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HomeMy WebLinkAboutPermit Building 2006-03-27 (2)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: COM200G00161ISSUED: 0312712006APPLIED: 02/0812006 EXPIREST 0912712006VALUE: $ 2,000.00 SITE ADDRESS: 56311216TH ST I ASSESSOR'S PARCEL NO.: 1703362406700 PROJECT DESCRIPTION: Interior remodel Springfield TYPE OF WORI(: Single Family Residence TYPE OF USE: Remodel Residential Owner: Address: BROCK NORMAN R PO BOX 2430s EUGENE OR 97402 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: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor HAROLD & MADISON INC REYNOLDS ELECTRIC HAROLD & MADISON INC KEVIN MARK COHEN #lei U r\tt'j Type: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 0 gnNOOt'lRISA PEBIOD. Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: es a{e Expiration Date 0u20t2008 02t08t2007 0u20t2008 09t0412006 Phone 541-688-3648 541-343-7297 s41-688-3648 54r-607-9208,OSe (U hR ,e \i C nla 1 g[ t$B,ewalk TYPe: Downspouts/Drains: REQUIRED PARJ(NG Total: Handicapped: Compact: ll ls N0 )PMENT INFORMATION Notes: Page I of3 UUN INIL,T(IVTATIUN I req\i(es reO (egon b.J r, Range Type: Energy Path: Sprinkled Building: \AN ANY 180 DAY Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00161ISSUED: 0312712006APPLIED: 02/0812006 EXPIREST 0912712006VALUE: $ 2,000.00 Description 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 Yalue $2,ooo.oo $2,000.00 Date Calculated 03t27t2006 p Fee Description + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l0%o Administrative Fee + 8%o 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 Total Amount Paid $9.90 $7.92 $36.00 $63.00 $10.00 $20.20 $16.16 $4s.00 $6.00 $9.00 $112.00 $18.00 $171.63 $22s.63 $19.86 $12.00 2n0t06 2n0t06 2n0t06 2n0to6 3t27t06 3t27t06 3t27106 3t27t06 3t27t06 3t27106 3t27t06 3t27t06 3t27t06 3t27t06 3t27106 3t27t06 Receipt Number 12006000000000001s0 1200600000000000r50 1200600000000000150 1200600000000000150 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 1200600000000000347 $782.30 F'ees 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Paee 2 of 3 Valuation Descriotion I t(eourreo lnspecttons I Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00161ISSUED: 0312712006APPLIED: 02/0812006EXPIRESz 0912712006VALUE: $ 2,000.00 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 work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. WaIl 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 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 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. 2 06 Owner or Contractors Signature Date Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone t-ity of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 1200600000000000347 Date: 0312712006 11:47:20AM Job/Journal Number coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 coM2006-00161 Description Building Permit Fixture Vent Fan Exhaust Hoods Dryer Vent MinimumiAdjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + l0oh Administrative Fee SDC Sanitary/Storm Admin Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement Amount Due 45.00 I12.00 12.00 9.00 6.00 18.00 10.00 t6.16 20.20 19.86 225.63 t7t.63c$ruzooo-oo l6l ltem Total:$665.48 P+yments: T;,'pe of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard HAROLD MESKE djb 095555 [n Person Payment Total: $66s.48 -$66s-75. I I :l .h, !1 I 312712006 Page I of 1 &SPFIING:tEI-9 225 FIETH STR-EET . SPRINGFIELD, OR 97477 t PH:$a\126-3753 r F ELE' :TRI CAL PERYIIT APPLI CAT:I ON Ciry Job Number (CttrZcoG-OOlUl ou," 3. =co*retzrz ffiE @ 3 LEGAL DESCRIPTION taoi3 6zq B O67oo the s 106.00 $ 19.00 I 63s 63.00 $ 75.00 s 125.00 $ 163.00 $375.00 $ 50.00 s 50.00 s 69.00 s100.00 s 43.00 f I s:.oo 3L s 50.00 s 50.00 Service Included 1000 sq. ft. or less Each additronal 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 1 'tonzed A. New JOB DESCRIPTION zoo$. /lZ arc*r*S l.l;!-, :.,:ii.:^r...i.," Permits are non-tlansferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. B) ..,1: Electncal Contractor Address f,r r3 n6\ Au e { \ q 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Pump or irngahon SigvOutline Lighting I i-' ,.1 ci'v €gtc+l)-e-Phone S upervisor License Number Expiration Date tc \ Si gnafure of Supervisin g Electrici an D. ,/,ro,^G rao(s- Address 7o €aY zq70{E OWNER INSTALLATION The instailanon is being macie on properry i own which is nor intended for saie. iease or rent. Owners Signature: or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps oy"9,r.0o! $gn s or 1000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit constr. contr.Number ec - NUN\ ' - Expiration Date 1- l-CU ame Limited Energy/Commercial S -+5.00 Minimum Electric Permit Inspection Fee is 545.00 r Surcharges ?? 77L----Tru- fib 3* 79lo State Surcharge i 0% Acimrnrsrranve Fee TOTALInspection Request: :2G3169 $Shareci Dnvet T:)rBuiiding ForrovElecmcai Permrr.ropricatron i -03.rioc 0R 601 Amps Arrps NB c,ry €71(r&t- pnon ...4.'.] {. SEBTOTAT",OEASIOIrE '-t'--' -- u,alr|*&n Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Fa'x 541:1 26-37 69 Inspection Line Buildin g/Co mbination Permit PERMITNO: COM2006-00161ISSUED: 0211412006APPLIED: 02/0812006E)GIRES: 08/1412006 YALUE: SITE ADDRESS: 56311216TH ST 1 ASSESSORTS PARCEL NO.: 1703362406700 PROJECT DESCRIPTION: 200amp service and 12 circuits Springfield TYPE OF TYPEOF USE: Electrical Work Only Repair Residential Owner: Address: Contractor TyDe Electrical BROCKNORMAN R PO BOX 24305 EUGENE OR 97402 NOTIGE: contractor ANY 180 REYNOLDS ELECTRIC LL EXPIRE I HE WORKIT D FOR DAY PERIO Expiration Date 02t08t2007 D. License 172s2 Phone 541-343-7297 BUILDING INFORMATI( # of Unib: Primary Occupancy Group: Secondary Occupancy Piimary Construction Type Secondary Construction # of Bedrooms: Frontlard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm SewerAvailable: Special Instruction: Notes: # ofStories: Height of Type of Heat: WaGr Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: o/o 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 \rN nla 4) 1-BU' Sidewalk Type: DownspoutVDrains S Per Sq Ft or multiplier Square Footage or Bid Amount DEYELOPMENT INFORMATION Valuation Descrintion Description Type of Construction lof2 Value Date Calculated PARIilNG .o01 \ou $,a'j {63r*LS Status: Issued 225 Ftfth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax- 541:726-3769 Inspection Line SPRINGFIELD Building/Combin ation Permit PERMIT NO: COM2006-00161ISSUED: 0211412006APPLIED: 02/0812006E)PIRES: 08/1412006 VALUE: Fee Description + l0oh Administrative Fee + 8%o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $9.90 $7.92 $36.00 $63.00 $116.82 Total Value of Project Date Paid 2n0106 2n0t06 2n0t06 2n0t06 Receipt Number 1200600000000000150 1200600000000000150 1200600000000000150 1200600000000000150 Fees l Plan Reviews To Request an inspection call the24 hour recording at 7264769. 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. nsneefions ' 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 certiff that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, . and that NO OCCI PANCYwiII be made of any structure without permission of the Community ServicesDivision, Building Safety. I further certif flrat only contractors and employees who are in compliance wittt ORS 701.005 will be used on this [roject. I further agree to ensure trat all required inspections are requested at the proper time, that each address is readable liom the stree( 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 2of2 Date fi 225 Fifth Street Spring^.reld, Oregon 97 47 7 s4t-726-3759 Phone aiff of Springfield Official Receipt Jevelopment Services Department Public'Works Department RECEIPT#: 1200600000000000150 Date: 0211012006 3:30:08PM Job/Journal Number coM2006-00161 coM2006-00r61 coM2006-00161 coM2006-00161 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0% Adminishative Fee Amount Due 63.00 36.00 7.92 9.90 Item Total:$116.82 Payments: Tlpe of Payrnent Paid By CheckNumber Authorization Receirrcd By Batch Number Number How Received Amount Paid CreditCard ,l ELLEN REYNOLDS djb 067413 In Person $l 16.82 Payment Total: -STi6:f \ 2n0/2006 I of 1 .:rcD