HomeMy WebLinkAboutPermit Building 2004-05-08OF
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I ns pe ction Line
PERIVIIT NO: COM2003-00480ISSUED: 05/08/2004
APPLIED: 06/1012003E}PIRES: 03/1912006VALUE: $ 2,000.00
SrTE ADDRESS: 46s s 4tsT ST Springfield TYPE oF Single Family Residence
ASSESSOR'S PARCELNO.: 1702323304100
TYPE OF USE: Repair Residential
PROJECT DESCRIpTION: House rewire and replace insulation and drywall. No Further Extensions or Renewals
on this permit
Owner:
Address:
FREITAS LYI\DA M
465 S 4IST ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Contractor
OWNER
GLEN A CAMPBELL
License
7399s
Expiration Date Phone
05t2412006 541-744-0705
# of Unib:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
# of Stories:
Ileight of
Type of Heat:
Water Type:
Range Type:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
"h ofLot Coverage:
nla
is 1-Bo
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
mw'w
PUBLIC IMPROVEMENTS
Notes:
l of 3
Primary Occupancy Group:
Secondary Occupancy
Primary
Secondary
#
-001
OFS
Buildin g/Co mbination Per mit
Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-3676F.ax
541:7 2637 69 Inspection Line
PERMITNO: COM2003-00480ISSUED: 05/08/2004APPLED: 06/1012003E)PIRES: 03/1912006VALUE: $ 2,000.00
Description TyPe of Construction
Fee Description
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Building Permit
Residence Wiring 1000 Sq Ft
+ l0o/o Administrative Fee
Renew Building Permit
Renew Electrical Permit
+ l0o Administrative Fee
Renew Building Permit
Renew Electrical Permit
Total Amount
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200200000000001018
2200200000000001018
220020000000000r018
2200200000000001018
1200400000000000239
1200400000000000239
1200400000000000239
r200500000000000968
1200500000000000968
1200s00000000000968
$ Per Sq Ft
or multiplier
Square Footage
or Bful Arnount
Amount Paid
$15.10
$10.57
$4s.00
$106.00
$7.ss
$22.50
$53.00
$7.5s
$22.s0
$s3.00
6/10/03
6/10/03
6t10t03
6i10103
2t24104
2t24t04
2t24t04
718105
7t8105
7t8t05
s342.77
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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Dr,'wall: Prior to taping.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
2of3
Reouired lnsnections I
GFIELD
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Ins pe ction Line
PERMITNO: COM2003-00480ISSUED: 05/08/2004
APPLIED: 06/1012003E)GIRES: 03/1912006VALUE: $ 2,000.00
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 certiff 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 certiS that onty contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensure that alt required inspections are requested at the proper time, that each address is readable from
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 Date
3 of 3
City of Springfield
Development Services Department
Community Services Division, Building Safety
541-726-3759 Phone
541-726-3676Fax
May 7,2007
FREITAS LYNDA M
465 S 41ST ST
SPRINGFIELD, OR 97477
Date Permit Issued:ty912006
Permit Number:coM2003-00480
Location:465 S 41ST ST
Project Description:House rewire and replace insulation and drywall. No Further
Extensions or Renewals on this permit
Dear Permit Holder:
As stated on your permit andlor approved plans, work authorized under the permit issued will
expire if the work is not commenced or is abandoned for any 180 day period. Because you
did not contact us to request an inspection or to call us to verit, that progress has continued to
be made on the project, your permit(s) has expired. This letter is a reminder that the above
referenced permit(s) expired on913012006. Please contact our office at Springfield City Hall,
225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and
3:00 p.m. Monday
project. There are
excluding holidays prior to continuing work on your
additional fees that are due in order to complete your project.
Lisa Hopper
Building Safety Management Analyst
Dave Puent, Community Services Manager
Code Enforcement
cc
AFR[H6FIELtr City of Springfield
Development Services Department
Communily Services Division, Building Safety
541-726-3759 Phone
541,-726-3676 Fax
November 9,2006
FREITAS LYNDA M
465 S 4IST ST
SPRINGFIELD, OR 97477
Date Permit Issued:1U912006
Permit Number coM2003-00480
Location:465 S 41ST ST
Project Description:House rewire and replace insulation and drywall. No Further
Extensions or Renewals on this permit
Dear Permit Holder:
As stated on your permit and/or approved plans, work authorized under the permit issued will
expire if the work is not commenced or is abandoned for any 180 day period. Because you
did not contact us to request an inspection or to call us to verify that progress has continued to
be made on the project, your permit(s) has expired. This letter is a reminder that the above
referenced permit(s) expired on913012006. Please contact our office at Springfield Cify Hall,
225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and
3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your
project. There are fees that are due in order to complete your project.
Lisa Hopper
Building Safety Management Analyst
Dave Puent, Community Services Manager
Code Enforcement
tt
Sincerely,
U![t,
CitY of SPringlield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541'726-3676Fax
August 21,2006
FREITAS LYNDA M
465 S 4IST ST
SPRINGFIELD
Job Nurnber:
Location:
Project:
Sincerely,
oR 97477
coM2003-00480
465 S 41ST ST
House rewire and replace insulation and drywall' No Furlher
Extensions or Renewals on this permit
Dear Pennit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain rulid, the work *t i.t has been authorized by the permit rnust begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 465 S 4l ST ST which is set to expire
on913012006. Our recordi indicate that ybu have not requested an inspection within the past five (5)
months. This letter is written to notify you that your pennit(s) will be expiring shortly. If you are
ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If
yo,, do not iequest an inspection prior t-o the expiration date, your permit(s) will expire and additional
pennit fees will be required in order to complete your project'
If you have any questions, please feel free to phone tne at 541-726-3190.
\,b UJ
Lisa Hopper
Building Safety Management Analyst
*trBlttdiF!ta!-p
225 FIFTII STREET . SPRINGFIELD, OR97477 o PII:(541)72G3753 o FAX: (541)72
ELECTRICAL PERMIT APPLICATION
City JobNumber CotaZOos* OALL{O Date
1.3.
L/6{ S q/s sl-
LEGAL DESCRIPTION A.
t)o 3233 Oqto c>
.,':ii ,"""
$9-
$106.00 - lob
$ 19.00
JOB DESCRIPTION
/ct'xs€k-*,n n
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor c Qls$,L,t
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
200 Amps or less
201 Amps to 400 Amps
Installation,
B.
$ 63.00
$ 7s.00
Address LI
City ""6,+lSwril&Phone z'(?-a\oT
Supervisor License Number _S
Expiration Date n a
Constr. Contr. Number 1 3 t'(f
Expiration Date U
Signature of Supervising Electrician
G,,
/\ LA {L 5r
200 Amps orfIUS$ber ior the
is 1-
201 Amps to 400 emprenter
401 Amps to 600 Amps
Over 600 or 1000 Volts see "B" aboYe.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Fofi
Fee
C
D.
utilit
$ s0.00
$ 69.00
$100.00
$ 43.00
$ 3.00
Owners Name
Address Ll = q/st-
City +fu phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
E.
Pump or irrigation $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
Owners Signature
NCED OR
COMME PE[$]PAL
NOTIC
THIS PE
F. 4.
RMIT 2L{Z
R IZE DUN /0b
zv{ IInspection Request: 726-37 69
I
ANY T8O OAY
Shared Drive(T:/Building Forms/Electrical Permit Application 1-03.doc
$s0.00
Over
401 Amps to 600
601 Amps to
CITY OF SPRIN
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:7263753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
PERIVIIT NO: COM2003-00480ISSUED: 05/08/2004APPLIED: 06/1012003E)GIRES: 11/0812004VALUE: $ 2,000.00
SITE ADDRESS: 465 S 41ST ST Springlield TYPE OF
ASSESSOR'S PARCEL NO.: 1702323304100
TYPE OF USE:
PROJECT DESCRIPTION: House rewire and replace insulation and drywall
Single Family Residence
Repair Residential
tt Owner:
Address:
FREITAS LYI\DA M
46s S 41ST ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Contractor
OWNER
owttER
License Expiration Date Phone
)R INFORMATION
# of Uni6:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyrrd Setback
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
R-3
# ofStories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path
ATTENTI ON: Oregon EPrmrPUes
Notification
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VN
:
you to nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutVDrains
iii'prnr',rrr sHALL ExPtRE lF THE w0ll
urHoiii/io uNDEB THls PERMTT ts N0l
iorruurrr,rcrD 0R ls ABAND0NED FoR
\NY 1BCl DAY PERIOD.
PUBLIC IMPROVEMENTS
Notes:
l of 3
\
l' U!1. rrIL\ u l|llr12r(1u.{l!vN l
in OAR 952-001
0090. You may obtain
calling the center.
number for the
Center is 1
CITY OF SPRIN
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726a753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
PERMITNO: COM2003-00480ISSUED: 05/08/2004APPLIED: 06/1012003E)?IRESz 1110812004VALUE: $ 2,000.00
Descriptfun Type of Construction
Fee Description
+ l0Yo Administrative Fee
+ 77o State Surcharge
Building Permit
Residence Wiring 1000 Sq Ft
+ l0/o Administrative Fee
Renew Building Permit
Renew Electrical Permit
+ l0o/o Administrative Fee
Renew Building Permit
Renew Electrical Permit
Total Amount
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200200000000001018
22002000000000010r8
2200200000000001018
2200200000000001018
1200400000000000239
1200400000000000239
1200400000000000239
1200500000000000968
1200500000000000968
1200s00000000000968
$ Per Sq Ft
or muftiplier
Square Footage
or BftI Amount
Amount Paid
$15.r0
$10.57
$4s.00
$106.00
$7.ss
$22.50
$s3.00
$7.ss
$22.50
$53.00
$342.77
6fi0t03
6n0t03
6/10/03
6n0t03
2124104
2t24104
2t24t04
7t8t05
7t8t0s
7t8t05
Plan Reviews
To Request an inspection call the24 hour recording at 7264769. AII 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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
2of3
Yaluation Deseriptiou l
Hees rarfl I
Reouired lnspections I
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-7263676Fax
541:7 26-37 69 I nspection Line
CITY OF SPRINGFIELD
Buildin g/Co mbinatio n Permit
PERMIT NO: COM2003-00480ISSUED: 05/08/2004APPLIED: 06/1012003E)3IRES: 11/0812004VALUE: $ 2,000.00
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 certiS that any and all work performed shall be done in mcordance
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 OCCUPAI\CY will be made of any sfucture 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 stree( that the permit card b located at the front of the property, and the approved set of plans will remain on the site
at all times durigconstruction /,qr^/, ffurh,
ffisignature Date
3 of 3
-E
225 Fifth Street
Springfireld, Ore gon 97 477
541-726-3759 Phone
city of Springfield Official Receipt
lvelopment Services Department
Public Works Department
RECEIPT#: 1200500000000000968 Date: 0710812005 2t46z07PM
Job/Journal Number
coM2003-00480
coM2003-00480
coM2003-00480
Description
Renew Building Permit
Renew Electrical Permit
+ l0% Administrative Fee
Amrunt Due
22.50
53.00
7.55
Item Total:$83.0s
Payments:
Type of Payment Paid By Received By
CFectrNlmEa
Batch Number
ffi
Number How Received Amount Paid
Check LYNDA FREITAS djb 2059 In Person $83.05
Payment totat:
-SET6F
t
I
1
71812005 lofl
arttrl!fr35
i
I
Building/C ombination 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: COM2003-00480ISSUED: 0212412004APPLIED: 06/1012003
EXPIRESz 0812412004VALUE: $ 2,000.00
SITE ADDRESS: 465 S 41ST ST
ASSESSOR'S PARCEL NO.: 1702323304100
TYPE OF USE: Repair
PROJECT DESCRIPTION: House rewire and replace insulation and drywall
Owner: FREITAS LyNDA M
Address: 465 S 41ST ST SPRJNGFIELD OR 97477
License Expiration Date Phone
Springfield TYPE OF WORI(: Single Family Residence
Residential
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
CONTRACTOR INFORMATION
m
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
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:
Dist:
# Street Trees Rqd:
Drive Rqd:
%io of Lot
s
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Surface Area:
R-3
YN
PARKING
1\b'
\o I oo-
Type:
c
Notes:
Pase 1 of3
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: COM2003-00480ISSUED: 0212412004APPLIED: 06/1012003EXPIRESz 0812412004YALUE: $ 2,000.00
Description Type of Construction
Fee Description
+ llVo Administrative Fee
+ 7o/o State Surcharge
Building Permit
Residence Wiring 1000 Sq Ft
+ l0%o Administrative Fee
Renew Building Permit
Renew Electrical Permit
Total Amount Paid
Total Value of Project
Date Paid
6n0t03
6n0t03
6n0t03
6n0t03
2t24t04
2t24t04
2t24104
Value Date Calculated
Receipt Number
2200200000000001018
2200200000000001018
2200200000000001018
2200200000000001018
r200400000000000239
1200400000000000239
1200400000000000239
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$rs.10
$10.57
$45.00
$106.00
$7.s5
$22.s0
$s3.00
$259.72
tr'pps Pcid
Plan Reviews
day
To Request an inspection call the24 hour recording at 726-3769. All
will be made the same working day, inspections requested after 7:00
I Wall Insulation: Prior to coYer.
2 Ceiling Insulation: Prior to cover.
3 Drywall: Prior to taPing.
4 Rough Electric: Prior to Cover
5 Electric Service: Approval required prior to utility company energizing service'
6 Finat Electric: When all electrical work is complete'
inspection requested before 7:00 a.m.
a.m. will be made the following work
Pas,e 2 of 3
Valuation Descrintiou I
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: COM2003-00480ISSUED: 0212412004APPLIED: 06/1012003EXPIRESz 0812412004VALUE: $ 2,000.00
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 OCCUPAIICY 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 Iocated at the front of the property, and the approved set of plans will remain on the site at all
times construction.
Owner or Signature Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Sprliigfield Official Receipt
Development Services Department
Public Works Department
:06:
coM2003-00480
coM2003-00480
coM2003-00480
Renew Building Permit
+ ljYo Adminishative Fee
Renew Electrical Permit
22.50
7.55
53.00
Item Total:$E3.05
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Cash LINDA FREITAS Jmp In Person
Payment Total:
s83.05 (9.oS
$E3.rf 5
4,{,5
cr+&\qE,
City of Springfield
225 Fifth Street, Springfield, OR91.477
541-726-3759 phone
541-726-3676Fax
December 02,2003
FREITAS LYNDA M
465 S 41ST ST
SPRINGFIELD
Job Number:
Location:
oR 97477
coM2003-00480
465 S 41ST ST
Project:House rewire and replace insulation and drywaU
Dear Permit Holder:
The Springlield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 465 S 41ST ST which is set to expire
on 121L112003. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 54I-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
LisaHopper
Building S afety Supervisor
225 FIFTH STREET . SPRINGFIELD, OR97477 o
ELECTRICAL PERMIT APPLICATION
CityJobNumber Co,*.zc,c; -'-.r, i{ SC Date
I. LOCATIONOT'INST'ALI-A7'ION
S 5t
LEGAL DESCRIPTION
?OZ >Z 33 oL{loo
JOB DESCRIPTION
se:Lu,ug
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address
Pl.rone
Supervisor License Number
Expiration Date
PH:(541)726-3753 o
The
06/o
Zoning
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
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconaect Only
1
0 ht{
7oh State Surcharge
l0% Administrative Fee
TOTAL
Authorized Signature
A. Nerv Ilesiclerrtial - singre or trturti-t'arrriry per rlwelling u,it.
the lollowing
land use
-o
$ r 9.00
3.
i
I $ r 06.00 6
$50.00
)C O NT RACT O R I N S TAL LATTON ONT I'B. Services or Feetlers - Installation, Alterations nr Relocation:
Electrical Contractor
City
$ 63.00
$ 7s.00
$ r 2s.00
$ 163.00
$37s.00
$ 50.00
0
Installation; Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
New Alteration or Extension Per Panel $l
One Circuit \t
Each
1$\s
NBOwners Name
Address E.
City Ph""" 5fl -b\to-lalb2 Pump or
OWNER INSTALLATION
The installation is being tnade on propefty I own which
is not intended for sale, lease or rent.
Owners Signature:
$ s0.00
Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. ilLTBTOTAL OFABO\IE /('(--
7'/ z
5 included) -Each lnstallation
$ 50.00
$ 2s.00
$ 45.00
lo60
t7 V
o?
Inspecfion Request: 726-3769
Shared Drive(T:)/Building Forms/Eleotrical Pennit Application I -03.doc
CITY OT OKEGON
$*
t$\o
\o-'^tro\
()
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: COM2003-00480ISSUED: 0611012003
APPLIED: 06/1012003
EXPIRESz 1211012003VALUE: $ 2,000.00
SITE ADDRESS: 465 S 41ST ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702323304100
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: House rewire and replace insulation and drywall
Owner: FREITAS LyNDA M
Address: 465 S 41ST ST SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Owner
# 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:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Contractor
OWNER
OWI\ER
FREITAS LYNDA M
R-3
VN
License Expiration Date Phone
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved
o//o
Uffi,:'*DPARKNG
roE;lXT:x'"'
Sidewalk Type:
DownspoutslDrains:
TION
Notes:
Page 7 of 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: COM2003-00480ISSUED: 0611012003
APPLIED: 06/1012003
EXPIRES: 1211012003VALUE: $ 2,000.00
Valuation Description
Description Type of Construction $ Per Sq Ft
Amount Paid
Fee Description
+ l0%o Administrative Fee
+ 7oh State Surcharge
Building Permit
Residence Wiring 1000 Sq Ft
Total Amount Paid s176.67
Total Value of Project
Date Paid
Square Footage Value Date Calculated
Receipt Number
2200200000000001018
2200200000000001018
2200200000000001018
2200200000000001018
$1s.10
$10.s7
$4s.00
$106.00
6/10/03
6n0t03
6n0t03
6lr0l03
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.
I Wall Insulation: Prior to cover.
2 Ceiling Insulation: Prior to cover.
3 Drywall: Prior to taping.
4 Rough Electric: Prior to Cover
5 Electric Service: Approval required prior to utility company energizing service.
6 Final Electric: When all electrical 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 atl 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.
leouired Insnections
Owner or
Pase 2 of 2
Date
o
llees raid I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department ,
Official Receipt,
Receipt #: 220020000000000 1 01 8 Date: 0611012003
coM2003-00480
coM2003-00480
coM2003-00480
coM2003-00480
Building Permit
Residence Wiring 1000 Sq Ft
+ loh State Surcharge
+ l0o/o Administrative Fee
45.00
106.00
10.57
15. l0
Item Total:$176.67
Paymenb:
Check
Change
LYNDA FEITAS
LYNDA FREITAS
djb
djb
In Person
In Person
Payment Total:
180.00
(3.33)
$176.67
coM2003-00480
coM2003-00480
coM2003-00480
coM2003-00480
Building Permit
Residence Wiring 1000 Sq Ft
+ 7Yo State Surcharge
+ l0%o Administrative Fee
45.00
106.00
10.51
15. l0
Item Total:sr76.67
P.vm.ntr:
Amount p.id
Check
Change
LYNDA FEITAS
LYNDA FREITAS
In Person
In Person
Payment Total:
180.00
(3.33)
djb
djb
$176.67
61r012003 I l:49:20AM Page I of I cReceipt.rpt
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