HomeMy WebLinkAboutPermit Building 2005-11-14 I I = 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 ~~' .~- I I 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 I Job/Journai Number COM2005-01607 COM2005-0 1607 COM2005-0 1607 Payments: Type of Payment CreditCard I ;l :' :, I;\. .' ., ': " 11/14/2005 RECEIPT #: ."~.9fNQ"'D.D' u... :.. ...,; 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