HomeMy WebLinkAboutPermit Building 2007-8-14
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01155
ISSUED: 08/14/2007 '
APPLIED: 08/06/2007
EXPIRES: 02/14/2008
VALUE: $ 158,823.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3857 E ST
ASSESSOR'S PARCEL NO.: 1702311301102
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence
Owner: LAURA GEERTSEN
Address: 1750 WASHINGTON ST
EUGENE OR 97405
Phone Number: 541-729-1860
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General THE JAG GROUP LLC 165147 06/15/2009 541-434-1333
Electrical GOOD CONNECTION 160508 07/01/2008 541-434-6491
Mechanical MARSHALLS INC 25790 12/23/2009 541-747-7445
Plumbing SURRETTS 158295 01/14/2008 741-3553
BUILDING INFORMATION I
3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
24.00
Electric
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:
750
717
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
286
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION' 0
Frontyard Setback: 32.00 Overlay Dist: follow rul . d regon law reqUllQt3lyou to 2
Side 1 Setback: 10.00 # Street Trees R9~fjcatio~~:n opted {yy the OllflgtWJi~:
Side 2 Setback: 62.00 Paved Drive R[qd::)AR 952-001_~r. Those ru/es(alHhPlla:rorth
Rearyard Setback: 16.00 % of Lot CovtO'@e0~ You may o~dP.iijro~gh OAR 952-001.
Solar Setbacks: 25.00 calling the cent aln(NcoPles of the rules by
!\!~:r!~~: RlSffib~. (VI .lle ~:~ _ ate:. ~he tl:!'Qrh.",~,,:
IHIS PERMIT SHALL EXPIRE ~~llfflrcROVEMENT~nter is 1_3000~3~~~~~~~fication
Street Impro~UMOO~ZED UNDER 'f~/R FJiWWldlS NOT Sidewalk Type: '
Storm seweVR~1MJb~J!ED OR IS ABANDONEfY&OR ' Downspouts/Drains: To Storm Sewer
Special Inst~J~tio1P.O DAY RPifli~9t to construct a 4" storm drain pipe from property through the joint use access easement,
then tie into the existing 10" stormpipe on E Street, per partition approval (Roof Drains).
Notes:
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01155
ISSUED: 08/14/2007
APPLIED: 08/06/2007
EXPIRES: 02/14/2008
VALUE: $ 158,823.00
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
1,467.00
286.00
Value
Date Calculated
Description
Total Value of Project
$151,101.00
$7,722.00
$158,823.00
08/06/2007
08/06/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $542.14 8/6/07 1200700000000001004
~Mech Iss 2+ Appliances~ $40.00 8/14/07 1200700000000001040
+ 10% Administrative Fee $157.17 8/14/07 1200700000000001040
+ 5% Technology Fee $84.45 8/14/07 1200700000000001040
+ 8% State Surcharge $118.72 8/14/07 1200700000000001040
3 Baths One & Two Family $337.00 8/14/07 1200700000000001040
Addressing Assignment $35.00 8/14/07 1200700000000001040
Building Permit $834.06 8/14/07 1200700000000001040
Dryer Vent $7.00 8/14/07 1200700000000001040
Exhaust Hoods $10.00 8/14/07 1200700000000001040
Fire SF Fee - Residential $87.65 8/14/07 1200700000000001040
Fireplace (Listed) $17.00 8/14/07 1200700000000001040
Furnace - up to 100,000 btu $14.00 8/14/07 1200700000000001040
LP Gas Tank & Piping $14.00 8/14/07 1200700000000001040
Plan Review Major - Planning $205.00 8/14/07 1200700000000001040
Residence Wiring 1000 Sq Ft $117.00 8/14/07 1200700000000001040
Residence Wiring Ea Addtl 500 $42.00 8/14/07 1200700000000001040
Sanitary Sewer - Improvement $550.91 8/14/07 1200700000000001040
Sanitary Sewer - Reimbursement $724.50 8/14/07 1200700000000001040
SDC MWMC Administration $10.00 8/14/07 1200700000000001040
SDC MWMC Improvement $961.52 8/14/07 1200700000000001040
SDC MWMC Reimbursement $91.61 8/14/07 1200700000000001040
SDC Sanitary/Storm Admin $122.69 8/14/07 1200700000000001040
SDC Transpo Admin $72.66 8/14/07 1200700000000001040
SDC Transpo Improvement $862.25 8/14/07 1200700000000001040
SDC Transpo Reimbursement $195.48 8/14/07 1200700000000001040
Storm Drainage Impervious Area $510.73 8/14/07 1200700000000001040
Storm Sewer Each Addtll00' $16.00 8/14/07 1200700000000001040
Temp Power 200 amps or less $55.00 8/14/07 1200700000000001040
Vent Fan $21.00 8/14/07 1200700000000001040
Willamalane Single Family $2,303.00 8/14/07 1200700000000001040
Total Amount Paid $9,159.54
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01155
ISSUED: 08/14/2007
APPLIED: 08/06/2007
EXPIRES: 02/14/2008
VALUE: $ 158,823.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin1!: Review
I Plan Reviews'
08/10/2007 APP
TAJ
08/07/2007
Public Works Review
08/06/2007
08/06/2007 APP
BRC
Structural Review
08/07/2007
08/09/2007 APP
Solar exemption granted based on
insignificant benefit: wall of an
unheated out building and no south
facing glazing on the house to the
north.
Approval of this building permit
does not imply approval of the
future division line shown on the
plot plan.
Applicant to construct a 4" storm
drain pipe from property through
the joint use access easement, then
tie into the existing 10" stormpipe
on E Street, per partion approval
(Roof Drains).
Missing upper floor framing plan;
requested from applicant 8/7/07dlm.
Received requested info 8/8/07dlkm.
Review completed, approved as
noted on plans, but need revised site
plan & planning approval before
issuing 8/9/07dlm
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.
~eolJire.s;JJnsnections .
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Vfer 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.
Drywall: Prior to taping.
Pa1!:e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2007-01155
ISSUED: 08/14/2007
APPLIED: 08/06/2007
EXPIRES: 02/14/2008
VALUE: $ 158,823.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
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.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: 'When all mechanical work is complete.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the 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 dwf}ng con ction.
I \
Dill
Owner ~ Contr fct
l1JJJ
rs Sign~ure
~A1~
I
~ 1) \J.C<l) I'll ?DOl-
~ate ' ~ I
Paee 4 of 4
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ 2..bJ97 - O/I~r j Date
1.
~gS4:Ilgt',g1;jJlf~T1-1:0Eq~: ·
:3 ~ S-1
,YT'
c
LEGAL DESCRIPTION:
/7tJ2-< I 1.1 t) //~ 2-
JOB DESCRIPTION:
JVew~~f ~~.
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
. '....N..., f'.c:N~' T""^C,..c",':'V) "."~-:~~
'CONTRACTORJN$iALLATIOlV OlVL}:"
2. ,_'_' .'..' ,,"" '.. ..,..',ii'...C'''..,
Electrical Contracto~tl.. ~/)AJAIā¬t:;;71~AJ>~?
Address
;).../ 0 (f) A-U/5" 1f ('
City E{)~~vfJG Phone -,4.3 Lf-IoLf.:J1
Supervisor License Number
304- f ~~
Expiration Date /6 -I - 0 7
Constr. Contr. Number ::L D - 5:;l.. 4- C-
Expiration Date 7 - I - () 8
Si~?l~7g?L
-, ,
Owners Name --AIJN.E 4 1141/'<1 )~
Address -J.7~ !~~~7lJV.sz-;
City bit:; Q 71: Phone;n.~ - /g~ 0
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
.' ('!'TOw~ers Signature:
[, U ll,t..
THI::; t'ttilvtfi1)i-iALL cAflRi: IF TII:: WOf1l~
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANyIYmY'ti1\'r ti!'nWD.726-3 769
3. I COMPLETE FEE SCHED ULE BELOW '
. . .' < ...... . ;,'~: "',~,'.', ...-.<",,:"',,;~,", /.i:<::'i,'; 'J '.':~'\_. ;',:... ';,.. ".,' _'_";'''''~;'''''_'~'
A. ,New,Residenti.!lI-~ingl~or M~lti-FaTiIy per dwelling ullit. "
,.", "'M~' ""u"'-.._' '_'." _ ,.. ,.,_.. ..... ',-c." H" ...:"'..:.,',':',';.;..........,.M.'>:::'"'.'.....;~~_.<-.,<.;.,,,' <'..__ ,."",, ,_., ,...-.-;-;."-;~.",,.. ."".,.,,'" """,,,,;,,,,~.<<''''..
..,'''' _....h....... -" ,,,,,,,,,,,,,00:.. i_.....h'"^_><<
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
$1 17.00 1/7 ~()
2- $21.00 ~Z6'o
$55.00
-
,........-...' '-", "-C,-,'.,' ~ .. -:<_'
B. ' Services or Feeders - Installation, Alterations or Relocation: '
. '" ... ',. ..... .. ,", ,"'" " , .. .. .. - .... ,-
." "_ ..._...._ .....".... .. .... .. ',', ....._".... '.,,' ....... _,.., . "C'.;.'.'.'..' .. .. ,-;oo " ,..,
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55,00
c.
Installation, Alteration or Relocation
200 Amps or less ~. $ 55..D.O. vSS.1HJ
sAng0'{~I()M' Oreaon lavv I ;;q;..lIres ..Y'::J..u ..
201 Amp fqllnw:rl.l~S ~dopt~d t'y' :~::: l.;rebcM)[ltility
401 AmQ~ {)t:fO'U lft.t\Jiip,s,en"er Ttl"""'o ""pc; a19~@Pforth
NO I lea Ion v l. .... .. 1
qver 60~~R~g~ I i\fe1t@seeti~~tlvQAR 952-00 ..
D "B' .AMn. ~l ~l'\le$ of the-rules ~
.' ran\\,\l\,.'9lCCU~' t"....t ....h
. -" calling,. the . ote: t.heNt",etif~~e.n
New AIteWOWfb3f foV~~ij<@~VlI"Q.ltlhty 0 I 0
One Circuit Center is 1-800-s32-~g.00
Each Additional Circuit or with
Service or Feeder Permit $ 4.00
E. / MIscellaneollS (S~rvice/feeder nht included) -EacbInstallation
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55,00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
2.L,+.~
,LL/~
U..,O
./ () , ?tJ
2~ ~.. Z.Z-
4.
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07,doc
"
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: C0M2007-0II55
NAME OR COMPANY: Rosemont LLC
LOCATION: 3857 E Street
TAX LOT NUMBER: 17-02-31-13 01102
DEVELOPMENT TYPE: Single Family Residence
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1476 LOT SIZE (SF):
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I ]476,00 $0.346 = $510.73 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F, x COST PER S.F. x I DISCOUNT RATE
I 0.00 $0.346 I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC '$510.73
11397
rn
~
t:l
o
'U
~
~
f-<
rn
.......
o
'~
DISCOUNT
$0.00
$510.73
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 27
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 27
COST PER DFU
$26.83
$724.50
1091
COST PER DFU
$20.40
$550.91
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= I
$1,275.41
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x
I 9.57
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
. NUMBER OF UNITS' x I
I I
COST PER TRIP
20.43
x I NEW TRIP FACTOR'
I 1.00
$195.48
1093
I NUMBER OF UNITS x
I I
COST PER TRIP
$90.]0
$1,057.73
x INEW TRIP FACTOR
I 1.00 = ,
$862.25
1094
ITEM 3 TOTAL - TRANSPORTATION SDC
= ,
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I I
ICOST PER FEU
, I $91.61
=
$91.61
1054
, B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
PREPARED BY
DATE
= $961.52 1055
$0.00 1054
$10.00 1056
=, $1,063.13
- -
.- -
=, $3,907.00
CHARGE
$195.35
122.69 , 1079
$72.66 ! 1078
L_ ..._
1
TOTAL SDC CHARGES =l $4,102.35
- -~ -
----
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5, ADMINISTRATIVE FEE:
SUBTOTAL x ADM, FEE RATE
$3,907.00 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Billy Curtiss
8/6/2007
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNlTS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUNALENT UNITS
IBA THTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3
IURINAL, STALL! WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27
*EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (2~,e!Y'~~et at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No)
1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
]980 $5.19 (Enter 1 for Yes, 2 for No)
1981 $5,12 BASE YEAR 1979
]982 $4.98
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE /1000 CREDIT RATE
1985 $4 .40 $0.00 x $5.29 = , $0.00
1986 $4.07
1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.22 VALUE /1000 CREDIT RATE
1989 $2.73 $0.00 x $5.29 0
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0,00
1993 $1.45
]994 $1.25
]995 $1,09
]996 $0.92
1997 $0.72
]998 $0.48
I 1999 $0.28
I 2000 $0.09
.I 2001 $0,05
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-0 1155
COM2007-01155
COM2007-0 1155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-0 1155
COM2007-01155
COM2007-01155
COM2007-0 1155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-0 1155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
COM2007-01155
Payments:
Type of Payment
Check
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000001040
Date: 08/14/2007
2:27:25PM
Description
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
Building Permit
Addressing Assignment
Willamalane Single Family
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Fireplace (Listed)
LP Gas Tank & Piping
~Mech Iss 2+ Appliances~
Fire SF Fee - Residential
Temp Power 200 amps or less
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
510.73
724.50
550,91
195.48
862.25
91.61
961.52
10,00
122,69
72.66
834.06
35,00
2,303.00
337.00
16,00
14.00
21.00
10,00
7.00
17,00
14.00
40,00
87,65
55.00
205.00
117.00
42.00
84.45
118,72
157.17
$8,617.40
Paid By
ROSEMONT VILLAS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
496
In Person
Payment Total:
$8,617.40
$8,617.40
Page I of 1
8/1 4/2007
Status
Issued
225 FIfth Street, Spl mgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2007-01155
ISSUED. 08/14/2007
APPLIED. 08/06/2007
EXPIRES 06/2112008
VALUE $ 158,823.00
SPRINGFIETYPE OF WORK SlOgle Family ReSidence
SITE ADDRESS 3857 E ST
ASSESSOR'S PARCEL NO 1702311301102
TYPE OF USE
ReSldentIdl
New
PROJECT DESCRIPTION SlOgle family reSidence
Owner LAURA FOUMAL
Address 1750 WASHINGTON ST
EUGENE OR 97405
Contractor Type
General
Electncal
MechaOlcal
Plumbmg
Phone Numhel 541-729-1860
I CONTRACTOR INFORMA TION I
License
165147
160508
25790
158295
Phone
541-434-1333
541-434-6491
541-747-7445
741-3553
Contractor
THE JAG GROUP LLC
GOOD CONNECTION
MARSHALLS INC
SURRETTS
ExpiratIOn Date
06/15/2009
07/01/2008
12123/2009
01/14/2008
# of UOIts
Pllmary Occupancy Group
Seconddry Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
Frontyard Setback
SIde I Setback
SIde 2 Sethack
Rearyard Setbdck
Solar Setbacks
Street Improvements
Storm Sewer Avallahle
SpeCIal InstructIOn
Notes
3200
1000
6200
1600
2500
BUILDING INFORMATION I
I
R-3
U
VB
# of Stones 2 Lot SIze
HeIght of Structure 2400 Sq Ft 1st Floor
TYP~:~fIieliii'JON Oregon1fJ/Wtf~'iJulr S~t 2nd FloOl
Water'!yPeUles adopted fl\r~ffd"ci ~ ~ement
Ra~getlJ1~pe:;n Center TtKJl.<el'ilfe::I}tIJlH-age/carport
En&~Ip;\M2-00 1-001 0 thrBaUh10A rt,tp,.
spHI!!a~~~:,rT~!.?~~a,~. ~ofl/!s of th ruiiJlliJSLoad
I DEVELOP~EN'f'Ii'lF(ml'W~~,,;i; N~~K;:;:
-'.\'t.f~.. I~VV~~-2344). nREQUlRED PARKING
Overlay Dlst Total 2
# Street Trees Rqd 0 HandIcapped
P dved Dllve Rqd Compact
% ot Lot Coverage II 10
750
717
286
3
I PUBLIC IMPROVEMENTS I
SIdewalk Type
Fullv Improved
Yes Downspouts/DrdlOs To Storm Sewer
ApplIcant to constl uct a 4" storm dral.!!..e~~ fl om propel ty through the Jomt use access easement,
then tIe lOto the eXlstlOg 10" stormpl}tOOt:!5lreet, per partItIOn AlIPJ;Uf\\t'W6~..ns)
THIS PERMIT SHAll Whit It
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 5
Status
Issued
CITY OF SPRINuNELD
Building/Combination Permit
PERMIT NO. COM2007-01155
ISSUED' 08/14/2007
APPLIED' 08/06/2007
EXPIRES: 06/21/2008
VALUE $ 158,823.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn DescrJntlOn I
Dwellm2s
Gara2e
V Wood Frame
Garaee
$ Per Sq Ft
or multlpher
$103 00
$27 00
Square Footage
or Bid Amount
1,46700
286 00
Value
Date Calculated
DescrIotIon
Tvpe of ConstructIOn
Total Value of Project
$151,10100
$7,72200
$158,82300
08/06/2007
08/06/2007
l.Fpp, p~
Fee DescnptlOn Amount PaId Date PaId Receipt Number
Plan RevIew ReSldentJal $542 14 8/6/07 1200700000000001004
-Mech 1ss 2+ Apphances- $40 00 8/14/07 1200700000000001040
+ 10% AdmmlstratJve Fee $15717 8/14/07 1200700000000001040
+ 5% Technology Fee $84 45 8/14/07 1200700000000001040
+ 8% State Surcharge $11872 8/14/07 1200700000000001040
3 Baths One & Two Famllv $33700 8/14/07 1200700000000001040
Addressmg ASSIgnment $3500 8/14/07 1200700000000001040
BUlldmg PermIt $834 06 8/14/07 1200700000000001040
Dryer Vent $700 8/14/07 1200700000000001040
Exhaust Hoods $10 00 8/14/07 1200700000000001040
Fire SF Fee - ReSldentJdl $87 65 8/14/07 1200700000000001040
Fireplace (LISted) $1700 8/14/07 1200700000000001040
Furnace - up to 100,000 btu $1400 8/14/07 1200700000000001040
LP Gas Tank & Plpmg $1400 8/14/07 1200700000000001040
Plan ReVIew Major - Plannmg $205 00 8/14/07 1200700000000001040
Residence Wiring 1000 Sq Ft $11700 8/14/07 1200700000000001040
ReSIdence Wiring Ea Addtl 500 $42 00 8/14/07 1200700000000001040
Sallltary Sewer - Improvement $550 91 8/14/07 1200700000000001040
Samtary Sewer - Reimbursement $724 50 8/14107 1200700000000001040
SDC MWMC AdmmlstratJon $1000 8/14/07 1200700000000001040
SDC MWMC Improvement $961 52 8/14/07 1200700000000001040
SDC MWMC Reimbursement $9161 8/14/07 1200700000000001040
SDC Sallltary/Storm Admm $12269 8/14/07 1200700000000001040
SDC Transpo Admlll $72 66 8114/07 1200700000000001040
SDC Transpo Improvement $862 25 8/14/07 1200700000000001040
SDC Transpo ReImbursement $19548 8/14/07 1200700000000001040
Storm Dramage ImpervlOns AI ea $51073 8/14/07 1200700000000001040
Storm Sewer Each AddtllOO' $1600 8/14/07 1200700000000001040
Temp Power 200 amps or less $55 00 8/14/07 1200700000000001040
Vent Fan $2100 8114/07 1200700000000001040
Wlllamalane Smgle FamIly $2,303 00 8/14/07 1200700000000001040
+ 10% AdmmlStrdtJve Fee $660 12/26/07 1200700000000001524
+ 5% Technology Fee $330 12/26/07 1200700000000001524
+ 8% State Surcharge $528 12/26/07 1200700000000001524
Water Lme - 1st 50 Feet $50 00 12/26/07 1200700000000001524
Pa2e 2 of 5
-~4ij
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO' COM2007-01155
ISSUED 08/14/2007
APPLIED. 08/06/2007
EXPIRES: 06/2112008
VALUE: $ 158,823.00
225 F.fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlUe
Water LlUe - Each Addtll00'
$1600
12/26/07
1200700000000001524
Total Amount PaId
$9,240 72
I Plan ReViews ,
Pubhc Works Rev.ew
08/0612007
08106/2007
APP BRC
Apphcant to construct d 4" storm
dralU pIpe from property through
the Jomt use access easement, then
tIe IOto the eXlstmg 10" stormplpe
on E Street, per partlOn appro\al
(Roof DralUs)
Structural ReView
08/07/2007
08/0912007
APP
MlSslUg upper floor framlUg plan,
requested fIom dpphcant 817107dlm
ReceIved I equested IOfo 8/8/07dlkm
ReView completed, approved dS
noted on plans, but need. eVlSed SIte
plan & plannlOg dpproval betore
ISsulUg 8/9107dlm
Planum$! ReView
08/0712007
08/1012007
APP TAJ
Solar exemptIOn granted based on
IOSlgOllicaut benefit wall of dn
unheated out bu.ldlOg and 110 south
faclUg glazlUg on the house to the
1I0rth
App. oval of thIS buddlUg perml!
does 1I0t Imply app. oval of the
future divIsIOn hne shown on the
plot plan
To Request an inspectIon call the 24 hour recording at 726-3769 All mspectlOns requested before 7 00
a.m. Will be made the same workmg day, mspectlOns requested after 7:00 a.m. wIll be made the foIlowmg
work day
I Rr'l~Tn.nPd~
EroslOn/GradlOg InspectIOn Pnor to ground dISturbance and after erosIOn measures are IUstalled
Ufer Electncal Ground Install ground rod at footlUg and call for Illspechon IU conjunctIOn WIth footlllg and/OI
foundatIOn IOspectlon
FootlUg After trenches are excavated
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Pnor to 1100r IOsulatlOn 01 decklUg
Floor InsulatIOn Pnor to decklUg
Shear W dll Ndlhng Before covenng sheathlUg WIth fiOlsh matenals
Paee 3 01 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2007-01155
ISSUED' 08/14/2007
APPLIED: 08/06/2007
EXPIRES' 06/2112008
VALUE: $ 158,823.00
225 Filth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Frammg InspectIOn' Pnor to cover and after all rough m mspectlOns have been approved
Wall InsulatIOn Pnor to cover
Ceiling Insulation Pnor to cover
Drywall Pnor to tapmg
Hold Downs Installed SpecIal InspectIOn pertormed pnor to placement of concrete Provide report to CIty
Buddmg Inspector
Fmal BUlldmg After dll requlI ed mspectlOns have been requested and approvcd and the buddmg IS complete
Underlloor Plnmbmg Pnor to msulatlOn or deckmg
Undertloor Dram Prior to cover or placement of concrete
Rough Plumhlllg Pnor to cover and mcludmg reqUIred testmg
Water Lme Pnor to fillmg trench and mcllldmg required testmg
SaUltary Sewer Lme Pnor to filhng trench and mcludmg required testmg
Storm Sewer Lme Pnor to filhng trench
Fmal Plllmbmg When all plumbmg wor k IS complete
Underlloor MechaUlcal Pnor to msulatlOn or deckmg and mcludmg requIred testmg
Underlloor GdS Alter hne IS mstdlled and requlled testmg and capped Ifnot attdched to an dpphdnce
Rough Gas After hne IS mstalled and requlI ed testmg and capped If not attached to an apphance
Rough Mechanlcdl PlIOI' to Cover
Fmal Gas When all gas work IS complete
Fmal MechaUlcal When all mechaUlcal work IS complete
Gas Service After hne IS Installed and hne hils been connected to a minimum of one appliance mcludmg reqUired
testing Presure test done at this pomt
Temporary Electnc Approval reqUIred pnor to Utrhty Company energlzmg pole
Rough Electnc Pnor to Cover
Electnc ServIce Appr oval reqUIred pnor to utrhty company energlzmg servIce
Fmal Electnc When all clectncal work IS complcte
Pa2e 4 015
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2007-01155
ISSUED' 08/14/2007
APPLIED' 08/06/2007
EXPIRES 06/2112008
VALUE' $ 158,823 00
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 F.x
541-726-3769 InspectIOn Lme
By slgnatUl e, I state and agree, that I have carefully exammed the completed apphcatlOn and do herebv certIfy that .11
mfOl matlOn hereon IS true and correct, and I further certIfy that any and .11 work performed shall be done m accordance WIth
the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work described hel em, and
that NO OCCUPANCY will be made of .ny structure WIthout pel mISSIon of the CommuDlty ServIces DIvIsIOn, BUlldmg Safety
I further certIfy that only contractol S and employees who are m comph.nce WIth ORS 701 005 will be used on thIs project
I fnrther agree to ensure that all required mspectlOns are requested at the proper tIme, that each addre.. IS re.dable flom the
stI eet, that the permIt card IS located at the front of the property, and the approved set ot plans willI em.m on the sIte at all
"mm'.nn;;::""",)i~t~ ~le~ diP.-;mA-
Ow""",C""""~'l.:" V ,{,,,'
Page 5 of5
225 FIfth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2007-0 1155
COM2007-0 1155
COM2007-0 1155
COM2007-0 1155
COM2007-0 1155
Payments
I ype of Payment
Check
LRecemtl
RECEIPT #.
DescnptlOn
Water Lme - 1st 50 Feet
Water Lme - Each AddtlIOO'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ROSEMONT VILLAS LLC
':".::;~
-,
iii; ,
1200700000000001524
Received By
dJb
Check Number
Batch Number
Page 1 of 1
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Date 12/26/2007
Item Total
AuthorJZ3tJOn
Number How Received
576
In Person
, Payment Total
31133PM
Amount Due
5000
1600
330
528
660
$81 18
Amount Paid
$81 18
$81 18
12/26/2007