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Home My WebLink AboutPermit Building 2006-03-27Status 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: COM2006-00161ISSUED: 0312712006 APPLIED: 02/0812006 EXPIRES: l0/1112006VALUE: $ 2,000.00 SITE ADDRESS: 563 tlzl6TH ST I ASSESSOR'S PARCEL NO.: 1703362406700 PROJECT DESCRIPTION: Interior remodel Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential Owner: Address: BROCK NORMAN R PO BOX 24305 EUGENE OR 97402 'tYorth e ru\es 1- Contractor Type General Electrical Mechanical Plumbing # 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: SoIar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor HAROLD & MADISON INC REYNOLDS ELECTRIC HAROLD & MADISON INC KEVIN MARK COHEN tr\itY 13 -2344\.09t04t2006 52 -oor-oot ho es ot Date 0 Phone 541-688-3648 541-343-7297 54r-688-3648 541-607-9208 rnay ob P the 02t08t2007 0u2012008 oU ca\\tnE the cen r the R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKING P Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATI( Notes: Page I of3 eg on Overlay Dist: # Street Trees Paved oh of Lot Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00161ISSUED: 0312712006 APPLIED: 0210812006 EXPIRES: l0/11/2006VALUE: $ 2,000.00 Descrintion Estimate Fee Description + lO"h Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + lOoh Administrative Fee + 87o State Surcharge Building Permit Dryer Vent Exhaust Hoods Fixture Minimum/Adj ustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0"h Administrative Fee + 87o State Surcharge Fixture Total Amount Paid 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 0312712006 $9.90 s7.92 s36.00 $63.00 $10.00 $20.20 $16.16 $45.00 $6.00 $9.00 $112.00 $18.00 $171.63 $225.63 $19.86 $12.00 $7.s0 $6.00 $12.00 $63.00 $4.20 $3.36 $42.00 2tr0l06 2n0t06 2n0/06 2n0t06 3t27t06 3t27t06 3t27 t06 3t27t06 3t27t06 3t27t06 3t27t06 3t27t06 3t27t06 3t27t06 3t27 t06 3t27t06 4nU06 4nU06 4nu06 4fiu06 4n8106 4n8t06 4n8t06 Receipt Number 12006000000000001s0 12006000000000001s0 1200600000000000150 12006000000000001 50 1200600000000000347 1200600000000000347 l 200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 l 200600000000000347 1200600000000000459 1200600000000000459 I 200600000000000459 I 200600000000000459 2200600000000000476 2200600000000000476 2200600000000000476 $920.36 ['ees Plan 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. Paee 2 of3 {ILf,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/C ombination Permit PERMIT NO: COM2006-00161ISSUED: 0312712006APPLIED: 02i0812006 EXPIRES: 10/1112006VALUE: $ 2,000.00 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. Final Building: After all required inspections haye 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. Wall Insulation: Prior to coYer. Ceiling Insulation: Prior to cover. 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 hereino 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. --//?fuc_(. 6*r r-r"r*"^ Signature Date Page 3 of3 t(eoulreo lnsDecuons l 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C;", of Springfield Official Receipt L-.. elopment Services Department Public Works Department RECEIPT #: 2200600000000000476 Date: 0411812006 l:51:l8PM Job/Journal Number coM2006-00161 coM2006-00161 coM2006-00161 Description Fixture + 8% State Surcharge + l|Yo Administrative Fee Amount Due 42.00 3.36 4.20 Item Total $49.s6 Payments: Type of Payment Paid By Received By eheck Number Batch Number Authorization Number How Received Amount Paid Check NORMAN BROCK djb 1397 ln Person $49.56 Payment Total: -57iffi cReceint I Page I of I 411812006 aFn$aeFt*Lo l'-W: 1 225 FII TH STRXET r SPRINGFIELD, OR 97477 o PH:(541)1?6-3753 t FA.Xr (541)726-3689 E LE CTRI CAL P E RIVIIT AP P LI CATI O N CityJobNumber C6- OO l6 I Date A..Ne-w-!91idel.9{-sjpltgt}I*"It:Ilxitvp-:l{r:t*Eql":-t---:.,LEGAL DESCzuPTION l?o33LZ\o 6?00 Service Included JOB DESCRPTION , t 1000 sq. ft. or less A il lolru d u NJ,l;"u l r.ruff"f,1]tionar 500 sq' ft' or -rPermits are non-transfer{ble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home or Ivlodular Dwelling Service or $ 106.00 $ 19.00 $50.00Feeder n. 'ffi*i.;J C. D. or1 Electrical Contractor Ciry E..q!.,^. e Phone ll-!-)J SupervisorLicenseNumber ac}aCj Expiration Date t0 \'C*l Constr. contr. Number lQ t35 C-, 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Arnps 601 Amps to 1000 Arnps Over 1000 Amps/Volts Reconnect Only N c,mn oni ,-) s 63.00 s 7s.00 s125.00 s 163.00 s375.00 s 50.00 6= /Z Y\L Address f \19 LC J nt\ AV g raq I Expiration Date l: t Ck Installation, Alteration or Relocation 200 Amps or less S 50.00 201 Amps to 400 Amps S 69.00 401 Amps to 600 Amps 5100.00 Over 600 eppl.9I.1000 Volts see "B" above. Si gnature of Supervisin g Electrician -Tro*LL Address City eLLGde' Phon" OWNER INSTALLATION The instailanon is being macie on proDertv I own which is not intencied for saie, lease or;ent. Owners Signarure: 'I\1 \S NU\ tS&.oo s 3.00 s 50.00 Pump or imgahon SignrOutline Lighting Li mited EnergylResidentiai s 50.00 D UND R7V \OD ANYI.$}o r3oz( ZA39i E. Miscellaneous (Service/feeder nof; irrcluded)-Each lnstallation' s 25.00 Limrted EnergyiCommercial s -15.00 Minimum Electric Permit Inspection Fee is 545.00 - Surcharges ], STIBTOTAL OFETOVN 7S l9lo State Surcharge I 09/o Admrnrsrranve Fee TOTAL 6 7soBar=Inspection Request: -ZG3i 69 $ \nsf ,o$ihareo Dnvet T:-)' Buiidin g FormvEiecmcai Permrr .{opiicarron i -r-)3.ooc 6 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: COM2006-00161ISSUED: 0312712006 APPLIED: 02/0812006 EXPIRES: 10/1112006VALUE: $ 2,000.00 SITE ADDRESS: 56311216TH ST I ASSESSOR'S PARCEL NO.: 1703362406700 PROJECT DESCRIPTION: Interior remodel Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential Owner: Address: Contractor Type General Electrical Mechanical Plumbing BROCK NORMAN R PO BOX 24305 EUGENE OR 97402 Contractor HAROLD & MADISON INC REYNOLDS ELECTRIC HAROLD & MADISON INC KEVIN MARK COHEN Expiration Date 0u20t2008 02t08t2007 0u20t2008 Phone s41-688-3648 s4t-343-7297 s4r-688-3648 541-607-92084\09t04t2006 MATION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay 01\[ # Street Paved Drive oh of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: HE Handicapped: Compact: R-3 VN nla PARKING Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of3 the 180 Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2006-00161ISSUED: 0312712006 APPLIED: 02/0812006 EXPIRES: 10/1112006VALUE: $ 2,000.00 Description Estimate Fee Description + 10"/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge Building Permit Dryer Vent Exhaust Hoods Fixture Minimum/Adjustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan + lDoh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Tvpe 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 Receipt Number I 200600000000000 I s0 12006000000000001s0 12006000000000001 s0 12006000000000001 50 1200600000000000347 r200600000000000347 r200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 12006000000000004s9 1200600000000000459 I 200600000000000459 12006000000000004s9 Date Calculated 03t2712006 $9.90 $7.92 $36.00 $63.00 $10.00 $20.20 $16.16 $4s.00 $6.00 $9.00 $l12.00 $18.00 $171.63 $22s.63 $19.86 $12.00 $7.s0 $6.00 $12.00 $63.00 2n0t06 2n0t06 2n0t06 2n0/06 3t27106 3t27t06 3t27t06 3127106 3t27106 3t27t06 3t27t06 3t27t06 3t27t06 3t27106 3t27t06 3t27t06 4nu06 4nu06 4nU06 4nu06 $870.80 Pairl 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. R en rrirerl f nsnpetions Rough Electric: Prior to Cover Paee 2 of3 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00161ISSUED: 0312712006APPLIED: 02/0812006EXPIRES: 10/1112006VALUE: $ 2,000.00 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. 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. 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 Pase 3 of3 225 Fifth Street Spri,tgfield, Oregon 97 477 541-726-3759 Phone C"., of Springfield Official Receipt L, /elopment Services DePartment Public Works Department RECEIPT #: 1200600000000000459 Date: 0411112006 l:58:38PM Job/Journal Number coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l|oh Administrative Fee Amount Due 63.00 12.00 6.00 7.50 Item Total:$88.s0 Payments: Type ofPayment Paid By Received By Batch Number Check Number Authorization Number How Received Amount Paid CreditCard ELLEN REYNOLDS djb 097939 In Person Payment Total: $88.50 -ffisd- cReceintl Page 1 of I 41tU2006