HomeMy WebLinkAboutPermit Building 2004-11-23
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2004-01437
ISSUED: 11/23/2004
APPLIED: 11/22/2004
EXPIRES: 06/09/2005
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2212 BEVERLY ST
ASSESSOR'S PARCEL NO.: 1703272207505
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
PROJECT DESCRIPTION: Service change - Fire Damage. Replace insulation and drywall in garage
Residential
Owner: DANIEL WALKER
Address: 2212 BEVERLY ST SPRINGFIELD OR 97477
Phone Number: 541-
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Contractor
XXLINC
EUGENE ELECTRIC SERVICE INC
License
109867
90200
Expiration Date Phone
11/09/2004
03/17/2005 541-344-3561
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of S, tructure Sq Ft H,~t -\Qoor:
Type of Heat: \ r ~q::Ft\'zn -floor:
Wa\~~"'I~tl:. ~\..\.. E')\?\~E ~~~mRb:8'~ ment:
Rah~Jtyff~W\\\ S~Gt~ \\-\\S ?E ~~8 VtJ6arage/Carport
Ene1ig~~at~m\ltD \J S ~'Oj.\~Da Sq Ft Other:
SpriJ>kl~uil~~ at' \ aNl/a Occupant Load:
'1ni\'IMtN "\)~p.\ \J.
I DEVELOP~W l~dAAtATION I
REQUIRED PARKING
R-3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapp'ed:
Paved Drive Rqd: ''lli\9Ml>act:
% of Lot Coverage: ' ' \a'lJ {9(\u\teS (\ 0\\\\\'1
. OtegO(\ ne Otego e\ \ottn
, .~~ ,1'\O~' ou/."':.t\ b'4:e \ v'S'" Ate :0;:'- ~~".
I PUBLIC IMPR~.~J(\\et. "{n~tOU9\'\ O~~ e {\l\eS '0'1
~o\\\\ca,t\O~i_oo'\ -O%1~~~~ ~~\e9\,\o~e
\(\ Ot>-R 9 f(\a,'l O~.LW\\~i~A-~~\\ca.t\on
90 'Iou etw:,..1\Ii~Ut\~1l\Hm'
()o ca,\\\t'\9 \\,\e ~\'\e Otego~.$3'2.-2.344).
{(\bet ,ot 's ,\-60
t\u cet'\\et ~ '
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
...,.;0':
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01437
ISSUED: 11/23/2004
APPLIED: 11/22/2004
EXPIRES: 06/09/2005
VALUE: $ 2,000.00
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
2,000.00
$2,000.00
$2,000.00
12/09/2004
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$6.30
$4.41
$63.00
$4.50
$3.15
$45.00
11/23/04
11/23/04
11/23/04
12/9/04
12/9/04
12/9/04
Receipt Number
2200400000000001439
2200400000000001439
2200400000000001439
1200400000000001718
1200400000000001718
1200400000000001718
Total Amount Paid
$126.36
I Plan Reviews I
To Request an inspection call the24 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 Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building 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 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.
~ /I~, Lt~
Ow~ or Co:tractors Sigrture
/
J'~ 9fay
\
Date
Paee 2 of 2
225 Fifth Street
..
Spri'ngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01437
COM2004-01437
COM2004-01437
Payments:
Type of Payment
Check
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Building Permit
Paid By
~MY of Springfield Official Receipt
\'~elopment Services Department
Public Works Department
1200400000000001718
Date: 12/09/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
MCKENZIE TAYLOR CONSTR djb
12/9/2004
2916
In Person
Payment Total:
Page I of 1
3:02:20PM
Amount Due
3.15
4.50
45.00
$52.65
Amount Paid
$52.65
$52.65