HomeMy WebLinkAboutPermit Building 2003-02-27OFS
Buildin g/C ombination Permit
PERMIT NO: COM2003-00059ISSUED: 0212712003
APPLIEDz 0210412003
VALUE: $ 2,000.00
Status: Issued
225 Fifth Stree! Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
SITE ADDRESS: 2730 31st St Springfield TYPE OF Single Family Residence
ASSESSOR'S PARCEL NO.: 1702193200103
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Add 2 bath fixtures and relocate partition wall in kitchen. Electrical and mechanical
contractors to pull own permits.
Owner: MARJ( SCIIELSKY
Address: 2730 3lST ST SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
DAEMON ALEXIS KNIGHT
JB ELECTRIC
COMFORT FLOW
MARKSCHELSKY
MARI( SCHELSKY
License
121026
104929
460
Expiration Date
03fiu2004
03n412004
06t27t2003
Phone
s41-988-9763
54r-687-5770
s4t-726-0100
541-746-2501
C ONTRACT OR INF ORMATI ON
BUILDING INFORMATION
# of Buildings:
Primary Occupancy Group :
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutVDrains
}ICITICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHOBIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 OAY PEBIOD.
DEVELOPMENT INFORMATION
PUB LIC IMPROVI]MIJN'I'S
Notes:
1of 3
W lut
rrnt lot
IteS
S
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
Buildin g/C ombin ation Permit
PERMIT NO: COM2003-00059ISSUED: 0212712003APPLIED: 0210412003E)0IRES: 0812712003VALUE: $ 2,000.00
Descrbtion
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
$1.00 2,000.00
Total Value of Project
Value
$2,000.00
$2,000.00
Date Calculated
02t04t2003
Amount Paid
$9.00
$6.30
$4s.00
$28.00
$r7.00
$10.00
$12.50
$8.75
$8.00
$6.00
$12.00
$19.00
$106.00
$19.00
$314.20
Date Receipt Number
1200200000000000646
1200200000000000646
1200200000000000646
1200200000000000646
r200200000000000646
2200200000000000535
2200200000000000534
2200200000000000534
220020000000000053s
2200200000000000535
2200200000000000535
2200200000000000s3s
2200200000000000534
2200200000000000s34
Fee Description
+ l0oh Administrative Fee
+ 77o State Surcharge
Building Permit
Fixture
Minimum/Adj ustment Plumbin g
-Mechanical Issuance Fee-
+ 10o/o Administrative Fee
+ 7Yo State Surcharge
Air Handling Unit Up to 10,000
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount
214t03
214103
2t4t03
2t4t03
214103
2t27t03
2t27t03
2t27t03
2t27t03
2127t03
2t27t03
2t27t03
2t27t03
2t27t03
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 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Drywall: Prior to taping.
3 Final Building: After all required inspections have been requested and approved and the building is complete.
4 Rough Plumbing: Prior to cover and including required testing.
5 Final Plumbing: When all plumbing work is complete.
6 Rough Mechanical: Prior to Cover
7 Final Mechanical: When all mechanical work is complete.
8 Rough Electric: Prior to Coyer
9 Final Electric: When all electrical work is complete.
2of3
Valuation Description I
rees raro I
Kequrreo rllspecrl()Ils ]
Status: Issued
225 Fifth Street, Springfielil, OR
541:726-3753 Phone
541-726-3676Fa;x
541:726-37 69 Inspection Line
Buildin g/C omb in ation Permit
PERMIT NO: COM2003-00059ISSUED: 0212712003APPLEDz 0210412003E)GIRES: 0812712003VALUE: $ 2,000.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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 70f .0(E will be
used on this project.
I further agree to ensurethat all required inspections are requested at the proper time, that each address is readable from
the street, that the is bcated at the front of the property, and the approved set of plans will remain on the site
at all times -ai
or Signature
3 of 3
2/27/2003
2:08:1lPM
City of Springfield
Development Services Department
Public Works l)epartment
Official Receipt
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
Receipt #: 2200200000000000535
Date: 0212712003
te Items:
Job/Journal Number Description Amount Paid
coM2003-00059
coM2003-000s9
coM2003-00059
coM2003-00059
coM2003-00059
coM2003-000s9
coM2003-00059
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Appliance Vent
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ l0o/o Administrative Fee
12.00
8.00
6.00
19.00
10.00
3.15
4.50
Line Item Total:$62.6s
. ayments:
Tlpe of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid
Check COMFORT FLOW HEATING lkw 21t30 In Person 62.65
Total:$62.6s
Page 1 of 1 cReceipt.rpt
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37 69
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
2730 N. 31st.
ELECTRICALPERMI-'PLICATION
City Job Number 3- o
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Included:
less
Home or
LEGAL DESCRIPTION
JOB DESCRIPTION
New le fam
Cost Sum
l $r06.00 $ 106.00
l $19.00 $ 19.00
ss0.00 $
ft
Permits axe non-mnsferable and expire .u.o9
if work is not started within 180 days, ,s$*o*d
of issuance or if work is suspended fof t'-lro\
180 days. '.,\)v
Dwelling
Service or Feeder
B. Services or Feeders
lnstal lation, Alterations or
Relocation:
Address 4685lsabelle St.200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
City Euqene, OR 97402 Phone-@-
Supervisor License Number 3872S
Expiration Date 10/1/03
ccB
Constr Contr. Number 37587C 104929
C. Temporary Services or Feeders
$63.00
s75.00
$125.00
$163.00
$
$
$
Expiration Date 10t1t03
Signature of Electrician
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
B above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
$
$37s.00 $
$s0.00 $
$s0.00
$69.00
s100.00
$
3t14104
Owners Name
Damon Knight
Address _40974 McKenzie
City Sprinqfield-O8-97478 Phone 953-0922 - .. ,^,rrzEECh Additional Circuit or with Service6W
I llt" tff $Jil,ir''U H [ ?"' Feeder Perm it
rhe installati"+ejftffiiellphfY':J J-
^if
OoNED FBRrrrlscellaneous (service/feeder not included)
propeny I own ry$p$trEM.,ih!d1!F.l;;- Each installation
for sale, lease qnWt.180 DAY PEntuu' Pump or inigation
Owners Signature: Limited Enerry/Res
Limited Enerry/Comm
M3.00 $
$3.00 $
$s0.00
$s0.00
$25.00
$45.00
$
$
$
$
5. SUBTOTALOFABOVE trurrur
'l%o State Surcharge
l0% Administrative Fee
125.00
8.75
t2.s0
JB Job #187 TOTAL
$4s.00
$146.25
2. CONTRACTOR INSTALLATION
Electrical Contractor
Items
l!
$--$-
$-
Status: Issued
225 Fifth Street SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541:126-37 69 Inspection Line
OF
Buildin g/C ombination Per mit
PERMIT NO: COM2003-00059ISSUED: 0212712003APPLBDz 0210412003E)GIRESz 0812312003VALUE: $ 2,000.00
SITE ADDRESS: 2730 31st St Springfield TYPE OF Single Family Residence
ASSESSOR'S PARCEL NO.: 1702193200103
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Add 2 bath fixtures and relocate partition wall in kitchen. Electrical and mechanical
contractors to pull own permits.
Owner: MARK SCIIELSKy
Address: 2730 3lST ST SPRINGFIELD OR 97477
Contractor Tvpe
General
Electrical
Mechanical
Owner
Plumbing
Contractor
DAEMON ALEXIS KNIGHT
JB ELECTRIC
COMFORT FLOW
MARKSCHELSKY
MARK SCHELSKY
License
r21026
104929
460
Expiration Date
03nu2004
03n4t2004
06t27t2003
Phone
s41-988-9763
541-687-5770
541-726-0100
54t-746-2501
CONTRACT OR INFORMATI ON
BUILDING INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved lhive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Arailabh:
Special Instruction:
Notes:
Sidewalk Type:
DownspoutVDrains
gon util
lre set f
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
l of 3
in OAFI 952-001-0010 tn:ough OAR 952-00
0090. Ybu may obtain copies of the rules t
calling the center. (ttlote: the telephone
nuinber for the Oregon Utility Notification
Danter ir'r -80fi-33?--2344\ "
Status: Issued
225 Fifth Stree! Springfield, OR
541:726-3753 Phone
541-726-3676 Rax
541:7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2003-00059ISSUED: 0212712003APPLEDz 0210412003E)PIRBS: 08/2312003VALUE: $ 2,000.00
Descrbtion
Bid Amount
Type of Construction
Use Bid Amount
Value
$2,000.00
$2,000.00
Receipt Number
1200200000000000646
1200200000000000646
1200200000000000646
1200200000000000646
1200200000000000646
2200200000000000534
2200200000000000534
2200200000000000534
2200200000000000534
Date Calculated
02t04t2003
$ Per Sq Ft Square Footage
$1.00 2,000.00
Total Value of Project
Fee Description
+ llYo Administrative Fee
+ 7%o State Surcharge
Building Permit
Fixture
Minimurn/Adj ustment Plumbing
+ l0o/o Administrative Fee
+ 77o State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Total Amount
Amount Paid
$9.00
$6.30
$45.00
$28.00
$17.00
$12.s0
$8.7s
$106.00
$r9.00
$2s1.ss
Date
214103
2t4t03
2t4t03
2t4t03
2t4t03
2t27t03
2t27t03
2t27t03
2t27t03
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.
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Drywall: Prior to taping.
3 Final Building: After all required inspections have been requested and approved and the building is complete.
4 Rough Plumbing: Prior to cover and including required testing.
5 Final Plumbing: When all plumbing work is complete.
6 Rough Mechanical: Prior to Cover
7 Final Mechanical: When all mechanical work is complete.
8 Rough Electric: Prior to Cover
9 Final Electric: \Yhen all electrical work is complete.
2of3
Valuation Description
Ilees rato l
Keourreo InsDecuons I
LD
Status: Issued
225 Fifth Street Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541:126-37 69 Inspection Line
Buildin g/C omb in ation Per mit
PERMIT NO: COM2003-00059ISSUED: 0212712003APPLEDz 0210412003E)PIRES: 0812312003VALUE: $ 2,000.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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
hereiq and that NO OCCUPAITCY will be made of any structure without permission of the C-ommunity Services Division,
Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 wilt 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 bcated 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
212712003
l:53:24PM
City of Springfield
Development Services Department
Public Works Department
Oflicial Receipt
Receipt #: 2200200000000000534
Date: 0212712003
Ie Items:
Job/Journal Number Description Amount Paid
coM2003-00059
coM2003-00059
coM2003-000s9
coM2003-00059
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 1Yo State Surcharge
+ ljYo Administrative Fee
106.00
19.00
8.75
12.50
Line Item Total:$146.25
Payments:
Tlpe of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid
Check JB ELECTRIC lkw 012052 In Person 146.25
Total:$146.25
Page I of I cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
CITY OF SPRINGFIE
Buildin g/C ombination Permit
PERMIT NO: COM2003-00059ISSUED: 0210412003APPLIEDz 0210412003E)PIRES: 08/0412003VALUE: $ 2,000.00
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-3676 Bax
541:7 26-37 69 Inspection Line
SITE ADDRESS: 2730 31st St Springfield TYPE OF Single Family Residence
ASSESSOR'S PARCEL NO.: 1702193200103
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Add 2 bath fixtures and relocate partition wall in kitchen. Electrical and mechanical
contractors to pull own permits.
Owner: MARI( SCHELSKy
Address: 2730 31ST ST SPRINGFIELD OR 97477
Contractor Tvpe
General
Owner
Plumbing
Contractor
DAEMON ALEXIS KNIGHT
MARI(SCHELSKY
MARK SCHELSKY
License
121026
Expiration Date
031r112004
Phone
541-988-9763
541-746-2501
CONTRACT OR INF ORMATI ON
)RMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Side I
Side 2
Rearyard Setb
Solar Setbacks:
Street
Storm Sewer Availabh:
Special Instruction:
15
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport;
Sq Ft Other:
Impervious Surface Area:
9\Dist:
Trees
Overlay
# Street
Type:
DownspoutVDrains
REQUIRED PARKING
Total:
Handicapped:
DrivePaved
ofo
Notes:
lof2
1
Status: Issued
225 Fifth Street Springfield, OR
541-726-3753 Phone
541-726-3676 Fa;x
541:7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2003-00059ISSUED: 0210412003APPLEDz 0210412003E)GIRES: 08/0412003VALUE: $ 2,000.00
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
$1.00 2,000.00
Total Value of Project
Amount Paid Date
Value
$2,000.00
$2,000.00
Date Calculated
02t04t2003
Fee Description
+ lOoh Administrative Fee
+ 77o State Surcharge
Building Permit
Fixture
Minimum/Adj ustment Plumbing
$9.00
$6.30
$45.00
$28.00
$17.00
214t03
214t03
2t4t03
2t4t03
2t4t03
Receipt Number
1200200000000000646
1200200000000000646
1200200000000000646
1200200000000000646
1200200000000000646
TotalAmount $105.30
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Drywall: Prior to taping.
3 Final Buitding: After all required inspections have been requested and approved and the building is complete.
4 Rough Plumbing: Prior to cover and including required testing.
5 Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 C-ommunity Services Division,
Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 wilt 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 at the front of the property, and the approved set of plans will remain on the site
&
at all
Contractors Signature
2of2
Date
K4
Valuation Description I
Keqtllreq rnspecrr0ns I
214/2003
ll:06:09AM
City of Springfield
Development Senices Department
Public Works Department
Official Receipt
225 Fifth Street
Springlield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000646
Date: 0210412003
Line Items:
Job/Journal Number Amount Paid
coM2003-00059
coM2003-00059
coM2003-00059
coM2003-00059
coM2003-00059
Building Permit
Fixture
Minimur/Adj ustment Plumbing
+ loh State Surcharge
+ l0o/o Administrative Fee
Payments:
45.00
28.00
17.00
6.30
9.00
Line Item Total:$10s.30
Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check KARI SCHELSKY djb In Person 105.30
Total:$105.30
Page I of I cReceipt.rpt
ffirt