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