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Home My WebLink AboutPermit Building 2004-08-16Buildin g/C ombination 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: COM2004-008UISSUED: 0811612004APPLIEDz 0710612004EXPIRESt 0211612005VALUE: $ 15,000.00 SITE ADDRESS: 1012 6TH ST ASSESSOR'S PARCEL NO.: 1703352100600 PROJECT DESCRIPTION: Fire Damage - repair damaged structure Owner: BRAUN KEVIN G & BONNIE L Address: 1012 6TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential Contractor Type General Electrical Plumbing Contractor License BELFOR USA GROUP INC 146973 BEAR MOUNTAIN ELECTRJC LLC 136298 EUGENE EXCAYATION & PLUMBING INC 138003 Expiration Date 02n6t2005 08/06/2005 03t07t200s Phone s4t-726-9905 541-953-6747 s41-988-0868 CONTRACTOR INFORMATION BUILDIN( # 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: # 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 of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 u-1 VN nla REQUIRED PARIilNG Total: Handicapped: Compact: Street Improvements: Storm fp6q1lpilable: seectarTHl$ffiu,r sHALL EXPIREIF THE woRK Notes: RUf UOniZf n Uf'rUrn lHrS PERtvliT lS N0T Cttl,lr,triict[] 0R ls AtsAi''lu0NED FOR Ai'lY 150 DAY PERitlil' DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page I of3 !tf Li st*T$ypy,ffi n'' : ;-'i] .:11,9"':::y"rifi&'r:1t"#,,,, , ,,r,i",j. ir,ff::,of the rures byr rofe: the telephone L i, ,_,rlJlrlity tvot,i,.aiio_n. , , .j_."..r2-1J44). ITY Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR S4l-726-3753 Phone 541-726-3676Rax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00817ISSUED: 0811612004APPLIEDz 0710612004EXPIRES: 0211612005VALUE: $ 15,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 15,000.00 Total Value of Project Amount Paid Date Paid Value $15,000.00 $15,000.00 Date Calculated 08n0t2004 Fee Description + l0oh Administrative Fee + 7Vo State Surcharge Add, Altgr, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less PIan Review/Residential Hourly -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o State Surcharge Building Permit Dryer Vent Exhaust Hoods Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Total Amount Paid $9.90 $6.93 $36.00 $63.00 $45.00 $10.00 $23.64 $16.ss $146.40 $6.00 $9.00 $28.00 $30.00 $17.00 $447.42 8lt0l04 8n0t04 8n0t04 8n0t04 8n0t04 8n6t04 8n6t04 8n6t04 8n6t04 8n6t04 8n6t04 8n6t04 8n6t04 8n6t04 Receipt Number 2200400000000001022 2200400000000001022 2200400000000001022 2200400000000001022 1200400000000001204 3200400000000000212 3200400000000000212 3200400000000000212 3200400000000000212 3200400000000000212 3200400000000000212 3200400000000000212 3200400000000000212 3200400000000000212 tr'ees Paid Plan Reviews Initial Reyiew Structural Review 08n2t2004 08n2t2004 08n2t2004 08n6t2004 RJB DLM No indication of any new plumbing fixtures being installed. 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. Paee 2 of3 Reouired fnsnecfions lt] Valuation Descrintion I OK APP Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00817ISSUED: 0811612004APPLIEDz 0710612004 EXPIRES: 0211612005VALUE: $ 15,000.00 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 workis complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 inspections are requested at the proper time, that each address is readable from the street,ls at the front of the property, and the approved set of plans will remain on the site at all or Page 3 of3 225Eifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 3200400000000000212 Date: 0811612004 3:11:20PM Job/Journal Number coM2004-00817 coM2004-00817 coM2004-00817 coM2004-00817 coM2004-00817 coM2004-00817 coM2004-00817 coM2004-00817 coM2004-00817 Description Building Permit Fixture Minimum/Adjustment Plumbing Exhaust Hoods Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + lYo State Surcharge + l0% Administrative Fee Amount Due 146.40 28.00 17.00 9.00 6.00 30.00 10.00 16.55 23.64 Item Total:$286.59 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check BELFOR lkw 18594 In Person Payment Total: $286.s9 -$ffi59- 8n6/2004 Page I of I l&rsaxi,D SPRINGFIELD Report lD : SPRA103 Voucher lD : 00083090 Handling Code: RE BELFOR 587 Shelley St. Springfield, OR 97477 City of Springfie.J Voucher Account Fund @ SubClass BY h, Description Plumbing Refund Accounting Date: Vendor Number: Invoice Date : lnvoice # : Approver: Operator: Gross Amount: Proi/Grant November 3,2004 0000009429 November 3,2004 coM2004-00817 Puent,David wtLS5940 38.52 Amount 2.52 36.00 215004 425603 Comments: Express Check 80% Plumbing Refund$36.0017 o/o$2.52 Com2004-00817 I 1 012 6th Street 821 224 2005 2005 225 FIFTH STREET . SPRINGFIELD, OR97471 r PH:(541)726'3753 o FAX: ELECTRICAL City Job Numbcr TION Date DESCRIPTION' Permits are ble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 3.COMPIETE FEE A. New Residentia 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 t. 'lt $l s 19.00 s50.00 Electrical Conuactor f Address City aMPhone 7z{l-l(./c/ .: rr l .l'i'iliit;tirA; B. . Sen'igesbr i'' -l;I;'' u _-, Feeders ig zoo Amps or less 201 Amps to 400 AmPs 401 Amps to 500 AmPs 601 Amps to 1000 AmPs Over 1000 AmpsiVola Reconnect Only \ $ 63.00 to3.@ $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 s 50.00 . t.!. 2.:;..d ]rir.i Supervisor License Number 06 (C E C- :'#iW'larv senic"s ot J'i"ti"'J .t't' Expiration Date .!:'/*/-ot/Installation, Alteration or Relocation Constr. Contr. Number Expiration Date Owners Name ? Phone v! ttil enter ,?00!ohpsgnl6fl.R ?52_or,r $ 5o.oo w,-illt&Uisao 60Qr6qg5.. 1,, s 69.00 :ii{61([ffi5 &6o6Agms^-^"' $loo.oo _9.offi ffi^gdd,-Ar6,ili# j J", o,"" . ts'kb"* 'i.' -. *gF#6#&, _ :'j..,; i, $; Si*f .*, ffi ;r'ii {fi a{,lfi - I New Alteration or Extension Per Panel One Circuit S 43.00 .lt\ Each Additional Circuit or w'ith I n Service or Feeder Permit I L'$ 3.oo g-A E. llliscellaneous. (Service/feeder not included) -Each.Installation. .::;,.,.. ., ,' iri:i ,:. i City Pump or inigation Sign/Outline Lighting OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Limited Energy,/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Mlnimum Electric Permit Inspection Fee is $45.00 + Surchrrgesa '|Yo State Surcharge l0% Administrative Fee TOTAI, 01 \ Owners Signaturc: ONLY Y-----.t-- n^^-.^-.. 4aa 1r<O Building/C ombination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00817ISSUED: 0811012004APPLIEDz 0710612004 EXPIRESz 0211012005 VALUE: SITE ADDRESS: 1012 6TH ST ASSESSOR'S PARCEL NO.: 1703352100600 PROJECT DESCRIPTION: Fire Damage Springfield TYPE OF WORI(: Single F'amily Residence TYPE OF USE: Repair Residential Owner: Address: BRAUN KEVIN G & BONNIE L 1012 6TH ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor BEAR MOI]NTAIN ELECTRIC LLC License 136298 Expiration Date 08/06/200s Phone 541-953-6747 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Secondary # of Bedrooms: h c4, Frontyard Side 1 Setback: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Rqd: Rqd: NOTICE: THIS PEBM AUIHOR COMI\4E NC Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla C REQUIRED PARKING Total: Handicapped: Compact:Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: IZE EXPIRE ,F IT SHALL D UNDER THIS PEB IHE tvo MII IS N RK ED OR IS OI $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project D Value Date Calculated q l, u lLr-rrr\ rJ rN r ul(rvr,{ u!2l.t_.j G 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: COM2004-00817ISSUED: 0811012004APPLIED; 0710612004 EXPIRESz 0211012005 VALUE: Fee Description + l0o/o Administrative Fee + 1%i State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $9.90 $6.93 $36.00 $63.00 $11s.83 Date Paid 8n0t04 8fiot04 8n0t04 8n0t04 Receipt Number 2200400000000001022 2200400000000001022 2200400000000001022 2200400000000001022 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\ICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 r ees ralo t(eourreo lnsDectrons I 225Fitth Street Springfield, Oregon 97 477 541-726-3759 Phone -ity of Springfield Official Receipt ;evelopment Services Department Public Works Department RECEIPT #: 2200400000000001022 Date: 0811012004 8:04:44AM Job/Journal Number coM2004-00817 coM2004-00817 coM2004-00817 coM2004-00817 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 63.00 36.00 6.93 9.90 Item Total:$r1s.83 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard BEAR MOUNTAIN llh 00469 094933 Phone $115.83 Payment Totat: -STTil5f 8/10/2004 Page 1 of 1 ln3llSaill