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HomeMy WebLinkAboutPermit Building 2004-03-18Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00076ISSUED: 0311812004 APPLIED z 0112012004 EXPIRES: 09/1812004VALUE: $ 14,000.00 SITE ADDRESS: 3195 PARTRIDGE WAY ASSESSOR'SPARCELNO.: 1703221306800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Bath remodel Owner: Address: Contractor Type General Electrical Plumbing Contractor STEVEN JOEY GAYLES CONRICH ELECTRIC LLC ARPS PLUMBING CO INC SAVAGE JAMES H & SHERRYL L 3195 PARTRIDGE WAY SPRINGFIELD OR 97477 ED UNDER ltt IS PL.RNiI E Ylt-lt rt T IS NOl FOR1H0ntr vt L ERIOD License 27215 149509 38123 Expiration Date 0u25t2006 tt/02t2005 0u24t2006 Phone 541-345-9978 541-607-3447 541484-7246 ; INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN Path 1 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Pase 1 of3 ffi.1 nurnber for the Oregon L 1r{lS f'c RMIT S ,^--.4^' !- ,o4 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00076ISSUED: 0311812004 APPLIED z 0112012004EXPIRES: 09/1812004VALUE: $ 14,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 14,000.00 Total Value of Project Amount Paid Date Paid Value $14,000.00 $14,000.00 Date Calculated 0u20t2004 Fee Description Plan Review Residential + l0Yo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0oh Administrative Fee + 77o State Surcharge Building Permit Fixture + l0o Administrative Fee + 7%o State Surcharge Minimum/Adj ustment Plumbing + l0o/o Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid $90.09 $4.60 $3.22 $43.00 $3.00 $r8.06 $12.64 $138.60 $42.00 $0.30 $0.21 $3.00 $6.30 $4.41 $63.00 u20t04 2t6t04 2t6t04 2t6t04 2t6t04 2n2t04 2n2t04 2n2t04 2n2t04 2126t04 2t26t04 2t26t04 3n8t04 3n8t04 3n8t04 Receipt Number 1200400000000000077 r200400000000000171 r20040000000000017r 1200400000000000171 1200400000000000171 1200400000000000199 1200400000000000199 1200400000000000199 1200400000000000199 2200400000000000180 2200400000000000180 2200400000000000180 2200400000000000265 2200400000000000265 2200400000000000265 $432.43 tr'pps Pcid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 0u2y2004 0U2112004 0u2212004 0112112004 0u2u2004 0y30t2004 0u2812004 02t0212004 APP APP DON APP LLH TAJ VRJ RJB Interior remodel - no planning issues. 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. 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete. 9 Rough Plumbing: Prior to cover and including required testing. Paee 2 of3 Reonired Insnections m Ya luationneseriBtiou-l Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00076ISSUED: 0311812004 APPLIEDz 0112012004EXPIRES: 09/1812004VALUE: $ 14,000.00 4 Final Plumbing: When all plumbing work is complete. 8 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. 7 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. l0 Electric Service: Approval required prior to utility company energizing service. 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 sll 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 card is located at the front of the property, and the approved set of plans will remain on the site at all times Owner or Co Signature Date Pase 3 of3 L m 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Dep artment Public Works Department :18PM coM2004-00076 coM2004-00076 + l}Yo Administrative Fee Perm Serv/Fdr 200 amps or less Item Total:$73.7r 6.30 63.00 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check CONRICH ELECTRIC nJm 1634 In Person Payment Total: $73.71 $73.71 Receipt #: 220U00000000000180 Drtet 02126n004 8:27:00AM 225 Fi^th Street Springfield, Oregon 97 477 541-726-3759 Phone coM2004-00076 coM2004-00076 coM2004-00076 Minimum/Adj ustment Plumbing + 7Yo Stale Surcharge + l0%o Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department 3.00 0.21 0.30 $3.s1Item Total: Pavments: Type ofPayment Paid By Received By CheckNumber Batch Number Authorization Number How Received Amount Paid Check JOEY GAYLES HOMEBUILDING IKw 1093 I In Person Payment Total: $3.51 $3.51 Tns?"j;*T%, 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o City Job Number -2 Date L\(L Ce 'e ^t Fzzrr*e B. Lt C- 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Zoning Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Moduiar Dwelling Service or Feeder One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation SigniOutline Lighting Limited EnergyiResidential Limited Energy/Commercial 10% Administrative Fee TOTAL -oq- sr06.00 $ 19.00 $s0.00 $ 63.00 $ 75.00 $125.00 s 163.00 s375.00 ol the rubs b - 1 3. LEGAL DESCRIPTION JOB Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days.*r Electrical Contractor Address ,4t=< City frtae^tE Phone 1*>7*'3ci47 SupervisorlicenseNumber i/fn 5 c. Expiration Date Constr. Contr. Number RecoqrF+lR4Jy, o N : o re g o n I a' lOlhrough Expiration Date OL OS 201 401 Amps to Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel I Signature Owners Name Address / s a:.oo / s 3.oo $ 50.00 $ 50.00 $ 2s.00 s 45.00 4*do 3. oo t OWNER INSTALLATION The instailation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature:ilOTICE:I SHALL EXPMI Minimum Electric Permit Inspection Fee is $45'00 * surcharges THISTHIS PER AUTHORI ZED UNDER IS 3 ,zz- ANY 180 %oo 548A.Inspection Request: 726-37 69 DAY PERIOD' Shared Drive(T:)iBuilding Forms/Electrical Permit Application 1-03.doc submitted has require specific the following land use c€nt3r. 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 o FAX: APPLICATIAN City Job Number 2rn - 0Oofu^t"3/,1/)oD approval Oate Zoning as submitted hasnot require specific {D,a 1- $ 63.00 $ 75.00 s125.00 $ 163.00 s37s.00 $ 50.00 s 43.00 $ 3.00 the following tand use 1 3. .9 )q5 fuz; cl (,c LEGAL DESCRIPTION JOB DESCzuPTION' A. Nerv Aesidential - Single or !Iulti-Family per drvclling unit. Service Included 1000 sq. ft. or less 5106.00 Each additional 500 sq. ft. or portion thereof S 19.00 Each Manufact'd Home or N6;[,[&b*eiling Serv' rpn&pERr,rtT sHAL['Eflr n r F+++1t1s0'00 GeM,t\).LL)*-.1+rr,i<. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. B.1 Electrical Contractor Address City pm"e (d)7-3*(7 Supervisor License Number Expiration Date Constr. Contr. Number / +gsDq Expiration Date S ignature of Supervising Electrician S,arn l/ ( zOO AmPs orless i @3 201 Amps to 400 Amps 401 Amps to 600 AmPs 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only C. Tenrporarl* Services or Feeders Installation, Alteration or Relocation 200 Amps or less S 50.00 201 Amps to 400 AmPs S 69.00 401 Amos to 600 Amos 5100.00 Over 600 or 1000 Volts see "B" above. D New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Owners Address City Phone OWNER INSTAILATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature Pump or irrigation Sigr/Outline Lighting Limited Energy,&.esidential Limited Energy/Commercial 7Yo State Surcharge l0% Administrative Fee TOTAL L)E. $ 50.00 s s0.00 s 2s.00 s 45.00 Nlinimum Electric Permit Inspection Fee is $45.00 * Surcharges L7 4 (r- 3't22.7/ Inspection Request: 726-37 69 Shared Drive(T:/Building Forms/Electrical Permit Application l-03'doc eLl tc ES tut -0c le iot ufnber F,tnort/. .s t )*vza- 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #: 1200400000000000171 Date: 0210612004 9:37:30AM coM2004-00076 coM2004-00076 coM2004-00076 coM2004-00076 + 7o/o Stzte Surcharge + l0o/o Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Item Total:$53.82 3.22 4.60 43.00 3.00 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check CONRICH ELECTRIC djb 1602 In Person Payment Total: $53.82 $s3.82 GffiHT*$ ( Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00076ISSUED: 0211212004 APPLIED2 0112012004EXPIRESz 0811212004VALUE: $ 14,000.00 SITE ADDRESS: 3195 PARTRIDGE WAY ASSESSOR'S PARCEL NO.: 1703221306800 PROJECT DESCRIPTION: Bath remodel OWNCT: SAVAGE JAMES H & SHERRYL L Address: 3195 PARTRIDGE WAY SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Contractor Type General Electrical Plumbing Contractor STEVEN JOEY GAYLES CONRICH ELECTRIC LLC ARPS PLUMBING CO INC License 27215 149s09 38123 Expiration Date 0u25t2006 tU02t2005 0U24t2006 Phone 541-345-9978 541-607-3447 541-484-7246 CONTRACTOR INFORMATION BUILDING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o of Lot s Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Garage/Carport Surface Area: R-3 VN Path I $ s' g\' tso Type: PARKING Notes: Page 1 of3 Downspouts/Drains: L] ( Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-7263753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-0007GISSUED: 0211212004 APPLIEDz 0112012004EXPIRESt 0811212004VALUE: $ 14,000.00 Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 14,000.00 Total Value of Project Amount Paid Date Paid Value $14,000.00 $14,000.00 Date Calculated 01t20t2004 Fee Description Plan Review Residential + l0Yo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10o/o Administrative Fee + 1Yo Stzte Surcharge Building Permit Fixture Total Amount Paid $90.09 $4.60 $3.22 $43.00 $3.00 $18.06 $12.64 $138.60 $42.00 $355.21 u20t04 2t6t04 2t6t04 2t6t04 2t6t04 2n2t04 2ltzt04 2l12t04 2n2t04 Receipt Number 1200400000000000077 1200400000000000171 1200400000000000171 r200400000000000171 1200400000000000171 1200400000000000199 1200400000000000199 1200400000000000199 1200400000000000199 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 0u2u2004 0U2u2004 0u22t2004 0u2U2004 0u2y2004 0u30t2004 0u28t2004 02t02t2004 APP APP DON APP LLH TAJ VRJ RJB Interior remodel - no planning issues. To Request an inspection call the 24 hour recording at 726-3769. AII 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. 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete. 9 Rough Plumbing: Prior to cover and including required testing. 4 Final Plumbing: When all plumbing work is complete. 8 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. 7 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. Rearrired Insnecfions Paee 2 of3 Valuation Descrintion Building/C ombination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Ftx 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00076ISSUED: 0211212004APPLIEDz 0112012004 EXPIREST 0811212004VALUE: $ 14,000.00 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 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. ).4L.A z- /z-o* Owner or Signature Date Paee 3 of3 225 Fifth Street j Springfield, Oregon 97 477 541-72G?759 Phone 'City of Springfitld Official Receipt Development Services Department Public Works Department Date: coM2004-00076 coM2004-00076 coM2004-00076 coM2004-00076 Building Permit Fixture + 7Yo State Surcharge + l0Yo Administrative Fee 138.60 42.00 12.64 18.06 Item Total:$211.30 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check JOEY GAYLES HOMEBUILDTNG Jmp 10910 In Person Payment Total: $211.30 -$ni.30-,- I