HomeMy WebLinkAboutPermit Building 2004-12-16
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01549
ISSUED: 01/11/2005
APPLIED: 12/16/2004
EXPIRES: 07/13/2005
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2054 INLAND WAY
ASSESSOR'S PARCEL NO.: 1803112201700
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage repair
Owner: MARY HAMMOND
Address: 2054 INLAND WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General XXL INC 109867 06/2612007
Electrical EUGENE ELECTRIC SERVICE INC 90200 03/1712005 541-344-3561
Mechanical XXL INC 109867 541-747-5413
Plumbing DAVID SCOTT PERRY 144871 06/27/2006 541-896-0145
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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 Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
nla
I DEVELOPMENT I,,,'uKlvlATION .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Note~:OTlCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paeelof3
Sidewalk Type:
Downspouts/Drains:
ATTENTION:Oregon law reqUIres you to
follow rule6 adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332.2344).
.
. CITY OF :')rKll~l.FIELD
Building/Combination Permit
PERMIT NO: COM2004-01549
ISSUED: 0111112005
APPLIED: 12/16/2004
EXPIRES: 07/13/2005
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Desci-intion I
Description Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
1,500.00
Value
Date Calculated
Total Value of Project
$1,500.00 .
$1,500.00
01/1312005
l..Fpp< PIilU
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $7.50 1111105 1200500000000000041
+ 7% State Surcharge $5.25 1/11/05 1200500000000000041
Add, Alter, Extend Circ Ea Add $12.00 1111105 1200500000000000041
Perm ServlFdr 200 amps or less $63.00 1/11105 1200500000000000041
.....Mechanicsllssuance Fee- $10.00 1/13/05 1200500000000000059
+ 10% Administrative Fee $14.60 1113/05 1200500000000000059
+ 7% State Surcharge $10.22 1113/05 1200500000000000059
Building Permit $45.00 1113/05 1200500000000000059
Fixtu re $56.00 1113/05 1200500000000000059
Minimum/Adjustment Mechanical $39.00 1113/05 1200500000000000059
Vent Fan $6.00 1113/05 1200500000000000059
Total Amount Paid $268.57
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.
I Rp('~llrrrlrlln{,,"'~lr-t~
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: 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.
UnderOoor Plumbing: Prior to insulation or decking.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-0I549
ISSUED: 01(11/2005
APPLIED: 12/16/2004
EXPIRES: 07(13/2005
VALUE:
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.
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 hcrein, 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 requlrcd Inspections are requested at the proper time, that each address is rcadablc from the
street, that the permit card Is located at the front of the property, and the approved set of plans will remain on thc sitc at all
times during construction.
Dc;;w-Z. ~~1
Ow~er or Contractors Sig~ture ,/
/~3/{)S
Date
Page 3 00
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MA R.~ HA t'J\N\ONJ)
205"1 IW LANP (}Jy,
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~cl(enzierraylor
5729 Main St.
PMB 242
SpriRgfield, OR 97478
(541) 747-5413
CCB# 109867
Main Level
24'
J~_0"~6' ~~~ ,,:::::}~:~~L:::;';J / ~~i~~~E ~ ~~/~'~~~:;:A:~O~~k
(~ R.,-t Sf./EA-iHIN G /irS R~~IAU.ED
,rl 11'4" - SW Bed ~';' h ~PU\C.E. ..," /,4/ALL INS. WITH R-r5 A5
~ 'f...;~ REQV.1:R.e..D) 6" FLOoR. INS. WI.'TH /2.-2.1
!.. /' FIll: III PrOS Rt-QLURE..D
M Bed ~ 2f" .5' thlol , ":~ ml.J\<€ DAMA€1E~ 2..l('f WALL FAAMIN6
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DATE RECEIVED <~J~B NO, C!.--1-O/5i9
ZONE OCCUPANCY GROUP .
UN1T(S) OCCUPANCY LOAD
STORIES TYPE CONSTRUCTiON V,N
LEGAL DESCRIPTION J
;~~;;.::~, :t~'t;jf{;fJ;/,~{ff ,
THE CONTt:::..ns HEi~F. ON HAVE BEEN REVIEWED, WITH
ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES
OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR
PROJECT AFTEf.{ THr:: DATE BELOW SHA.LL BE APPROVED BY
THE BUILDING OFFICIAL.
CITY OF ~7~2i~t?7~' OREGON
GC bEPROVED ":i2f/V'~ /hu DATr, ~jV~
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2004-12-17-1901 DIFF
5GALE: '/$'1::. ['
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
a~
~.:
JiiUy of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1549
COM2004-0 1549
COM2004-0 1549
COM2004-0 1549
COM2004-0 1549
COM2004-0 1549
COM2004-0 1549
Payments:
Type of Payment
Check
1/13/2005
RECEIPT #:
1200500000000000059
Date: 01/1312005
Description
Building Permit
Fixture
Vent Fan
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee--
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DAVE P YOUNG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 2641 In Person
Payment Total:
Page 1 of 1
3:23:20PM
Amount Due
45.00
56.00
6.00
39,00
10,00
10,22
14.60
$180.82
Amount Paid
$180.82
$180.82