HomeMy WebLinkAboutPermit Building 2005-11-14
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-0I607
ISSUED: 11/1412005
APPLIED: 11/14/2005
EXPIRES: 05/14/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 360 Mountaingate Dr
ASSESSOR'S PARCEL NO.: 1702343401400
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION:
- Owner:
Address:
REGAL CUSTOM HOMES INC
PO BOX 489
ELMIRA OR 97437
t,: ' ::,,'on law requires you 10
i, I, c ,...(1 oy lI1p~.!.re~N~~~~~! 541-935-8825
Ndtltl .I~: 1 ~enter. Those rUles art:) ~"lIUlth
In Of. \ 902-001-0010 through OAR 952-001-
t"\t"\nn v......" .........." nht"lin ("t"'\niac:: nfthp nllp.~ bv
Contractor Type
Electrical
Contractor
MAG ELECTRIC INC
: .'... .e.. :...._- (Note: Ihetelephone
I CONTRACTO~~NFORMATION tv,. Utility Notification
CeOl'.~r is 1-800-332-2344\,
LIcense Exp1ratJlm Date
149834 12/13/2005
Phone
541-461-0387
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION'
# of Stories: NOTICE: Lot Size:
Height ofStrucTJ-l,JJ; PERMIT SHALL Ih~~or:
Type of Heat: AUTHORIZED UNDER I t P1~WORK
Water Type: COMMENCED OR IS A t ItIS NOT
Range Type: ANY 1 ao DAY PERIO iJOOh~port
Energy Path: D.Sq Ft Other:
Sprinkled Building: nla Occupant Load:
'DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dlst:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!elof2
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01607
ISSUED: 11/14/2005
APPLIED: 11114/2005
EXPIRES: 05/14/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F....~. tlWU
, Fee Description
+ 10% Administrative Fee
. + 7% State Surcharge
Temp Power 200 amps or less
Amount Paid
$5.00
$3.50
$50.00
Date Paid
I 1114/05
11/14/05
11/14/05
Receipt Number
2200500000000001576
2200500000000001576
2200500000000001576
Total Amount Paid
$58.50
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.
~eouilfd rn~n..dion~ I
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signalure, 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 requested at the proper time, that each address is readahle 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
Pal!e 2 of2
225 Fifth Street
SpriIigfield, Oregon 97477
541-726-3759 Phone
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Job/Journai Number
COM2005-01607
COM2005-0 1607
COM2005-0 1607
Payments:
Type of Payment
CreditCard
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11/14/2005
RECEIPT #:
."~.9fNQ"'D.D'
u... :..
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Iy of Springfield Official Receipt
velopment Services Department
Public Works Department
2200500000000001576
Description
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
LISA D. GRAY
Date: 11/14/2005
Item Total:
Check Number AuthoriZation
Received By Balch Number Number How Received
njm 014619 In Person
Payment Total:
Page I of I
1:33:02PM
Amount Due
50.00
3.50
5.00
$58.50
Amouot Paid
$58.50
$58.50