HomeMy WebLinkAboutPermit Building 2006-04-24Building/Combination Permit
PERMIT NO: COM2006-0047 4Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/24t2006
0412u2006
10t24t2006
$ 2,000.00 ffi
SITE ADDRESS: 2600 WAYSIDE LN Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCELNO.: 1703L24402600
TYPE OF USE: Remodel Residential
PROJECT DESCRIPTION: Remodel bathroom- add vent fan, wall heater, enlarge window opening and relocate
existing plumbing
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
RUSSELL TAYLOR
2600 WAYSIDE LN
SPRINGFIELD OR 97477
Contractor
NORWEST BUILDERS INC
L H MORRIS ELECTRIC
NORWEST BUILDERS INC
R J PLUMBING INC
IS PERMIT SHALL EXPIRE IF
)ERIOD
541-914-2719
License
157044
01838
157044
158500
Expiration Date
0911512007
06t08t2007
09nst2007
01/30/2008
Phone
541-513-6476
541-747-081 I
541-St3-6476
541-521-1389
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh olLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
nla Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORM
Notes:
Paee I of3
rJ i'I ENC E T)
t u lt-LrlL\ u [1\ r lJr(lYr.'uJ
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: COM2006-00474ISSUED: 0412412006APPLIEDz 0412112006
EXPIRESz 1012412006VALUE: $ 2,000.00
Plan Reviews
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 2,000.00
Total Value of Project
Amount Paid Date Paid
Value
$2,000.00
$2,000.00
Date Calculated
04t2u2006
Fee Description
-Mechanical Issuance Fee-
+ l0"h Administrative Fee
+ 87o State Surcharge
Building Permit
Fixture
Minimum/Adj ustment Mechanical
Minimum/Adj ustment Plumbing
Vent Fan
Total Amount Paid
$10.00
$13.50
$r0.80
$4s.00
$42.00
s39.00
$3.00
$6.00
4/24t06
4t24t06
4t24t06
4t24t06
4t24t06
4t24t06
4t24t06
4t24t06
Receipt Number
I 200600000000000535
1200600000000000535
1200600000000000s3s
1200600000000000s3s
1200600000000000s35
1200600000000000s3s
1200600000000000s3s
1200600000000000s35
$169.30
F'ees Paid
Structural Review 04t24t2006 04124t2006 APP DJB
To Request an inspection call the24 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 coyer and after all rough in inspections have been approved.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rennired Insnecf
Paee 2 of3
Valuation Descrintion
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Buitding/Combination Permit
PERMIT NO: COM2006-0047 4ISSUED: 0412412006
APPLIED: 0412112006
EXPIRESz 1012412006VALUE: $ 2,000.00
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.
a,
or Contractors Sign Date
Pase 3 of3
225 Fifth Street
Sp?ingfield, Oregon 97 477
541-726-3759 Phone
Cit--of Springfield Official Receipt
D /opment Services Department
Public Works Department
RECEIPT #: 1200600000000000535 Date: 0412412006 e:04:07AM
Job/Journal Number
coM2006-00474
coM2006-00474
coM2006-00474
coM2006-00474
coM2006-00474
coM2006-00474
coM2006-00474
coM2006-00474
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10%o Administrative Fee
Amount Due
45.00
42.00
3.00
6.00
39.00
10.00
10.80
l 3.50
Item Total:$169.30
Payments:
Type of Payment Paid By Received By
CheckNumber Authorization
Batch Number Number How Received Amount Paid
Check NORWEST BUILDERS INC. ddK 2234 In Person $ 169.30
Payment Tota I :
-5T693-6-
cReceint I Page I of I 412412006
roFmtaantfs
CITY OF SPRINGFIELD, OREGON
U\YZ
5-O\-q.
%,225 FIFTH STREET . SPRINGFIELD, OR97477 o
ELECTRICAL PE RM IT APPLI CATION
PH:(541)72G3753 o FAX: (541)72G3689
City Job Number ?no6 - bo '17 Date 5 o 6
I. LOCATTON OF INSTALLATION 3. COMPLETE Fr.'r' SCIIEDULE BELOW
@a N*la/
t
5l
LEGAL DESCzuPTION
t7o3 ZTUq o7600
JOB DESCRIPTION
AdL Z eLg,*ik
Permlts are non-transferable and explre lf work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
'l
2. ooNTRACTOR TNSTALT,ATTON ONLY
Electrical Contractor I Il tAnrris.E\, Ctrff<-
Address 1{(3 S\nf I0 r,rr,($,
A. New Residential- Single or Multi-Family per dwelling 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 $50.00
B. Services or Feeders - Installation, Alterations or Relocation:
$106.00
$ 19.00
City
Supervisor License Number 3 aoL s
Expiration Date -0
Constr. Cont. Number
Expiration Date l,o-K-m
Signature of Supervising Elecrician
Owners Name P.rssg//17tk-
Address 26Oo wAyvAe- W
City SPts\Pnon" ?/{ - z7l1
OWNER INSTALLATION
The installation is being made on property I own which
is not intergted for sale, lease or rent.
Owners Signature:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
C. Temporrty S"il""s or Feeders
Installatlon, Alteratlon or Relocatlon
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
st -6fi,J(,-* {or+o,\
s 63.00
$ 75.00
$ r25.00
$ 163.00
$375.00
$ s0.00
$ s0.00
$ 69.00
$ 100.00
n
New Alteratlon or Extenslon Per Panel
oneCircuit / $43.00
EachAdditional Circuitorwith -T
Service or Feeder Permit ' ,, ( " $ 3'00,*." 1
E. Mirc*u;;:fg f..*i"*i*'uiii;llrded) -Each
Pump or inigation $ 50'00
Sign/Outtine Lighting S 50'00
Limitcd Energy/Residential $ 25'00
timited Energy/Commercial $ 45'00
tl3
7
Installation'
Mlnimum Electrlc Permlt Inspection
4, SUBTOTALOFENOVN
8% State Surcharge
l0% Adminisfrative Fee
TOTAL
Fee ls $45.00 * Surcherges
,/L
360iey"3
Inspectlon Request: 72G37 69
Sharcd Drivq(T:YBuilding Forms/Elccrical Pcrmit Application l'06.doc
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: COM2006-00474ISSUED: 0412412006APPLIEDz 0412112006
EXPIREST 1012412006VALUE: $ 2,000.00
SITE ADDRESS: 2600 WAYSIDE LN Springfield TYPE OF WORK: Single Family Residence
ASSESSORTS PARCEL NO.: 1703224402600
TYPE OF USE: Remodel Residential
PROJECT DESCRIPTION: Remodel bathroom- add vent fan, wall heater, enlarge window opening and relocate
existing plumbing
Owner:
Address:
RUSSELL TAYLOR
2600 WAYSIDE LN
SPRINGFIELD OR 97477
Phone Number: 541-914-2719
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
NORWEST BUILDERS
L H MORRIS
NORWEST
R J PLUMBING
R-3
iration Date
09n5t2007
06t08/2007
09n5t2007
0l/30/2008
Phone
541-513-6476
541-747-0811
541-513-6476
541-521-1389\he
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
VN
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:n/a
r0R Total:
UIRED PARKING
Handicapped:
Compact
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
Notes:
Pase I of3
\o
b.l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-0047 4ISSUED: 0412412006APPLIED: 0412112006
EXPIRESz 1012412006VALUE: $ 2,000.00
Description
Estimate
Type of Construction
Estimate
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 2,000.00
Total Value of Project
Amount Paid Date Paid
Value
$2,ooo.0o
$2,000.00
Receipt Number
l 200600000000000535
1200600000000000535
1200600000000000535
1200600000000000535
I 200600000000000535
I 200600000000000535
l 200600000000000535
r20060000000000053s
l 200600000000000582
I 200600000000000582
1200600000000000582
r 200600000000000s82
Date Calculated
04/2U2006
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 87o State Surcharge
Building Permit
Fixture
Minimum/Adjustment Mechanical
Minimum/Adj ustment Plumbing
Vent Fan
+ l0oh Administrative Fee
+ 8%o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$10.00
$13.s0
$10.80
$4s.00
$42.00
$39.00
s3.00
$6.00
$4.60
$3.68
$43.00
$3.00
4t24t06
4t24t06
4t24t06
4t24t06
4t24t06
4t24t06
4t24t06
4t24t06
5t2106
5t2t06
st2t06
st2t06
$223.58
Fees Pa
Plan Reviews
Structural Review 04t2412006 04t24t2006 APP DJB
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.
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
Vafuation Uescrintil
Keouired lnspecttons I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00474ISSUED: 0412412006APPLIED| 04t2u2006
EXPIRESz 10/2412006VALUE: S 2,000.00
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 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.
Owner or Contractors Signature Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit" of Springfield Official Receipt
D lopment Services Department
Public Works Department
RECEIPT #: 1200600000000000582 Date: 0510212006 8:31:0eAM
Job/Journal Number
coM2006-00474
coM2006-00474
coM2006-00474
coM2006-00474
Description
+ 8% State Surcharge
+ l0% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Due
3.68
4.60
43.00
3.00
Item Total:$54.28
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard LH MORRIS ELECTRIC djb 006557 In Person
Payment Total:
s54.2 8
-5s4J8--
cReceint I 5t2t2006
tFn*$I&Fl*L,l}
Page I of I