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
.
.