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HomeMy WebLinkAboutPermit Fire 2003-11-13 Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003~01137 ISSUED: 11/13/2003 APPLIED: 11/1212003 EXPIRES: 05/13/2004 VALVE: $ 2,500.00 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1815 RAMBLING DR ASSESSOR'S PARCEL NO.: 1703252101500 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: New Residential PROJECT DESCRIPTION: Fire damage Owner: EUGENE BOYD Address: 1815 RAMBLING DR SPRINGFIELD OR 97477 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type SecoDdary Construction Type: # of Bedrooms: Contractor Type GeDeral Electrical SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImprovemeDts: Storm Sewer Available: SpeciallDstruction: Notes: Phone Number: 541- I CONTRACTOR INFORMATION I Contractor License WILLAMETTE V ALLEY RESTORATION IN 118870 MAG ELECTRIC INC 149834 BUILDING INFORMATION I Expiration Date 06/2812005 12113/2005 Phone 541-485.0575 541-461.0387 R-3 # of Stories: Height of Structure Type of Heat: Water Type: RaDge Type: Ener~th: 0"" ~\-::i'-~\\'i A .,\(. ^ \0" Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN ,1,DEVEbOP,MEN'l) INFORMATION , o~. \.'-' ~eJ !(1 J 1\"'- 0,0<:$ 0 'O~ 0 'U O~ 1\ 'U ~0 O~' 0~\0 -{,.'(\0C:; o\)(tj've[:,I3fp.W:O~~o~ ~~-{,.'I. ",,?>~ ~e" 0 'S'-' ~:S~<&t(~R\.~';R:qd: "'-~ ,\)\0 v0~ 00\ \~ ,,0 Pl!'vedDnve-Rqd: r ~O~ 'o~ 0'" '$;)\0' ~O'- \>t~\'-' n.t>."'" \o'l.,~\c,?>\\ f:,7:C:J ?>~ 0 ~0"~ d'/.}Of:,~6t.'Coverage: ~o\\ \>-<?'- 9j ~ <S' c,0~ 0\0(!f, 0""'5 ,,0 ".-10 ,,,0 ,-,,.,, _ ',9\ ~,,:l"o.~ ooqj c,~\\~~\ \0' ~'I'PUBLIC IMPROVEMENTS I \, t~~\"'~ \f ~1 IS ~O~ ~\)~'\; C,>> \;,~ ?e,W,f,'1 u\T~\\ ~iltW~tU'~~ , IJ \ tlQ?lll\1J 0\\ \'0 ~~vDspouts/Drains: 'GI:l\M!1\:I'lQ ~ \l~I'\ICO, I\\'t~ \ ~~ 01': REQUIRED PARKING Total: HaDdicapped: Compact: Pace 1 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01l37 ISSUED: 11/1312003 APPLIED: 11/12/2003 EXPIRES: 05113/2004 VALUE: $ 2,500.00 Status Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726.3769 InspectioD Line I Valuation Descriotion I Bid AmouDt Use Bid AmouDt $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,500.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $2,500.00 $2,500.00 11/13/2003 Ji'pp~, tiWLI Fee Description + 10% Administrative Fee + 7% State Surcbarge Add, Alter, ExteDd Circ Ea Add Perm ServlFdr 200 amps or less + 10% AdmiDistrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $7.20 $5.04 $9.00 $63.00 $5.28 $3.70 $52.80 11/12103 11/12103 11/12103 11/12/03 11113/03 11/13103 11/13/03 1200200000000002455 1200200000000002455 1200200000000002455 1200200000000002455 1200200000000002458 1200200000000002458 1200200000000002458 Total Amount Paid $146.oz 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. I Rpl1l~p~tion\l 1 Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility compaDY energizing service. 3 Final Electric: WheD all electrical work is complete. 4 WalllDsulation: Prior to cover. 5 Ceiling IDsulation: Prior to cover. 6 LathlPlaster: To be made after alllathiDg and gypsum board, iDterior aDd exterior are in place, but prior to plasteriDg. 7 Final BuildiDg: After a\l required iDspeclions have been requested aDd approved and the buildiDg is complete. Pace 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01137 ISSUED: 11113/2003 APPLIED: 11112/2003 EXPIRES: 05/13/2004 VALUE: $ 2,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726-37691Dspection Line By signature, I state and agree, that I have carefully examined the completed application aDd do hereby certify thnt all information hereOD is true and correct, and I fDrther certify that any and all work performed shall be done iD accordance with the Ordinances of tbe City of Springfield aDd the Laws of the State of OregoD pertainiDg to the work described herein, and that NO OCCUPANCY will be made ofaDY structure withoDt permissioD of the Community Services Division, BDildiDg Safety. I further certify that only contractors and employees who are in compliance with ORS 70\.005 will he used on this project. I further agree to ensure that all required inspectioDs are reqDested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, aDd the approved set of plans will remain on the site at all times dDring-constructioD. g~M~AA~ //~(J-O-> v ---- . OWDer or Contractors Signature Date Pace 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01137 COM2003.01137 COM2003.01137 PaymeDts: Type of Payment Check ~-~_'G.F1.!!I,J!"_.':.. ~, ~.,j - ,.-." Receipt #: 1200200000000002458 Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By Received By WILLAMETTE VALLEY RESTOR djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/13/2003 11:34:37AM Amount Paid Item Total: 52.80 3.70 5,28 $61.78 How Received In Person PaymeDt Total: Amount Paid $61.78 $61. 78 . .