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HomeMy WebLinkAboutPermit Building 2005-08-18Building/Combination 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: COM2005-01121ISSUED: 08/18/2005 APPLIED: 08/1812005 EXPIRES: 0l/0312007VALUE: $ 2,000.00 SITE ADDRESS: 1051 28TH ST ASSESSOR'S PARCEL NO.: 1702312202000 PROJECT DESCRIPTION: Repair fire and vandalism damage Springfield TYPE OF WORK: Office TYPE OF USE: Repair Commercial 0wner: Address: Contractor Type General Electrical Mechanical Plumbing KRYLS INVESTMENTS INC 3474 SPRING BLVD EUGENE OR 97405 Contractor OWNER MITCHS ELECTRIC INC COMMERCIAL MECHANICAL ARPS PLUMBING CO INC t$'o PhoneNumber: 541-686-3325 Date Phone 0u1812007 s41-521-5690 04t02t2008 541-43r-0800 0y24t2008 s4t-484-7246 INC c\ Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Wr Type: Range Type: Energy Path: Sprinkled Building Overlay Dist: # Street Trees Pavet Drive oh of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Compact: nla PARKING ts s Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION Notes: Page I of3 *:tffi #of tla Rqd: ra$,rrQ I' B uilding/Combination 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: COM2005-01121ISSUED: 08/18/2005 APPLIED: 08/1812005 EXPIRES: 01/0312007VALUE: $ 2,000.00 Description Bid Amount Estimate Fee Description -Mechanical Issuance Fee- + lDoh Administrative Fee + loh State Surcharge Building Permit Minimum/Adjustment Mechanical Miscellaneous Plumbing Vent Fan + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l0o/o Administrative Fee + 87o State Surcharge Heat Pump Minimum/Adjustment Mechanical + lOoh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixtu re Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Value of Project Date Paid Type of Construction Use Bid Amount Estimate $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 7,000.00 2,000.00 Value $7,000.00 $2,000.00 $9,ooo.oo Receipt Number 1200500000000001212 1200s00000000001212 1200500000000001212 r 200500000000001 2 I 2 1 200500000000001 2 I 2 r200500000000001212 1200500000000001212 1200s00000000001s23 1200500000000001523 1200s00000000001523 1200500000000001523 32006000000000001 76 3200600000000000176 3200600000000000176 32006000000000001 76 r200600000000000490 1200600000000000490 1200600000000000490 I 200600000000000490 I 200600000000000490 1200600000000000857 1200600000000000857 1200600000000000857 1200600000000000857 1200600000000001009 1200600000000001009 I 200600000000001009 r200600000000001009 r200600000000001009 1200600000000001 009 1 200600000000001 009 I 200600000000001 009 1200600000000001009 120060000000000r009 1200600000000001009 Date Calculated 12t2u2005 0612912006 Amount Paid $10.00 $17.40 $12.18 $84.00 $39.00 $45.00 $6.00 $12.30 $8.61 $60.00 $63.00 $9.30 $7.44 $30.00 $63.00 $10.00 $4.50 $3.60 $r2.00 $33.00 $9.30 $7.44 s30.00 $63.00 $14.20 s11.36 $43.00 $3.00 s4s.00 $42.00 $3.00 $190.66 $250.74 s22.07 $6.00 8/18/05 8/18/05 8/18/05 8/r8/05 8/18/05 8/18/0s 8i l8/0s t0tr4t05 t0n4l05 t0tr4l05 t0n4/05 4n0t06 4n0t06 4tr0t06 4t70/06 4n8/06 4n8t06 4n8t06 4t78t06 4n8t06 6n3t06 6n3106 6n3t06 6n3t06 7t3t06 7t3t06 7/3106 7 t3t06 7t3t06 7t3t06 7t3t06 7t3t06 7 t3t06 7t3t06 7t3t06 Fees Pa Paee 2 of3 LIK' Valuation Descriotion I _*FnlHASr&B Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-31 69 I nspection Line Building/Com bination Permit PERMIT NO: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005 EXPIRES: 01/0312007VALUE: $ 2,000.00 Total Amount Paid $1,271.10 Plan Reviews Public Works Review SUB Review 06t30t2006 03/31/2006 06t30t2006 03/31/2006 APP APP SB DH Added SDCs for bathroom. Pass energy Code Review. See attached documents 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any 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 lurther 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.q-Lo ltz .;;; c ontrul/" signatur# Page 3 of3 Date oa I Effit Keourre(l InsDecttons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit-' .)f Springfield Official Receipt D. ropment Services DePartment Public Works Department RECEIPT #: 1200600000000001009 Date: 0710312006 9:58:57AM Job/Journal Number coM2005-01 l2 I coM2005-01l2l coM2005-01 l2l coM2005-01l2l coM2005-01121 coM2005-01 l2 I coM2005-01 l2l coM2005-01121 coM2005-01l2l coM2005-01l2l coM200s-01l2l Description Building Permit Fixture M inimum/Adjustment Plumbing Vent Fan Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0%o Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Amount Due 45.00 42.00 3.00 6.00 43.00 3.00 I 1.36 14.20 250.74 t 90.66 22.07 Item Total:$631.03 Payments: Type of Payment Check Number Received By Batch Number Number How Received Amount PaidPaid By Check KRYLS INVESTMENTS djb 7071 In Person Payment Total: $631.03 -ffii-o-f cReceint I Page I of 1 7/312006 arffimrul 225 FIFTH STREET . SPRINGFIELD, OF.97477 . PH:(541)726-3753 ' FA,Y: (s4r)726-3689 ELE CTRI CAL P ERMIT AP P LI CATI O N L City Job Number Cq,t4 Zoog -6,1]-(Date 31ost z +L LEGAL DESCRIPTION-702 3tzz OZooL> JOB DESCRIPTION Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 daYs. 1 Electrical Contractor Address Service Included 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or F Pump or irrigation Sign/Outline Lighting $106.00 s 19.00 $50.00 $ 53.00 $ 75.00 $125.00 s163.00 $375.00 - $so.oo | ,or.oo (S $ 3.00 $ 50.00 s 50.00 $ 25.00 V6 36a V6o .U ZE.JT A. 7 crrr--.rk P,t lxJ.i._ *Jk Ciry :rOS r eCi\ tttB,. Amps atl? Phoue 5zl-stv o 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 AmPs/Vols Reconnect OnlY One Circuit Each Additional 1C,-7 h -\ EA r'c<)a*c.L &Service or !.iiqs{ts'mit Expiration Date lo-ci -01 Installation, Alteration or Relocation 200 Amps or less $ 50.00 Const. Contr. Number i C 201 Amps to 400 AmPs $ 69.00 401 Amps to 600 AmPs s 100.00 Expiration Date o - l{'o Over 600 or 1000 Volts above. Signature of Supervisi:re D New Alteration Panel Owners Name Address a I.J E.7 5 ?L, City ttxG-ez{e-Phone 6t{. - 33Zf OWI\ER INSTAILATION The installation is being made on properry I own which is uot intended for saie, lease or rent. Owners Signature: Limited Energy/Residential Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 6/o stur" Surcharge l0% Administrative Fee TOTALInspection Request: 726-37 69 4 Shared Drive(T:)iBuilding Forms/Electrical Permit Application [-03.doc \s1 74q eci as s llowi re uire 225FIFTHSTRJET . SPRINGFIELD, OR97477 o PH:(541)726-3753 oFAX: E I,E CTRT CAL P ERMIT AP P LI CATT O N City Job Number C0r"tZ(}os - o llLl Date 1.3 ot B+u LEGAL DESCRIPTION A. lOZ 3IZZ bZooo te 5 qlgnatur€,b I 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 AmPMVolts Reconnect OnlY $106.00 $ 19.00 $50.00 JOB DESCRIPTION )Arl'n{o crrc' -..* Permits are non-transferab and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. Electical Contractor City EJcot- orr Pborc 5z o Supervisor License Number 4t 7^s Expiration Date .D Constr. Contr. Number i Expiration Date ol' 13' o 1 Signanrre of Supervising Elecrician B. i $163.00 $37s.00 $ 50.00 $ 63.00 $ 75.00 $125.00 $ 50.00 $ 50.00 $ 25.00 $ 4s.00 Ls c. 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 or 1000 Volts see "B" above. D. E. New Alteration or Extensidn Per Panel one circuit s 43'oo Each Additional Circuit or with t ,- Service or Feeder Perrnit / L/ S 3'00 Owners Name tS tt/V5frva\trSYtzt Address 3V7q C? th,&-3L uA City G€^/€Phone b 16 -332f OWNER INSTALLATION The installation is being made on prope4y I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 * Surcharges Pump or i:rigation Sign/Outline Lighting Limiled EnergYiResidential Limited Energy/Commercial I :: 1 ' '' I 4. SWTOTAL OF ABOW I, 7o/o State Surcharge l0% Administrative Fee TOTAL i, 7= 7qq 93o /09 '/4Inspection Request: 726-37 69 Sharcd Drive(T:YBuilding Forms/Electrical Permit Application I 43.doc /lli+ rJ < ?e rtvc Address Z&i O ,?,t"+rt-,wrt,"e ic'- cl loi-]e _ forth e ru/es t9{ 9tr <tu UAy ,{0 F 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: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005EXPIRES: 10/2812006VALUE: $ 7,000.00 SITE ADDRESS: 1051 28TH ST ASSESSOR'S PARCELNO.: 1702312202000 PROJECT DESCRIPTION: Repair fire a Office Repair Commercial PhoneNumber: 541-686-3325 License Expiration Date PhoneContractor OWNER MITCHS ELECTRIC INC COMMERCIAL MECHANICAL INC ARPS PLUMBING CO INC Sp Owner: Address: KRYLS INVESTMENTS 3474 SPRING BLVD EUGENE OR 97405 oopt \(\ ". s6z .{Ot)\N ote \J Contractor Type General Electrical Mechanical Plumbing t46745 1s0959 38123 0u18t2007 04t02/2008 0U2412008 541-521-5690 541-431-0800 541-484-7246 TION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: $l N01 Sq Ft lst Floor: Sq Ft 2nd Floor: t0 Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: 0 \s1 1\\\S hu1 \t \\ REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of3 !q il)I uhh |,Ull,frr1\u ri\ll (rIlUYlA I rLrl\ I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Bax 541-7 26-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005 EXPIRESz 1012812006VALUE: $ 7,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 7,000.00 Total Value of Project Amount Paid Date Paid Value $7,000.00 $7,000.00 Date Calculated 12t2u2005 Fee Description -Mechanical Issuance Fee- + lO"h Administrative Fee + 1Yo State Surcharge Building Permit Minimum/Adjustment Mechanical Miscellaneous Plumbing Vent Fan + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical lssuance Fee- + l0oh Administrative Fee + 8%o State Surcharge Heat Pump Minimum/Adjustment Mechanical + l0o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Receipt Number r200500000000001212 120050000000000r212 1200500000000001212 1200500000000001212 120050000000000r212 1200500000000001212 1200500000000001212 1200s00000000001523 1200500000000001523 1200s00000000001523 1200500000000001523 3200600000000000176 3200600000000000176 3200600000000000176 3200600000000000176 r200600000000000490 1200600000000000490 1200600000000000490 1200600000000000490 1200600000000000490 1200600000000000857 1200600000000000857 r200600000000000857 1200600000000000857 $10.00 $17.40 $12.18 $84.00 $39.00 $4s.00 $6.00 $12.30 $8.6r $60.00 $63.00 $9.30 $7.44 $30.00 $63.00 $10.00 $4.s0 $3.60 $12.00 $33.00 $9.30 $7.44 $30.00 $63.00 8/18/05 8/18/05 8/18/05 8/18/05 8/18/05 8/r8/05 8/r8/05 t0n4t05 t0tr4t05 t0n4t05 t0n4t05 4n0t06 4n0t06 4trot06 4n0106 4n8t06 4n8t06 4fi8t06 4n8t06 4fiB106 6t13t06 6n3t06 6n3106 6n3t06 $640.07 Feps Peid Plan Reviews SUB Review 03t3U2006 03t3u2006 APP Pass energy Code Review. See attached documents DH 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. Pase 2 of3 a Valuation Descrintion I 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: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005EXPIRES: 10/2812006VALUE: $ 7,000.00 eouired Insnections Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following Cify Rough Mechanical inspection approval and prior to any 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. Owner or Contractors Signature Date Page 3 of3 , 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit of Springfield Official Receipt D lopment Services Department Public Works Department RECEIPT #: 1200600000000000857 Date: 0611312006 1:23:l4PM Job/Journal Number coM2005-01121 coM2005-01121 coM2005-01121 coM2005-01121 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10o Administrative Fee Amount Due 63.00 30.00 7.44 9.30 Item Total:$109.74 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard MITCHS ELECTRIC djb 136540 In Person Payment Total: $109.74 -SiiD-r4-- cReceint I Page I of I 6/13t2006 ject as s Lr"t5 itrdr(}rm&fiains 225 FIfTH STRJET r SPRINGFIELD, OR97477 o PH:(541)72 o FAX: (54 "6-3753 Date Date E LE CTRI CAL P ERMIT AP PLICATTON City Job Number btlL 1. /otl z8t-S LEGAL DESCRIPTION202 3rzz 6Z<>o<> q-tu olztlPg'ture - 3. A. B. I /o ct(Lqfis vt 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 !o 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect OnlY $106.00 $ 19.00 $s0.00 JOB z6 Ar^ 7 Permits are and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 days. , $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ s0.00 63 City Electical Contractor Address 2ho r1n,A/).:\^^t.-f oG Phone Signature of Electrician Supervisor License Number 4- Z*S C' Expiration Date io-ot- 01 Constr. Contr. Number Expiration Date ol- l{' o't Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 AmPs $ 69.00 401 Amos to 600 Amps $100.00 or 1000 Volts see "B" above.HAL NDEr RIS L Extension Per Panel Each Additional Circuit or with t r 't Service or Feeder Permit | -$3.00 30 $ 43.00 $ 50.00 $ 50.00 $ 25.00 $ 4s.00 Owners Name v6 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 1Yo State Surcharge l0% Administrative Fee TOTAL k Address jtl 7q S?{LINL Bl-vD E. nrisceuanSous (Sen iceifeeder not includea) -racn mstallation ciryM-*,"" LtrL-372f Minimum Electric Permit Inspection F'ee is $45.00 * Surcharges 77 TVLI 73 io ?'tInspection Request: 726-37 69 4. Sharcd Drive(T:/Building FormVElectrical Permit Application l{3.doc /Ili+H< ?ze ruvc 5Zt-stz o EDAtvy 1 BO DAY C e/rfe/ One 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: COM2005-01121ISSUED: 08/18/2005 APPLIED: 08/1812005EXPIRES: 10/1012006VALUE: $ 7,000.00 PROJECT DESCRIPTION: Repair fire and vandalism damage Springfield TYPE OF WORK: Office TYPE OF USE: Repair Owner: Address: KRYLS INVESTMENTS INC 3474 SPRING BLVD EUGENE OR 97405 PhoneNumber: 541-686-3325 License Expiration Date PhoneContractor OWNER MITCHS ELECTRIC INC COMMERCIAL MECHANICAL INC ARPS PLUMBING CO INC 0u18t2007 04t02t2006 01t24t2008 Commercial 541-521-5690 541-431-0800 541-484-7246 Contractor Type General Electrical Mechanical Plumbing 146745 150959 38123 # 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 Stru Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: cture nla REQUIRED PARKING EX 1H P\RE IF IS PER ED FOR Totali,, lHHdfif,]&ppea I'.\\lG$rlrii*bt: ABANDON Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATI( Notes: Pase I of3 I SITE ADDRESS: 1051 28TH ST ASSESSOR'S PARCEL NO.: 1702312202000 UUN lNt t t(tvlA r luN I # Street Paved oh of Lot Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-01I21ISSUED: 08/18/2005APPLIED: 08/1812005EXPIRES: 10/1012006VALUE: $ 7,000.00 Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 7,000.00 Total Value of Project Amount Paid Date Paid Value $7,000.00 $7,000.00 Date Calculated 12t2u2005 Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Building Permit Minimum/Adjustment Mechanical Miscellaneous Plumbing Vent Fan + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid $10.00 $17.40 $r2.18 $84.00 $39.00 $4s.00 $6.00 $12.30 $8.61 $60.00 $63.00 $9.30 s7,44 $30.00 $63.00 8/18/05 8/r8/05 8/18/05 8/18/0s 8/18/05 8/18/05 8/r8/05 t0n4/05 t0n4t05 t0n4l05 t0n4t05 4n0t06 4n0t06 4n0t06 4n0t06 Receipt Number 1200s00000000001212 1200500000000001212 1200500000000001212 120050000000000r212 12005000000000012r2 120050000000000121 2 I 200500000000001212 r 200500000000001s23 r200500000000001523 1200500000000001s23 1200500000000001523 3200600000000000176 3200600000000000176 3200600000000000176 3200600000000000176 s467.23 Fees Paid Plan SUB Review 03t3U2006 03t3u2006 APP DH Pass energy Code Review. See attached documents 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rpnuirpd fnsneefions Paee 2 of3 Building/Combination Permit Valuation Descriotion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-01121ISSUED: 08/18/2005 APPLIED: 08/1812005 EXPIRES: 10/1012006VALUE: $ 7,000.00 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any 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 Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci^' of Springfield Official Receipt L .:lopment Services Department Public Works Department RECEIPT #: 3200600000000000176 Date: 0411012006 11:14:10AM Job/Journal Number coM2005-01121 coM2005-01121 coM2005-01121 coM2005-01121 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 1loh Administrative Fee Amount Due 63.00 30.00 7.44 9.30 Item Total:$r 09.74 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard MITCHS ELECTRIC djb 130500 In Person $ r 09.74 Payment Total: --------TIT97[ cReceint I Page I of I 411012006 F 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: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005EXPIRES: 10/1012006VALUE: $ 7,000.00 SITE ADDRESS: 1051 28TH ST ASSESSOR'S PARCELNO.: 1702312202000 PROJECT DESCRIPTION: Repair fire and yandalism damage Springfield TYPE OF WORK: Office TYPE OF USE: Repair Owner: Address: Contractor Type General Electrical Mechanical Plumbing ARPS PLUMBING CO INC ruies bY 0u24t2008 Commercial Phone 541-52r-5690 s4l-431-0800 54t-484-7246 KRYLS INVESTMENTS INC 3474 SPRING BLVD EUGENE OR 97405 PhoneNumber: 541-686-3325 uti\\ty torth o R952- 38123 # 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: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Sq Ft Ga arport REQUIRED Total: Handicapped Compact: PARKING nla 1 \\\S Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Paee I of3 \AW \e oregoni\ rrulLrrlL\\J u\f \rKlvtl!t!t 1\ I Overlay # Street 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/Combination Permit PERMIT NO: COM2005-01 121ISSUED: 08/18/200sAPPLIED: 08/1812005 EXPIRES: 10/1012006VALUE: $ 7,000.00 Description Bid Amount Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Building Permit Minimum/Adjustment Mechanical Miscellaneous Plumbing Vent Fan + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm ServiFdr 200 amps or less -Mechanical Issuance Fee- + l0o/o Administrative Fee + 87o State Surcharge Heat Pump Minimum/Adjustment Mechanical Total Amount Paid Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 7,000,00 Total Value of Project Amount Paid Date Paid Value $7,000.00 $7,ooo.oo Receipt Number 1200500000000001212 I 200500000000001212 1200500000000001 212 I 200500000000001212 1200500000000001212 1200500000000001212 r200500000000001212 1 200500000000001 s23 1200500000000001s23 r200500000000001s23 l 200500000000001 s23 3200600000000000176 3200600000000000176 3200600000000000176 3200600000000000176 I 200600000000000490 1200600000000000490 1200600000000000490 I 200600000000000490 I 200600000000000490 Date Calculated 12t2y2005 $10.00 $17.40 $12.18 $84.00 $39.00 $45.00 $6.00 $12.30 $8.61 $60.00 $63.00 $9.30 s7.44 $30.00 $63.00 $10.00 $4.50 $3.60 $12.00 $33.00 8/18/05 8/18/05 8/18/05 8/18/05 8/18/05 8/18/05 8/18/05 t0n4t05 l0/14l05 r0n4t05 t0n4t05 4n0t06 4n0t06 4n0t06 4n0t06 4fi8,106 4n8106 4n8t06 4n8t06 4n8t06 $s30.33 Fees Peid Plan Reviews SUB Review 03/31i2006 0313u2006 APP DH Pass energy Code Review. See attached documents 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Paee 2 of3 Ronrrirod Insnpcfions Valuation Descrintion I CITY 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: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005EXPIRES: 10/1012006VALUE: $ 7,000.00 Wall Insulation: Prior to cover. Drywall: Prior to taping. 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utilify company energizing service. Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following Cify Rough Mechanical inspection approval and prior to any 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 propertyo and the approved set of plans will remain on the site at all times during construction. 'Y-L P o Owner or Contractors Date Pase 3 of3 Sifnature 225 Fifth Street Spring{ield, Oregon 97 477 541-726-3759 Phone C' of Springfield Official ReceiPt lrwelopment Services DePartment Public Works DePartment RECEIPT #: 1200600000000000490 Date: 0411812006 9:5e:01AM Job/Journal Number coM2005-01121 coM2005-01 l2l coM2005-01121 coM2005-01l2l coM2005-01l2l Description + 8%o State Surcharge + 10Yo Administrative Fee Heat Pump M in imum/Adj ustment Mechan ical -Mechanical Issuance Fee- Amount Due 3.60 4.50 12.00 33.00 10.00 Item Total:$63.10 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check KRYLS INVESTMENTS djb 6997 In Person $63.10 Payment Total: -56TT6- leceint I Page I of I 411812006 ,FIELD D EV ELO PMENT SERV IC ES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. s p ri n gf i e I d. o r. u s April 11,2006 Randy Northup Linda Northup PO Box 70624 Eugene, Oregon 9740I Dear Mr. and Ms. Northup: Thank you for responding to my letter regarding permit expiration dated March 30, 2006 Our information for permit issuance and activity is pulled from Lane County Assessment and Taxation. The City of Springfield does not have its own ownership data base. According to Lane County records (see attached) the owner of 1051 28th Street is Randy Northup. You will need to contact Lane County Assessment and Taxation to change their information. Once the change has been made, we will happily change our records once ownership of the property is changed with Lane County. If you have any questions, please feel free to contact me at 541-726-3190 Sincerely, Lisa Hopper Building Safety Supervisor att RLID Detailed Property Report LANE COUNTY REGIONAL LAND INFORMATION DATABASE Site Address: 1051 28TH ST Map & Tax Lot #:17-02-31-22-02000 Special lnterest Code: A & T Account #: 0119352 i,: Viiryral Vqi , l Vicinity Map Detail Map Site Address State Plane Coordinates Y-Coord: 879869 Page 1 of4 Street Name PostDir. Street Type Unit Type Unit 28TH ST State Zip Code Zip+4 Carrier Route oR 97477 4318 C009 Update Date: 2005-09-22 Land use information has not been field verifiecl. Code: Description: 3999 OTHER MISCELLANEOUS MANUFACTURING I INDUSTRIAL Please verify zohing rnformation with local jurisdiction. Lane County overlay zones are not currently shown in RLID Code: Description: SPR SPRINGFIELD LM LIGHT MEDIUM INDUSTRIAL X-Coord: 4267803 Site Address lnformation House Suffix 1 051 Mailing City SPRINGFIELD Create Date: 1 993-06-07 Land Use Predir Land Use Code and Description Use Code and Description: Zoning Zoning Jurisdiction: Parent Zone 1: Boundary lnformation General lncorporated City Limits: Urban Growth Boundary: Fire Protection Providers: Plan Designation: Node: 2000 Census Tract: 2000 Block Group: Year Annexed: Annexation #: 2004 Transportation Analysis Zone SPR SPR L N 3400 4 1948 170 SPRINGFIELD SPRINGFIELD LOW DENSITY RESIDENTIAL Tax Map http://www.rlid.org/reports/Main_report_rlidstar.cfm?taxlot_id:96798&site address_id=137516&prop_id.4tst2006 ITNTT: 'F-1 ts.(j --t (,-q-1; -r ff 6f rF,ir,ffi ---lrl ..,t I RLID Detailed Property Report Approximate Acreage: Approximate Square Footage: Environmental Findings . Metro Flood Hazards: Metro Wetlands: FEMA Flood Hazard Zones FIRM Map Number: 41 039C1 1 61 F Code: A x Soils Soil Map Unit Number: District: Elementary School Middle School: High School: Service Districts LTD Service Area: LTD Ride Source: City EUGENE Soil Type Description: COBURG.URBAN LAND COMPLEX AWBRIG-URBAN LAND COMPLEX Page 2 of 4 Percentage of Tax Lot: 65 35 0.60 26,136 Please verify environmental information with local jurisdiction Note: Some parcels may extend onto adjacent FIRM maps. Registration between parcel boundaries and flood hazard zones is approximate. Community numbers are based on the current city limits and may not reflect boundaries at the date of map publication. Consult FIRM maps or appropriate authority. Community Number: Post - FIRM Date: Panel Printed? (Y/N): 415592 1985-09-27 Y Description: Areas of 10O-year flood, no base flood elevations determined. Areas determined to be outside of 500-year flood. 32 6 Schools Code:Name: SPRINGFIELD MAPLE SPRINGFIELD SPRINGFIELD 19 255 584 664 Ambulance District:Provider: Emerald People's Utility District: Soil Water Conservation District: Soil Water Conservation District Zone: Political Districts Election Precinct: County Commissioner District: County Commissioner: State Representative District: State Representative Name: City Council Ward: City Councilor Name: State Senate District: State Senator: LCC Board Zones: EWEB Commissioner District: Lane County Assessor's Office I Account Number: 0119352 I Map & Tax Lot: 17-02-31-22-020AA Property Owner Ownerl Name: NORTHUP RANDY Owner Address: PO BOX 70624 YES YES EC ATea: EAST/CENTRAL EAST LANE 0 102402 2 BILL DWYER 12 E. TERRY BEYER SP4 DAVE R.ALSTON 6 WILLIAM MORRISETTE 3 SPRINGFIELD DEPT OF FIRE & LIFE SAFETY SPRINGFIELD State OREGON Country UNITED STATES Zip Code 97401 http:/iwww.rlid.org/reports/Main_report_rlidstar.cfm?taxlot id:96798&site address_id:137 516&prop_id... 41512006 RLID Detailed Property Report 0 Exemption Amount Regular (EAR) Tax Year 2005 2004 2003 2002 2001 2000 1999 1998 1 997 1996 1995 Page 3 of4 Zip Code 97401 Quarter: 22 Division/Phase TotalValue Real Market Assessed 85,478 30,916 74,329 2g,g1g 68,924 29,047 68,824 29,201 69,143 27,390 38,410 26,593 31,480 25,909 26,450 25,057 25,690 24,327 23,560 23,560 27,030 27,030 0 Frozen Assessed Value (FZNPU) Tax (See Explanation of Tax) 506.70 496.97 482.71 441.02 432.65 422.20 426.83 409.77 408.21 367.31 424.28 Taxpayer Taxpaver Name: Taxpayer Address NORTHUP RANDY : PO BOX 70624 City State EUGENE OREGON Property Legal Description Township: 17 Range: 02 Subdivision Type: Subdivision Name: LoVTracVUnit Number: TL 02000 Subdivision Number: Recording Number: Property Value and Taxes Land Value Real Market 2005 85,478 2004 74,329 2003 68,824 2002 68,824 2001 68,143 2000 38,410 1999 31,480 1998 26,450 1997 25,680 1996 23,560 1995 27,030 30,916 Taxable Value Country UNITED STATES Section: 31 lmprovement Value Real Market 0 0 0 0 0 0 0 0 0 0 0 Explanation of Tax The tax shown is the amount certified in October, unless a value change has been processed on the property. Value changes typically occur as a result of appeals, clerical errors and omitted property. The owner either initiates the change, as in the case of appeals, or is notified by the department, in the case of clerical errors and omitted property. The amount shown is the full amount of tax for the year indicated and does not include any discounts offered, payments made, interest owing, or previous years owing. Account Status o Active for the 2005 Tax Year r New Account Scheduled to be Active' for the 2006 Tax Year (6 Locally Assessed http://www.rlid.org/reports/Main_report_rlidstar.cfm?taxlot_id:96798&site address_id:137516&prop_id... 415l2006 RLID Detailed Property Report a Pending Seq/Merge C Pending Value Change n Delinquency C Delayed Foreclosure f Bankruptcy C Code Split lndicator Remarks: Special Assessment Program (if applicable) Code: Description: General lnformation Property Class: 300 INDUSTRIAL, VAGANT Statistical Class: Neighborhood Code: 90201 Property Use Type: AccountType: RP Category: LAND AND IMPROVEMENTS Mortgage Company Name: Total Acreage for this Account: 0.00 Fire Acres: Tax COde Afea (Levy COde): 01900 Lane County Assessment ancl Taxation 2005-2006 Billing Rates CITY OF SPRINGFIELD LANE COMMUNITY COLLEGE LANE COUNTY LANE EDUGATION SERVICE DISTRICT SPRINGFIELD ECONOMIC DEVELOPMENT AGENCY SPRINGFIELD SCHOOL DISTRICT 19 WILLAMALANE PARK & RECREATION DISTRICT Sales lnformation Sales Date: Sales Price: Grantor: 04-21-1998 53,750 SWENSON, ERIC 08-15-1997 16,258 HOLM, EDWARD C EST 08-14-1997 5o,OOO EMSCO Man ufactured Structures Grantee: Page 4 of 4 Mult Acct?lnstrument #: 9802980900 970561 81 00 970561 8400 Analysis Code: V J 1 Search Results lNew Property Search lAoolications Menu http://www.rlid.org/reports/Main-report-rlidstar.cfm?taxlot_id:96798&site_address_id:1375T6&prop_id...4/5t2006 Randy & Linda Northup P.O. Box 70624 Eugene, OR 97401 City of Springfleld 325 Fifth Street Springfield, OR97477 RE: IOB #COM2005-00961 1051 28th Street Dear Lisa, I am writing in response to the letter dated March 30th received on April 1,2006. Address: 1051 28th Street Randy Northup never owned this property. He did not replace 3 seruices and 20 circuits in a warehouse. Our propety on 28th street is located at 1025 N. 28th Street an unimproved propefi with no dwelling, structures or outbuildings of any kind. I have notified City of Springfield years ago about the discrepancy. I believe payments we mad.e for the drainage feeson 1025 N 28th Street was applied to 1051 in error also, left messages on Deanna Beckham's voice mail, no response. Please promptly make the necessary corections to resolve this matter. Please keep us informed, via phone (answer machine) or email Lnorthup2@aol.com Thank-you Randy Northup Linda L Nofthup City of Springlield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676 Fzx March 30,2006 KRYLS INVESTMENTS INC 3474 SPRING BLVD EUGENE OR Job Number Location: 97405 coM2005-01t21 1051 28TH ST Project Repair fire and vandalism damage Dear Permit Holder: The Springfield 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 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 1051 28TH ST which is set to expire on 411312006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify 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 541-726-3769. 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, Lisa Hopper Building Safety Supervisor \ru, 225 FIFTH STREET . SPRINGtr'IELD, OF.97477 . PH:(541)726-3753 o FAX: (541)726-3689 EI,E CTRICAL P ERMIT AP P LI CATT O N City Job Number C-bA^zDOg - otlzl Date 1 3. ZK LEGAL DESCRIPTION A. l"oL3(z 6L<5c^O JOB DESCRIPTION Ar^?ZO crrcre.(b5Wc Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 daYs. B. 2. Electrical Contractor Address ()(F Phone Supervisor License Number 4t ?AS c. Expiration Date lo-ct -01 Constr. Contr. Number i ( Expiration Date o (-o Signature of Elecrician D. Owners Name f (:-\ I I 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 601Amps to 1000 AmPs Over 1000 AmPs/Volts Reconnect OnlY $106.00 $ 19.00 $50.00 City $ 75.00 $125.00 $163.00 $375.00 $ 50.00 / rur.oo 6) g6t lz?o Address 7 OrA v OWNER INSTALLATION The installation is being made onproperty I own which is not intended for sale, lease or rent. Owners Signature: Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 59'00 401 Amps to 600 AmPs $100'00 Over 600 or 1000 Volts see "B" above New Alteration or Extension Per Panel one circuit $ 43'oo 3:S,*t;'Jl::f","i"'Hf' *'* z o$ 3.oo 6o tS- $ so.oo $ 50.00 $ 25.00 $ 45.00 Permit Inspection Fee is $45.00 * Surcharges IZS JE. N 1$\s r$1 7o/o Stzte Surcharge l0% Administrative Fee TOTAL ttryy Inspection Request: 726-37 69 4. Shared Drive(T:/Building Forms/Electrical Permit Application I {3.doc "r* fuxc-'e^tt Phone ---J- 1 Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2637 69 I nspe ction Lin e F Building/Co mbination Permit PERMIT NO: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005E)PIRESz 0411312006VALUE: $ 7,000.00 SITE ADDRESS: 105128TH ST ASSESSORS PARCEL NO.: 1702312202000 PROJECT DESCRIPTION: Repair fire and vandalism damage Springfield TYPE OF TYPEOF USE:Commercial s41-s21-s690 541-431-0800 541-484-7246 Fire Damage Repair Owner: Address: Contractor Type General Electrical Mechanical Plumbing KRYLS IIWESTMENTS INC 3474 SPRING BLVI) EUGENE OR 97405 Phone Number: 541- License Expiration Date PhoneContractor OWNER MITCHS ELECTRIC INC COMMERCIAL MECHANICAL INC ARPS PLUMBING CO INC 146745 150959 38123 0u18t2007 04t02t2006 0u24t2006 CONTRACTOR INFORMATION N01# of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setbaclc Side l Setback: Side 2 Seback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: t0R 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: %o ofLot Coverage: nla REQUIRED PARKING Total: Handicapped: Compact: Notes: 1of 3 Lflrg \$ ut Ytl|-(JrlYlt l\ I lNr(rl(lYrArl(r1\ Status: Issued 225 Ftfttr Street, Springfield, OR 541:726-3753 Phone 541-726-3676F2x 541.:7 26-37 69 I nspe ction Line Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-01121ISSUED: 08/18/200sAPPLIED: 08/1812005E)GIRESz 0411312006VALUE: $ 7,000.00 Description Type of Construction Fee Descriptbn -Mechanical Issuance Fee- + l07o Administrative Fee + lVo State Surcharge Building Permit Minimum/Adj ustment Mechanical Miscellaneous Plumbing Vent Fan + l0oh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Total Value of Project Date Paid Value Date Calculated Receipt Number 1200500000000001212 1200500000000001212 1200s00000000001212 1200s00000000001212 1200500000000001212 1200s00000000001212 r200500000000001212 1200500000000001523 1200500000000001523 1200s00000000001s23 1200s00000000001523 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $17.40 $12.18 $84.00 $39.00 $45.00 $6.00 $12.30 $8.61 $60.00 $63.00 $3s7.49 8/18/0s 8/18/05 8/18/05 8/18/05 8/18/0s 8/18/0s 8/18/05 t0lt4t05 t0n4t05 10n4tos t0n4t05 Plan To Request an inspection call the24 hour recording at 72G3769. 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 fotlowing work day. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to coyer and including required testing. Final Plumbing: When atl plumbing work is complete. Rough Mechanical: Prior to Cover ired Insnecfions 2of3 Valuation Description I Hees rrlft I CITY OF SPRIN Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-01121ISSUED: 08/18/2005APPLIED: 08/1812005E)GIRESz 0411312006VALUE: $ 7,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-72G3676Fax 541:1 26-37 69 I ns pe ction Line Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 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 OCCUPAIICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff 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 3 of 3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT#: 1200500000000001523 Date: 1011412005 e:54:43AM J, b/Journal Number coM2005-01l2l coM2005-01l2l coM2005-01l2l coM2005-0r l2l Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 63.00 60.00 8.61 12.30 Item Total:$143.91 Payments: T;zpe of Payment Paid By CheckNumb€r Autfiorization Received By Batch Number Number How Received Amount Paid .'editCard MITCHS ELECTRIC djb 238570 In Person Payment Total: $143.91 -il4-53f r) r0/14/200s lofl XHIru,D TY F LD Buildin g/C ombination Permit Status: Issued 225 Fifth Street, SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 lnspection Line PERMIT NO: COM2005-01 121 ISSUED: 08/18/2005 APPLIED: 08/1812005 EXPIRES: 0211812006VALUE: $ 7,000.00 SITE ADDRESS: l05l 28TH ST ASSESSOR'S PARCEL NO.: 1702312202000 PROJECT DESCRIPTION: Repair fire and vandalism damage Owner: pETER KRYL Address: Springfield TYPE OF Fire Damage TYPE OF USE: RePair License Expiration Date Phone INC 150959 38123 Contractor Type General Mechanical Plumbing Contractor OWNER COMMERCIAL 04t0212006 0il24t2006 Commercial 541-431-0800 541-484-7246 iTICE: MIT S ZED U INFORMC ARPS # of Units: Prim ary Occupancy Grou P: Secondary Occupancy Prim ary Construction TYPe Secondary Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special lnstruction: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: 7o 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: lo REQUIRED PARKING Total: Handicapped: Compact: nla TIONPM Notes: I of 3 IRE IF TI lorth Buildin g1C ombin ation Permit Status: Issued 225 Fifth Street SpringfieH' OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 lnspection Line PERMIT NO: COM2005-01121ISSUED: 08i18/2005 APPLIED: 08/18/2005 EXPIRES: 0211812006VALLTE: $ 7,000.00 Desc ription Tyrre of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Building Permit Minimum/Adj ustment Mechanical Miscellaneous Plumbing Vent Fan Total Amount Total Value of Project Date Paid Value Date Calculated Receipt Number r 20050000000000 I 2 I 2 I 20050000000000 I 2 1 2 l 200500000000001 212 I 20050000000000 I 2 I 2 I 200500000000001 2 12 I 200500000000001 212 I 20050000000000 I 2 I 2 Amount Paid $ Per Sq Ft or m ultiplhr Square Footage or Bid Amount 8/18/05 8/18/05 8/18/05 8/18/05 8/18/05 8/18/05 8/18/0s $10.00 $17.40 $12.18 $84.00 $39.00 $45.00 $6.00 $2r3.58 Fees To Request an inspection call tlrre24 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. 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. 2of3 Reouired lnsnections I CI FTE Status: Issued 225 Fifth Streel Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2005-01121ISSUED: 08/18/2005 APPLIED: 08/1812005 EXPIRES: 0211812006VALUE: $ 7,000.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certifr 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 certis 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 readabh 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 du construction. te /r od- Owner or Date 3 of 3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^t1y of Springlield Olficial Receipt - evelopment Services DePartment Public Works Department RECEIPT #: 1200500000000001212 Date:08/18/2005 11:10:39AM Job/Journal Number coM2005-01l2l coM2005-01l2l coM2005-01121 coM2005-01121 coM2005-01121 coM2005-01121 coM2005-01121 Description Building Permit Miscellaneous Plumbing Vent Fan Minimum/Adjushnent Mechanical -Mechanical Issuance Fee- + 7oh State Surcharge + l0o/o Administrative Fee Amount Due 84.00 45.00 6.00 39.00 10.00 12.18 17.40 Item Total:$2r3.58 Payments: Type ofPayment Received By Check Number Batch Number Authorization Number How Received Amount PaidPaid Bv Check KRYLS INVESTMENTS dib 678 I In Person Payment Total: $213.s8 -sffi- 8/l 8/2005 lofl &pmI.}{&Frxlp