HomeMy WebLinkAboutPermit Miscellaneous 2005-9-9 (2)
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. UJ f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01165
ISSUED: 09/0912005
APPLIED: 08/2612005
EXPIRES: 03/09/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 210 DORRIS ST
ASSESSOR'S PARCEL NO.: 1803022401000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Rewire house and replace service. Replace/Repair Water Line
Residential
Owner: JAMES HOFFMAN
Address: 571 ASPEN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plumbing
Contractor
BIG C ELECTRIC LLC
ROMP PLUMBING & MECHANICAL INC
License
156428
110648
Expiration Date
07/25/2007
04/21/2008
Phone
541-744-8946
503-769-4335
I BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range 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:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
, % of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction: "'j f'~'),U\rlJ~ YUU~'~y
JlEN flu \.L:"': ,el, 'u the Oregon Uti I .
Notes:1A\IOW rules adopted by e rules are set Ion
o . center.1hcs OAR 952-00
Notilicatl~~_001.001 ') thro~gh 01 tIle rules L
in OAR ';ou may obtain CCPI:~he telephone
OO~~lIing the ccn\EJr~ (~~t~tility Notilicatlon
numberlor the.or ~OO_332-2344).
CenterlS 1-
Sidewalk Type:
Downspoutsffirains:
NOTICE: E IF THE WORK
THIS PERMIT S~~~~ E:~~ PERMIT IS NOT
flUTHORIZEO UOR IS flBflNOONEO FOR
COMMENCEO
flNY 1 BO OflY PERIOO,
Page 1 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01165
ISSUED: 09/09/2005
APPLIED: 08/26/2005
EXPIRES: 03/09/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Deserintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp<. Pili4.I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
+ 10% Administrative Fee
+ 70/0 State Surcharge
Fixture
Water Line - 1st 50 Feet
Water Line - Each AddtlIOO'
Amount Paid
Date Paid
Receipt Number
$10.60
$7.42
$106.00
$14.30
$10.01
$84.00
$45.00
$14.00
8/26/05
8/26/05
8/26/05
9/9/05
9/9/05
9/9/05
9/9/05
9/9/05
1200500000000001254
1200500000000001254
1200500000000001254
2200500000000001237
2200500000000001237
2200500000000001237
2200500000000001237
2200500000000001237
Total Amount Paid
$291.33
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.
L...iIiaIIi rlPlrI T n ~IliIPI~t\IIIIIJ
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01165
ISSUED: 09/0912005
APPLIED: 08/26/2005
EXPIRES: 03/09/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all
information bereon is true and correct, and I furtber certify tbat any and all work performed shall be done in accordance with
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, and
tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project.
I further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from tbe
street, that tbe permit card is located at the front of the property, and tbe approved set of plans will remaiu on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee30f3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01165
ISSUED: 09109/2005
APPLIED: 0812612005
EXPIRES: 03/0912006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 210 DORRIS ST
ASSESSOR'S PARCEL NO.: 1803022401000
Springfield TYPE OF WORK: Electrical Work Only
Owner:
Address:
JAMES HOFFMAN
',"
571 ASPEN ST , )" .
SPRINGFIELD OR 97477 ( "'j"
<\\.'v ,:... ,..
,'~< \,..... \~
, ,'~~~ (~",:"V 'I CONTRACTOR INFORMATION I
'v' ~) -\:;i'
,."Ctilitra'ct~i-'J License
_ . BIG C ELECTRIC LLC ,0156428
\' ,';ROMP ?bUMBING & MECHANICAL I~~ ,:{ti~8
. ,'; "J>' "v" ,v I BUILDING INFORM1TI()N.t"_,
,. " . .. I I '0'
~\'~ .~...'.j v' \''U-O,'U-~lQ q,~v et?
# of Units: \.>)", "\" # O~~~H4!.~:~ ,,,,-<0"" r,{1:- <o'~ o~<O ~
Primary Occupancy Group: R-3 Hetght.of,Structure ,'$' n~ ,&0
\ c>'-.:... ;.. "" c..-.r.J C'\.' 6' ~Iu (l'
Secondary Occupancy Group: (!'YP'e.of.Heatuv'<> <0"" <0 ,<0 o~
Primary Construction Type VN O~. Wit'j';rT~p'eT o~' . '$' ,,"" ~.
..c,\,: ,.".", "'0,, ,'~ C; e,' ~" t>\
Secondary Construction Type: -i;.' IfRange.TYp'ei' _,0'" -,~ :l,,~
.<~ ~ r",.." .'" ~- v :t:
# of Bedrooms: ~' ~". ,Ene,rgy ~ath~. o~ ",'"
~ ~o c:~o ~jl~in!sle'!;!J1iil\lirig:jJ nla
\1 ....., _ qs , ~ c, ,U.)j
. , ,. .., "'-. -~. .. ~- -
',-DEVELOPMENTINFORMATION I
. ......,.-. ~...... '!U' (J'l.'
~ C" Y
~'
O~erlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Repair
.
Residential
PROJECT DESCRIPTION: Rewire house and replace service
Contractor Type
Electrical
Plumbing
Expiration Date
07/25/2007
04/21/2008
Phone
541-744-8946
503-769-4335
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Dralns:
Notes:
Paee 1 00
-iF
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01165
ISSUED: 09109/2005
APPLIED: 08/26/2005
EXPIRES: 03/09/2006
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of ProjeCt
U'PP< p"w
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1 000 Sq Ft
+ 10% Administrative Fee
:. + 7% State Surcharge
Fixture
Water Line - lst50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$10.60
$7.42
$106.00
$14.30
$10.01
$84.00
$45.00
$14.00
8/26/05
8/26/05
8/26/05
9/9/05
9/9/05
9/9/05
9/9/05
9/9/05
1200500000000001254
1200500000000001254
1200500000000001254
2200500000000001237
2200500000000001237
2200500000000001237
2200500000000001237
2200500000000001237
Total Amount Paid
$291.33
I Plan Reviews ,
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.
L..ienlliretUn~nections I
~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Rough Plumbing: Prior to cover and Including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Paee 2 of3
.
. LU ~ OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01165
ISSUED: 09/0912005
APPLIED: 08/26/2005
EXPIRES: 03/09/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis 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
tim~.ng con /Jstruc~
~ ~ s1-9-0S
Owner or Contractors Signature
Date
Paee 3 00
. 22;; Fifth Street .'
Sprili~~I~, pregon 97477
_ 541-726-3759 Phone
Job/Journal Number
COM2005-01165
COM2005-01165
COM2005-01165
COM2005-01165
COM2005-01165
Payments:
Type of Payment
CreditCard
;,
"
..
:,
"
9/9/2005
.
RECEIPT #:
Description
Fixture
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BRANDON DEVERS
."~AIN"".' ""'! .. '. '_.
IJIL.. I
~. .
.,_.._-.. ," .
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001237
Date: 09/09/2005
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
jmp 034949 In Person
Payment Total:
Page I of!
2:53:06PM
Amount Due
84.00
45.00
14.00
10.01
14.30
$167.31
Amount Paid
$167.31
$167.31