HomeMy WebLinkAboutPermit Building 2004-3-3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 388 MANSFIELD ST
ASSESSOR'S PARCEL NO.: 1703233406100
.- CITY OF SPKll~ul'lELD
Building/Combination Permit
PERMIT NO: COM2004-00126
ISSUED: 03/03/2004
APPLIED: 01/29/2004
EXPIRES: 09/03/2004
VALUE: $ 10,000.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Interior remodel> electrical fees received, not issued, 021304 DB
Owner: KEN SANDUSKY
Address: 388 MANSFIELD SPRINGFIELD OR 97477
Residential
Phone Number: 541-485-3315
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Plumbing
Contractor
COHO CONSTRUCTION LTD
DAVID STUCK ELECTRIC LLC
SPECIALTY PLUMBING CO
License
121126
158177
102974
Expiration Date
03/1lI2004
01/01/2006
1lI21/2005
Phone
541-71 0-8691
541-485-8855
541-686-4191
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
VN
...
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUDLI\.. IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
., . requireS you to
AnENTIUI\j:l..ire~Ui'la;e Oregon Utility
follow rules adopted ~se rules are set forth
Notification center'1~thrOugh OAR 952-001
in OAR 952-001.0~ain copies of the rules b.
0090. You may 0 Note' the telephone
calling the center. ( uiility Notification
b for the Oregon
num er t's 1 800-332-2344). Paee 1 of 3
Cen erl -
"
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
NOnCE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS
COMMENCED OR IS ABANDONED FOR NOT
ANY 180 DAY PERIOD.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
'",
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Dryer Vent
Fixture
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
Initial Review
Plan nine Review
Public Works Review
Structural Review
01/30/2004
01/30/2004
01/30/2004
01/30/2004
.
. CITY OF SPKll~ul'lJ!,LU .
Building/Combination Permit
PERMIT NO: COM2004-00126
ISSUED: 03/03/2004
APPLIED: 01/29/2004
EXPIRES: 09/03/2004
VALUE: $ 10,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,000.00
Value
Date Calculated
Total Value of Project
$10,000.00
$10,000.00
01/2912004
F",,<. PIilLI
Amount Paid
. Date Paid
Receipt Number
$69.81
$6.40
$4.48
$43.00
$21.00
$10.00
$19.74
$13.82
$107.40
$6.00
$14.00
$39.00
$31.00
. 1/29/04
2/13/04
2/13/04
2/13/04
2/13/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
3/3/04
1200400000000000134
1200400000000000203
1200400000000000203
1200400000000000203
1200400000000000203
2200400000000000202
2200400000000000202
2200400000000000202
2200400000000000202
2200400000000000202
2200400000000000202
2200400000000000202
2200400000000000202
$385.65
I Plan Reviews I
01/3012004
03/02/2004
02/04/2004
02125/2004
APP LLH
APP TAJ
APP VRJ
APP DLM
no Planning review required.
See documents for plan review
comments.
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.
".'>
U~()lIiredJnsnections I
1 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
3 Post and Beam: Prior to floor insulation or decking.
4 Floor Insulation: Prior to decking.
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
6 Walllnsulation: Prior to cover.
Paee 2 of3
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00126
ISSUED: 03/03/2004
APPLIED:. 01/29/2004
EXPIRES: 09/03/2004
VALUE: $ 10,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
7 Final'Building: After all required inspections have been requested and approved and the building is complete.
8 Rough Plumbing: Prior to cover and inclnding required testing.
9 Final Plumbing: When all plumbing work is complete.
10 Final Mechanical: Wben all mechanical work is complete.
11 Rough Mechanical: Prior to Cover
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 reqnested 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
"-,"ri.O:~ ")IOC{/Jtj
Owner or Contractors Signature Date
Paee3of3
225 Fifth Street .:.'
Springfield, Oregon 97477
541-726-3759 Phone
~l~,~""~'''~,'' .."..",jj,
~~
"',~'''''' ""'~" ..- <"'-"
"'City of Springfield Official Receipt
Development Services Department
Public Works Department,
Date: 03/03/2004 2:45:13PM
Amount Paid
14.00
31.00
6.00
10.00
39.00
107.40
13.82
19.74
$240.96
.
Receipt #: 2200400000000000202
Job/Journal Number
COM2004-00126
COM2004-00126
COM2004-00126
COM2004-00 126
C0M2004-00126
COM2004-00126
COM2004-00126
COM2004-00126
Description
Fixture
Minimum! Adjustment Plumbing
Dryer Vent
-Mechanical Issuance F ee-
Minimum!Adjustment Mechanical
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Item Total:
Payments:
Type of Payment
Check
Paid By
COHO CONSTRUCTION LTD
Received By
ddk
Check Number
Batch Number
Authorization Number
How Received
In Person
Payment Total:
Amount Paid
4724
$240.96
$240.96
.