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HomeMy WebLinkAboutPermit Miscellaneous 2005-3-7 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ ; . 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