HomeMy WebLinkAboutPermit Building 2005-05-31Status 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: COM2005-00560ISSUED: 05/31/2005APPLIED: 05/1112005EXPIRES: 11/3012005VALUE: $ 2,000.00
SITE ADDRESS: 2460 37TH ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702194206800
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Convert part of existing interior space in to additional bathroom
Owner:
Address:
HALTWAY HOUSE SERYICES INC
910 JEFFERSON
EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
ACTION LOCK FIRE & SECURITY INC 162132
DOUG PALMER CORP 90725
ACTION LOCK FIRE & SECURITY INC 162132
READY ROOTERDRAIN CLEANING & R SF92524
Expiration Date
tu16t2006
05/03/2006
tut6t2006
02n8t2009
Phone
541-342-84ss
541434-5600
541-342-8455
541-744-7991
# 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:
Overlay Dist:
# Street Trees Rqd:
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:
Occupant Load:
R-3
\rN
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEYELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page 1 of3
I [:}
11 U l.l,-l-rll\ tr rN I UttrvrA I +r1l_l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permif
PERMIT NO: COM2005-00560ISSUED: 05/31/2005APPLIED: 05/1112005EXPIRES: 1ll3012005VALUE: $ 2,000.00
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Building Permit
Fixture
Minimum/Adj ustment Mechanical
Minimum/Adj ustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ liYo Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
s/l1/05
5/11/05
5/11/0s
5/11/05
5/11/05
snu05
5/11/05
5/1U05
5/11/05
s/l1/05
5lru05
5/31/05
st3u0s
s/31/0s
5/31/05
Yalue Date Calculated
Receipt Number
1200s00000000000610
1200500000000000610
1200500000000000610
1200500000000000610
1200500000000000610
1200500000000000610
1200500000000000610
1200500000000000610
1200500000000000610
1200500000000000610
1200500000000000610
2200500000000000698
2200500000000000698
2200500000000000698
2200500000000000698
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$13.50
$9.45
$4s.00
$42.00
$39.00
$3.00
$127.96
$168.28
$14.8r
$6.00
$4.60
$3.22
$43.00
$3.00
$532.82
f,'ees Paid
Plan Reviews
Public Works Review 05nu2005 05fiu2005 APP sB SDCs added for new fixtures at
counter.
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.
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.
Rpnrrirpd fnsnecfions
Paee 2 of3
ffi,i
Valuation Description I
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00560ISSUED: 05/31/2005APPLIED: 05/1112005EXPIRES: 11/3012005VALUE: $ 2,000.00
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully exarnined 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 descrlbed 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
Paee 3 of3
-\
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
/-tty of Springfield Official Receipt
- .:velopment Services Department
Public Works Department
RECEIPT #: 2200s00000000000698 Date: 05131,12005 3:08:45PM
Job/Journal Number
coM2005-00560
coM200s-00560
coM2005-00560
coM2005-00s60
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ l0% Adminishative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$s3.82
Payments:
Type of Payment Paid By
UheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard DOUG PALMER ELECTRIC llh 076916 Phone
Payment Total:
$s3.82---s53Tt
s13U200s Page 1 of I
,rell
I
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689
ffiffi,?ffl%'.'56ff"3il
1.3.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion theteof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B.
L ZOO Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
C
D
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
OAR 95fr€0 tnergy/Commercial
m
e
7o/o Stale Surcharge
l0% Administrative Fee
TOTAL
00\WPI-ETEFEESCIIEDUI:E-BELAW..,..,, . .
A.LEGAL DESCRIPTION
nuL\qA4-.O\o@
JOB $106.00
$ 19.00
$50.00
a
Permits are tron-tratrsferable aud expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1
Electrical Contractor u{-
Address
The installation is
is not intended for
3q (A 4_
$ 63.00
$ 75.00
$12s.00
$ 163.00
$375.00
$ 50.00
$ 43.00
$ 3.00
$ 25.00
$ 45.00
NXp^
3
City
SupervisorLicenseNumber 2-\q2- S
Expiration Date lo 2-oo-1
Constr. Cont. Number 4o1
Expiration Date
Signature of
Owners
Address
City
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600Amps $100.00
Over 600 or 1000 Volts see "B" above.
New Alteration or Extension Per Panel
ca)
E.
irrigaton $ s0.00
follow rules adopted by the OregoftEtl0$line Lighting $ s0.00
owNER INSTALLAT[0[iication Center. Those rules arelltctfrefthergy/Residentiat. in OAR 952-001-0010 throuoh
::i:hffi D'"rd{?Hay"blHth%Bf r;
calling the center. (Note:th Permit Inspectiou Fee is $45.00 * Surcharges
Owners Signature: number for the Oregon Utility
Center is 1 -800-332 -2344
Inspection Request: 726-37 69
u)
$ry +.9'ttff)Shared Drive(T:/Building FormVElectrical Permit Application l-03.doc
Z.
?-r44 ztrp- pr.,on" 43*3ooo______,___
tlts
Uri,I5
c0rt Ut
4 (
0q
Y
rt
v-?
Buildin g/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-72G3753 Phone
541-726-3676Fa-x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00560ISSUED: 05/11/2005APPLIED: 05/1112005
EXPIRESz llllll2005VALUE: $ 2,000.00
SITE ADDRESS: 2460 37TH ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702194206800
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Convert part of existing interior space in to additional bathroom
Owner:
Address:
Contractor Type
General
Mechanical
Plumbing
HALFWAY HOUSE SERYICES INC
910 JEFFERSON
EUGENE OR 97405
Contractor License
ACTION LOCK FIRE & SECURITY INC 162132
ACTION LOCK FIRE & SECURITY INC 162132
READY ROOTER DRAIN CLEANING & R SN92524
Expiration Date
tut6t2006
tut6t2006
0211812009
Phone
541-342-8455
541-342-8455
541-744-7991
CONTRACTOR INFORMATION
# 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:follow rules adopted bY
n law requires You to
Sidewalk Type:
REQUIRED PARKING
Total:
Handicapped:
Compact:
R-3
\rrl
Height of $lotitkidion Center'
Type of HektOAR 952'001401 0th
Water TypO090. You maY obtain
Range Type: Calling the center.
Energy Pathry1 umber for the Oregon l$Ultl
Sprinkled Building:Genter id{-800-Secf fl 4ilf Load:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase 1 of3
UtilitY
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: COM2005-00560ISSUED: 0511112005APPLIED: 05/1112005
EXPIRESz llllll2005VALUE: $ 2,000.00
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 1oh State Surcharge
Building Permit
Fixture
Minimurn/Adj ustment Mechanical
Minimum/Adj ustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
1200s00000000000610
1200s00000000000610
1200s00000000000610
1200500000000000610
r200500000000000610
1200s00000000000610
1200s00000000000610
1200s00000000000610
1200500000000000610
1200s00000000000610
1200s00000000000610
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$13.s0
$9.4s
$45.00
$42.00
$39.00
$3.00
$127.96
$168.28
$14.81
$6.00
$479.00
5/11/05
s/l1/05
5/11/0s
5/11/05
5ltu05
5ltu05
5/11/05
5/11/05
5/11/05
s/l1/05
5/11/05
tr'pps Peid
Plan Reviews
Public Works Review 05/11/2005 05/11/2005 APP SB SDCs added for new fixtures at
counter.
To Request an inspection call the24 hour recording at 726-3769. 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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Pase 2 of3
red fnsnecfinns
Valuation Descriotion I
F FIELD
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: COM2005-00560ISSUED: 05/11/2005APPLIED: 05/1112005
EXPIREST llllll2005VALUE: $ 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 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. I
t
Io/1
Owner or Date
{- l[ - o(-
Page 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
'-Y/
City of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 1200s00000000000610 Date:05/11/2005 2:51:08PM
Job/Journal Number
coM2005-00560
coM200s-00560
coM2005-00560
coM2005-00560
coM2005-00560
coM2005-00560
coM2005-00560
coM2005-00560
coM2005-00560
coM2005-00560
coM200s-00560
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Minimum/Adj ustment Plumbing
Vent Fan
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ l0% Administrative Fee
Amount Due
168.28
127.96
14.81
45.00
42.00
3.00
6.00
39.00
10.00
9.45
13.50
Item Total:$479.00
Payments:
Type ofPayment Paid By
checkNumber Authorizatlon
Received By Batch Number Number How Received Amount Paid
CreditCard STEPHEN JOERS djb 381938 InPerson $479.00
Payment Total:
-Fmod-
(
5lty200s Page I ofl
0"
.l5"
30 n
)
7',3"
50"
\
30"
25"
H
\
\
5"3"