HomeMy WebLinkAboutPermit Building 2003-11-20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRIr~tJ.HELD
Building/Combination Permit
PERMIT NO: COM2003-01111
ISSUED: 11120/2003
APPLIED: 11/03/2003
EXPIRES: OS/20/2004
VALUE: $ 5,000.00
Springfield TYPE OF WORK: Fire Damage
SITE ADDRESS: 1083 A ST
ASSESSOR'S PARCEL NO.: 1703354103000
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Fire Damage to Single Family Residence
Owner: JACK DRESSER
Address: 38131 MCKENZIE HWY SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor
XXLINC
EUGENE ELECTRIC SERVICE INC
XXLINC
Expiration Date
11109/2004
03/17/2007
11/09/2004
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
109867
90200
109867
Phone
541-344-3561
541-747-5413
BUILDING INFORMATION'
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft .2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garag~(Carport
r. ,'nhL...,
Energy Path: \ w le,flqIFl'Other,i'N
Nl'ION:Olegon a. the \!.",p!;r.vio~\J'S\.r\ace Area:
.11'1" . _.~n h\l . _~ "'AI tOI
I DEVELOPMEN,mNFowii0NI lose [U~"O~I'\ 95'2-00.
10\111<';0."-' OO~-OO~v lhlO~g 01 theREQUIRED PARKING
,,0.1'\ 952- ta.ln capleS \ ~"one
OverlaJ_~~: VOU ma.y ob Note: the te e1p~~I.:.on
# Street-qreesRqd:'e cental. { n Ut'lli'" NOIHanilicapped:
"'3"\nl.t \" 0 ego \, ,
Paved Drive Rqil: tal the I 0 332_'2344Gompact:
numuef _ ."rie. ~ -80 -
% of Lot Coverage: ."
I PUBLIC IMPROVEMENTS'
Sidewalk Type: K
~Ol\CE: IT SHr>.ll Hfil~~6J~~~~1
lHIS PERM, R lHIS PERMlfl
AU1HOR\IEO UN~~S r>.BANOONEO fOR
~~~~i~~~~ ~ERlOO.
Pa~e I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Constrnction
Bid Amount Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Vent Fan
Total Amount Paid
.
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CITY OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-01111
ISSUED: 11/20/2003
APPLIED: 11/03/2003
EXPIRES: OS/20/2004
VALUE: $ 5,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Total Value of Project
$5,000.00
$5,000.00
11120/2003
Fpp<. PiWIJ
Amount Paid
Date Paid
Receipt Number
$9.90
$6.93
$36.00
$63.00
$10.00
$11.34
$7.94
$68.40
$12.00
$27.00
$6.00
1116/03
1116/03
11/6/03
1116/03
11120/03
11120/03
11/20/03
11120/03
11/20/03
11120/03
11120/03
1200200000000002428
1200200000000002428
1200200000000002428
1200200000000002428
1200200000000002500
1200200000000002500
1200200000000002500
1200200000000002500
1200200000000002500
1200200000000002500
1200200000000002500
$258.51
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.Rplnlli~nsnections I
1 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electrical work is complete.
4 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
5 Wall Insulation: Prior to cover.
6 Ceiling Insulation: Prior to cover.
7 Drywall: Prior to taping.
8 Final Building: After all required inspections have been requested and approved and the building is complete.
9 Rough Mechanical: Prior to Cover
10 Final Mechanical: When all mechanical work is complete.
Paee 2 of3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01111
ISSUED: 11/2012003
APPLIED: 11/0312003
EXPIRES: OS/2012004
VALUE: $ 5,000.00
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 incompliance 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 Contractors Siahature .l
Paee 3 of3
//gr/D3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Job/Journal Number
COM2003.01111
COM2003-01111
COM2003-01111
COM2003-01111
COM2003-01111
COM2003-01111
COM2003-01111
Payments:
Type of Payment
Check
~,
~. h~q~;.h'!"~....'..' ....
1Ii:. .
.. ;
"',""'<_"-,.,_0
;of
Receipt #: 1200200000000002500
Description
Building Permit
Furnace - up to 100,000 btu
Vent Fan
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE TAYLOR
Received By
djb
L:heck Number
Batch Number Authorization Number
City of Springfil~ld Official Receipt
Development Services Department
Public Works Departmen~
Date: 11/20/2003 3:02:33PM
Amount Paid
Item Total:
68.40
12.00
6.00
10.00
27.00
7.94
11.34
$142.68
How Received
In Person
Payment Total:
.
Amount Paid
$142.68
$142.68
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