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