HomeMy WebLinkAboutPermit Building 2007-2-2
"
, CITY OF SPRI1~t:.1'1J!.LD.
Building/Combination Permit
PERMIT NO: COM2007-00158
ISSUED' 02/02/2007
APPLIED. 02/02/2007
EXPIRES: 08/02/2007
VALUE.
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectJon Lme
SITE ADDRESS 2643 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703254400505
Spnngfield
TYPE OF WORK Smgle Family ReSIdence
TYPE OF USE RepaIr
Resldentml
PROJECT DESCRIPTION Replace tub m bathroom
Owner WALSER DAVID M & DONNA J
Address 86313 FRANKLIN BLVD
EUGENE OR 97405
I CONTRACTOR INFORMA TlON I
Contractor Type
General
Plumbmg
Contractor
JOSH LOWE
KEVIN LEE KIKER
License
170680
159330
EXpiratIOn Date
06/14/2010
03/30/2008
Phone
541 485-2282
541-221-3212
BUILDING INFORMATION I
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght 01 Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/C.rport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde I Setback
S,de 2 Setback
Rearyard Setback
Solar Setb.cks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
0/0 of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
StreetlmprovementATTEN11UI'l vrt;yufllclw rt;4Ulltl" yuu lU SIdewalk Type
follow rules adopted by the Oregon Utility NOTICE
Storm Sewer Avajl,f~lfucat,on Center Those rules are set fortl Downspouts/Drams
SpecIal InstructlOin OAR 952-001-0010 through OAR 952-001 THIS PERMIT SHALL EXPIRE IF THE WORK
Notes 0090. You may obtain copIes of the rules ~\ AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note the telephone COMMENCED OR IS ABANDONED FOR
numberfortheC>regon Utility Notification ANY 1 SO DAY PERIOD
Centens 1-800-332-2344)
Pa2e I of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2007-00158
ISSUED: 02/02/2007
APPLIED: 02/02/2007
EXPIRES. 08/02/2007
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn DescrmtlOn ~
Description
Tvpe of ConstrnctlOn
$ Per Sq Ft
or multIpher
Square Footage
or BId Amount
Value
Date Calculated
Total Value of PrOject
Fees Paid.
Fee DescnptIon
+ 10% AdmmlstratIve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
MIDlmum/AdJustment PlumbIDg
Amount PaId
Date PaId
ReceIpt Number
$450
$225
$360
$1400
$3100
2/2/07
2/2/07
2/2/07
2/2/07
2/2/07
2200700000000000158
,2200700000000000158
2200700000000000158
2200700000000000158
2200700000000000158
Total Amount PaId
$55 35
I Plan Reviews I
To Request an mspection call the 24 hour recordmg at 726-3769. All mspectlons requested before 7:00
a.m. will be made the same workmg day, inspections requested after 7 00 a.m. will be made the followmg
work day.
l'{eI11111rec.,soectlOns .
...;!llliiii lIii..
FIDal PlumbIDg When.1I plumbIDg work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatlon hereon IS true and correct, and I further certify that any and all work performed shall be done In accordance With
the OrdIDances of the CIty of Spnngfield and the Laws of the State of Oregon pertamIDg to the work descnbed hereID, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the CommuDlty Services DIVIsIOn, BUlldmg Safety
I further certIfy that only contractors .nd employees who are ID comphance WIth ORS 701 005 WIll be used on thIS project I
further agree to ensure that all requIred IDspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permit card IS located at the front 01 the property, and the approved set of plans Will remaID 011 the site at .11
tImeSdunllg7;~
'- _ /,-V Date:J 0 !rJ ;z
Owner or Contractors SIgnature 17 I
/
Paee 2 of 2
225 FIfth Strc~t
Spnngfield, Oregon 97477
541-726-3759 Phone
7~:
~... -
(' of Spnngfield OfficIal Receipt
1- dopment ServIces Department
Public Works Department
Job/Journal Number
COM2007-00158
COM2007-00158
COM2007-00158
COM2007-00158
COM2007-00158
Payments
Type of Payment
Cash
cRecemt 1
RECEIPT #.
2200700000000000158
Date: 02/02/2007
Descnptlon
Fixture
Mmlmym/AdJustment Plumbmg
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmmlStratlve Fee
PaId By
JOSH LOWE
Item Total
Check Number Authorization
Received By Batch Number Number How Received
dim
In Person
Payment Total
Page I of I
11 10 OSAM
Amount Due
1400
3100
225
360
450
$SS 3S
Amount Paid
$55 35
$SS 3S
2/2/2007