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HomeMy WebLinkAboutPermit Building 2003-10-28Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01080ISSUED: 1012812003 APPLIEDz 10124/2003 EXPIRESz 0412812004YALUE: $ 1,500.00 SITE ADDRESS: 3198 PARTRIDGE WAY Springfield TYPE OF WORK: Interior ASSESSORTSPARCELNO.: 1703221308900 TYPE OF USE: New PROJECT DESCRIPTION: Add washer and dryer hookups - in urban growth boundary. Modifying existing closet for appliances. Owner: CyNTHIA HOWLAND Address: 3198 PARTRIDGE WAY SPRINGFIELD OR 97477 PhoneNumber: 541-726-0191 Contractor Type General Electrical Contractor MARK SANDBERG LR BRABHAM Expiration Date 05102t2004 12n8t2004 Residential Phone 6894370 541-747-6638 License 100778 8699 BUILDIN( # of Buildings: 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 ofLot 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 REQUIRED PARKING Total: Handicapped: Compact: NOTIGE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED TOR ANY 1BO DAY PERIOD. Sidewalk Type: Downspouts/Drains: ; a/.antcr iS DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Pase 1 of3 L Ur\ l r(AL l t,K rN rr ut(lvrA _L]LA__.] Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-01080ISSUED: 1012812003 APPLIEDT 1012412003 EXPIRESz 0412812004VALUE: $ 1,500.00 Description Bid Amount Tvne of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 1,500.00 Total Value of Project Amount Paid Date Paid Value $1,500.00 $1,500.00 Date Calculated r0t28t2003 Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Dryer Vent Fixture Minimum/Adjustment Mechanical Minimum/Adj ustment Plumbing Perm Serv/Fdr 200 amps or less Plan Review Residential Total Amount Paid $10.00 $21.30 $14.91 $15.00 $45.00 $6.00 $14.00 $39.00 $31.00 $63.00 s29.2s 10t28103 10t28t03 t0t28t03 10t28t03 10t28t03 10t28103 10t28t03 r0t28t03 10t28t03 10/28/03 10t28t03 Receipt Number 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 1200200000000002376 $288.46 Fees Paid Plan Reviews Structural Review 10t24t2003 10t28t2003 APP DLM 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 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Drywall: Prior to taping. 7 Final Building: After all required inspections have been requested and approved and the building is complete. 8 Final Mechanical: When all mechanical work is complete. 9 Electric Service: Approval required prior to utility company energizing service. Paee 2 of 3 Valuation Description I Keouired lnsnectlons Building/Combination Permit Status Issued 225 F'ifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01080ISSUED: 1012812003 APPLIED z 1012412003 EXPTRES| 04t28t2004YALUE: $ 1,500.00 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 wiII remain on the site at all times during construction. t'\)n gt,1,. Owner or Signature Date Pase 3 of3 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-37 53 r FA)ft (541b)fi106$689'as submitted has E LECTRICAL P ERMIT AP P LICATI AN zoning, and does not require sPecific approval Lbl-CityJobNumber CO$\Z.aC;3 -. l) IO8O Date Zoning 1.3. zea the tollowing land use ri ure -0 $ 106.00 $ 19.00 i,J LEGAL DESCzuPTION l7o3 zz t3 o7?oo JOB DESCzuPTION l$ts Q (LL,^r /-s Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. New Resideutiat - Single or PIulti-Farrrily per du'elling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $s0.00 B. Sen,ices or Feeders - Installation, Alterations or Relocation: b4a 1 ElectricalContractor L A- BcrtrA^.- _ <200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect OnlyJ Signature of Supervising Electrician Owners Name Address 3 frA Tarr+v p lUau t/ Fee $ 63.00 $ 75.00 s 12s.00 $ 163.00 s37s.00 $ s0.00 ' $ 43.00 .00 Address b I Lrle _r t a 5 4reet City 5p,-, na Fel<l Phorc 71-? : JLl n Supervisor License Number Ll L!14.5.C. Temporary Services or Feeders Expiration Date Installation, Alteration or Relocation 200 Amps or less S 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Constr. Contr. Number t6'1a Expiration Date rzlrz loq Over 600 Arnps or 1000 Volts see "B" above. 13ranch (lircuits New Alteration or Extension Per Panel One Circuit !r**'"T$:ffi::i:"H1,"'*"0 fr $3oo lf c x D. E. City ,*Jii-Ttqt OWNER INSTALLATION The installation is being made on properly I own which nco pie 4ffi,'mlrfi*ihffi#BT MiniJUUo 4.7o,@ lYo State Surcharge l0% Adminisffative Fee TOTAL a ra_ ?i-24 -Inspection Request: 726-3769 Shared Drive(T:)iBuilding Fonns/Electrical Pennit Application l -03.doc by ths 5.46 225Eifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Offidial Receipt Development Services Department Public Works Department #: 1200200000000002376 Date: L012812003 9:41:05AM coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 coM2003-01080 Fixture Minimum/Adj ustment Plumbing Building Permit Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Plan Review Residential Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + llYo Administrative Fee 14.00 31.00 45.00 6.00 39.00 10.00 29.2s 63.00 15.00 14.91 21.30 Item Total:$288.46 Type ofPayment Paid By Received By Batch Number Authorization Number IIow Received Amount Paid Check CYNTHIA HOWLAND dlm 2s85 In Person Payment Total: s288.46 -$28-57-d