HomeMy WebLinkAboutPermit Building 2004-2-26
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00224
ISSUED: 02/26/2004
APPLIED: 02/26/2004
EXPIRES: 08/26/2004
VALUE:
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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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SITE ADDRESS: 1865 SCOTT RD
ASSESSOR'S PARCEL NO.: 1703253401300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Alteration
Residential
PROJECT DESCRIPTION: Service change for heat,
Owner: MARK LEONA G
Address: 1865 SCOTT RD SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ARC ELECTRIC
License
1I5113
BUILDING INFORMATION I
Expiration Date
07/11/2004
Phone
541-741-0494
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-I
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# of Slories: Lot Size:
Height of Structure Sq FI 151 Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq F~_Other:
~ Imp'e~~us Surface Area:
'f'~ ,A - ~- ,'~ . ",
,\~~'1cNVELOPMENT INFORMATION I df'<J~(;. <o0....~\:)\Jc..,
~ ~.t:- ~'<..' ,'li O,'li ~0 ctREQUlRED PARKING
Sv ~",. ~ ~ 0 <0 ~ '" ," o<:-~ ~
Frontyard Setback: .J..<<~ <<<(; ~<S> Overlay Dist: ~.....'1> '$' ,~0 O"?' -<$'T~~I~~O
Side 1 Setback: , ~-r-,.;J? ",<;:) # Street Trees Rqd: 0~0 0'O~ r:,0 .If d- ,.Handicapped:
S'd 2 S b k '''' '\" ~v P d D' R O~ 'li 0 0'" 0r:, 0 - "v
I e et ac : c;,'>..~v{~ ~~ ave rive qd: "". ~~,,~ -<$'~ ~~ '$' ~~llet:
~,- ~v ,- 0'- 00 " \:) vO 0' ,~"bi
Rearyard Setb~..t:- -\:)~ <>. {:> ,,~, % of Lot Covera~t: r:, '?f ~0 ~" '~~O~.;)~ ~/
Solar Setbac.....l;J <-~~<S> <"- \::)':~"V 0- ~0 00 ,,>5 "S>,'lf ~ ~ ",rf;,
....C'\'VQv~".. {.'v ov ~ .<" _~ ,,\:) ,0."," .!'I.O,......
,~~J~-S'~~v ~ I PUBLIC IMPRO~~~;rS;I'l- ~'l>'v0"00'-...9'
"" ~ ~~ '>:. ~ .. 0'> ~~ '$' . r
Street Improv~)l-\ ,~ ::,.0' O't-' ~. ~~i!!ew.alk Type:
~ <:- R>\:) ~-$' rl" r'
Storm Sewer Availlltile: ':)<:5 v'lf ~ D.rwnspoutslDrains:
Special Instruction: <:-'>
VN
SETBACKS
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal1e 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00224
ISSUED: 02/26/2004
APPLIED: 02126/2004
EXPIRES: 08/26/2004
VALUE:
t
.
""
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.Fl'l's P~irIJ
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.20
$5.04
$9.00
$63.00
2/26/04
2/26/04
2/26/04
2/26/04
Receipt Number
2200400000000000184
2200400000000000184
2200400000000000184
2200400000000000184
Total Amount Paid
$84.24
...
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.
lJeouired InsPl'ctions I
I Rough Electric: Prior to Cover
2 Final Electric: When all electrical work Is complete.
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 wiU 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.
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i2 -;26- 0)/
,
Owner or Contractors Signature
Date
,.
Pa2e 2 of2
225 Fifth .;;treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00224
COM2004-00224
COM2004-00224
COM2004-00224
Payments:
Type of Payment
Check
:."
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....' . !
...--.,......"'..,..... .
i,J'f
Receipt #: 2200400000000000184
Description
Penn ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
jmp
{;heck Number
Batch Number Authorization Number
Paid By
ESTATE OF ARC ELECTRIC
1315
City of Springfield Official r(eceipt
Development Services Department
Public Works Department
Date: 02/26/2004 11:32:14AM
Amount Paid
Item Total:
63.00
9.00
5.04
7.20
$84.24
How Received
In Person
Payment Total:
Amount Paid
$84.24
$84.24
.
.
.
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726.3753
FAX (503) 726.3689
July 29, 1993
Leona and Villiam Mark
1845 Scott Road
Springfield, Oregon 97477
RE: Street Address Change Notification
Dear Mr. and Mrs. Mark:
At the request of emergency services, your property located at 1845 Scott Road,
also knovn as Reference Number 17032534, Tax Lot 01300, Springfield, Oregon has
been assigned a nev address. Your nev address is IB65 Scott Road.
Ve viII notify the folloving companies and/or agencies of this address change by
sending them a copy of this letter:
Springfield Police Department
Springfield Fire Department
U.S. Post Office
u.s. Vest Communications
Northvest Natural Gas
TCI Cable
United Parcel Service
Springfield Utility Board
Lane Council of Governments
Lane County Assessor
Lane County Elections Department
Sanipac
Rainbov Vater District
Springfield Nevs/Register Guard
In order to ensure proper mail delivery and emergency response, please change
the street address numbers on your building and mail box by August 30, 1993.
If you have any questions, please feel free to phone me at 726-3790.
Sincerely,
~?,:;'~WQf0
Building Services Representative