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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 {ilffimfim# (