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Home My WebLink AboutPermit Building 2006-8-23 CITY OF SPRINGFIELD -' Status Issued Building/Combination Permit PERMIT NO: COM2006-01066 ISSUED: 08/23/2006 APPLIED: 08/17/2006 EXPIRES: 02/25/2007 VALUE: 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line SITE ADDRESS: 1450 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703253308200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: Add 6 circuits and low volt phn, 5 fixtures and vent bathrooms Residential Owner: STUART GOURLEY Address: 39091 MCKENZIE HWY SPRINGFIELD OR 97478 Phone Number: 541-746-0269 Contractor Type Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I ':~',I\f requires you to Contractor Licensej i:rcExpi.!jation Date Phone ' BURRELL BROS ENTERrRISES INC. . '. 'J~' j;304..6 ru~es a~; ~1!~/k1~tP09 541-747-2724 OWNER -or, ,. ,eJu I -(Iv 10 through OAR 952-0 OWNER C'-':'l~;: _I :;~:~aY obtain copies of the rulp.~ ~,:,- BUILDi[IN(t;JiN:j;0RMA~iIOJNJ{~:, ~ile tele~hone . C ' ~ IUtility NotIfication enter IS 1-800-332 234 ) # of Stories: - 4 . Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: ) Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I NOTICE: overi~l!liPtP~IT SHALL EXPIRE IF THE Wmi.W: . # Str~4 'M~~' jj UNDER THIS PERMIT IS r~vdicapped: Pavea' rlvilR . ED FOR Compact: % of(LQl'4:M~t~'aJeQ OR IS ABANDON ANY 180 D~Y PERIOD. REQUIRED PARKING I PUBllIC IMPROVEMENTS I r " Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pal!:e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixtu re Minimum/Adjustment Mechanical Vent Fan + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backflow Device Minimum/Adjustment Plumbing Total Amount Paid I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-01066 ISSUED: 08/23/2006 APPLIED: 08/17/2006 EXPIRES: 02/25/2007 VALUE: Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 2200600000000001181 2200600000000001181 2200600000000001181 2200600000000001181 1200600000000001333 1200600000000001333 1200600000000001333 1200600000000001333 1200600000000001333 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. $8.30 $4.15 $6.64 $43.00 $15.00 $25.00 $10.00 $11.50 $5.75 $9.20 $70.00 $33.00 $12.00 $3.60 $1.80 $2.88 $36.00 $4.50 $2.25 $3.60 $14.00 $31.00 8/17/06 8/17/06 8/17/06 8/17/06 8/17/06 8/1 7/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/23/06 8/23/06 8/23/06 8/23/06 8/25/06 8/25/06 8/25/06 8/25/06 8/25/06 $353.17 I Plan Reviews I Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit Pl!:RMIT NO: COM2006-01066 ISSUED: 08/23/2006 APPLIED: 08/17/2006 EXPIRES: 02/2512007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reauired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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. ~/l/(.. ~ Owner or C~ntractors Signatur~ / d~~ I ' Date Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-375C? Phone 0--' of Springfield Official Receipt L Jopment Services Department Public Works Department Job/Journal Number COM2006-0 1066 COM2006-0 I 066 COM2006-0 I 066 COM2006-0 1066 COM2006-0 I 066 Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000001333 Date: 08/25/2006 Description Backflow Device Minimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By GOURLEY RENTAL ACCOUNT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 993 In Person Payment Total: Page I of I 9:49:31AM Amount Due 14.00 31.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 8/25/2006 '225 FIFTH STREET" SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ o ,,~ ~, Job Location cd U Assessors Map ,,~ ~ n'l ~ ~ .~ E' <U ~ <U U' .~ >- ~ Q: ~ O. .~.. ~. ~. <U > <U ~. ~ ~. OJ ~, ~' ~ , -I U ~0 c:o. City Job NumberJ "wt 200 6 - 0 lOb b " L~t.rL &t-V..D /'fSD \70~2 ~'Jl Tax Lot 08200 <) .(& ~ ~~&? Owner ' _ r?W1t7 E- - 4; Address 3 /0/ /JI c..L-uc kL / Phon~ 717 - ~ 2.'fb ~~ S-I,et/'-: (~j) v / City Statl'" ex. Zip ??~7;? , .. :,1 nV',h"."" .d.~ h g~';:...l! BACKFLOW PREV:tt~~~~tlI?~~pCE PERMIT FEE: $55.35 AUTHOR/ZrD ALL EXPIRr IF COMMENC~D ~%DER n-ns P~R,~HE WORK ANY jaG DAY DE IS ABANDONE'D T IS NOT I RIOD, FOR _. Contractor lnformation II '- Contractor OWN~ Addres~ Phonf' City S tatf' 7:ip Construction Contractors Registration # Expires By signing this pennit/application, I agree to call for an inspection once the backflow prevention device has been installed and is visible for inspection (-72.6-';2769). I also state that all infonnation on this pennit/application is correct. :-::~'~: '.~: ': ::'_c:: ,":_ '_, A ~- '-,::,~,:-"-:;:...-.-~.::;-':::.;::8S~:':;BSl'''' } ~ . ~~, :0.. -. .. -,,-.. Y~J"o ~~ .". .- ::..... ...... '''---,'. .~-.. .... ,,-_.,~ 2-:""'-1"'\r ~ . ~', -~.~,.. ~ ,. '~~""f" ,=-v'-'1J';il'.' Signature , a4!' ........--~~ ',:"'i-, "':'~C;O;'h,.._'-' ""'esRr~at~,::,Il}!J7 2SJob .- - /, 0, '.". "L,Ot Oh~' " ~Vl)17 OA' VC!IOI1I'h"/ I ~(, -'J J ....!laln u R a I .. nL:ri::"i:.-,~ 78 center (i cOPias Ofth v52-001_ J~I lOr Ihe 0 ~ ,.vOle: th e rUles b ...... r_ ~',_ e toJ- I 11 For offi~~itJSelO;~~~tiJiIY tV~~i!k~Ot...ne ll?, ^r. " Q Ir'\.~ -V--;-4)" Date of Application ~ 70 b V Checked for Delinquencif'<;: ~ Checked for Historical Status Shared Drive (T:}lBuilding Fomls/Backflow Prevention8-06,doc