HomeMy WebLinkAboutPermit Miscellaneous 2005-3-7
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. CITY OF SPRINlJl'u'L1J
Building/Combination Permit
PERMIT NO: COM2005-00258
ISSUED: 03/07/2005
APPLIED: 03/04/2005
EXPIRES: 09/24/2005
VALUE: $ 2,000.00
Status
Issued
SITE ADDRESS: 404 MANSFIELD ST
ASSESSOR'S PARCEL NO.: 1703233406000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Remodel framing, plumbing and electrical
Residential
Owner: CHARLES COY
Address: 404 MANSFIELD ST
SPRINGFIELD OR 97477
Phone Number: 541-554-6120
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor NTION' Oregon 1a\l:I ~H;!l t@ Expiration Date
OWNER ATTE . tedbytheOregonUtlllilf
OWNER follow ,:"185 adop 1hOS0 rulfJS are set IortI\l
AMBASSADOltql~~:10 \hICUtI" ~..(lt)'o 03/27/2005
OWNER in ciA~ '~. _~ 1 nhtAin co~ oS thQ rules bV
""~I~qI~\M6m1lNFO~A'fuq;~
umber tof me UI..c,u,1it't J
n ee~iSe1,&00-332~
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-726-5723
, # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lot, Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
, DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: WORK
NOi\~~~'''T <;\-\I\ll E/J)\R~:::.~J\<; N01
I pUBde:I~fr.R9,Ytll\'II;NFS~J;~NDON~O FOR
COMMl:NGtU UERIOO. Sidewalk Type:
I\N'{ 180 01\ '{ P Downspoutsmrains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Miscellaneous PlumbIng
Penalty Fee - BWOP Building
Penalty Fee - BWOP Electrical
Penalty Fee - BWOP Plumbing
-Mechanicallssuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination .Permit
PERMIT NO: COM2005-00258
ISSUED: 03/07/2005
APPLIED: 03/04/2005
EXPIRES: 09/24/2005
VALUE: $ 2,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Value
Date Calculated
Total Value of Project
$2,000.00
$2,000.00
03/04/2005
Fppo. P'WLI
Amount Paid
Date Paid
Receipt Number
$28.40
$9.94
$43.00
$9.00
$45.00
$45.00
$45.00
$52.00
$45.00
$10.00
$4.50
$3.15
$15.00
$4.00
$26.00
3/7/05
3/7/05
3/7/05
3/7/05
3/7/05
3/7/05
3/7/05
3/7/05
3/7/05
3/24/05
3/24/05
3/24/05
3/24/05
3/24/05
3/24/05
1200500000000000296
1200500000000000296
1200500000000000296
1200500000000000296
1200500000000000296
1200500000000000296
1200500000000000296
1200500000000000296
1200500000000000296
1200500000000000363
1200500000000000363
1200500000000000363
1200500000000000363
1200500000000000363
1200500000000000363
$384.99
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.
~ Rprll\&;rrlln~,neetions I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Framing Inspection: Prior to cover and after all rough In Inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Paee 2 of3
.
. CITY 01' ~rK11'ltJl'l~LJJ
Building/Combination Permit
PERMIT NO: COM2005-00258
ISSUED: 03/07/2005
APPLIED: 03/04/2005
EXPIRES: 09/24/2005
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LIne
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough MechanIcal: Prior to Cover
Final Mechanical: When all mechanical work 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 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, Building Safety.
1 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 that all required inspections are requested at the proper time, that each address is readable from the
, . street, that e permit card is located at the front of the property, and the approved set of plans will remain on the site at all
ar gconstrZ::'(/0--
Owner or Contractors Sign;'ure ()
~/2y/v<
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.-
'.
Jnb/Journal Number
COM2005-00258
COM2005-00258
COM2005-00258
COM2005-00258
COM2005-00258
COM2005-00258
Payments:
Type of Payment
Check
)
3/2412005
.
RECEIPT #:
Wii1:T...~'.~!H! .'~ "'. ""'.
i '. ~
..,...... i
" .;
.':' i
," _,. .., _, _..N... ,,' .."...._. ,.
~y of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000363
Date: 03/24/2005
DescrIption
+ 7% State Surcharge
'+- 10% Administrative Fee
Gas Outlets 1-4 .
Gas Fireplace
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMMERCIAL GROUP
NORTHWEST
Item Total:
Check Number Authorization
ReceIved By Batch Number Number How Received
djb 1168 In Person
Payment Total:
Page 1 ofl
9:42:30AM
Amount Due
3.15
4.50
4.00
15.00
26.00
10.00
$62.65
Amount PaId
$62.65
$62.65