HomeMy WebLinkAboutPermit Building 2010-6-24
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00558
ISSUED: 06/24/2010
APPLIED: 05/03/2010
EXPIRES: 12/24/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 428 MANSFIELD ST
ASSESSOR'S PARCEL NO.: 1703233405900
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Springfield TYPE OF WORK: Bathroom
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TYPE OF USE: Remodel
Residential
PROJECT DESCRIPTION: Bath remodel
Owner: WILLIAMS FAMILY REVOCABLE TRUST
Address: 2870 RIVIERA CRT
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DUKES AND DUKES CONST
EASTSIDE ELECTRIC'INC
SUNSET HEATING & AIR INC
DENNIS SCOTT EGGERS
License
65060 '
117770
171706
142776
Expiration Date
031161201 ]
10/04/2011 '
08/18/2010
05/05/20]2
Phone
541-747-3\30
541-915-9828
541-988-3181
541-459-0110
BUILDING INFORMATION ~
VB
# of Stories:
Height of Struc~ure
Type of Heat:
Water Typ~:'
'R~nge.Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occ pant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard'Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:,
Side 2 Setback: Paved Driv,e Rqd:"
Rearyard SetbackATTENTION: Oregon law requlr~\IlI\L" Coverage:
Solar Setbacks: follow rules adopted by the Oregon UtIlity, :
o Ilea .
I OAR 952-001.0010throu VEMENTS
n y, may obtain COpl "
Street ImprovenilBOO.. au nter (Note: thetelepttone
calling the ce . U 'liIY NotIlIcaIion
Storm Sewer Avai_ber for the Oregon tl '''''4)
Special Instruction: Center \8 1-800-332-.--. .
Sidewalk Type:
DownspoutslDrains:
Notes:
NOTICE: RE IF THE WORK
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I:.,e' ""ii, NY 180 DAY PERIOD.
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00558
ISSUED: 06/24/2010
APPLIED: 05/03/2010
EXPIRES: 12/24/2010
VALUE: $ 2,000.00
Status
Iss u ed
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I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Value
Date Calculated
Description
" T,otal.Value of Project
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$2,000.00
$2,000.00
05/03/2010
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Add, Alter, Extend C;rc
Add, Alter, Extend C;rc Ea Add
Building Permit
Dryer Vent
Fireplace (Listed)
Fixtu re
Gas Outlets 1-4
Vent Fan
+ 5% Technology Fee
Curhcut Permit
12Fees P~
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Amount Paid'
Date Paid
Receipt Numher
$42.96
$17.90
$79.00
$55.00
$36.00
$58.00
$9.00
$20.00
$76.00 ':: ·
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$'7:'oil:)';
$18.00
$4.40
$88.00
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5/3/10
5/3/10
5/3/10
5/3/10
5/3/10
'5/3/10
5/3/10
5/3/10
5/3/10
5/3/10
5/3/10
6/24/10
6/24/10
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
1201000000000000403
3201000000000000331
3201000000000000331
Total Amount Paid
$511.26
I Plan ,Reviews ~,
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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.
. ~eollirerUnsnections ~
, .
Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
Final Building: After all required inspections haye heen requ~sted and approved and the huilding is complete.
Rough Plumhing: Prior to cover and in.dudin,g"requir~d' testing.
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Shower Pan. Prior to covering and including required testing.
Final Plumbing: When all plumbing work is complete.
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CITY OF SPRINGFIELD
Iss u ed
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Building/Combination Permit
Status
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO: COM2010-00558
ISSUED: 06/24/2010
APPLIED: 05/03/2010
EXPIRES: 12/24/2010
VALUE: $ 2,000.00
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete. '
Rough Gas: After line is installed and required testing and capped if not attached to an ~ppliance.
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is complete.
Owner or Contractors Signature
Date
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;:1< ", DRIVEWAY/SIDEWALK:.; ,.:,: :" PERMIT APPLICATION .'A.~~~;<
225 FIFTH STREET OP.:":,= ~
SPRINGFIELD. OREGON 97477 .
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726.3753 ~ $
APPLICATION DATE: c,/;?~/ /0
PERMIT NUMBER:
DATE ISSUED:
(~)J/)-
G?/? ,,///61
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SITE INFORMATION:
7/0"7
STATE: 0..<
PHONE /9f{-lc/7- fl ]0
TAX MAP:
-
APPUCANT
ADDRESS. ,/J D. If'ry
CITY: ~t~..I
SUBDMS N.
OWNER -0'1;: '" ~A::r;.. t ;. . U;"~E
ADDRESS '/zg ~A'''' '/d./' CITY:. '1"//",(,(
ZIP:
17,/0/
TAX lOT:
STATE.:
PHONE:
cJ/;
2lP. 7' ?v-??
REOUESTED PERMITS:
o SIDEWAlK: ". """".............
AMOUNT OF SIDEWAlK IN EXCESS OF 90FT.
$88.00 """..".."" ~ $
@$0,08 SF. = $
"...... $15.50 ............"............. ~ $
o SIDEWAlK REPAIR:..."..........................
rCURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_X ..........".......... $88.00 1st Cut = $
o MULTIPLE PERMIT DISCOUNT EA: ..........(MAX 2) ...........................$30.00 2nd Cut ~U-
(MUL T1 PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECT10N illiLY
APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIRl =$
o 5% Technology Fee $ TOTAL DUE WITH PERMIT $
o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
PHONE:
EXPIRATION DATE:
7'7'/-520- 22/')@t:C.> PHONE,
INSPECTIONS:
AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AfTER THE PROPOSED WORK HAS BEEN FO, RMED ANO MADE READY TO
POUR. CURB CUT AND SIOEWALX INSPECTlONS CALL 726-3769 {RECORDER) STATE YOUR OESIGINATED CITY JOB
NUMBER/PERMIT NUMBER,JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND VVl-lEN YOU WILL BE READY FOA INS PECllON, CONFRACTOR'S OR
OWNER'S NAME AND PHONE NUMBER. REQUESTS RECElVED BEFORE 7:00 AM. WILL BE MADE niE
SAME DAY, REQUESTS AFTER 7:00'A.M. WILL BE MADE- THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CAllED IN
AFTER EXCAVATIONS ARE MADE 'AND FOAM WORK IS IN PLACE BUT PAlOR TO POURING CONCRETE.
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D Single driveways serving singlb ":fall1ily and duplex dwellings shall
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be paved for the first 18 feet when abut.ting'a curb and gutter. 4.2-2(3)
You are required to call utility ilOtification .;enter "one call number" 811 before digging
SIGNATURE:
AMOUNTRECEWED. $1;;), L,Lu DATE PAID, y/U/~
RECEIPT NO. RECENED BY.---1 t1. ;z. CJ J-77
By signaturell state and agree1that I have carefully examined the completed appfication and de he rep.,.. certify that aD information herein is true
and cooed aJ:ld .further c~ifV lha. at1Y and all work .Qectooned shall be dooe in accordance wilh the Ordinances of ,. . .
the City of Spnngheld, appln:a6le CIty Slandard speaficaliens and Drawings, and the laws 01 the Stale 01 Oregon perlillnlng 10 the work described herell1. I further
certify lhal.only conlradas and employees wt1e are In compliance with QAS 701,055 'MIl be used
on lhispro]ect. .
The CHy may inspect, the wcrk site described in this permit at any lime during a ene year period Ie nowing lhe receipt by the City ot notice ot ccrn~lellon ot lhe
d!,,!scnbed ~bk and,~pe<;:ily, ,!-l,the Oly's sole discretion, any additional restoration IY(I(\( reqUired 10 rellJl"n th,e site to a standard acce~able 10 lhe Ci . The
perfTllnee Will e notified In wrI,tJng 01 any worx reQuired and wilt have lhirty days PO} Irem the dale 01 the nollce to complete the wor1t, War!<: not camp aled at Ihe end
01 Ihe lhirty days will be performed by lhe City end the costs win be billed 10 tlie permillee. - ,
! lurttu:r agree 10 ensure lhal all uesled atlhe proper lime, Ihat proj act adcYess Is reada~e from the
street, and the approved set 0 ns I ~mes dur' slruclion. .
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225 Fifth Street
Springfield, Oregon 97477
541-72~-3759 'Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000331
Date: 06/24/2010
1:53:33PM
Job/Journal Number
COM2010-00558
COM20 I 0-00558
Payments:
Type of Payment
CreditCard
cReceinll
Description
Curbcut Penn it
+ 5% Technology Fee
Paid By
DA VID DUKES
Check Number
Received By"., Batch Number
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Page I of I
Item Total:
Authorization
Number How Received
Amount Due
88.00
4.40
$92.40
Amount Paid
068498 In Person .
Payment Total:
$92.40
$92.40
6/24/20 I 0