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Home My WebLink AboutPermit Building 2005-06-28Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ra'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00790ISSUED: 0612812005 APPLIEDT 0612312005 EXPIRESz 0110712006VALUE: $ 5,000.00 SITE ADDRESS: 232 S 42ND ST ASSESSOR'S PARCEL NO.: 1702323302100 PROJECT DESCRIPTION: Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Install truss roof over existing roof structure Owner: Address: TWIN BUTTE MORTGAGE INC 1960 GILHAM RD EUGENE OR 97401 Expiration Date 10t24t2006 06t20t2008 Residential Phone 541-912-7958 541-935-5303 PhoneNumber: 541484-2326 Contractor Type General Electrical Contractor JOSEPH GEORGE HARVEY DEANS ELECTRIC License s0805 99579 CONTRACTOR INFORMATION BUILDING INFORMATI( # 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: l: Oregon 1 \rN opted bY lenter. Thgs c,01-0010 tnrt # of Stories: torth 2-001' 8401ru\es by 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 obtatn nla Center ts REQUIRED PARI(NG Total: Handicapped:' Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page 1 of3 \ rtr'E P {UUi\E,U TUN 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: COM2005-00790ISSUED: 0612812005APPLIEDz 0612312005EXPIRESz 0110712006VALUE: $ 5,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 5,ooo.o0 Total Value of Project Amount Paid Date Paid Value $5,000.00 $5,000.00 Date Calculated 06t23t200s Fee Description Plan Review Residential + l0Yo Administrative Fee + 77o State Surcharge Building Permit + l0o/o Administrative Fee + 7oh State Surcharge Service Reconnect Total Amount Paid $44.46 $6.84 $4.79 $68.40 $5.00 $3.s0 $50.00 6t23105 6t28t05 6t28t05 6t28t05 7t7t05 7t7tvs 717105 Receipt Number 1200500000000000896 1200s000000000009r3 r200500000000000913 12005000000000009r3 2200s00000000000894 2200500000000000894 2200500000000000894 $182.99 Plan Reviews Initial Review Structural Review 06t24t200s 06t24t200s 06124t2005 06t28t200s APP APP LLH JB Approved as noted on plans 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 {av. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Electric Service: Approval required prior to utility company energizing service. Paee 2 of 3 L m Valuation Descrintion I ees ratd I Keourred lnsnectrons Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00790ISSUED: 0612812005 APPLIEDT 0612312005EXPIRES: 0110712006VALUE: $ 5,000.00 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. Owner or Contractors Signature Date Paee 3 of3 \tl LJ 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000000894 Date: 0710712005 11:35:35AM Job/Journal Number coM200s-00790 coM2005-00790 coM2005-00790 Description + 1Yo State Surcharge + l0% Administrative Fee Service Reconnect Amount Due 3.s0 5.00 50.00 Item Total:ti5E.50 Payments: Tvpe of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard DONALD HAASE djb 317063 In Person Payment Total: s58.50 -$ffi- 7171200s Page I of I tt|I xD approval Zoning 1- 225 FIFTII STREET O SPRINGFIELD,cinglql o p*z(541)726-3753 r FAX: (541)72G3689 ELE CTRI CAL P E RMIT APP LI CATI ON CityJobNumber Cotktzcpis - OO 7 1O Date ' z7Z s Llz*5 LEGAL DESCRIPTION-11oz3Z j 3 c>?t(> o A. JOB DESCRIPTION Service Included 1000 sq. ft" or less Each additional 500 sq. ft. or portion *rereof Each Manufact'd Home or Modular Dwelling Service or Feeder ke A5e 2. Electical Contactor ATT OfuqCIn law 0 N Permi8 are non-transferable and expire if work is not started withiu 180 days of issuance or if work is Suspended for 180 days. Address Supervisor License Number 3ar Expiration Date CIi Constr. Cont. Nunrber Expiration Date - 2O.LDD of .t Address l?-ilD,,.Gih!* P4 City ruCA{ Phone 48f -2j 7$ OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease orrent. Owners Sigaature: Oregon Installation, Alteration or Relocation 200 Arrps or less 201 Amps to 400 Arnps 401 Amps to 600 Amps Over 600 or 1000 Yolts see New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with or Feeder Permit $106.00 s 19.00 $50.00 5o $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 $ 50.00 s 50.00 $ 2s.00 $ 45.00 5;t: 5 .f'5 soo SES-1 B. City f t,a pN| Phone $s 'q'.oi inO J D. J{ Owners Ysms-TCy7.,\ R.^ tlg ll,*ServiceJs-.- E. Minimum Etectric Permit Inspection Fee is 545.00 * Surcharges Purnp or inigation Si grr/Outline Li ghting Limited Energy/Residential Limited Energy/Commercial 7o/oStzle Sr.rcharge l0% Administrative Fee TOTAL 4. Inspection Request: 72G37 69 Shared Drive(T:/Building Forms/Electrical Permit Application 1'03.doc UN CITY F SPRINGFIELD Buildin g/Co mbin ation Permit PERMIT NO: COM2005-00790ISSUED: 0612812005APPLIEDz 0612312005E)PIRESz 1212812005VALUE: $ 5,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 hspe ction Line SITE ADDRESS: 232 S 42ND ST ASSESSOR'S PARCELNO.: 1702323302100 PROJECT DESCRIPTION: Springfield TYPE OF TYPE OF USE: Install truss roof over existing roof structure Single Family Residence Alteration Residential Owner: Address: TWIN BUTIE MORTGAGE INC 143 MADISON ST EUGENE OR 97402 Phone Number: 541-484-2326 foltow AIIE NTON: rul, Oregon law on Utility are s et forth m # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Contractor JOSEPH GEORGE HARVEY # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh ofLot Coverage: AB 0r- Jotification 4). Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARJ(NG Total: Handicapped: Compact: License 50805 4 VN nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Street Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains $ Per Sq Ft or multiplier Square Footage or BkI Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Tvpe of Construction lof2 Value r> Contractor Type General rn Valuation Descriotion Date Calculated F GFIELD Building/Co mbination Permit PERMIT NO: COM2005-00790ISSUED: 0612812005APPLIED: 0612312005E)?IRES: 1212812005VALUE: $ 5,000.00 Status: Issued 225 Fifth Street, Springfield OR 541:726-3753 Phone 541-726-3676Frx 541:7 26-37 69 I nspe ction Line Bid Amount Use Bid Amount Fee Description Plan Review Residential + l0o/o Administrative Fee + 7oh State Surcharge Building Permit Total Amount $1.00 5,000.00 Total Value of Project Date Paid 6t23tvs 6t28t0s 6t28105 6t28t0s Receipt Number 1200500000000000896 1200500000000000913 r200500000000000913 1200500000000000913 $5,000.00 $5,oo0.oo 06123t2005 Amount Paid $44.46 $6.84 $4.79 $68.40 $124.49 Plan Reviews Initial Review Structural Review 06t24t2005 06t24t2005 06t24t2005 06t28t2005 APP APP LLH JB Approved as noted on plans To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 " a.nL will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wonk described herein, and that NO OCflPANCY wil be made of any sfucture without permission of the Community Services Division, Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all timeqduring corxstructionD,D/@g 6-a, ? - ffisignature 2of2 Date o,f I{6Ft3t-Il I ri ees rato I 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone -City of Springfield Official Receipt evelopment Services D epartment Public Works Department RECEIPT #: 1200500000000000913 Date: 0612812005 1:22:18PM Job/Journal Number coM2005-00790 coM2005-00790 coM2005-00790 Description Building Permit + 7%o State Surcharge + l0% Administrative Fee Amrunt Due 68.40 4.79 6.84 Item Total:$E0.03 Payments: Type of Payment Paid By Received By unecl( Number Batch Number Autllorization Number How Received Amount Paid CreditCard DONALD W. HAASE nJm 518222 In Person Payment Total: $80.03 -$80^dt 6t281200s lofl llaltE a3.o