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Home My WebLink AboutPermit Building 2007-9-5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01336 ISSUED: 09/05/2007 APPLIED: 09/04/2007 EXPIRES: 03/05/2008 VALUE: $ 181,283.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 481 S 32nd St ASSESSOR'S PARCEL NO.: 1702313402814 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence Owner: KENY A WILKINS Address: 739 SOUTH 68TH STREET SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License ADW LLC 172229 VALLEY 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: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 R-3 U VB 2 24.00 Heat Pump Electric Electric Path 1 n/a 3 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 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Residential 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: 5,000 937 708 435 REQUIRED PARKING 1 Yes 27.40 Total: Handicapped: Compact: 2 Storm Sewer Available: Special InstrMDil&CE: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: StWP1rA~lfB~~~eflEMJJNi?~vroT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: C b 'd 5' ur Sl e 1v~iJ;JQN1Dlr:ftgp,n taw r~~.mer follow 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). FuUV Improved Yes Page 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01336 ISSUED: 09/05/2007 APPLIED: 09/04/2007 EXPIRES: 03/05/2008 VALUE: $ 181,283.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion 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 1,646.00 435.00 Value Date Calculated Description Total Value of Project $169,538.00 $11,745.00 $181,283.00 09/04/2007 09/04/2007 ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 9/5/07 1200700000000001159 + 10% Administrative Fee $144.04 9/5/07 1200700000000001159 + 5% Technology Fee $84.07 9/5/07 1200700000000001159 + 8% State Surcharge $106.91 9/5/07 1200700000000001159 3 Baths One & Two Family $337.00 9/5/07 1200700000000001159 Addressing Assignment $35.00 9/5/07 1200700000000001159 Air Handling Unit Up to 10,000 $9.00 9/5/07 1200700000000001159 Building Permit $916.40 9/5/07 1200700000000001159 Curbcut Permit $85.00 9/5/07 1200700000000001159 Dryer Vent $7.00 9/5/07 1200700000000001159 Exhaust Hoods $10.00 9/5/07 1200700000000001159 Fire SF Fee - Residential $104.00 9/5/07 1200700000000001159 Fireplace (Listed) $17.00 9/5/07 1200700000000001159 Gas Outlets 1-4 $5.00 9/5/07 1200700000000001159 Heat Pump $14.00 9/5/07 1200700000000001159 Plan Review Major - Planning $205.00 9/5/07 1200700000000001159 Plan Review Same As $220.00 9/5/07 1200700000000001159 PW Disc - 2nd Permit $-30.00 9/5/07 1200700000000001159 Sanitary Sewer - Improvement $550.91 9/5/07 1200700000000001159 Sanitary Sewer - Reimbursement $724.50 9/5/07 1200700000000001159 SDC MWMC Administration $10.00 9/5/07 1200700000000001159 SDC MWMC Improvement $961.52 9/5/07 1200700000000001159 SDC MWMC Reimbursement $91.61 9/5/07 1200700000000001159 SDC Sanitary/Storm Admin $137.44 9/5/07 1200700000000001159 SDC Transpo Admin $70.99 9/5/07 1200700000000001159 SDC Transpo Improvement $862.25 9/5/07 1200700000000001159 SDC Transpo Reimbursement $195.48 9/5/07 1200700000000001159 Sidewalk Permit $85.00 9/5/07 1200700000000001159 Storm Drainage Impervious Area $772.32 9/5/07 1200700000000001159 Vent Fan $21.00 9/5/07 1200700000000001159 Willamalane Single Family $2,303.00 9/5/07 1200700000000001159 Total Amount Paid $9,095.44 Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01336 ISSUED: 09/05/2007 APPLIED: 09/04/2007 EXPIRES: 03/05/2008 VALUE: $ 181,283.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planninl!: Review Public Works Review 09/04/2007 09/04/2007 I Plan Reviews I 09/04/2007 APP 09/04/2007 APP TAJ EW Storm water to be directed to weep holes in curb Same-as 485 S. 32nd St.(COM2007-01000) Structural Review 09/04/2007 09/04/2007 OK DLM 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. UleouiredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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. 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. Vnderfloor Plumbing: Prior to insulation or decking. Vnderfloor 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. Pal!:e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01336 ISSUED: 09/05/2007 APPLIED: 09/04/2007 EXPIRES: 03/05/2008 VALUE: $ 181,283.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 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 during construction. ~/A VJ___ Owner or Contractors Signature 9h /07 I I / Date Pa2e 4 of 4 -.-, -~ "-- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2007-1336 NAME OR COMPANY: Kenya Wilkins LOCATION: 481 South 32i1d Street TAX LOT NUMBER: 17-02-31-3402814 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS 1 BUILDING SIZE (SF 2232 LOT SIZE. (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 2232.00 I $0.346 = I $772.32 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS . IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I I DISCOUNT 0.00 I. $0.346 I 50% 1 = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$772.32' 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's. x I 27 5000 rFJ fLl Ci o U ~ fLl E--< rFJ >-< t;l ~ $772.32 1070 COST PER DFU $26.83 $724.50 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 27 COST PER DFU $20.40 I $550.91 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,275.41 3. TRANSPORTATION A REIMBURSEMENT COST: ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x !NEW TRIP FACTOR 9.57 I I 1 I I 20.43 I 1.00 $195.48 1093 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS I x COST PER TRIP x NEW TRIP F ACTOR I I 9.57 I 1 I $90.10 1.00 I $862.25 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = 1 $1,057.73 4. SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $91.61 = $91.61 I 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x COST PER FEU I 1 I $961.52 = $961.52 I 1055 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $1,063.13 J SUBTOTAL (ADD ITEMS 1; 2, 3, & 4) =1 $4,168.59 , 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE 1= CHARGE $4,168.59 I 5% I $208.43 TOTAL SANITARY ADMINISTRATION FEE: 13 7.44 :,1 079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $70.99 , 1078 Eric Walter 9/4/2007 TOTAL SDC CHARGES =1 ,$4,377.02 PREPARED BY DATE -I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL / WALL 0 0 5 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$l,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? 1980 $5.19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $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) ]988 $3.22 VALUE/IOOO CREDIT RATE ]989 $2.73 $0.00 x $5,29 0 ]990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 ]996 $0.92 1997 $0.72 I 1998 $0.48 I 1999 $0.28 I 2000 $0,09 .I 200] $0.05 225 Fifth Street ,. 8pringfiehi, Oregon 97477 541.726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-0 1336 COM2007-0 1336 COM2007-01336 COM2007-01336 COM2007-0 1336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-0 1336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-0 1336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-0 1336 COM2007-0 1336 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001159 Date: 09/05/2007 Description Plan Review Same As Plan Review Major - Planning 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 Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit Building Permit Addressing Assignment Willamalane Single Family 3 Baths One & Two Family Air Handling Unit Up to 10,000 Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Heat Pump -Mech Iss 2+ Appliances- Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By KENY A WILKINS Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 005799 In Person Payment Total: Page 1 of 1 1:24:16PM Amount Due 220.00 205.00 772.32 724.50 550.91 195.48 862.25 91.61 961.52 10.00 137.44 70.99 85.00 85.00 (30.00) 916.40 35.00 2,303.00 337.00 9.00 21.00 10.00 7.00 5.00 17.00 14.00 40.00 104.00 84.07 106.91 144.04 $9,095.44 Amount Paid $9,095.44 $9,095.44 9/5/2007 r' Permit#: (\/l . \~~?:i O. Address: 46 \ CS .~~~fYl; Issued by: \1_ t'0-J. Date: a~ ,~.O 1 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 ' Statement: Infolll.ation Notice to Property.Owners About Construction Responsibilities , , Note: Oregon Law, ORS 701.055(4) requires residentia/construction permit applicants whoare not licensed with tlie Construction Contractors Board "to sign the following statement before a building permit can be issued. . This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under , , ORS' 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill inthe appropriate blanks and initial boxes ~ and 2, and either box 3A or 3B: . \ tV: 1., I own, reside in, qr will reside in the completed structure. :]-2. . I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before Dr on completion. &D ~A. My general contractor is i\\'\ \l J . L L~ ' L~. . (Name) \~'2-~q (CCB #) Twill instruct my general. contractor th(it all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. I will ~e my own general contractor. If I hire. subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board: If! 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 ofthe name ofthe contractor. l 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 of this form. X. ..-:> ~A W~ ------ 7/e, /07 - (sfgnature of permit applicant) ( (Date)' _ I (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 "'~ 1 l r"~ , \ ). i - . NOTE: This Information Notice to Owners about Construction Responsibilities was Construction Contractors Board in accordance with ORS passed the 1989 by the are ~,-_._---_."-,,- .... . ,. to ari You most you use contractors not ", more at :"<(;~:" ';':.' t-.....' '..:". ; Tax. IS a Cal~i?O~-9J45-80~1 or ,/WV>ly:.doLstate.or 'j ) . 1/.' ' :-- :, -.-.. I~.. /J.( T .!~... ~. ~..:. _'. . ~.. I' ,'., 'I- - -"-'-' you are failure to meet ;r.,. . I, J...~;. i.;: , . -of~ . ~ " / ~~ 't-~;" \' ..... . to your " or at 06-01-04 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01336 ISSUED: 09/0512007 APPLIED: 09/04/2007 EXPIRES: 08/05/2008 VALUE: $ 181,283.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 481 S 32nd St ASSESSOR'S PARCEL NO,: 1702313402814 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence Owner: KENYA WILKINS Address: 739 SOUTH 68TH STREET SPRINGFIELD OR 97478 Phone Number: 541-510-3283 I CONTRACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor, . L~' cense ADW Ll!eTTENTION Oregon law requires YOlJ, :Q.~9 f,..,'i("l\M. "Illt>c:. a~Dte(~~y the Oregon Ub it1 V ALLEY- LECTRIC 'k. it'lofttlG...8.lIon ven ((Jr. se rules are setIRJ CENT In 8M>t 952-001-0010 through OAR 9s26d940 RONS I6g~JI~~ &Jf!imQ~~nI&l~~I~(j~O WEST C<M~l1cfwe~~~Nkl ~ifAA€~atti8880 numbe~~~M~~H8N' Expiration Date 09/22/2008 10/24/2010 04/18/2009 05/04/2008 03/03/2008 Phone 541-683-3279 503-838-0447 541-343-6829 541-926-5300 # of Units: 1 # of Stories: 2 Lot Size: 5,000 Primary Occupancy Group: R-3 Height of Structure 24.00 Sq Ft 1st Floor: 937 Secondary Occupancy Group: U Type of Heat: Heat Pump Sq Ft 2nd Floor: 708 Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 435 # of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other: Sprinkled Building n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 6.00 44.00 8.00 Overlay Dist: # Street Trees Rqd: 1 Paved Drive Rqd: Yes NOTICf;ofLot CO[r-~lRE \f THE weJll(;. THIS ~ER!A\T ~~~r:R TH\S PERM\T \S NOT I. I rL.f.Ij-Ct) J~~~ilSJ NtU rui\ Total: Handicapped: Compact: 2 Street Improvements: Storm Sewer Available: Special Instruction: Fullv 1~~'(,e1I80 DAY P Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Storm water to be directed to weep holes in curb Pa2e 1 of 4 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 Garal!e Dwellinl!s Garal!e Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlets 1-4 Heat Pump Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit 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 Willamalane Single Family + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft I Valuation Description I $ Per Sq Ft or multiplier $103.00 $27.00 Square Footage or Bid Amount 1,646.00 435.00 Total Value of Project ~ Amount Paid $40.00 $144.04 $84.07 $106.91 $337.00 $35.00 $9.00 $916.40 $85.00 $7.00 $10.00 $104.00 $17.00 $5.00 $14.00 $205.00 $220.00 $-30.00 $550.91 $724.50 $10.00 $961.52 $91.61 $137.44 $70.99 $862.25 $195.48 $85.00 $772.32 $21.00 $2,303.00 $18.00 $21.60 $9.00 $117.00 Date Paid 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 1/17/08 1/17/08 1/17/08 1/17/08 Pal!e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01336 ISSUED: 09/05/2007 APPLIED: 09/04/2007 EXPIRES: 08/05/2008 VALUE: $ 181,283.00 Value Date Calculated $169,538.00 $11,745.00 $181,283.00 09/04/2007 09/04/2007 Receipt Number 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 1200700000000001159 3200800000000000041 3200800000000000041 3200800000000000041 3200800000000000041 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01336 ISSUED: 09/05/2007 APPLIED: 09/04/2007 EXPIRES: 08/05/2008 VALUE: $ 181,283.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residence Wiring Ea Addtl 500 + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low V oItage - Residential Minimum/Adjustment Electrical $63.00 $5.00 $6.00 $2.50 $28.00 $22.00 1/17/08 2/5/08 2/5/08 2/5/08 2/5/08 2/5/08 3200800000000000041 1200800000000000095 1200800000000000095 1200800000000000095 1200800000000000095 1200800000000000095 Total Amount Paid $9,387.54 I Plan Reviews I Planninl! Review 09/04/2007 09/04/2007 APP TAJ Public Works Review 09/0412007 09/04/2007 APP EW Storm water to be directed to weep holes in curb Structural Review 09/04/2007 09/04/2007 OK DLM Same-as 485 S. 32nd St.( CO M2007 -01000) 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. ~e(]uiredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: 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. Drywall: Prior to taping. 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. Pal!e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-01336 ISSUED: 09/05/2007 APPLIED: 09/04/2007 EXPIRES: 08/05/2008 VALUE: $ 181,283.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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 Paj!e 4 of 4 ZON INITIALS DATE SOURCE 225 FIYfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number LO~C>7- 01336 ~!' ou'\O c. Telllml~, 'l!M\\tJ1Feeders iii" OtegOf\ii:'I;1lIP ate \It>, h wc",4Q",""'''''''' , :11E.Nl\Ol't ,ted bY t\1e re set 1ot~ ~\\n\N rU\es a~~~{,~fM~e~ll~~(Q.~R.elocation Not,'\Ca~~;_~~~ -oM~ ~~~s ~~ne ru\~~~'l Constr. Contr. Number ~,?/ 9 L; tJ \0 OA.R, ioU maV O~\~~<\'AGo.~a\\on 0090.. 1 he cenWt U\i\\t@ctW~p~ E . . D /. / - / 0- /} (:) ca\\\Og t ,he ore 2 2341ij: xprratIon ate r Y 2> ~ (/ I -""'or 10r \1' n"", n.()J),.'..~2- 1000 V It "B" b \ (lUII(OIV 'af u.....fG)W\'}mfips or 0 s see a ove ce(l\ , "i" , ' SIgnature of Sup~ismg Electrician D. Branch Circuits" , :,,, // If"tjf/ iff ~ ~:~~::tiOnorExten';onp"Paoel ( . Each Additional Circuit or wIth r7 / J Service or Feeder Permit Owners Name 1/ (j d vt//I ~p Address 2o'$.s- ~k'-ooJ E. Miscellaneous (Service/feed~t:.not"included)-Ea~h'InstaUation "I, r\t~U""1\.' oK" , Phone b 1'] ...3Z~~ct~ ~~\.~R~~t ~~~\1 \S ~O\ $ 55 00 S ?E~W\~~~ttw~g r ED fOR $ 55.00 OWNER INSTALLATION \~'\\-\OR\l~"6~l\Seft,&~~i~tial 0 $ 28 00 The mstallation IS bemg made on property I own WhiC~OW\W\E~~I\StR~/commerClal $ 50.00 IS not mtended for sale, lease or rent. f..~\{ ~~ tlectric Per~,~~, Inspection Fee is $50.00 + ~urcharges Owners Signature 4. SUBTOTALOFABO~ '", ,,, 5 0 b ,) zos.::;:l ., ,<< "1'., ,,~ , 1. LOCATION OF INSTALLATION: ~ ., ,..,.;,,1 1-$/ ~C;~J, ,1;J ?JcJ ~jJ/~L // LEGAL DESCRIPTION 170Z.3/3C{ D 2%/l( JOB DESCRIPTION: !/.tl-c -!~?( If1/! ~)' if ~-r;c/14- 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 ONLY 2. ,,,I' ,j" ' n', , Electncal Contractor C. E'h/ T.f( J) ;: L.;:J /-{Y . 6C'>L' A;// Address CIty 6BWC~hone f:95'~~1'rr SupervIsor LIcense Number Expiration Date CIty ~u.. (,. c:-,v C Inspection Request: 726-3769 3. ~/~r COMPLETE FEE SCHEDULE BELOW;'."";' / '" ,~;" 1 'lfA/~ ~'" <H> ,,~., tu~" ~>:~ ,~> " ., i Date v ~ '<~ ~ l~ A. ,,,New Residential,,- Single or Multi-F~mi1y p~r dwelling ~nit. 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 $ 2100 $5500 / X " / ~A"':?i+rf' .'^ , B. Services or Feeders - InstftJlatjon,~Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70 00 $ 83.00 $13 8 00 $180,00 $413 00 $ 55.00 $ 55 00 $ 76 00 $110.00 $ 48 00 $ 4.00 12% State Surcharge 10% AdministratIve Fee 5% Technology Fee TOTAL / j-O 03. Shared Dnve(T )!Buddmg FormslElectncal PermIt ApplicatIOn 1-08 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 COM2007-01336 Payments: Type of Payment Check cRecelOt J RECEIPT #: 1200800000000000095 Date: 02/05/2008 Description Low Voltage - Resldenttal MInImum! Adjustment Electncal + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By BRYCE OLSEN Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIved dJb 4281 In Person Payment Total: Page 1 of 1 1I:10:38AM Amount Due 2800 2200 250 600 500 $63.50 Amount Paid $63 50 $63.50 2/5/2008