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Home My WebLink AboutPermit Building 2007-8-10 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1373 33RD ST ASSESSOR'S PARCEL NO.: 1702303407201 Springfield PROJECT DESCRIPTION: Addition with storage above Owner: JONA THAN JACKSON Address: 1373 33RD ST SPRINGFIELD OR 97478 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01097 ISSUED: 08/10/2007 APPLIED: 07/25/2007 EXPIRES: 02/10/2008 VALUE: $ 65,920.00 TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Phone Number: 541-556-2612 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor OWNER OWNER. OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB 24.00 Wall Heat Electric Electric Path 1 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 640 I DEVELOPMENT INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14.00 Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: % of Lot Coverage: 33.00 17.50 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: NOi~f)f2Vater drains to existing eaves. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED fOR ANY 180 DAY PERIOD. Pal!e 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: 22.90 Sidewalk Type: AI ~MitOmmRstaw requires you to .f~'ow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. 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). CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01097 ISSUED: 08/10/2007 APPLIED: 07/25/2007 EXPIRES: 02/10/2008 VALUE: $ 65,920.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Descriution $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 640.00 Dwellinl!s Tvpe of Construction V Wood Frame Total Value of Project ~ Value Date Calculated $65,920.00 $65,920.00 07/25/2007 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $310.04 7/25/07 1200700000000000961 + 10% Administrative Fee $61.10 8/10/07 2200700000000001279 + 5% Technology Fee $34.75 8/10/07 2200700000000001279 + 8% State Surcharge $46.32 8/10/07 2200700000000001279 Add, Alter, Extend Circ $48.00 8/10/07 2200700000000001279 Add, Alter, Extend Circ Ea Add $4.00 8/10/07 2200700000000001279 Building Permit $476.98 8/10/07 2200700000000001279 Fire SF Fee - Residential $32.00 8/10/07 2200700000000001279 Plan Review Minor - Planning $116.00 8/10/07 2200700000000001279 SDC Sanitary/Storm Admin $12.46 8/10/07 2200700000000001279 Storm Drainage Impervious Area $249.22 8/10/07 2200700000000001279 Storm Sewer - 1st 50 Feet $50.00 8/10/07 2200700000000001279 Total Amount Paid $1,440.87 I Plan Reviews' Initial Review 07/26/2007 08/0112007 APP NJM Plan Review Comments 08/09/2007 10 LLH Planninl! Review Public Works Review Structural Review 07/26/2007 07/26/2007 07/26/2007 08/03/2007 07/27/2007 08/09/2007 APP APP APP TAJ TSS DLM Pal!e 2 of 3 Initial review conducted on July 26, but date not in computer to be acknowledged as completed. Owner called to check on status of plan review. I told him all reviews were complete and approved except structural. I found the plan on Don's desk. I gave the owner Dons phone number and asked him to check in with him later. Storm water drains to existing eaves Storage attic above is to remain unfinished and unheated. Additional permits are required if the attic is to be finished. See documents for Plan review comments. CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: COM2007-01097 ISSUED: 08/10/2007 APPLIED: 07/25/2007 EXPIRES: 02110/2008 VALUE: $ 65,920.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. LReouired Insoections I 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. 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. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. own,,~::!d~ t-/o - eJ7 Date Pal!e 3 of 3 JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER:. . DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE. DIRECT RUNOFF TO CITY STORM SYSTEM r IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 720.25 I $0.346 = I $249.22 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. xl COST PER S.F. ~ I DISCOUNT RATE I 0.00 I $0.346 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '.$249.22 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I 9_57 B. IMPROVEMENT COST: ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP 9.57 I 0 I $90.10 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00. 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x I 0 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST:. I NUMBER OF DFU's x I 0 B. IMPROVEMENT COST: NUMBER OF DFU's x o B. IMPROVEMENT COST: INUMBER OF FEU's x I 0 CITY OF SPRINGFIELD SYSTEIVIS DEVELOPMENT WORKSHEET COM2007-01097 Jonathan Jackson 1873 33rdStreet 17-02-30-34-07201 SINGLE F AMIL Y RESIDENCE o BUILDING SIZE (SF' 720.25 LOT SIZE (SF): o DISCOUNT $0.00 $249.22 COST PER DFU $26.83 $0.00 COST PER DFU $20.40 $0.00 = , $0.00 , I NUMBER OF UNITS x I 0 x I NEW TRIP FACTOR I 1.00 COST PER TRIP .. 20.43 $0.00 x NEW TRIP F ACTORI 1.00 I $0.00 ICOST PER FEU I $91.61 = $0.00 ICOST PER FEU I $961.52 $0.00 1055 $0.00 1054 $0.00 1056 $0.00 $249.22 CHARGE $12.46 , 12.46 1079 -- $0.00 1078 TOTAL SDC CHARGES =, $261.68 ,....,- 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 x ADM. FEE RATE $249.22 5% . TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Todd Singleton 7/27/2007 PREPARED BY DATE rfJ ~ Cl o u ~ ~ r:n ...... o ~ 1070 , 1091 1092 1093 1094 1054 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOlHESW ASHER / MOP SINK 0 0 3 = 0 CLOlHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 ELGffiLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) V AWE / 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 = $0.00 TOTAL MWMC CREDIT ZON L. fXI.- INITIALS N (\/\ DATE f:;/ I ~----v...., SOURCE , ~oc;. oz- Date '8" - [0 r 2uu-7 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number OJ1. \DQ4 1. LOCA1'ION OFINSTALLA1'ION: \~f)o '3'0f0 ..~~ LE~~D!l~ 01'l.D\ JO~6i(metLt _ Mr!i-iQ(\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION C?NLY Add,." I ' y, NOl\e ~,-r p If \ HI: WO\\ ' c'WIS PER~:'l SHt\ll EX J'EHL~11 IS \\\OT t\U1HUK\I~O W:'=~ BJ\\,"DON'rU r\J; COMMENC~?, \-,,~ " Su~~sQSD~~ iiJ h.~. Expiration Date Constr. co~~umber ~ oW","N,mi.\'rooJhm ~N~ Address (~\~ ?>3r(i-:ti' City ~L, ~one 14 \ ,4Q(aS OWNER I~S\r~LA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELOW A. N~w gesidential-- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact' d Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. Services or Feeders - Installation, 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180.00 Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 ATTENTION' Ore .;~~&ttJ~~~_~t~ ;.>;l~,R 95.2-[)n 1- . ase rules ar~ setfortlt :..' 's (In~~,~Ua~~tl, ~~~tfu~El!YJU'f~82-00f. , G"';2.~:.ifWsc~~r~s~m~oPI.es of the rulAs b~ 55.00 , '~i '20h~,~~ ~p~~~te.. ~he tel~phon8 $ 76.00 401 ~It~toiSop_5eRr.~Utl"ty NotIfication $110.00 - -,,32-2344). Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Pane~ One Circuit "- Each Additional Circuit or with Service or Feeder Permit 4~ffi 4. \ $ 48.00 $ 4.00 E. ... Miscellaneous (Service/feederIlot included) -'Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 ~~:~iH~~;;r~;~;;:r F"" $50,00 + su~rrp:J 8% State Surcharge ~~\ 10% Administrative Fee 5"- 5% Technology Fee 'L TOTAL \~.C\l9 Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc c ' ' . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us . Permit#:~2.IJ1J7-0/()9 7 Address: . /37:S' Z :> 4!!1 ,r;-, Issued by: DL tv\... Date: f' -l 0 - o-r Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrica1, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not su/;Jmit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. )i 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor ifthe structure is sold or offered for sale before or.on completion. o 3A. My general contractor is (Name) (CCB #). I will instruct my general contractor that all subcontractors who wQrk on the structure must be licensed with the Construction Contractors Board. OR ~ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed. with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the'reverse side ofthis form. ;( ~~ f)(:lL~/'- . .. 9>-'1--7 V ~~~-~. . ~ (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 06-01-04 ." ; ,; t_ ~<t~t 'f~":?wn General <:ontractor? ... _",1. - . IN~RM$ION~&TICE'TO PROPERTY OWNERS . , ABOUr(fQNS;rR'-:'CTION'RESPONSIBILlTIES .-' NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as yoUr own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many 'problems by bein:g aware of the following responsibilities and concerns. . , y ou-will,)~ most instances, be ,r.l;llteqto be <lcn "employer" ?-lld the ,contractors you contract with will be "employees" if you use contractors not1icense,(jwith,theCons~ction Contractor~ Bo~r~ to do labor in co~stru~ting ?l'"to assist in the construction or iH,lplov~ment of a residential"structur~~ As th.eempl~ye~, y!>J.l ilUlst cOnIply wjdi tile !~~l~wing: Oregon's Withholding Tax Law: As an e~ployer;you'must withhold'income-taxes fro~ employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your 'employees. For more information; call the Depari:rr{ent-ofRevenue at 5'03-378-4988.' '-. - '.. Employer Responsibilities ~ ' .... " .... . . . Unemployment Insurance Tax: As an employer, you are required to pay a taxf6runemployment insurance purpo~~s<', on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. "'. ; .. . - ...., ~~ .. I . ", .......' - . ~.... The Oregon Business Identification Number (BIN) is a combined, number fQr,b~th OregQ!1 Wjthholding art& ':, Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or w'A'\v.doLstate.or.us/formsoav.htmll for the 'appropriate forms. " Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' <;ompensation insurance for your employees. If you fail to 'obtain worker,S' compensation insurance, you could'be subjecfto 'penalties'a:ndbe liable fbr aii" claim 'costs if one of your c~~lpldyees is'injured on the job. For more information, call the Workers' Compensatron Division at the Department of Consumer arid Business Services at 503-947-7815. , - ........ ....." U.S. Intemal Revenue Servnce: As an employer, you must withhold federal income tax from employees' wages:,;"" You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the ' IRS at 1-800-829-4933 orvisivtheir web Site,atwww.ir$.l!ov,.:' . y, ..;, , Otiu~r-- Re~pon~ibilitiies ::3nd. AJrea~ :0(. Cone,ernS ',' Code Compliance: As the permit holder for this project, you are responsible for resoiving any failure'to meet code' requirem.e~ts that may be brou_ght to )lour atte~tion through inspec~~ns. . Liabm~y and PropertY Damage hlsurante: . Contact your insurance agent to '~~e if you have adequate insur~nce ' coverage for accidents and omissions such as falling tools, paint over spray, water damagefrom pipe punctures,Jlie or ~ work that must be redone. _'.. . ~ . ': '~. \' -.." :: ' ., . - ." "",,.j*,~::, ~-~.~, "> '~.: :..,. ~ ..;.~' Time: Make sure you have sufficient time to supervise your employees. . \,.l A " \ <..- ~ Expertise: Make sure you have the skills to act as 'yoU'r own generaicontrattor, tJ coordinate the work ofrough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections, If you have additional questions call the Construction Contractors Board (503-378-4'621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property-owner. doc 06-01.04 225 F,ifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1 097 COM2007-0 1 097 COM2007-01097 COM2007-01097 COM2007-01097 COM2007-01097 COM2007-0 1097 COM2007-0 1097 COM2007-0 I 097 COM2007-01097 CO M2007 -0 I 097 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000001279 Date: 08/10/2007 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Storm Sewer - 1st 50 Feet Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JONATHAN JACKSON Item Total: Check Number Authorization Received By Batch Number Number How Received DLM 26461Z In Person Payment Total: Page 1 of 1 2:42:37PM Amount Due 32.00 249.22 12.46 116.00 476.98 50.00 48.00 4.00 34,75 46.32 61.10 $1,130.83 Amount Paid $1,130.83 $1,130.83 8/1 0/2007 lip . " I . . ;." ZON INITIALS DATE SOURCE 225 FIFTH STREET' 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ~LeCTRl. cAt Pf:tIJJrfIT ~YfJ.CATION. City lob Number . ~\ - \l )~, \ '. '. . . 1. \~ ;~~ LI:GAL DESCRI. PTION.: '. "'-'1.'/'~.(" . ' \f)013)~ {)l w '. V~Jf.~~<t . Date' 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof ". $106.00 $ 19.00 '. Permits are non-transferable ~rid expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. . . Each Manufact'.d Home or . Modular Dwelling Service or Feeder, $50.00 Electrical Contractor -D(el4;ef ,-<;~Juic~ ~Jlec~ I . JIt / (c'Sk',Jjr 200 Amps or less 20 i Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps '. . Over 1000 Amps/V olts Reconnect Only $ 75,00 . $125.00 $163.00 $375.00 $ 50.00 2. . . Address 16 kiJ City S [Jj-('.iJ I . PhoDe 5d I "s oa,3 . . Superviso~ Lic~nse Number . 'L/r; '3 r)~ . c. . /., . Expiration Date Cfr [;; / Q 7-- /6/, /07 . Installation, Alteration or Relocation 200 Amps or less Constr.Contr: Number' / G L( (d- 1...( 201_Amps to 400 Amps Expiration Date' ~- Lf /g-f fJ'f 40 I Amps to 600 Amps . '. . .. . . ~ Over 600 ~~~.~\\or 1000 Volts see "B" above. . SIgnature of Supervlsmg Electnclan . D. , IL L J-=~;=:- ~:: ~:::;Iion 0' Exte",ion Po< P,oe' . . ~ ~N ~ Each Additional Circuit or with Service or Feeder Permit Owners Name , H Address t~\~ 0.--~ttrHORIZED UND ~0' _I . COMMENCED OR SA City a-- Phone _ AM' 1 e9-DAY PE~tGlJ. or irrigation $ 50.00 . . Sign/Outline Lig?ting $ 50.00 OWNER INST ALLA nON . Limited Energy/Residential _ $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. '. . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges .' AI Il:lmON= Oregon faw recmf ..' .. . (\0 W . Owners Signature:.. :~i~~~~.~.:~:.i\,~~I~arfl:.!t':\!i "p"g' ..' , . ~:\.oD In OAR 952-D01-D010through OMi _ l!listrative Fee . . .' 1 \, bU... . . . 0090. You may obtain copies ofthio ei logy Fee. . ~ . ~ ) caJf~ng the center. (Note: the tel!R..hJ) . . '. a. J - II" Inspection Request: 726el!lldllit4"er for the Oregon Utility NotftlCatP. .. . . '.' (/ U/ .Iv ~ter I. 1-800-332-2344). lroqhared Dnve(T:)/Building Fonns/Elect~calPennit Application 8-06.doc $ 50.00. $ 69.00 $100.00 $ 43.00 $ 3.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1373 33RD ST ASSESSOR'S PARCEL NO.: 1702303407201 Springfield PROJECT DESCRIPTION: Addition with storage above Owner: JONATHAN JACKSON Address: 1373 33RD ST SPRINGFIELD OR 97478 Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14.00 33.00 17.50 Street Improvements; Storm Sewer Available: Special Instruction: Notes: Storm water drains to existing eaves. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01097 ISSUED: 08/1 012007 APPLIED: 07/25/2007 EXPIRES: 02/10/2008 VALUE: $ 65,920.00 TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Phone Number: 541-556-2612 I CONTRACTOR INFORMATION I BUILDING INFORMATION I 1 R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB License Expiration Date Phone 24.00 Wall Heat Electric Electric Path 1 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 640 I DEVELOPMENT INFORMATION' Overlay Dist: # Street Trees Rqd; Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Paee 1 of3 REQUIRED PARKING Total: Handicapped; Compact: 22.90 Sidewalk Type: Downspouts/Drains: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01097 ISSUED: 08110/2007 APPLIED: 07/25/2007 EXPIRES: 02/10/2008 VALUE: $ 65,920.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 640.00 Tvpe of Construction Dwellinl!s v Wood Frame Total Value of Project ~ Value Date Calculated $65,920.00 $65,920.00 07/25/2007 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $310.04 7/25/07 1200700000000000961 + 10% Administrative Fee $61.10 8/10/07 2200700000000001279 + 5% Technology Fee $34.75 8/10/07 2200700000000001279 + 8% State Surcharge $46.32 8/10/07 2200700000000001279 Add, Alter, Extend Circ $48.00 8/10/07 2200700000000001279 Add, Alter, Extend Circ Ea Add $4.00 8/10/07 2200700000000001279 Building Permit $476.98 8/10/07 2200700000000001279 Fire SF Fee - Residential $32.00 8/1 0/07 2200700000000001279 Plan Review Minor - Planning $116.00 8/10/07 2200700000000001279 SDC Sanitary/Storm Admin $12.46 8/10/07 2200700000000001279 Storm Drainage Impervious Area $249.22 8/10/07 2200700000000001279 Storm Sewer - 1st 50 Feet $50.00 8/10/07 2200700000000001279 + 10% Administrative Fee $7.00 9/4/07 1200700000000001147 + 5% Technology Fee $3.50 9/4/07 1200700000000001147 + 8% State Surcharge $5.60 9/4/07 1200700000000001147 Perm Serv/Fdr 200 amps or less $70.00 9/4/07 1200700000000001147 Total Amount Paid $1,526.97 I Plan Reviews I Initial Review 07/26/2007 08/01/2007 APP NJM Plan Review Comments 08/09/2007 10 LLH Planninl! Review Public Works Review 07/26/2007 07/26/2007 08/03/2007 07/27/2007 APP T AJ APP TSS Pal!e 2 of 3 Initial review conducted on July 26, but date not in computer to be acknowledged as completed. Owner called to check on status of plan review. I told him all reviews were complete and approved except structural. I found the plan on Don's desk. I gave the owner Dons phone number and asked him to check in with him later. Storm water drains to existing eaves. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01097 ISSUED: 08/1 0/2007 APPLIED: 07/25/2007 EXPIRES: 02/10/2008 VALUE: $ 65,920.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 07/26/2007 08/09/2007 APP DLM Storage attic above is to remain unfinished and unheated. Additional permits are required if the attic is to be finished. See documents for Plan review comments. To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L Reouired Insoections I 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. 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. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number CO M2007 -01097 COM2007-01097 COM2007-01097 COM2007-01097 Payments: Type of Payment Cred itCard cReceint 1 RECEIPT #: 1200700000000001147 Date: 09/04/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By PREMIER SERVICE Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 104568 In Person Payment Total: Page 1 of 1 11:12:27AM Amount Due 70.00 3.50 5.60 7.00 $86.10 Amount Paid $86.10 $86.10 9/4/2007