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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