HomeMy WebLinkAboutPermit Building 2004-8-11
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00584
ISSUED: 08/11/2004
APPLIED: 05/14/2004
EXPIRES: 02/1112005
VALUE: $ 70,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1525 1ST ST
ASSESSOR'S PARCEL NO.: 1703263200300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
,Alteration
Residential
, PROJECT DESCRIPTION: Accessibility remodel
Owner: HOUSING AUTH & URBAN REN AGY OF LAN
Address: 177 DAY ISLAND RD EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
MALLARD CONSTRUCTION & DEV
License
88420
Expiration Date
Oi/21/2005
Phone
541-367-1641
I BUILDING INFORMATION I
# of Units::
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# oJ~"ries: , Lot Size:
R-3 ~~~f Structure Sq Ft Ist Floor:
,\,<,-<cim~ Heat: Sq Ft 2nd Floor:
V1hr &, ~ ~W~~Type: Sq Ft Basement:
~~ ~'Y..,~ rv~~ge Type: Sq Ft Garage/Carport
\,. <.(J ~S ~~Energy Path: Sq Ft Other:
r-~~\,;<-<{... "\ o..~~~ Sprinkled Building: n/a ~ \.CO>ccupant Load:
r 1 -;) \,(\v ~v ("i 'i~'~
, ~,\\~~'Y..,~~~~ \)'~~ \"O~cf\\DEVELOPMENT INFORMATION t0~ o~'V~~\o<;,,#
~ ,-b <:)" 0,~\: ("~~ <:),,<v~ \0o.0~0($ ~0~'I)~rp;CJ '(J\EQUlREDPARKING
'\ '\, ~~'V &-~'V ~ ~ 'bl qj ~0~
Frontyard Setback: ~ ~~ ~ ~ Overlay Dist: ~''bl .;;s-0 .s.0~ O~ 'l}oS o~ol\'l:
Side 1 Setback: "- \j\) '" ,<U, # Street Trees R~~~O 0 'Q~ ~0" ~ ~ ~ ~0~~ndicapped:
Side 2 Setback: ~~ Paved Drive ~ 0~.....'I) ,\~O ~o\S '~0~ 0 e ,'I) o~ Compact:
Rearyard Setback: % of Lot C~~t~ ~0\' ~c:::, ~ <:P~ ~0~~ ~ r}:\.
Solar Setbacks: '\<v~ \~0 GflJ:' ~ ~c:::, ~~~ ~O '\)~ fl,~
~" ., -('\ ~(\ ~..t .('\ o.f}.;
I PUBLIC IM~\ff.rid<~: O'0~if'
, ~ O~. ~ ~'o\ ~ ~'&walk Type:
" d~ ~:$' ~~ ~0
\S v'?i- ~'Q'I) (;0 Downspouts/Drains:
~\S
~,
Street Improvements:
Storm Sewer Available:
Special Instruction:
~
Notes:
I Valuation Description 1
Description Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
70,000.00
Value
$70,000.00
$70,000.00
Date Calculated
05/14/2004
'Total Value of Project
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00584
ISSUED: 08/11/2004
APPLIED: 05/14/2004
EXPIRES: 02/11/2005
VALUE: $ 70,000.00
~\
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanical
Vent Fan
Amount Paid
Date Paid
$291.62
$10.00
$56.37
$39.46
$448.65
$6.00
$9.00
$70.00
$24.00
$6.00
5/14/04
8/11/04
8/11/04
8/11/04
8/11/04
8/11/04
8/11/04
8/11/04
8/11/04
8/11/04
Receipt Number
1200400000000000745
2200400000000001033
2200400000000001033
2200400000000001033
2200400000000001033
2200400000000001033
2200400000000001033
2200400000000001033
2200400000000001033
2200400000000001033
Total Amount Paid
$961.10
I Plan Reviews I
Initial Review
Structural Review
05/18/2004
05/18/2004
05/18/2004
OS/24/2004
OK RJB
APP TCM
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underslab Plumbing: Prior to fIlling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pal!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541':726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
I PERMIT NO: COM2004-00584
ISSUED: 08/11/2004
APPLIED:' 05/14/2004
EXPIRES: 02/1112005
VALUE: $ 70,000.00
By signature, 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, B~i1ding 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 readable 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
~lJ~:~1~j
Own., ., ~nt'nd." Slgnatn,.
Pal!e 3 of 3
~- I r - ocj
I
Date
225 Fifth Street
,~ _ Springfield, Oregon 97477
· 541-726-3759 Phone
Job/Journal Number
COM2004-00584
COM2004-00584
COM2004-00584
COM2004-00584
COM2004-00584
COM2004-00584
COM2004-00584
COM2004-00584
COM2004-00584
Payments:
,~;, Type of Payment
Check
:~..
I~~,
8/11/2004
RECEIPT #:
('ity of Springfield Official Receipt
lelopment Services Dep.;lrtment
Public Works Department
2200400000000001033
'Date: 08/11/2004
11:29:01AM
Description
Building Perrllit
Fixture
Vent Fan
Exhaust Hoods
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Dryer Vent
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MALLARD CONSTRUCTION
AND DEVELOPMENT INC
Amount Due
448.65
70.00
6.00
9.00
24.00
10.00
6.00
39.46
56.37
$669.48,
Item Total:
Check Number Aqthorization
Received By Batch Number Number How Received
Jmp 4836 In Person
Amount Paid
$669.48
Payment Total:
$669.48
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