HomeMy WebLinkAboutPermit Building 2004-9-30
.
.
CITY OF SPRINGFIELD"
Status
Issued
*
Building/Combination Permit
PERMIT NO: COM2004-01162
ISSUED: 09/30/2004
APPLIED: 09/21/2004
EXPIRES: 03/30/2005
VALUE: $ 14,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1435 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252206900
Springfield TYPE OF WORK: Single Family Residence,
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Remodel two bathrooms - add one fixture (within area of existing bathrooms)
Residential
Owner: TINDOL DORIS B TE
Address: 1435 LA WNRIDGE AVE SPRINGFIELD OR 97477
'lr,'h '\9,-
-,\<&~ - \~,\\\\\j .
)n.-.M ~/t=3..<2.G1'el\ 't':n\ \0\ \,\ '.
I CONTRA.ClIORiNFORMNJ110N,\I')'0\'
, ~
O't(. - ~e" ., I! \ 'v e,~\'\ - '~\'e'" ',h
Contractor ~.tf-'~\s~6o~" '\X\~9\}.~~qFeii~'e'O(\EEXPiration Date
GEORGE BRADt)Ji{iK~ ~ aa~~J:J~"'~ 'I ~g\\\~,'l~J,8~.t'~'(\ci\\O(\ 12116/2005
THOMAS LEE ~~~~I,) o'O~f> ~g~;H~..!21~,\ 10/1912007
ARPS PLUMBIN'~~.\~'l_ftm~\' _;'Qft~~J~3J&"l' 01/24/2006
"inwB'bli,o~jNFh~~\j-ioN I
U~~,!~~
~fS~es:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541.342-3478
541-461-2590
541-484-7246
Contractor Type
General
Electrical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dist: \)~~otal:
# Street Trees Rqd: '\\\~ ~ ~\)Handicapped:
Paved Drive Rqd: ~~ ,Ii: ~'V+. ,S ~ Compact:
% of Lot Coverage: ~~'\ '?~~ \) ~(;:j
... . c.\\'?o-'-;-o. '\~~~\)CJ~~
I PUBLIC lMPROY-EM"iNui-i:-,s '?o-v' '
., :' ClCJ.
'\~\~\\CJy,':.\,,~\) v,?~~'\'Sidewalk Type:
'?o-'0 ~V), <\~
"CJ~ \ 'Co;) " Downspouts/Drains:
'?o-~'\
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I
~,
Paee I 00
.
.
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01162
ISSUED: 09/30/2004
APPLIED: 09/21/2004
EXPIRES: 03/30/2005
VALUE: $ 14,700.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descrintion ,
Description Tvpe of Construction
Bid Amount Use Bid Amount '
$ Per Sq Ft
or muitiplier
$1.00
Square Footage
or Bid Amount
14,700.00
Vaiue
Date Calculated
Total Value of Project
$14,700.00
$14,700.00
09/28/2004
~ )?pp< tIilU
Fee Description Amount Paid Date Paid Receipt Numher
Plan Review Residential $95.16 9/21104 1200400000000001369
-Mechanical Issuance Fee- $10.00 9/30/04 3200400000000000268
+ 10% Administrative Fee $27.54 9/30/04 3200400000000000268
+ 7% State Surcharge $19.28 9/30/04 3200400000000000268
Building Permit $146.40 9/30/04 3200400000000000268
Fixture , $84.00 9/30/04 3200400000000000268
Minimum/Adjustment Mechanical $39.00 9/30/04 3200400000000000268
Sanitary Sewer - Improvement $36.56 9/30/04 3200400000000000268
Simitary Sewer - Relmhursement $48.08 9/30/04 3200400000000000268
SDC Sanitary/Storm Admin $4.23 9/30/04 3200400000000000268
Vent Fan $6.00 9/30/04 3200400000000000268
Total Amount Paid $516.25
I Plan Reviews ,
Initial Review
Plannin!! Review
Public Works Review
Structural Review
09/22/2004
09/22/2004
09/22/2004
09/22/2004
09/22/2004
09/28/2004
09/27/2004
09/28/2004
APP SKG
APP T AJ
APP CS
APP DLM
No comments - an interior remodel.
See documents for plan review
comments
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.
~rrr'lr,,~
Framing Inspection: Prior to cover and after all rough in inspections have been approved. '
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
UnderOoor Plumbing: Prior to insulation or decking.
Shower Pan. Prior to covering and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Pa!!e 2 of3
~\
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01162
ISSUED: 09/30/2004
APPLIED: 09/21/2004
EXPIRES: 03/30/2005
VALUE: $ 14,700.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Final Mechanical: When all mechanical work 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 Safcty.
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.
/fL~ ;L ~ f- '$() ,-'{) Lj-
Owner or Contractors Signature
Date
Paee 3 013
225 Fifth Street
SpFingfield, Oregon 97477
541-726-3759 Phone
.
~
Job/Journal Number
COM2004-01162
COM2004-01162
COM2004-01162
COM2004-01162
COM2004-01162
COM2004-01162
COM2004-01162
COM2004-01162
COM2004-01162
COM2004-01162
Payments:
Type of Payment
Check
9/3012004
RECEIPT #:
3200400000000000268
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By Received By
BRADDOCK CONSTRUCTION djb
Page I of I
.y of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 09/3012004
Item Total:
Check Number Authorization
Batch Number Number How Received
1008 In Person
Payment Total:
9:22:33AM
Amount Due
48,08
36,56.
4,23
146.40
84,00
6,00
39,00
10,00
19,28
27.54
$421.09
Amoual Paid
$421.09
$421.09