HomeMy WebLinkAboutPermit Building 2004-9-24
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: COM2004-00100
ISSUED: 09/24/2004
APPLIED: 01123/2004
EXPIRES: 03/24/2005
VALUE: $ 4,800.00
SITE ADDRESS: 159 C ST
ASSESSOR'S PARCEL NO.: 1703352311400
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Remodel- replace roof with trusses and upgrade electrical service
ATTENTION: Orennn l;:IIM YO,-" ,;"~~ "._
TOIIOW rules adOpI'€'~ b'PIi' ,- ,-' -N b . 5'41 736 1029
" , ~. } one"uyt er:q1i, - -
Notification Center, Thos'" rulp.,,: a'.r '8':j "
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In 52-001-0010thrn'lnhnIlD..".", ,
uu~u. You may Qhtain cop; "''' r:/ t~ - ~ ... : I~ ,-
I CONTRACTOR I~'r[~t' .CI~ '" '.'c ,ule:-; uy
r. (Note. In(; leeDnc' '"
number f9r th e 0 reg~n Utili1\,.h,l"l r" t;,
..I .il'{'nse 1 8 xmratJon 'Da.teon Phone
\>tfflrens 4 - -0j~ -~(44).
158804 02/24/2006 541 726-6858
Springfield TYPE OF WORK: ReRoof
Residential
Owner: BOWLSBY FAITH H & DAVID
Address: 159 C ST SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Contractor
OWNER
GROUNDED ELECTRIC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
10.00
5.00
5.00
10.00
I BUILDING INFORMATION I
1
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
7,841
856
540
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VN
2
25.00
Wall Heat
Electric
Electric
Path 1
n/a
5
I DEVELOPMENT,W'J.lQRMATION I
,""". ....".... REQUIRED PARKING
THIS PERMIT SHALL EXPIRE IF T~~ORK
~~~;~:r ~r~l~~Q~IZED UNDER THIS PERMlfIl~jtlQbped:
Paved DrikL~~t"NCED OR IS ABANDONED<f~act:
% of Lot ~.N~d~ DAY PERIODl5.00
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsillrains:
I Valuation DescriPtion'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00100
ISSUED: 09/24/2004
APPLIED: 01/23/2004
EXPIRES: 03/24/2005
VALUE: $ 4,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
4,800.00
$4,800.00
$4,800.00
09/20/2004
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $12.50 9/7/04 1200400000000001314
+ 7% State Surcharge $8.75 9/7/04 1200400000000001314
Residence Wiring 1000 Sq Ft $106.00 . 9/7/04 1200400000000001314
Residence Wiring Ea Addtl 500 $19.00 9/7/04 1200400000000001314
Plan Review Residential $44.46 9/20/04 2200400000000001177
+ 10% Administrative Fee $6.84 9/24/04 3200400000000000264
+ 7% State Surcharge $4.79 9/24/04 3200400000000000264
Building Permit $68.40 9/24/04 3200400000000000264
Total Amount Paid $270.74
I Plan Reviews I
Plannine Review 09/20/2004 09/20/2004 APP TAJ Requires no additional Planning
review.
Public Works Review 09/20/2004 09/20/2004 APP MS 9/20/2004 - Storm to weephole in
curb. - MS
Structural Review 09/20/2004 09/20/2004 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.
~eoui~edJnsnectiQns .
Final Electric: When all electrical work is complete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Paee 2 of3
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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: COM2004-00100
ISSUED: 09/24/2004
APPLIED: 01/23/2004
EXPIRES: 03/24/2005
VALUE: $ 4,800.00
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, 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
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
times during construction.
~ ~~:t--~
Own~r or Con~ors Signat:';e
Pa2e 3 of3
;h'{/ c>y
D~ I
225 Fifth Street
'Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00 1 00
COM2004-00 1 00
COM2004-00 1 00
RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard DA VID BOWLSBY
9/24/2004
'-'!ty of Springfield Official Receipt
"velopment Services Department
Public Works Department
3200400000000000264
Date: 09/24/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 150439 In Person
Payment Total:
Page 1 of 1
3:04:11PM
Amount Due
68.40
4.79
6.84
$80.03
Amount Paid
$80.03
$80.03