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