HomeMy WebLinkAboutPermit Building 2008-5-20
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00613
ISSUED: OS/20/2008
APPLIED: 05/02/2008
EXPIRES: 11/20/2008
VALUE: $ 31,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4011 C ST
ASSESSOR'S PARCEL NO.: 1702311404513
Springfield TYPE OF WORK: Fire Damage
PROJECT DESCRIPTION: Fire Damage
TYPE OF USE: Repair
Residential
Owner: SHEPARD CHARLES N & P C
Address: PO BOX 8516
COBURG OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
License
04231
136446
4231
57159
Contractor
EHLERS CONSTRUCTION INC
BURRELL BROS ENTERPRISES INC
EHLERS CONSTRUCTION INC
DONN B MERRICK
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary ConstructiomMlON: 0 on law recHmw~\'0
# of Bedrooms: ,. I od r~d by the ~~ fJtmty
follow ru .. a op ~r\l:Tn.Iz:.l~ 18"ing n/a
tlotificatlon Center. Those ruler.rB1'C":~ ..
In OAR 952-aul-UU1\J ll..~q; ...~f:. 90 .
0090. Voumayobt M ORMATION
calling the center. (Note: e e ep o.
Frontyard Setback: IIUInber tor the Oregon Util~.ti9}~f~Cfl\~~~
Side 1 Setback: Center II 1-800-332-~Aet Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
11/19/2008
08/2012009
11/19/2008
11/1812008
Phone
541-689-6177
541-747-2724
541-687-1907
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:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE If THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
Notes:
Pal!e 1 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
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
-Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Vent Fan
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00613
ISSUED: 0512012008
APPLIED: 05/0212008
EXPIRES: 11/20/2008
VALUE: $ 31,000.00
I Valuation DescriPtion'
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
31,000.00
Value
Date Calculated
Total Value of Project
$31,000.00
$31,000.00
05/19/2008
~
Amount Paid
Date Paid
Receipt Number
$5.50
$6.60
$2.75
$55.00
$20.00
$38.60
$46.32
$19.30
$285.98
$43.00
$50.00
$7.00
5/2/08
5/2/08
5/2/08
5/2/08
5/20/08
5/20/08
5/20/08
5/20/08
5/20/08
5/20/08
5/20/08
5/20/08
2200800000000000574
2200800000000000574
2200800000000000574
2200800000000000574
1200800000000000532
1200800000000000532
1200800000000000532
1200800000000000532
1200800000000000532
1200800000000000532
1200800000000000532
1200800000000000532
$580.05
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~e(]uiredJnsDectiQns .
Electric Service: Approval required prior to utility company energizing service.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pa2e 2 of3
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.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00613
ISSUED: OS/20/2008
APPLIED: 05/02/2008
EXPIRES: 11/20/2008
VALUE: $ 31,000.00
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 permit car . 10 ated at the front of the property, and the approved set of plans will remain on the site at all
times d . mg onstru tion.
tA: _
:'v """ -~ture I
Owner or Contractors Sign ~
Paee 3 of 3
~/oo
Date t (
225 Fifth" Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00613
COM2008-00613
COM2008-00613
COM2008-00613
COM2008-00613
COM2008-00613
COM2008-00613
COM2008-00613
Payments:
Type of Payment
Check
cRecelOtl
RECEIPT #:
1200800000000000532
Date: OS/20/2008
DeSCriptIOn
Bmldmg PermIt
Mlmmum! Adjustment Plumbmg
Vent Fan
Mmmmm! Adjustment Mechamcal
-Mechamcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
EHLERS CONSTRUCTION
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
djb
4632
In Person
Payment Total:
Page I of I
9:14:56AM
Amount Due
285 98
5000
700
43.00
2000
1930
4632
3860
$510.20
Amount Paid
$510 20
$510.20
5/20/2008