HomeMy WebLinkAboutPermit Building 2006-8-10
.
ecITY OF SPRINGFIELD
Building/Combination Permit
'-
Status
Issued
PERMIT NO: COM2006-01025
ISSUED: 08/10/2006
APPLIED: 08/10/2006
EXPIRES: 03/06/2007
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 857 KELLY BLVD
ASSESSOR'S PARCEL NO.: 1703352211500
Springfield TYPE OF WORK: Dryrot
TYPE OF USE: Repair
ResidentiuI
PROJECT DESCRIPTION: Dryrot repair
Owner:
Add ress:
DON WARD
541 WILLAMETTE ST 214
EUGENE OR 97401
Phone Number: 541-954-5169
Contractor Type
General
Electrical
Mechanical
Plumbing
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Contractor p.~~\'\~ ~_ ~oo9 (.~"~""'~,eh~~ '\;.1xp~ration Date
OWNER . ~o"'~ ce~ :\O~6j.9o\~~\\.l}..(18/2006
C PERKINS ELEC~{WIft~ .$:\.c:o~:i~3~1I ~~\~411512008
RONS HEATING A~<1.I!b~~mJ~~i,}'lt 9J~.~~. 05/04/2008
CRAIG ARNEY \~'~...:'~.~~- . p,;:,.?l!W./l:r'" 10/25/2007
I BiImlill\/QINFORM>~TrON I
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# of Stories: ,
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-895-4466
541-343-6829
54 I. 736-9582
VN
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primury Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
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I PUBLIC IMPROVEMENTS.. ~'j..,?\?~ W ~\"' \~ ~\)'
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Paee 1 of 3
.
ecITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01025
ISSUED: 08/10/2006
APPLIED: 08/10/2006
EXPIRES: 03/06/2007
VALUE: $ 5,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotinn I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Description
Total Value of Project
$5,000.00
$5,000.00
08/10/2006
L.!<pp< Pli!U
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $6.84 8/10/06 1200600000000001238
+ 8% State Surcharge $5.47 8/10/06 1200600000000001238
Building Permit $68.40 8/10/06 1200600000000001238
+ 10% Administrative Fee $5.00 8/18/06 1200600000000001295
+ 50/0 Technology Fee $2.50 81t 8/06 t20060000000000t29S
+ 8% State Surcharge $4.00 8/18/06 1200600000000001295
Temp Power 200 amps or less $50.00 8/18/06 1200600000000001295
-Mechanical Issuance Fee- $tO.OO 9/22/06 1200600000000001444
+ 10% Administrative Fee $23.00 9/22/06 1200600000000001444
+ 5% Technology Fee $11.50 9/22106 1200600000000001444
+ 8% Slate Surcharge $18.40 9/22106 1200600000000001444
Fixture $140.00 9/22/06 1200600000000001444
Furnace - up to 100,000 btu $12.00 9/22/06 1200600000000001444
MinimumlAdjustment Mechanical $33.00 9/22/06 1200600000000001444
Water Line - 1st 50 Feet $45.00 9/22/06 1200600000000001444
Total Amounl Paid $435.11
I Plan Reviews I
Initial Review
StrucluraI Review
08/23/2006
08/23/2006
08/23/2006
APP LLH
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.
I"'p~
Framing Inspection: Prior 10 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.
Paee 2 of3
-~~
.
ecITY OF ~rKmlJJ<I~LD '
Building/Combination Permit
PERMIT NO: COM2006-01025
ISSUED: 08/10/2006
APPLIED: 08/10/2006
EXPIRES: 03/06/2007
VALUE: $ 5,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
: I
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and alJ'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 't of the property, and the approved set of plans will remain on the site at all
timt;;;::;iJ~;JJ ' q /Z~ )0 (p
Owner o/Contractors Signature Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-~159 Phone
. 7;~~~
lilt" :
c.. f Springfield Official Receipt
D opment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 025
COM2006-0 1 025
COM2006-0 1 025
COM2006-0 I 025
i COM2006-0 I 025
COM2006-0 I 025
COM2006-0 I 025
COM2006-0 1 025
Payments:
Type of Payment
Check
cReceinll
RECEIPT #:
1200600000000001444
Date: 09/22/2006
Description
Fixture
Water Line, 1st 50 Feet
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ADW LLC
Item Total:
L'heck Number Authorization
Received By Batch Number Number "ow Received
DJB 1074 In Person
Payment Total:
Page I of I
3:05:19PM
Amount Due
140.00
45.00
12.00
33.00
10.00
11.50
18.40
23.00
$292.90
Amount Paid
$292.90
$292.90
9/2212006