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HomeMy WebLinkAboutPermit Miscellaneous 2005-12-15 (2) . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 404 MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233406000 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0I737 ISSUED: 12/15/2005 APPLIED: 12/15/2005 EXPIRES: 06/15/2006 VALUE: $ 300.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace window header at rear dormer t ATrE:!\i IllJ/'- ..J I DEVELOPMENT INFORMATION I ol/ow rUle .. /"'g'.... /"'4 Notificali s adoPted by the UI1",~ Nu co Frontyard Setba~II:OAA 9 On Center. Those r C6Q&lIIY~Jmly Side 1 Setback: 0090 Vi 52-001-0010thr UIE'.jpSt~iJilfO qd: Side 2 Setback: c'. Ou may Obtain coO~9h CPMe<IJYEi qd: Rearyard Setback: al/lng the center (N PIes OVJIl/Iit;.ol" oberage: Solar Setbacks: nUmber for the Or~ ote: the te/eph~ ~ ,,_ Oon II'Wh. ~. ne -. ..,,, 'i; , -BOO-"I:eWuli5Ii\iPROVEMENTS I 1\I0TlC~idewalk Type: THIS PEFf?,Yf1nmfJt[sf{ains: AUTHORIZED UNDER ~~PIRE IF THE WORK COMMENCED OR IS ABA~ PERMIT IS NOT ANY 180 DAV Pr::D'M DONED FOR Owner: COY CHUCK A Address: 404 MANSFIELD ST SPRINGFIELD OR 97477 Contractor Type General Contractor BILL KRPALEK # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VB Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone Number: 541-514-2220 I CONTRACTOR INFORMATION I License 167490 BUILDING INFORMATION' Expiration Date 12/0212007 Phone 514-2220 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paeelof2 GP.AINQF;lUL.D; -11:-:-. . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-01737 ISSUED: 12/15/2005 APPLIED: 12/15/2005 EXPIRES: 06/15/2006 VALUE: $ 300.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 300.00 $300.00 $300.00 1211512005 Total Value of Project Ff'f'~ p"w Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid $4.50 $3.15 $45.00 12115/05 12/15/05 12/15/05 Receipt Number 2200500000000001706 2200500000000001706 2200500000000001706 Total Amount Paid $52.65 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. I Rf'ollirf'd TnsoectioQs I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all reqnired inspections have been reqnested and approved and the building is complete. 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 1 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, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 I. Paee 2 of2 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-01737 ISSUED: 12/15/2005 APPLIED: 12/1512005 EXPIRES: 06/15/2006 VALUE: $ 300.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . SITE ADDRESS: 404 MANSFIELD ST . ASSESSOR'S PARCEL NO.: 1703233406000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTlON: Replace window header at rear dormer Owner: GREER MARTHA M Address: 404 MANSFIELD ST SPRINGFIELD OR 97477 Owner: COY CHUCK A Address: 404 MANSFIELD ST SPRINGFIELD OR 97477 .~& ....r.\J ~ )\;JJ \~ I CONTRACTOR INFORMA TlON I Contractor Type General Contractor BILL KRPALEK License 167490 BUILDING INFORMA TlON I Expiration Date 12/02/2007 Phone 514-2220 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 nla I DEVELOPMENT INFORMA TlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENl'SlENTION: Oregon law requires you to follow ru'S-'"il ~rlr:I"k!Tnrl hv the Oregon Utility 1 ewa ype: f th Notification Center. 1 1 lose rules are set or in OAR 95P!t'~'}1sl',~'\~IP.~l!i!!~:1 OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotificatIOn Center is 1-800-332-2344). Storm Sewer Available: Special Instruction: Notes: NO~';i~M\1 SHALL EXPIRE IF 1HE WORK 1~~HORIZED UNDER 1\1IS PERMIT IS NOT ~OMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paeelof2 . . I CITY OF SPRINGFIELD- , . Status Issued \ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit' PERMIT NO: COM2005-01737 ISSUED: 12/15/2005 APPLIED: 1211512005 EXPIRES: 06/15/2006 VALUE: $ 300.00 I Valuation Descrintion I Description Tvpe of Construction Bid Amount Use Bid Amount $ PerSq Ft or multiplier $1.00 Square Footage or Bid Amount 300.00 Value Date Calculated Total Value of Project $300.00 $300.00 12115/2005 = Fppo P'IW . Fee Description + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 12115/05 12115/05 12/15/05 2200500000000001706 2200500000000001706 2200500000000001706 Total Amount Paid $52.65 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. 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 signature, I state and agree, that 1 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. 1 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. , A/.;~ LL.4' /2/s;~r Date Owner or Contractors Signature Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . J;:.b/Journal Number COM200S-01737 COM2005-01737 COM2005-01737 Payments: Type of Payment Check ;1 II " :( :C 'J II :' .t :f. '1 " " '( 12/15/2005 ,,' RECEIPT #: .P~Il!_..,~,___, WiL' i '. ..- i . . .' i - . --_._". . - .w of Springfield Official Receipt velopment Services Department Public Works Department 2200500000000001706 Date: 12/15/2005 Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By CHARLES COY Received By dIm Page I of 1 Item Total: Check Number Authorization Batch Number Number How Received 1136 In Person Payment Total: 9:46:54AM Amount Due 45.00 3.15 4.50 $52.65 Amonnt Paid $52.65 $52.65