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Home My WebLink AboutPermit Miscellaneous 2003-4-17 (2) . . CITY OF SPRINGFIELD Status Issued ~ ,- Building/Combination Permit PERMIT NO: COM2003-00279 ISSUED: 04/17/2003 APPLIED: 04/17/2003 EXPIRES: 11/05/2003 VALUE: $ 500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 bot tub. Minimum bldg permit for drywall Residential Owner: ZIV SIMHI Address: 2592 MANOR DR SPRINGFIELD OR 97477 Pbone Number: 541-463-1441 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Owner Plumbing Contractor ZIV SIMHI ABLE ELECTRIC OWNER ZIV SIMHl ZIV SIMHI License Exu.i.J:.ation Date ~~y.;. 14~~~ \~~ \~ ~~01/2003 ~\. ~~ V'(.v..~'\ ~'Vv.. ~~~~~~~~ ~~:\)~~ ~~~~\)\)~'(.'\) I nJ;u:i..."~~.- :ru.6lHI }!l "~M..! '~ y!- io'?~~~ '\)~ H~r of Structure Type of Heat: Water Type: Range Type: Energy Path: Phone 541-463-1441 541-726-6701 541-463-1441 541-463-1441 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENTINFORMATION I 0\)\0 \)\~aS'! \)\\~\\'! REQUIRED PARKING ~a~ 0(\ \o{\\ Overlay Dist: . 0'\ \'<lo>l'l a o~ag a sa\ 0'1 Total: # Street Trees)R~Ia:~ '0'1 \\1 . ,'as '<lo~ n,1O?--O ""Handicapped: -,\..".... ..\eu e~v\ "'t-,"::J S\J) P,a\3'!lDrivec\.\!qil: -<;\lOS <\\1 Or a ~\)\e Compact: ~ \ _\)\as _ _,,\a\' \\I~O\)" 0\ \\1 'lno(\a \6-~~oC.LoM;:over~teJ'IO o~\aS W\e~. 'i..\0(\ '!..\'i\c'<lo'I\ <;?-_oo'l ;Q\a$\~, ~a.. \\la ~\o'i.\\\ca: N.O . n C\~ ...,) 0 1\'10 ...,'."1:\1 '''4 _... I PUBloJICiMPROYEMENiS:'~O~~;?--?-~"'~' ..... ~\\\..., ~"\."- 'I ~\jv c'<lo :oa~ \0 e' \'0 - Sidewalk Type: (\$~ 0"'(\\. DownspoutslDrains: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of3 . Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft Square Footaee Total Value of Project I Fppo. PiilU Fee Description + 10% Administrative Fee + 7% State Surcbarge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fixture Minimum/Adjustment Plumbing + 10% Administrative Fee + 7% State Surcharge Building Permit -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcbarge Appliance Vent Gas Outlets 1-4 Minimum/Adjustment Mechanical Amouut Paid Date Pai $9.10 $6.37 $43.00 $3.00 $14.00 $31.00 $4.50 $3.15 $45.00 $10.00 $4.50 $3.15 $6.00 $4.00 $35.00 4/17/03 4/17/03 4/17/03 4/17/03 4/17/03 4/17/03 4/22/03 4/22/03 4/22/03 5/5/03 5/5/03 5/5/03 5/5/03 5/5/03 5/5/03 Total Amount Paid $221.77 I Plan Reviews , . Lll t V.l' ~rK1NGFIELD Building/Combination Permit PERMIT NO: COM2003-00279 ISSUED: 04/17/2003 APPLIED: 04/17/2003 EXPIRES: 11/05/2003 VALUE: $ 500.00 Value Date Calculated Receipt Number 1200200000000001021 1200200000000001021 1200200000000001021 1200200000000001021 1200200000000001021 1200200000000001021 1200200000000001042 1200200000000001042 1200200000000001042 1200200000000001126 1200200000000001126 1200200000000001126 1200200000000001126 1200200000000001126 1200200000000001126 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. IRp~ 1 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: Wben all plumbing work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: Wben all electrical work is complete. 5 Walllnsulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. 7 Drywall: Prior to taping. Paee 2 of3 . . CITY 011 ~rK11'1ut<1Jj,LlJ Building/Combination Permit Status Issued PERMIT NO: COM2003-00279 ISSUED: 04/17/2003 APPLIED: 04/17/2003 EXPIRES: 11/05/2003 VALUE: $ 500.00 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line 8 Gas Service: After line is installed and line bas been connected to a minimum of one appliance including required testing. Presure test done at tbis point. 9 Rougb Mechanical: Prior to Cover 10 Final Mechanical: When all mecbanical work is complete. By signature, 1 state and agree, that I have carefully examined tbe completed application and do hereby certify tbat all information bereon is true and correct, and 1 further certify tbat 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 tbat 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 wbo are in compliance with ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe street, that the permit card is located at the frontOf.iii'e property, and the approved set of plans will remain on the site at all times during construction. s/5-hs _/ ~ ---~ ~~--~ , A'-C /' -./~ 70r.con~ignature Date / Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00279 COM2003-00279 COM2003-00279 COM2003-00279 COM2003-00279 COM2003-00279 Payments: Type of Payment Paid By CreditCard ZIV SIMHI 5/5/2003 I :23:58PM City of Springfield Development Services Departmen~ Public Works Department. Official Receipt....' Receipt #: 1200200000000001126 Description Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By djb Date: 05/05/2003 Amount Paid Item Total: 6.00 4.00 35.00 10.00 3.15 4.50 $6Z.65 . L'beck Number Confirm No How Received In Person Payment Total: Amount Paid 000058 005510 62.65 $6Z.65 . Page I of I cRec:eipt.rpt