HomeMy WebLinkAboutPermit Building 2008-6-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 613 W N ST
ASSESSOR'S PARCEL NO.: 1703274301100
PROJECT DESCRIPTION: Add bath
Owner: JOANN NICHOLS
Address: 613 W N ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
R-3
VB
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00355
ISSUED: 03/14/2008
APPLIED: 03/14/2008
EXPIRES: 11/23/2008
VALUE: $ 500.00
Springfield TYPE OF WORK: Bathroom
TYPE OF USE: Alteration
Residential
Phone Number: 541-517-7704
I CONTRACTOR INFORMATION.
License
Expiration Date Phone
BUILDING INFORMA nON.
~3r1on law requires you to
# of Stories: - clp~ed by the Oregon Utlillo't Size:
.uHeight 6t1Stfii(;'fur~hose rules are set frgHtpt 1st Floor:
In l'Fypbfif::J.U\Al:001 0 through OAR 952-~Ft 2nd Floor:
OO~ll~l:f5P~ obtain caples of the rule%&JFt Basement:
CA~~tJ'Menter. (Note: the telepho~ Ft Garage/Carport
nltffiPlgJ~th~. Oregon UtiI~ty Notificati~~ Ft Other:
SprinM~liltgtiWlit1oo-332 ~1)' Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
P IRE 'F THE WORK
AUTHORIZED UNDER THIS POOtUtralS Ml
COMMENCED OR IS ABANDotJWn~pJttS/Drains:
ANY 180 DAY PERIOD.
Pal?:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Fixture
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Total Amount Paid
I Valuation Descriotiod
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00355
ISSUED: 03/14/2008
APPLIED: 03/14/2008
EXPIRES: 11/23/2008
VALUE: $ 500,00
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000326
2200800000000000847
2200800000000000847
2200800000000000847
2200800000000000847
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
$20.00
$15.60
$18.72
$7.80
$48.00
$8.00
$32.00
$43.00
$18.00
$98.95
$130.13
$11.45
$7.00
$8.00
$9.60
$4.00
$80.00
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
3/14/08
6/9/08
6/9/08
6/9/08
6/9/08
$560.25
I Plan Reviews I
)
~e<luiredJnsnections ,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Pal?:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2008-00355
ISSUED: 03/14/2008
APPLIED: 03/14/2008
EXPIRES: 11/23/2008
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 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/b~~ k-9-070
d4~-0'r Contractors Signature Date
Pal?:e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00355
COM2008-00355
COM2008-00355
COM2008-00355
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
DescriptIOn
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Paid By
JOANN NICHOLS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000847
Date: 06/09/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 112956 In Person
Payment Total:
Page 1 of 1
11:37:55AM
Amount Due
8000
4,00
960
800
$101.60
Amount Paid
$101.60
$101.60
6/9/2008