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
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.
.
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
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12/15/2005
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RECEIPT #:
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.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