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Home My WebLink AboutPermit Building 2005-4-21 . . CITY OF SPRINljt<l~LIJ Status Issued Building/Combination Permit PERMIT NO: cOM200S-004S0 ISSUED: 04/21/200S APPLIED: 04/20/2005 EXPIRES: 10/21l200S VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line SITE ADDRESS: 1669 SEQUOIA AVE Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703273310900 If'''' Orpqnn law requires you to ATTENTTYPE OF USE:tt1nRep.alrJn Utility Residential :.' ~lIlc;c :::lnnnteu uv I.::.; """ .....; PROJECT DESCRIPTION: Replace shower valve, relocate tuli'dfaln anllreplace vent fanrules a;e set forth Notification ~~nt:~" ~ ~~::' ,nh nAR %2.001- I~O~;~Y~~~~;~ ~btain cOl}jhonetNumb~r~~54I-726-8225 callin the center. (Note: the tetepho. bg f r the Oregon Utility Notification nllm er 0 __ . 'j Center '5 l-OUV.v""''''-&.....''''. . . I CONTRACTOR INFORMATION I Owner: Address: GWEN DAVIS 1669 SEQUOIA AVE SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing Contractor MD CONSTRUCTION INC THINK ELECTRIC HEDDINGER ENTERPRISES INC License 153658 154326 28722 Expiration Date 12106/2006 02/1112007 08/1212005 Phone 541-520-3690 541-232-1212 541-484-9869 VN BUILDING INFORMATION I . . '.' ".: E \1= "~,1E WORK #ofStortes:~', ii',':T 51',,\LL EXP\R 1)0t,S,1~e;c: ;40T Height of Structure . U U~!\.JtR lHI5 FSc!:~~I~~r.!oor: TypeofHeat:,w"',Ll D 0\-\ IS ABANDSq'lFt,2nllPloor: WaterType:"",~I,l,L 100 Sq Ft Basement: Range Typ.e:ll bQ U"Y PI:R . Sq Ft Garage/Carport Energy Paiit: Sq Ft Other: Sprinkled Building: nla Oceupant Load: '...~ # of Units: Primary Occupaney Group: Seeondary Oecupancy Gi'o.up: Primary Construction Type Secondary Cjlnstruction Type: # of Bedrod'ms:' , R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setbaek: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer A vallable: Special Instruction: Sidewalk Type: Downspoutsillrains: Notes: Pae:e I 013 . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amouut Tvpe of Construction Total Value of Project Fpp<, Pli4J Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Mechanical Mlnlmum/Adjustment Plumbing Vent Fan ' + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $9.00 $6.30 $28.00 $39.00 $17.00 $6.00 $4.60 $3.22 $43.00 $3.00 4/20/05 4/20/05 4/20/05 4/20/05 4/20/05 4/20/05 4/20/05 4/21105 4/21/05 4/21/05 4/21105 Total Amount Paid $169.12 I Plan Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM200S-004S0 ISSUED: 04/21/200S APPLIED: 04/20/200S EXPIRES: 10/21/200S VALUE: Value Date Caleulated Receipt Number 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 1200500000000000495 1200500000000000495 1200500000000000495 1200500000000000495 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. I Rpnl~~nlp.rti'\U.LI Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all eleetrical work is eomplete, Pae:e 2 of3 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: cOM200S-004S0 ISSUED: 04/21/200S APPLIED: 04/20/200S EXPIRES: 10/21/200S VALUE: 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 Springfieid and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety. I further certify that only contraetors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required i ections are requested at the proper time, that eaeh address is readable from the street, that th d is located at the f n f the property, and the approved set of Plan7i11 remain on the site at all time 109 construe: _ ~ / Lf /:2~ /055 - ~ ~__ I' \ Owner or Contractors Signature Date - Paee 3 of3 225 Fifth Street SptI11gfiell!, Oregon 97477 541...726-3759 Phone . ~ ~ity of Springfield Official Receipt W>evelopment Services Department Public Works Department RECEIPT #: 1200500000000000495 Date: 04/21/2005 2:51:34PM Job/Journal Number COM2005-00450 COM2005.00450 COM2005.00450 COM2005.00450 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Paid By MARGO L KETCHUM Item Total: Check Number Authorization Received By Batch Number Number How Received njm 003983 003983 In Person Payment Total: Amount Due 43.00, 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53,82 4/21/2005 ' Page I of I