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HomeMy WebLinkAboutPermit Building 2003-2-14 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00085 ISSUED: 02/14/2003 APPLIED: 02/14/2003 EXPIRES: 08/1412003 VALUE: $ 500.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 625 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264311400 Springfield TYPE OF Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire damage Owner: INTEGRATED MORTGAGE SOLUTIONS Address: 625 CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACfOR INFORMATION. Contractor Type General Electrical Owner SETBACKS Contractor EHLERS CONSTRUCTION INC MAG ELECTRIC INC o INTEGRATED MORTGAg'~~F-TIONS ~~tllf~~OF1ATION , ~ 0<:$' 0~(;;) ,fO O~ i,M ~mr~ ~0 ~ Lot Size: ...#' ,^-0 ~~i~i<Kf ~o ~o Sq Ft 1st Floor: ~.... ~. ,.::s ~~l~_~~ .~fjj ~ x::>~ 9:J0 ~~~,be~ Sq Ft 2nd Floor: .c:flt,00,,~0 ~O'\X-li~~;Qf:~' Sq Ft B~e~ent: O~. (:)0<>' 0" ~(;:)~ cJt~e~ ef Sq F1~'!.~"ge/carport ~~ 9:Jflf 0~ ~~ ~~ ~ep~ '81 h: ~.%<,~r: /~~ ,~0 ~CJ s;)~ cff ~0" ~ s::5fl:j ~~~oos Surface Area: ..<. ~. ("i _s::5 .~ l': jl; -~ ..<< 1'\' .(',.~ '(',~~~V~~OJ<ov~~~~~fjY~NT INFORMATION. ~~~~~~ ~Cf O~ ~o ~ b.P ~0~ ~.~C;, S)<:S REQUIRED PARKING ~ 9)(;:)' ~~ ~ 0~ ~ "'~ '" (;:)<::5 v~ ':5:)0 CJ Overlay Dist: ~~ ~ ~ Total: ~.:::,~ # Street Trees ~. _~ ~ ~~ ~ ~. Handicapped: Paved Drive R~ (~~' f.S> \;;)<:J::. ~<:s Compact: ~ ~'V N'; <$> ~<(; % of Lot ~~~~~\;;)~ ~ ~ ~ ~ # s::, <::) ~ -~ .~ ' dJ / IPUBLIC IMPROVEMEN~ License 04231 149834 Expiration Date 11/19/2004 12/13/2005 Phone 541-689-6177 541-461-0387 # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: 1 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: COM2003-00085 ISSUED: 02/14/2003 APPLIED: 02/14/2003 EXPIRES: 08/14/2003 VALUE: $ 500.00 I Valuation Description I Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft $1.00 Square Footage 500.00 Value $500.00 $500.00 Date Calculated 02/14/2003 Total Value of Proj ect I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Building Permit Minimum/Adjustment Electrical Amount Paid Date Receipt Number $9.00 2/14/03 1200200000000000698 $6.30 2/14/03 1200200000000000698 $43.00 2/14/03 1200200000000000698 $45.00 2/14/03 1200200000000000698 $2.00 2/14/03 1200200000000000698 Total Amount $105.30 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. I ReQuired Inspections I 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Wall Insulation: Prior to cover. 4 Rough Electric: Prior to Cover 5 Final Electric: When all electrical work is complete. 6 Final Building: After all required inspections have been requested and approved and the building is complete. 2 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00085 ISSUED: 02/14/2003 APPLIED: 02/1412003 EXPIRES: 08/1412003 VALUE: $ 500.00 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 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 t pe m~~~~located at the front of the property, and the approved set of plans will remain on the site atalWmcsd m ~ ~ 2. J "() O~ ...etocs S;gnatu" Date ) / 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00085 COM2003-00085 COM2003-00085 COM2003-00085 COM2003-00085 Payments: Type of Payment Check Paid By Description Building Permit Add, Alter, Extend Circ Receipt #: 1200200000000000698 Date: 02/14/2003 Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee EHLERS CONSTRUCTION Received By Check Number Confirm No djb Page I of I 2/14/2003 9: 16:54AM. City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 45.00 43,00 2.00 6.30 9.00 Line Item Total: $105.30 How Received Amount Paid In Person 105.30 $105.30 Payment Total: cReceipl.rpt u~~-~~-u~ U~;~g~ t'.UL 225 r 11' ui STREET " SPRINGFIELD. OREGON 97477 ' , INSPECTION REQUEST: 72.6.3769 , " ,OFFICE: 726-3759 ELEC'l._";AL PERMIT APPLICATION ,:';'City Joh NDmb~r COM ZO 03 ,~ooo IS ~ 3: COMPLETE FEE SCHEDULE BELOW - ' 1. LQCATlON OF INSTALLATION f-.2S (' -bv"77-fft1'1iA-L " A; New:\~elltja'-SinglC or ~e \O~ ~",eMultj-Famil)' per dwelling unit. , 0, '<07>-'" ~ \7>-~ Se' e Induded: II Lf OOi-~,-e f:i"\~ Items Cost Sum "'~v, e'" '3-'" ~\~ JOB DESC,RlPTJON -6\eG'.. 0'- ~eOl. ( c.(~<~~'\>'..0"'~ 'I-.\o~' 0, ,,,- \0 7>-(>- Permits nrc non-transferiil)1c,aud*xpire ~Ql if work is not started witlii~J.-8t'i.jda.,.g,O(>-\ of issuance or jf work is suq,ended 'for 7>-,-~~e ] 80 days. e (:i~~' , 00" 1.-eo 0<,\ 2. CONTRACTOR INST ALLA TJON ONt Y B. Services or Feeders , , , ~\' .1 I Installation, Alterations or Electrical' ~onlmetor..ceou) \ L, RLn 1 LRelocation: Addres~ f\-\\Qrl)- In : ':~. ~ 200 amps orl .'"\~~~~ CityfLi~, P'non,61I1-f/tJ~;i7).:t ,i)m~ . ~ x\~~? s~"...J~~""';'" 1?12~~~~~~n" . wits _,' ,', '.' ' :, ,,' ,.' 'LIo' :. \:~t ~Q\\\-V ~~ti,,~only . ~~il.""'"'' Date ',~I) ~i1(~:~::.:::.<. ~~'-'~~C~~\~ :...' :' : .Q;nstT Co~tr. ~um~ ~'i sr~?::f~":::'~~ ,f.~~~~,~=: ~~tion ,~.,E.''PirationDaIC /2... '/3 ~~';Z-<~';~(:' ::' .~,"~anipsOTress $50.00 ,',',~.;', ,~, ','.;:,2Q...,!.,.:..,to,~~.~'r.. $69.00 . ". ,..:~,-~:SignalllJ'e of Supervisiog Ela:trician . ::: ~ 4:01)0 ~ amps Sloo.oo '.. ': ::~:~'.::~;:: )', :,;:~ ",: ;&.:, A- ~ "B~bo6003mpsoil000VOllssee..', ':, ,: ),' :.', ':::'YJAIl' : -:,' : ' .'~1 . a ~Ie : .-' . ..... .: ".". . , ,; .. -" '. "61'" . , : ,..' ');~;,;;J,.!&.4;A';j r~if[,?' :: ~~~';;onor,6A1ension ~T~eI ':,:: : :'.:' ,:::.::,\:'~.'".._..:.'-~j r;z< :{7~(~,^-~ ' on~'~~.: '~e'b~~~~~\\~ '^ ( -~4~,OO'd3 , "'.' , ' -,' r\'\\\ <,\V" 1'\, ' .:..,' ,;:': :~>6t;:<:'~~~Il~":; :...:; Eie~'~~~t~~ce , :" '.::':~/~~R'iNsTA~/~~ON ::,:.:.i:' , _ ~~~~~\}\e~~~ 9 f.\)\~c, 'Q'j $ 3.00 ' :',:;:::'}be~~onjs.bei~g~~~:': /\~~~~~~.J' s . . ~.~~~~~1;~1). ",~, ...'P....r;...jI~nwhicllJsnoL,"".~,m:a. ~ ~f.\}~ G _." e ~e\e 'S..\'\\c~ , '''''- .....or..... \~~\C,,\~~i:~\\'l#~' :::: .,::.(),~uers ~~ture: ' , ~ O~~ -{o\} , ,~~~~' $25.00 , ~ \~ 9\)' .~~. , " $45.00 ()CJ ~\\'~ \\of. ~\S l\-~mi~ E~ific Permit )nspcctinn Fcc ~~ Surcharges '(\\)' . v, ..-- 4. SUBTOTAL OF ABOVE If .) 7% State Surchllrge 3/f .Af% Administrati,.c Fee l-( )a -- 52~ LEGAL J)~CIUPTION j70...s2b4~ sq,ft less ell itional 500 . or portion thereof Each Manufd Home or Modul:lf DweJljng Service or Feeder SIOG.no $ 19.00 $ 50.00 $ 63.00 , . $ 75.00 $125.00 . $163.00 $375.00 $ 50_00 .... "." TOTAL