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
07/11/2007
APP BRC
07/31/2007
APP T AJ
08/01/2007
10 LLH
08/07/2007
APP LLH
~eollireC:Unsnections ,
Pal!:e 3 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2007-01000
ISSUED: 08/07/2007
APPLIED: 07/09/2007
EXPIRES: 09/28/2008
VALUE: $ 181,180.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor 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.
Low Voltage: Prior to cover.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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.
tJJJ
3/28/; &Y
(2q~ f)m
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Owner or Contractors Signature
Date
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
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City Job Numbl'r /r- 0 7 ~ 10 (.1 () ~
Job Location Lf B )' ~g .3)
Assessors Mar
Tax Lot
Owner
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City
HACKFLOW PREVENTION DEVICE PERMIT .FEE: $63.50
Contractor Information
Addresc
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Zip
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ConstructIOn Contractors Registration #
Expires
,
By signing this permit/application, I agree to call for an Inspection once the backflow prevention deVice
has been installed and IS visible for inspection (726-3769). I also state that all informatIon on this
penmtlapPlicatl: : :O(}IT~~ u JJ
SIgnaturl" (/V// Datp 5 ) 2.!3) () B
/
For Office Use
Date of ApplicatIOn
3{n I (Jd
Checked for Delinquencie"
Checked for Historical Status
Shared Dnve (T )/BUlldmg Fonns/Backflow Prevention 1-08 doc
225 Fifth Street
Springfie1d, Oregon 97477
54F.726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
COM2007-01000
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000282
Date: 03/28/2008
DescrrptlOn
Backflow DevIce
MInImum/AdJustment Plumbmg
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ADW LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
561008 In Person
Payment Total:
Page I of I
10:07:09AM
Amount Due
1600
3400
250
600
500
$63.50
Amount Paid
$63 50
$63.50
3/28/2008