HomeMy WebLinkAboutPermit Building 2004-10-22
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: COM2004-01312
ISSUED: 10/22/2004
APPLIED: 10/22/2004
EXPIRES: 08/23/2006
VALUE: $ 2,000.00
SITE ADDRESS: 3773 JASPER RD
ASSESSOR'S PARCEL NO.: 1802061309701
Springfield TYPE OF
Single Family Residence
PROJECT DESCRIPTION: Alterations to existing SFR
TYPE OF USE: Alteration
Residential
. Owner: LUKE JOHNSON
Address: 3773 JASPER RD
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
OWNER
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary 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:
Notes:
I CONTRACTOR INFORMATION I
out<.>
I ... leC\uiILi~nsel'! Expiration Date
3" nOl' - XI
. 0le90("l \\"Ie Ole", 5e\ 101\
,.,.,E.~.(\ON. clO?\ecl 'o'! e {uleS 31~ n5'2.'00'.
I" \ Ie" 3 ,\"IOS oi>:r> "" 'o'!
,~lIn'I'J IU . roonte(. .~<n\IQ\"I. ".n ,ules
~o'i\\I>BUlliDING iNEORMATiONll?\"IOl"l~(\
'("1 OA.' (l"Ia.~ -- 'NO\~' -. ~'O\i\IC3\1
I 0 'IoU _~:el. \ "till\'! \'
009. # of StOnes: 0("1 v 44).
R-3 ca.\li("l~~ight.o~U\~~oO.'3'3'2.''2.'3
("IU(l"l'oTYP,!';\lf;lUa\:
Water Type:
Range Type:
Energy Path:
Sprinkled
VN
nla
Phone Number: 541-514-0341
Phone
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
IDEVELOPMENTINFORMATION I ..'
. . ..'- REQUIRED PARKING
Overlay Dist:' . ~o~\ttotal:
# Street Tr~s "P\~~ \f 1\\~ S ~QlIandicapped:
~f\.~'t~e~~r\t>.\..\.. t" S ~~~~\i ~ ~ Compact:
O'.i~~~:l~~~~~~ ~~~~OO~~O fO
IPUBLIC FMPK~~l\lU'
1>.1' I Sidewalk Type:
DownspoutsIDrains
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CITY OF SPRINGFIELD,
Building/Combination Permit"
Status: Issued
225 Fifth Street, Springfield, OR
,.541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
PERMIT NO: COM2004-01312
ISSUED: 10/22/2004
APPLIED: 10/22/2004
EXPIRES: 08/23/2006
VALUE: $ 2,000.00
Description Type of Construction
Bid Amount Use Bid Amount
I Valuation DescriDtion I
$ Per Sq Ft Square Footage
or multip6er or Bid Amount
$1.00 2,000.00
Total Value of Project
Value
Date Calculated
$2,000.00
$2,000.00
10/22/2004
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l..Fees Paifl I
'"
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $17.10 10/22/04 1200400000000001502
+ 7% State Surcharge $11.97 10122/04 1200400000000001502
Add, Alter, Extend Circ Ea Add $18.00 10/22/04 1200400000000001502
Building Permit $45.00 10/22/04 1200400000000001502
Fixture $28.00 10/22/04 1200400000000001502
Minimum/Adjustment Plumbing $17.00 10/22/04 1200400000000001502
Perm ServlFdr 200 amps or less $63.00 10/22/04 1200400000000001502
Sanitary Sewer - Improvement $18.28 10/22/04 1200400000000001502
Sanitary Sewer - Reimbursement $24.04 10/22/04 1200400000000001502
SDC Sanitary/Storm Admin $2.12 10/22/04 1200400000000001502
+ 10% Administrative Fee $9.00 2/23/06 1200600000000000195
Renew Building Permit $45.00 2123/06 1200600000000000195
Renew Electrical Permit $45.00 2/23/06 1200600000000000195 .
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Total Amount $343.51
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.
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Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building Is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2004-013I2
ISSUED: 10/22/2004
APPLIED: 10/22/2004
EXPIRES: 08/23/2006
VALUE: $ 2,000.00
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Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signatnre, 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 wiD be made of any structnre 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 perm d is located at the front ofthe property, and the approved set of plans wiD remain on the site
a3dUrin /c'onstruct._____ ;?/Z 3hh
Ow;;;; or cofac Date J '"
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3 of 3
, 225 Fifth Street
j,';~Spii'ogfield, Oregon 97477
'" 541-726-3759 Phone
Job/Journal Number
COM2004-0 1312
COM2004-0 1312
COM2004-0 1312
, Payments:
" Type of Payment
"CreditCard
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2/23/2006
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RECEIPT #:
.!'~'~!t~_~~'___._ \,'
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Ajty of Springfield Official Receipt
.velopment Services Department .; !
Public Works Department
1200600000000000195
Date: 02/23/2006
Description
Renew Building Pennit
Renew Electrical Pennit
+ 10% Administrative Fee
Paid By
TERRY JOHNSON
Received By
djb
I of I
Item Total:
Lheck Number Authorization
Batch Number Number How Received .
025078 In Person
Payment Total:
I :19:2IPM "
Amount Due
45.00
45.00
9.00
$99.00
Amount Paid
$99.00 .
$99.00
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