HomeMy WebLinkAboutPermit Building 2005-9-9
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01165
ISSUED: 09/09/2005
APPLIED: 08/26/2005
EXPIRES: 04/11/2006
VALUE:
.
~iF
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 210 DORRIS ST
ASSESSOR'S PARCEL NO.: 1803022401000
Springfield TYPE OF
Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Rewire house and replace service. ReplacelRepair Water Line
Owner: JAMES HOFFMAN
Address: 571 ASPEN ST
SPRINGFIELD OR 97477
'CONTRACTOR INFORMATION I
Contractor License
BIG C ELECTRIC LLC 156428
SUNSET ELECTRIC INC 158859
ROMP PLUMBING & MECHANICAL INC 110648
NOTICf: I' EXPIRE l.dWleDllW(Q'(NFORMA nONI
THIS PERMIT SHA~~ IT ~~OT :
# of Units: AUTHORIZED UNDER THIS PERM #. ones: .
Primary Occ"Wt~NU'm OR IS ltliANOONEOIi t of
Secondary OC'ilWfDflln OM PERIOD. Type of Heat:
Primary Consffill1tillii'type VN Water Type:
Secondary Construction Range Type:
# of Bedrooms: Energy Path:
Sprinkled
Contractor Type
Electrical
Mechanical
Plumbing
, DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Sethack:
Solar Sethacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Residential
Expiration Date
07/25/2007
02/27/2006
04/2112008
Phone
541-744-8946
541-915-4883
503-769-4335
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ro:I~~';~lrliiJ~LlC~RQ~N:fslili~
Notification Center. Those rules are set fOrttsidewalk Type:
in OAR 952-001-0010 through OAR 952-001-D tsID .
.. ownspou rams
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).
S tree!
Storm Sewer Available:
Special Instruction:
Notes:
I of 3
~
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
Total Amount
.
. CITY OF SPRINGFIELD
Building/Combination Permit:
PERMIT NO: cOM2005-01165
ISSUED: 09/09/2005
APPLIED: 08/26/2005
EXPIRES: 04/11/2006
VALUE:
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Total Value of Project
Fep~ Paitll
Amount Paid
Date Paid
Receipt Number
1200500000000001254
1200500000000001254
1200500000000001254
2200500000000001237
2200500000000001237
2200500000000001237
2200500000000001237
2200500000000001237
1200500000000001501
1200500000000001501
1200500000000001501
1200500000000001501
1200500000000001501
$10.60
$7.42
$106.00
$14.30
$10.01
$84.00
$45.00
$14.00
$10.00
$4.50
$3.15
$8.00
$37.00
8/26/05
8/26/05
8/26/05
9/9/05
9/9/05
9/9/05
9/9/05
9/9/05
10/ll/05
10/ll/05
10/ll/05
10/ll/05
10/ll/05
$353.98
.
,
I Plan Reviews I
To Request an inspection caD 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. wiD be made the following
work day.
Ueollire1 T n~np,..tinllLl
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
2 of 3
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CITYut< M'KlNGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: cOM2005-01165
ISSUED: 09/09/2005
APPLIED: 08/26/2005
EXPIRES: 04/1112006
VALUE:
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 certiJy 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 certiJy 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 ermit card is located at the front ofthe property, and the approved set of plans wiD remain on the site
ata~ ng~~ /(j-//-OC;;--
,.
Owner or Contractors Signature
Date
3 of 3
. 225 Fifth Street
',Sp"iingfie1d, Oregon 97477
'l541-726-3759 Phone
-.
.
~.
liity of Springfield Official Receipt
.velopment Services Department
Public Works Department
~\
,..Job/Jooroal Number
1";1.
'pCOM2005-01165
:;S:OM2005-01165
j COM2005-0 1165
crOM2005-0 1165
COM2005-0ll65
Payments:
Type of Payment
Check
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10/11/2005
RECEIPT #:
1200500000000001501
Date: 10/11/2005
Descrlptioo
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
SUNSET HEATING
Received By
djb
1 of 1
Item Total:
Lheck Number AutnorizatioD
Batch Number Number How Received
1503 In Person
Payment Total:
1l:17:17AM
Amoont Due
3.15
4.50 '
8.00
37.00
10.00
$62.65
Amount Paid
$62.65
$62.65
.,
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