HomeMy WebLinkAboutPermit Electrical 2003-03-28OF
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: COM2003-00173ISSUED: 0312812003APPLIEDz 0311412003EXPIRES: 0912812003VALUE: $ 400.00
SITE ADDRESS: 750 23RD ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1703361209601
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Replace existing addition - Electrical permit # ELE2003-00059
Owner: KyLE BRUCE
Address: 750 23RD ST SPRINGFIELD OR 97477
PhoneNumber: 541-517-2532
Expiration Date Phone
541-514-2532
541-517-2532
541-517-2532
Contractor Type
General
Mechanical
Orvner
Plumbing
Contractor
KYLE BRUCE
KYLE BRUCE
KYLE BRUCE
KYLE BRUCE
License
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o 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:
REQUIRED PARIflNG
Total:
\t
R-3
VN
I
14.00
Path I
1
188
r\c
17.00
18.00
44.00
0.00
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
s$\$
u.sr
Notes:
No SDC or Public Works fees.
Page 1 of3
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Buildin g/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00173ISSUED: 0312812003
APPLIEDz 0311412003EXPIRES: 0912812003VALUE: $ 400.00
Description
Bid Amount
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
$1.00 400.00
Total Value of Project
Value
$400.00
$400.00
Date Calculated
03n4t2003
Amount Paid Date Pai Receipt Number
120020000000000083r
1200200000000000906
1200200000000000906
1200200000000000906
1200200000000000906
1200200000000000906
1200200000000000906
1200200000000000906
1200200000000000906
r200200000000000906
1200200000000000906
1200200000000000906
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7%o State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Minimum/Adj ustment Mechanical
Plan Review - Planning
Storm Sewer - lst 50 Feet
Vent Fan
Total Amount Paid
$29.25
$10.00
$23.30
$16.31
$4s.00
$6.00
$9.00
$98.00
$24.00
$s9.00
$45.00
$6.00
3n4t03
3t28t03
3t28t03
3t28t03
3t28t03
3t28t03
3t28t03
3t28t03
3t28t03
3t28t03
3t28t03
3t28103
$370.86
Fees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
03n7t2003
03tr7t2003
0311712003
03n7t2003
03t2u2003
03t2412003
APP
DON
APP
LLH
AJD
VRJ No change in impervious surface, no
SDC or public works fees.
Structural Review 03n7t2003
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.
I Footing: After trenches are excavated.
2 Post and Beam: Prior to floor insulation or decking.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Final Building: After all required inspections have been requested and approved and the building is complete.
5 Rough Plumbing: Prior to cover and including required testing.
6 Storm Sewer Line: Prior to filling trench.
7 Final Plumbing: When all plumbing work is complete.
8 Rough Mechanical: Prior to Cover
Paee 2 of3
Reouired Insnections
.-
Vatualion neseription-l
Buildin g/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00173ISSUED: 0312812003APPLIEDz 0311412003
EXPIRESz 0912812003VALUE: $ 400.00
9 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 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.
:^28 c3
Owner or Contractors Signature Date
Page 3 of3
EE #
3128/2003
9:26:06AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000906
Date: 0312812003
Line Items:
Job/Journal Number Description Amount Paid
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
coM2003-00173
Building Permit
Storm Sewer - lst 50 Feet
Dryer Vent
Exhaust Hoods
-Mechanical Issuance Fee-
Vent Fan
Minimum/Adj ustment Mechanical
Fixture
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Plan Review - Planning
Payments:
45.00
45.00
6.00
9.00
10.00
6.00
24.00
98.00
16.31
23.30
59.00
Line Item Total:$341.61
Type of Payment Paid By Received By Check Number Confirm No llow Received Amount Paid
000029CreditCardKYLE G BRUCE djb
Page 1 of2
00842 I In Person 341.61
cReceipt.rpt
3/28/2003
9:26:06AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000906
Date: 0312812003
Page 2 of 2 cReceipt.rpt