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Home My WebLink AboutPermit Building 2004-9-8 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01009 ISSUED: 08/16/2004 APPLIED: 08/16/2004 EXPIRES: 03/08/2005 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5120 C ST ASSESSOR'S PARCEL NO.: 1702333200600 Springfield TYPE OF WORK: Miscellaneous Total: Handicapped: C~ct: . "\\\'t. ~ ~\)\ ~ ,~ K 'CO "19\~ r;q~\ -"Q. I PUBLIC IMPROVE{3~TS , CO\\~\.\. ~ \~\CO ~~~'t.~ \ - ~~\ ~~~~\\)~~A~ype: \\\\~\\\)~~~'t.\) ~~)}outslDrains: ~\j ~~~ \)~ C(J ~ \ro~ ~~ TYPE OF USE: PROJECT DESCRIPTION: Drywall entire house/ add 5 circuits. Owner: POPE WM A & LORNA J Address: 5120 C ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor OWNER OWNER ' MARSHALLS INC License 0\0 _c. ,-\0 ,,\\\'1 25790 ,\\~ I BUIiDlNG IN:FORM.NTION . \ v '\:j - \J~ ~o~ \",e s ro.' CjSi~- . 'e: # of Units:. . O~e 0 ~f ~'fies;t>-\'- 0.,;;,s .' , . r>,~. o\e \Efl.'i>e-"'- "" U (;, ,0 '." PrImary Occupancy Group: ~~~ '/).OOY' ,\~(~~'I'S~{t!.()t~r~\c)\:'" \ Secondary Occupancy Group~ ,..... ,.j.et:, (je~\e'<.' :\IDYPe ~,~a~\eW~~Co.\\V\ Primary Construction Type \O\\~~ O\,f\Jr;:j ~fe<f~~ ~o\,\ Secondary Construction Type~o~C~ 9J~?;(j ~i o'Q~nglor~~\l~o.o.\' # of Bedrooms: \~ O~ ~o\) ~ ce~~'l'~1-- ()Q9JO' . {\~ \'(\0 ~ ~ . r{~ BuUding: n/a e"'\\~ 1'0 . # ~ ~~li~iioPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 3 Addition Residential Phone Number: 541-746-0847 Expiration Date Phone 12/23/2005 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING ~$...PR.J~GFIJ;l;. U)' ..iiii.'-...... ..'. '...... 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Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Total Value of Project ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Building Permit -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $5.50 $3.85 $43.00 $12.00 $4.50 $3.15 $45.00 $10.00 $4.50 $3.15 $12.00 $12.00 $4.00 $17.00 8/16/04 8/16/04 8/16/04 8/16/04 8/27/04 8/27/04 8/27/04 9/8/04 9/8/04 9/8/04 9/8/04 9/8/04 9/8/04 9/8/04 Total Amount Paid $179.65 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01009 ISSUED: 08/16/2004 APPLIED: 08/16/2004 EXPIRES: 03/08/2005 VALUE: $ 2,000.00 Value Date Calculated $2,000.00 $2,000.00 08/27/2004 Receipt Number 1200400000000001218 1200400000000001218 1200400000000001218 1200400000000001218 1200400000000001276 1200400000000001276 1200400000000001276 1200400000000001319 1200400000000001319 1200400000000001319 1200400000000001319 1200400000000001319 1200400000000001319 1200400000000001319 To Request an inspection call the 24 hout 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Drywall: Prior to taping. Rough Mechanical: Prior to Cover 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. Final Mechanical: When all mechanical work is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01009 ISSUED: 08/16/2004 APPLIED: 08/16/2004 EXPIRES: 03/08/2005 VALUE: $ 2,000.00 225 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 this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the I 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~jj;]~ 9- f5-oL/ ~ v- v ) li'::-;: Contractors Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone r'ity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 1200400000000001319 Date: 09/08/2004 1:14:47PM Job/Journal Number COM2004-0 1009 COM2004-0 1 009 COM2004-0 1009 COM2004-01009 COM2004-0 1009 COM2004-0 1009 COM2004-0 1 009 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 -Mechanical Issuance Fee- Minimum! Adjustment Mechanical Payments: Type of Payment Paid By Check MARS HALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 18186 In Person Payment Total: Amount Due 3.15 4.50 12.00 12.00 4.00 10.00 17.00 $62.65 Amount Paid $62.65 $62.65 9/8/2004 Page 1 of 1