HomeMy WebLinkAboutPermit Building 2010-6-7
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
PERMIT NO: COM20]0-00727
ISSUED: 06/07/20]0
APPLIED: 06/07/2010
EXP]RES: 12/09/2010
VALUE:
SITE ADDRESS: 208 17TH ST
ASSESSOR'S PARCEL NO.: 1703363102900
Springfield TYPE OF WORK: Use Initials
I CONTRACTOR INFORMATION ,
Contractor License
COMPLETE ELECTRICAL INSTALLATION 184274
OWNER '"
BUILDING INFORMATION I
PROJECT DESCRIPTION: Electrical Service Change
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Owner: SHULTZ JEFF
Address: 208 17TH ST :T:
SPRINGFIELD OR 97477
Contractor Type
Electrical
Plnmbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
TYPE OF USE: New
Residential
Expiration Date
10114/2010
Phone
541-225-7827
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#.Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
ATTENT'. . I PUBLIC IMPROVEMENTS I
In" ,ON. Oreqan J." , _ .
Street ImprovellJen\y,w rUles ado-t" ^' . ",VI "~'-!lJ/re8 YO'J t
Not,f/cat' /J e,.' fJ" ,...., r .' 0
. Ion Cent~Y ",c,;: ,.)1'8'....,...,1 lit.
Storm Sewer Avllil]l>l1'l'e52_00 er. Those rUlesa'J.:", ',llit)!
SpeciallnstrucD6'Q;v. You m 1-0010 through oAFt ~eltorth ., ",
calling th ay obtam Copies of th 9"2-001_
Notes: nUmber fo~ t~enoter. (Note: the tel e r~/es by
C e regon Urn ep"one
enter;, 1-800 332' , Y Notification
- -2344).
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.:~~~~;:' ;";:4,_';~Hage .I.of 3
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REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
. COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation DescriDtion ~
Descriotion
$ Per Sq Ft
or multiplier.
TVDe of Construction
'~'" 1\
. Square Footage
or Bid Amount
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid
$9.72.
$4.05';,:.;"
$81.00;';';\;
$6.96;,":.:
.. .'" .~
$2.90'; .
$19.00
$39.00
Tot.1 Amount Paid
$162.63
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Date P.id
6/7/10
6/7/10
.,' 6/7/10
6/9/10
6/9/10
6/9/10
6/9/10
I Plan Reviews I
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00727
ISSUED: 06/0712010
APPLIED: 06/07/2010
EXPIRES: 12/09/2010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000650
2201000000000000650
2201000000000000650
2201000000000000664
2201000000000000664
2201000000000000664
2201000000000000664
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~e(lHirecUnsnections I
Electric Service: Approval required prior to utility company energizing service.
Fin.1 Plumhiug: When.1I plumbing work is'rc6'inplet~':'".
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00727
ISSUED: 06/07/2010
APPLIED: 06/07/2010
EXPIRES: 12/0912010
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and I furtber 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 Commnnity Services Division, Building Safety.
I further certify that only contractors and employeeS3,:ho'~re,!~' compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectio'ls~re reqnested at the proper time, that each address is readable from the
street, that the permit card is located at the front 6(iii~ property, and the approved set of plans will remain on the site at all
times during construction. I:'
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Owner or Contractors Signature
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Date
..,
225,Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
'2201000000000000664
Date: 06/09/2010
10:39:44AM'
Job/Journal Number
COM20 I 0-00727
COM20 I 0-00727
COM20 I 0-00727
COM20 I 0-00727
Payments:
Type of Payment
Cash
Change
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
KRISTEN SCHULTZ
KRISTEN SCHULTZ
Received By
njm
njm
Check Number
~atch Number
Item Total:
Authorization
. Number How Received
In Person
In Person
Payment Total:
Amount Due
19.00
39.00
6.96
2.90
$67,86
Amount Paid
$68.00
($0.14)
$67.86
Job/Journal Number
COM20 I 0-00727
COM20 I 0-00727
COM2010-00727
COM20 I 0-00727
Payments:
Type of Payment
Cash
Change
cReceintl
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
KRISTEN SCHULTZ
KRISTEN SCHULTZ
Ii};;; ,:1.1 ~_!:k
"/~"'_.: 'I. Check Number
~e,ceived By--' Batch Number
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Page I of I
Item Total:
Authorization
Number How Received
In Person.
In Person
Payment Total:
Amount Due
19.00
39.00
6.96
2.90
$67,86
Amouot Paid
$68.00
($0.14)
$67.86
6/9/20 I 0