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Home My WebLink AboutPermit Miscellaneous 2003-4-17 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . Lt. l' OF ~r.K11~GFIELD Building/Combination Permit << PERMIT NO: COM2003-00279 ISSUED: 04/17/2003 APPLIED: 04/17/2003 EXPIRES: 10/22/2003 VALUE: $ 500,00 SITE ADDRESS: 2592 MANOR DR ASSESSOR'S PARCEL NO.: 1703233301600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Add 2 circuits and 1 fixture for hot tub. Minimum bldg permit for drywall Owner: ZIV SIMHI Address: 2592 MANOR DR SPRINGFIELD OR 97477 Contractor Type General Electrical Owner Plumbing " CONTRACTOR INFORMATION I ,0 "ov .# ~ License 0'" ...~~~ ~,o 1:)" . ,-f ~ ",0 r? "jSli;374 ,0<:); 0...0 ~0 o)'=> ....s.0 ~0 ~ 'I>~ I/) 0"'.J?' I/) :$:-0 'f> ~"..:s:.~ O.~ _o_t;;. .-... _~ 1 ". .~ ':'~ -,,- -:l"- _10BUlLDlNG,lNFORMJ\<I;ION I , , Y .s..~ N. ., ~' N .'> ""'_bl'" ,,- 0, rO 0...~"f'j". ~.f5 '1;<$ ~e'lil!!f.SlC/r~~ ~~ n!li /~ .~0ro v0 ".Jfe~itt ofS.....cture AV ,v ^ .... " ,,' ($rcvJ ~ . ~ .,,0" r? ~pe1or Reali;)" ~o$:-O.()WO)'=> ~am',:J1p.,~ "l .~.I>.. ~ III "" ...., Cl ~ AO ~Dgq1Pe: ~ 0 1:). .~~~r~Path: .~ 1:)03 ~ ",,0' v'lf <::l \J if'.... ., .\ J DEVELOPMENT INFORMATION' Contractor ZIV SIMHI ABLE ELECTRIC ZIV SIMHI ZIV SIMHI # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Residential Phone Number: 541-463-1441 Expiration Date Phone 541-463-1441 541-726-6701 541-463-1441 541-463-1441 12/01/2003 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ~~ ~~'\JIRED PARKING ~'\~~~~: ~ ~~#ndicapped: <&- '2;, ~ ';:)~ Compact: \" ,,~ .>..<:S % of Lot Coverage: "=>~~-;<v~ ~~- , (.'. \~ ,~~~-~, I PUBLIC IMPROVEMEN~S:l~"~ 'V~~I".' y ~J ~. _''-l ~ ,,-<:- ~-<:- ,-0- ~walk Type: ~~~.~ ,,~ ~"....uownspoutslDrains: ~'f. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Paee 1 of3 . . CITY OF SPK.lr\iljt<i~LU Building/Combination Permit PERMIT NO: COM2003-00279 ISSUED: 04/17/2003 APPLIED: 04/17/2003 EXPIRES: 10/22/2003 VALUE: $ 500.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project I F pp< tilLILI Fee Description Amount Paid Date Pai Receipt Number + 10% Administrative Fee $9.10 4/17/03 1200200000000001021 + 7% State Surcharge $6.37 4/17/03 1200200000000001021 Add, Alter, Extend Circ $43.00 4/17/03 1200200000000001021 Add, Alter, Extend Circ Ea Add $3.00 4/17/03 1200200000000001021 Fixture $14.00 4/17/03 1200200000000001021 Minimum/Adjustment Plumbing $31.00 4/17/03 1200200000000001021 + 10% Administrative Fee $4.50 4/22/03 1200200000000001042 + 7% State Surcharge $3.15 4/22/03 1200200000000001042 Building Permit $45.00 4/22/03 1200200000000001042 Total Amount Paid $159.12 I Plan Reviews I 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. UeoniredJ"nsnectfnns I 1 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. 5 Wall Insulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. 7 Drywall: Prior to taping. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00279 ISSUED: 04/17/2003 APPLIED: 04/17/2003 EXPIRES: 10/22/2003 VALUE: $ 500.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 furtber certify tbat any and all work performed shall be done in accordance with tbe 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 ofany structure without permission oftbe 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. 1 further agree to enSure tbat 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 ofthe;property, and the approved set of plans will remain on the site at all tim::;i::::~~~ //-/_, " / ~ n L c: dr?' ~_ - ij~() ? ?iifr' okContract6i:sSignature Date I - ~ Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00279 COM2003-00279 COM2003-00279 Payments: Type of Payment CreditCard Paid By ZIV SIMHI Description Building Pennit + 7% State Surcharge + 10% Administrative Fee Receipt #: 1200200000000001042 Date: 04/22/2003 Received By Check Number Confirm No djb 000048 989091 Page I of I 4/22/2003 . 10:04:59AM . City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 45.00 3.15 4.50 Line Item Total: $52.65 How Received Amount Paid In Person 52.65 $52.65 -- Payment Total: cReceipt.rpt