HomeMy WebLinkAboutPermit Building 2006-9-27
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7
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Status
Issued
~,CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01025
ISSUED: 09/27/2006
APPLIED: 08/10/2006
EXPIRES: 03/27/2007
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 857 KELLY BLVD
ASSESSOR'S PARCEL NO.: 17033522] ]500
Springfield TYPE OF WORK: Dryrot
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Dryrot repair. And Kitchen remodel
Owner: DON WARD
Address: 541 WILLAMETTE ST 214
EUGENE OR 97401
Phone Number: 541-954-5169
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
OWNER 08699
C PERKINS ELECTRIC INC ]59537
RONS HEATING AND AIR CONDITIONING 169680
CRAIG ARNEY 167015
Expiration Date
121] 8/2006
04/15/2008
05/04/2008
10/25/2007
Phone
541-895-4466
541-343-6829
54 I. 736-9582
I BUILDING INFORMATION I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPl\-...". mrORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sola I' Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I
Sidewalk Type: ,
ATTENTION:OreQ.Qn law requires you to
iollow r&.~'l:iBe~WMraV'f.'ie Oregon Utility
Notification Center. Those rules are set fort~
in OAR 952-001-0010 through OAR 952-001
0090. You may obtain copies of the rules b}
calling the center. (Note: the telephone
numberforthe Oregon Utility Notiflcatiofl
Center is 1-800-332-2344). '
Sto~I'6E~vailable:
SpefA\~n~\;'~'Nirr'SHALL EXPIRE IF THE WORK
NotA'JTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I 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
Bid Amount Use Bid Amount
Estimate Estimate
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
+ t 00/0 Administrative Fee
+ 5% Techoology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Water Line - 1st 50 Feet
+ 10% Administrative Fee
.+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
,Plan Review Residential
Total Amount Paid
Initial Review
Structural Review
08/23/2006
08/23/2006
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01025
ISSUED: 09/27/2006
APPLIED: 08/10/2006
EXPIRES: 03/27/2007
VALUE: $ 10,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
5,500.00
4,500.00
09/26/2006
09/26/2006
Value
Date Calculated
Total Value of Project
$5,500.00
$4,500.00
$10,000.00
Fppt PqirU
Amount Paid
Receipt Number
Date Paid
$6.84
$5.47
$68.40
$5.00
$2.50
$4.00
$50.00
$10.00
$23.00
$11.50
$18.40
$140.00
$12.00
$33.00
$45.00
$7.62
$3.81
$6.10
$76.20
$49.53
1200600000000001238
1200600000000001238
1200600000000001238
1200600000000001295
1200600000000001295
1200600000000001295
1200600000000001295
1200600000000001444
1200600000000001444
1200600000000001444
1200600000000001444
1200600000000001444
1200600000000001444
1200600000000001444
1200600000000001444
2200600000000001358
2200600000000001358
2200600000000001358
2200600000000001358
2200600000000001358
8/10/06
8/10/06
8/10/06
8/18/06
8/18/06
8/18/06
8/18/06
9/22/06
9/22/06
9/22106
9/22/06
9/22/06
9/22/06
9/22106
9/22/06
9/27/06
9/27/06
9/27/06
9/27/06
9/27/06
$578.37
I Plan Reviews I
08/23/2006
09/26/2006
APP LLH
APP DLM
See documents for Plan review
comments
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.
Paee 2 of3
.,,-
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01025
ISSUED: 09/27/2006
APPLIED: 08/10/2006
EXPIRES: 03/27/2007
VALUE: $ 10,000.00
-ili..~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench 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.
Footing: After trenches are excavated.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Ceiling Insulation: Prior to cover.
, I
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.
avMAL..UJ c;!27/tJC,
I
Owner or Contractors Signature Date
Pa~e 3 of3
225 Fi~ Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1025
COM2006-0 1 025
COM2006-0 I 025
COM2006-0 I 025
COM2006-0 I 025
Payments:
Type of Payment
Check
cReceintl
.Wi~
caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
Description
Building Permit
Plan Review Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DON WARD
2200600000000001358
Date: 09/27/2006
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
Ikw
1075
In Person
Payment Total:
Page I of I
II :22:S4AM
Amount Due
76.20
49.53
3.81
6.10
7.62
$ I 43.26
Amount Paid
$143.26
$143.26
9/27/2006