HomeMy WebLinkAboutPermit Building 2004-07-12Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676Fax
ilt-l zsal a9 InsPection Line
SITE ADDRESS:
ASSESSOR'S PARCEL
PROJECT DESCRIPTION: Fire damage
Building/Combination Permit
coM2004-00864
0711212004
0711212004
0111212005
$ 90,ooo.oo
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
423 17TH ST
NO.: 1703362403700
Springfield
Type:
EnergY Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot
TYPE OF WORK: Fire Damage
TYPE OF USE: RePair
PhoneNumber: 541-995-1056
Expiration Date
ttlt912004
1211312005
lll19l2004
tll1912004
Residential
Phone
541-689-6177
541-461-0387
541-689-6171
owner: BROWN CIIARLES
Address: 33975 MT TOM RD
Contractor TvPe
General
Electrical
Mechanical
# of Units:
PrimarY OccuPancY GrouP:
SecondarY OccuPancY GrouP:
PrimarY Construction TYPe
SecondarY Construction TYPe:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street ImProYements:
Storm Sewer Available:
Special Instruction:
Contractor
EHLERS CONSTRUCTION INC
MAG ELECTRIC INC
EHLERS CONSTRUCTION INC
,hftHtTfd oR e7446
License
04231
149834
4231
EHLERS CONSTRUCTION INC
t0R Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Occupant Load:n/a
REQUIRED PARKTNG
Total:
Notes:
Pase I of3
arr{6F18}-r
drc
Status 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: COM2004-00864ISSUED: 0711212004APPLIEDz 0711212004EXPIRES: 0111212005VALUE: $ 90,000.00
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 90,000.00
Total Value of Project
Amount Paid Date Paid
Value
$90,000.00
$90,000.00
Date Calculated
07n2t2004
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ l0o/o Administrative Fee
+ 77o State Surcharge
+ 7oh State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fixture
Minimum/Adj ustment Mechanical
Minimum/Adj ustment Mechanical
Temp Power 200 amps or less
Vent Fan
Total Amount Paid
$10.00
$12.60
$68.36
$8.82
$47.86
$43.00
$33.00
$s26.65
$112.00
$4.00
$23.00
$50.00
$18.00
$957.29
7n2t04
7n2t04
7lt2t04
7n2t04
7n2t04
7fi2t04
7n2t04
7lt2t04
7fi2t04
7n2t04
7n2t04
7n2t04
7^2t04
Receipt Number
1200400000000001072
1200400000000001072
1200400000000001072
1200400000000001072
1200400000000001072
1200400000000001072
1200400000000001072
120040000000000r072
1200400000000001072
1200400000000001072
1200400000000001072
1200400000000001072
1200400000000001072
Fpps Peid
Plan Reviews
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.
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.
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.
Paee 2 of3
Rearrired fnsnections
r !I
_t)
Valuation Descrintion I
Status 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: COM2004-00864ISSUED: 0711212004APPLIEDz 0711212004
EXPIREST 0111212005VALUE: $ 90,000.00
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 Springlield 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
street, that the permit card is located at front of the property, and the approved set of plans will remain on the site at all
times during
L
Owner Date
Pase 3 of3
are requested at the proper time, that each address is readable from the
Signature
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^'ty of Springfield Official Receipt
- cvelopment Services Department
Public Works Department
RECEIPT #: 1200400000000001072 Date: 0711212004 2:35:24PNI
Job/Journal Number
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
coM2004-00864
Description
Building Permit
Fixture
Vent Fan
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ lYo State Surcharge
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
+ l0% Administrative Fee
Temp Power 200 amps or less
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Due
s26.65
I12.00
18.00
23.00
10.00
4.00
47.86
68.36
8.82
12.60
50.00
43.00
33.00
Item Total:$9s7.29
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check EHLERS CONSTR djb In Person
Payment Total:
$957.29
-m.
34r67
7n212004 Page 1 of I
*FllltloFlILo
Dec-19-O1 O4:46P
225 FtrTII STREET
SPRINGFIELD. OREGOI{ YI4?7
INSPECTION REQIJEST: 7263769
OFFICE: 726-3759
I. LOCATION
LI L3
LEGAL DESCRIPTIONl7c3S6zL{
P.O?
ELECTRICAL PERMIT APPLICATTON
-.', City Jotr LOrlALoc)- o og6L{
3J COIViPLETE F:EE SCHEDIJLE BELOIV
A. Nerv Rcridcrrtial-Singlc or
I}lulli-Family pcr drvelling unil-
Scnice Inclurlcd:
Items Cost Sum
s!06.00 _prqect as ft. or lcss
and ooei not
sq.use
Zoning ttrereof $ 19.00
Or
Dnelling
Signature s 50.00
or
O3zoo
The
JOB I'?ov
Pernrits $rc non-translbnble and e.xpire
il rvork is nol stanctl rvithin 180 d#ste
2. CONTRACIORINSTALLATIONONLY B. Serricc$ortr'ecdcrs
ofissuance or ifrvork is
180 days.
Elec{rical
LisscNumtcr
Erpirrkm
spspende4&horizeo
a tack
Constr Corfi-
E:rairaion
. -- -.:Siglrraurre of Supcniring El,eclricilo
S
H\S amps
anps to 6fi1 arups
60'l arqx tci'IOfi) arrps'
.O,Gr lOmarnp/Yoes
XmruEEtOr*f
:
. '2O0 amls orlcss
. ZOt'agps.to 4o()_arps
'' Ot4r{rl_b6(X)arys
Orcr6(i(i amps or'lfiXtrolts sec
"8" abore
.i:-
D. Brencb Ciritits
J -'\ Ncm'Alrirarion or Ertension Per Pad
...
Onc Ciiiait-
nicnaCAmol Cirariror
uFccderPennit
N01
E- Mislhffirs (ScwlcUfcaOcr
Administrath'c
_ 3 63.00 _
s 75.00 _
_s125.00 _
'$l63.00
_ s37i.0o_
s s0.o0
...- fr7...f't^ >/-/ *r.* qs
rrithScrvice ---/lE3.oo > >
not includcd)
_ s5o-0o _
_ 35O.OO _
_ $25.00 --_ s45.OO _
ion Fee is 5{5.00 + Surchefges
IZG>zfi-
$so.m -5 <:
s69.0o _st00.g0_
(ro
t
t:-.1
OWNERINSIALLITTION
The ircfalfad<misbeiog
, ': :.'propcrry I o*n whiril is
nprle 6
nmiucndcil
'br e*le, lCa*'Of feOt
:.Owncr: Spebre:
TOTAL L'{_7 c
S
cenEr.
Cents f
.!
I 0CT. 12.20lr4 4;24PM THLERS C0NSTRUCTION N0725 P ?
CertailiteedH
Builders Statement lnsulsafe"4
Fiber GIas Blowing lnsulation
,nn)-l0gH*dll<*Iff
Homeorvner Name
\
Install er,/Conrrador (siEn)
T2 Sro
Name
lo,?d
(qmpeny Name Date
Euilder (slgn)Company Name Date
I
I
I'l
?
,.:
I
'l
lnspected By (sign ]f required)Datc
R-T'ALUC rxlcrHEss IRE (SO Fr.)lf{SUlli/lfE a (}/)6AqS U$EO B^ns/nous (/,
cErtlilas
y4
s9 t 43/t 4s9 t/.<r{
WALLS
FI,ORS
IHERIUAT PERFORTIAITICE=ATNC BLOti,l]IG APPTICffIOI{
. In acoordance wth fie cfiart abow, )ou must install fie minimum number of bags per 1,000 sq. ft. of net area for eacfi
R.Value listed.. The maximum net@verage rnust not erceed that specified for each R-\hlue.. The installed insuhtjon mtst be at or abo€ the specified minimum thic*,ness for each R-Value.. Failurc e install the required minimum u,eight per sq. ft of insulation at or aborc the minimum thic*ness will resuft in
reduced R-\lalue.. This product $ouH not be mixed with otner blo,fi insulations or the fiermal c,laims will become invalid.
OANGEK RECESSEO UGIII FIXIURES-TO PRN'EIIT OT'ERHEAN'{G, OO TtIOf IITSUIIIE OTT IO9 OR WTTHIN 8" OF
SUCII DEUICES. DOES TTOTAPP1Y TO TYPE IC UGHT FIXTURES OR TO FIuORESCE,IT HXIURES WIIII
IHERUALTY PnOIESTED EAILASXS.
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lncl.r{ c5
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r-vAlu!B^OS PEB
1000 so Ff,
x^trlruluil
SE FT. PERIAG
Mrilrmumu,tr6llT-
}oUXBS CER SG FI.
rilsflLLEOitll{lllutut fitcrtEss
To oloin a
Thsn[3l Redsttnce
Gl ot
Batr pet
l0m sq. n
o, n6t sreo:
ConunB ol bsg
$ould na@yor
fioc dr.ft, Fq- ftJ
Wb'(rht per sq ,t ot
i,ftinod Utsulsuon shfirld
oor bc hs$on: lrboJ
$toUE not be
lesstlon:
&J
6l 36.5 27 0.s6 2
)29.6 u 0,800 t t
4 2C.4 3A 0,7r2 16%
38 p,.e u 0.6ts 1al L
3 )10.0 56 0.495 12
15_5 E5 0.419 1,
z 10.1 n 0-9s3
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13 7.1 129 0.209 E
!t 6.6 lSt 0.r78 ty,
3&2C233 Eulldors Siarcm.lrt A Salnt€obala Comgeny o2qxt cc|tainTeed cofpo|?fion 10,1t3
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