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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01149
ISSUED: 10/28/2005
APPLIED: 08/24/2005
EXPIRES: 04/28/2006
VALUE: $ 30,744.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3241 PHEASANT BLVD
ASSESSOR'S PARCEL NO.: 1703221300600
Springfield TYPE OF
Single Family Residence
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Rebuild existing family room and construcl garage in place of carport. 200amp service
upgrade
Owner: DERAN P ARSEGIAN
- Address: 3241 PHEASANT BLVD
SPRINGFIELD OR 97477
Phone Number: 541-221-4242
I CUNTRACTUR INFURMATlUN I
Contractor Type
General
Electrical
Contractor License Expiration Date
ROYALE CONSTRUCTION 153319 10/30/2006
BRYAN L HURLEY 149937 1212612005
I BUllffl!l1~ORMATJUlllt?IRE IF THE WORK
#lHI~;:~ED UNO~R ~H'S P~MI1~_~lRT
RCED O~ 1$ ABAN/ilQt.lEO ~41lr 1st Floor:
~'i1 ~1!lll~Air Gas Sq Ft 2nd Floor:
e. Sq Ft Basemenl:
Range Type: Sq Fl Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled nJa Occupanl Load:
Phone
541-513-8261
541-606-2797
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Piimary Conslruclion Type
Secondary Construction
# of Bedrooms:
R-3
U
VN
264
216
rDEVELUPMENT INFURMATIUN i
I
!
Front yard Setback:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
5.00
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
IPUBLIC IMPRUVEMENTSI
Sidewalk Type:. t
Fullv Improved ATTENTION: Oregon laW reqUires you ,0 Curbside 5'
Storm Sewer Available: Yes f 11 Ie" DOWRSP!lutsm!'li!n5lgon Utt!ilifb and Gutter
. . 0 ow ru .:"I auUf./\'" ... ....1 ....
SpeCial Instruction: Notification Center. Those rules are set fort1h
. AR 952-001-0010 through OAR 952-00 -
Notes: No SDC existing footprint for new garage 10/12/2005 CAii1 0 bta"n copies of the rules by
0090, You may 0
calling the center. (Note: the telephone
number for the Oregon Utility Notllicatlon
Center is 1-800-332-2344).
Street
1 of 3
~[i...."G!"~
a
Status: Issued
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriplion
Type of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Perm ServlFdr 200 amps or less
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% Slale Surcharge
Building Permit
Flxlure
Miscellaneous Mechanical
Plan Review Minor - Planning
Storm Sewer - Isl 50 Feet
Total Amount
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01149
ISSUED: 10/28/2005
APPLIED: 08/24/2005
EXPIRES: 04/28/2006
VALUE: $ 30,744.00
I Valuation Descrintion I
$PerSqFt
or multiplier
$96.00
$25.00
Square Footage
or Bid Amounl
264.00
216.00
Total Value of Project
Fpp<. P~\lIJ
Amount Paid
Date Paid
$6.30
$4.41
$63.00
$168.68
$10.00
$36.35
$25.45
$259.50
$14.00
$45.00
$85.00
$45.00
8/24/05
8/24/05
8/24/05
1011 OIOS
10/28/05
10/28/05
10/28/05
10/28/05
10128/05
10128/05
10/28/05
10128105
$762.69
I Plan Reviews I
Initial Review 10/1112005 10/11/2005 APP LLH
Plan nine Review 10/1112005 10/14/2005 APP TAJ
Public Works Review 10111/2005 10/12/2005 APP CAS
Structural Review
10/1112005
10/2112005
APP DLM
Value
Da!!! Calculated
10/10/2005
10/1012005
$25,344.00
$5,400.00
$30,744.00
Receipl Number
1200500000000001235
1200500000000001235
1200500000000001235
1200500000000001485
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
Musl have alleast 5' side selback.
Existing carport replace same
footprint for new garage no SDC
Storm drainage piped inlo existing
to curb face 10/1212005 CAS
See documents for Pian review
comments.
To Request an inspection can 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. win be made the following
work day.
IRpn~
Electric Service: Approval required prior 10 utility company energizing service.
FOOling: After lrenches are excavated.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01149
ISSUED: 10/28/2005
APPLIED: 08/24/2005
EXPIRES: 04/28/2006
VALUE: $ 30,744.00
Status: Issued
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
'541-726-3769 Inspection Line
Foundation: Afler forms are erected bul prior 10 concrete placemenl.
Posl and Beam: Prior 10 floor insula lion or decking.
Floor Insulation: Prior 10 decking.
Framing Inspection: Prior 10 cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complele.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required lesting.
Slorm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complele.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Final Mechanical: Wben all mechanical work is complete.
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 wiD be made of any structure without permission ofthe Community Services Division,
Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wiII be used
on Ibis project.
I furt gree to ensure thai all required inspections are requested at the proper time, thai each address is readable from
the, treet, hat the per it ard is located at the front of the property, and the approved set of plans wiD remain on lhe site
at ~ I ti s duri co strJ,tion. I ~. /.
10/2./ ..S-
Owner or Contractors Signature D..{.,
3 of 3
Z25 Fifth Street
,
'I Springfield, Oregon 97477
541-726-3759 Phone
.
.~~'R~!!~_~)___......." .
lAc.f
..a..:"., ..~
,Sjlty of Springfield Official Receipt
.elopment Services Department
Public Works Department
, <, RECEIPT #: 1200500000000001631 Date: 10/28/2005 10:21:39AM
Job/Joornal Number Description Amoo nt Due
COM2005-01149 Plan Review Minor - Planning 85.00
COM2005-01149 Building Pennit 259.50
COM2005-01149 Fixture 14.00
COM2005-01149 Stonn Sewer - Isl50 Feel 45,00
COM2005-01149 Misceilaneous Mechanical 45.00
COM2005-01149 -Mechanical issuance Fee-- 10.00
COM2005-01149 + 7% State Surcharge 25.45
COM2005-01149 + 10% Administralive Fee 36.35
Item Tolal: $520.30
Payments: l:heck Number Authorization
Type of Paymenl Paid By Received By Batch Number Number How Received Amount Paid
,
'. Check ROY ALE CONSTRUCTION djb 5961 In Person $520.30
,.
Paymenl Tolal: $520.30
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10/28/2005
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