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Home My WebLink AboutPermit Building 2004-9-3 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ . CITY OF SPRIrllhl'lJi.LlI Building/Combination Permit PERMIT NO: COM2004-01093 ISSUED: 09/03/2004 APPLIED: 08/31/2004 EXPIRES: 03/03/2005 VALUE: $ 2,000.00 Status Issued SITE ADDRESS: 4616 JASPER RD ASSESSOR'S PARCEL NO.: 1802051304301 , Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: BWOP Alteration ofaUic space (work not completed) Alteration Residential Owner: MARK FOUNTAIN Address: 4616 JASPER RD SPRINGFIELD OR 97478 Contractor Type General Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor Licen{6 Expiration Date DAVIS BROS GENERAL CONTRACTORS INe~'<<i 03/31/2006 DAVIS BROS GENERAL CONTRACT.oJt>I~\ . ~ ,o~ 03/31/2006 BERNARD PETERSEN INC_~\f1'I"~~O 6'l'- f'l\,'" 08/23/2007 ~bjlp.mEQtp1"f~~es'o'l ~~ "~O"~ rJ... ~o~e ~ ~ co9\eS ~e \e\e~\ce.~o~ Lot Size: ,,~ : o~ Ij\\ ?~). Sq Ft 2nd Floor: VN ~ ~ i01~~'2: Sq Ft Basement: ea '\ Sq Ft Garage/Carport ne ath: Sq Ft Other: Sprinkled Building: nla Occupant Load: Phone 541-683-9309 541-683-9309 541-343-9339 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compacg. '\'(\~ ~~~'\ -r- \~ ~l"l \~ I PUBLIC IMPROVEMENTS I ~\.\. ~'j...~~ ~~~~~ \~~ ~\'ij'(.' .\\\ ~:.;.s;,Q,~F~~ ~~ V~W" \) \)\~~S p..'fP~' ,'(.,fo f.J'\l-\t~ {J6$h'k..l!fsIDrains: ,?-'0''o(I. ~~~,,~ ~ ~~~\V ,,\j~ \~'ii \)~ '?-~'" Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: , Pa!!e I 00 r . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 Bid Amount Use Bid Amount Square Footage or Bid Amount 2,000.00 Total Value of Project )?PPO, P~ii1 I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanicat Minimum/Adjustmept Plumbing Penalty Fee - BWOP Building Penalty Fee - BWOP Mechanical Penalty Fee - BWOP Plumbing Vent Fan Amount Paid $10.00 $13.50 $9.45 $45.00 $42.00 $39.00 $3.00 $45.00 $45.00 $45.00 $6.00 Total Amount Paid $302.95 I Plan Reviews I Date Paid 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01093 ISSUED: 09/03/2004 APPLIED: 08/31/2004 EXPIRES: 03/03/2005 VALUE: $ 2,000.00 Value Date Calculated $2,000.00 $2,000.00 09/03/2004 Receipt Number 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 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. IRPn~ Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Finat Building: After all required inspections have been requested and approved and tbe building is complete. Rongh 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa~e 2 of3 . . 'CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01093 ISSUED: 09/03/2004 APPLIED:' 08/31/2004 EXPIRES: 03/03/2005 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield. OR 541-726-3753 PhOlie 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 ofany 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 constructio~.. , .---.&:/ :-J ~~--Iflflp( , Owner or Contractors Signature J-bf!- -uuJ K> ~t/tGJS Date (h-nfmeft'::5 q-3 -eJ'I "" Paee 3 of3 r 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . 8!'~'R.!f'!!!!".'."!-I>,'," '."_' '. Mic,,',.,.', ) ;'" ,"- ,,. , ~..- .......,...". ), Job/Journal Number COM2004-0 1093 COM2004-0 I 093 COM2004-0 I 093 COM2004-0 I 093 COM2004-0 I 093 'ii, COM2004-0 I 093 . COM2004-01093 COM2004-0 I 093 COM2004-0 I 093 COM2004-0 1093 COM2004-0 1093 Payments: Type of Payment CreditCard r~ 'r:-:1'l ,~ ....i1'l 9/3/2004 RECEIPT #: 2200400000000001124 Description Building Permit Fixture Minimum! Adjustment Plumbing Vent Fan Minimum! Adjustment Mechanical -Mechanical Issuance F ee- + 7% State Surcharge + 10% Administrative Fee Penalty Fee - BWOP Building Penalty Fee - BWOP Plumbing Penalty Fee - BWOP Mechanical Paid By JAMES NOTTAGE Check Number Batch Number Received By Drn Page I of I Jii.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 09/03/2004 Item Total: Authorization Number How Received 553247 In Person Payment Total: 1:41:23PM Amount Due 45.00 42.00 3.00 6.00 39.00 10.00 9.45 13.50 45.00 45.00 45,00 $302.95 Amount Paid $302,95 $302.95