HomeMy WebLinkAboutPermit Building 2008-8-25
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED
APPLIED
EXPIRES
VALUE'
COM2008-0I287
08/25/2008
08/25/2008
02125/2009
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1117 57TH ST
ASSESSOR'S PARCEL NO 1702331105100
Sprmgfield TYPE OF WORK Bdthroom
TYPE OF USE
Repair
ResIdential
PROJECT DESCRIPTION Relocdte a tnb/shower/vdUlty, dnd tOIlet
Owner CLINE RANDY & RAMONA
Address 1117 N 57TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Gener dl
Contractor License
DA VIS BROS GENERAL CON fRACTORS IN63275
BUILDING INFORMATION I
ExpiratIOn Date
03/31/2010
Phone
541-683-9309
# of UUlts
, Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Seconddry ConstructIOn Type
# of Bedrooms
# 01 Stones
HeIght of 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/Cdfport
Sq Ft Other
Occupdnt LOdd
n/a
I DEVELOPMENT INFORMATION I
Front yard Sethack
SIde 1 Setback
SIde 2 Sethack
Rearyard Sethack
Solar Setbdcks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% ot Lot Coverage
REQUIRED PARKING
Total
Handlcdpped
Compact
I PUBLIC IMPROVEMENTS I
Street Improven~NTION Oregon law requires you '10
les adopted by the Oregon UlIllty
Storm Sewer A~\\rn'ieru C ter Those rules are setlorth Downspouts/Drdlns
AlQfJllcatlOn en 001
SpeClallnstrnc'inOAR 952-001-0010 through OAR 952- .
0090 You may obtain copies olthe rules by NOTICE' K
Notes calimg the center, (Note the telephone THIS PERMIT SHALL EXPIRE IF THE WOROT
- _"_"M 'he n(p~q,on UtPEht Notification _ r I-rD '.:It'''''O TI-Ilc; PERMIT IS N
.--~~ Center IS 1-800-33' ,. T :' ,':M,vE"N'''C''ED OR IS ABANDONED FUK
Valualton DescrlOtlOru' 00
~,~Y 180 DAY PERI
Squdre Footage
or BId Amount
SIdewalk Type
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multiplier
Value
Date Calculated
Piiee 1 of2
SPRINGFIELD
~~~
Status
Issued
225 FIfth StI eet, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total V dlue of ProJeet
Fees Paid I
Fee DescrIption
-MechdDlcallssuance Fee-
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
FIxture
MmmlUm/AdJustment MechaDlcal
Amount PaId
$2100
$12 00
$1440
$600
$68 00
$52 00
Total Amount PaId
$17340
I Plan Reviews I
Date PaId
8/25/08
8/25/08
8/25/08
8/25/08
8/25/08
8/25/08
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01287
ISSUED: 08/25/2008
APPLIED 08/25/2008
EXPIRES 02/25/2009
VALUE:
ReceIpt Number
1200800000000000909
1200800000000000909
1200800000000000909
1200800000000000909
1200800000000000909
1200800000000000909
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectJons requested before 7'00
a.m will be made the same workmg day, mspectlOns requested after 7 00 a m Will be made the followmg
work day.
I ReoUlred In.snectJons I
iiIIiIiiIIIIu 1
Rough Plumbmg Pnor to cover dnd mcludmg requIred testmg
Fmdl Plumbing When all plumbmg work IS complete
Fmal Mech,lUlcdl When all mechaDlcdl work" complete
By Slgnalure, 1 state and agree, that 1 have carefully eXdmmed the completed applicatIOn and do hereby cerllfy that all
mformdllon hereon IS true and correct, and 1 fnrther certify that any and all work performed shall be done m accordance WIth
the Ordmdnces of the CIIy ot Spnngfield and the Laws of the Stdte of Oregon pertammg to the work descnhed herem, dnd
thdt NO OCCUPANCY will be made of dny structure WIthout permISSIon ot the CommuDlty ServIces DIVISIOn, BUlldmg Salely
1 further certify thdt only contractor; and employees who are m compliance WIth ORS 701 005 WIll he nsed on thIS project
I further dgree to enSUle that dll reqUIred mspecllons dre requested at the proper time, that each address IS readdhle from the
street, th,lt the permIt card IS located at the tront 01 the property, and the approved set ot pldns WIll remam on the SIte dt all
times dUring constructIOn
~: ~,
Owner or Contractors Signature
Paee 2 of2
q - ~ <; - (/8
Date
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
a~
..: -
City of Sprmgfield Officml Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1287
COM2008-0 1287
COM2008-0 1287
COM2008-0 1287
COM2008-0 1287
COM2008-0 1287
Payments
Type of Payment
CredltCard
cRecelOtl
RECEIPT #:
1200800000000000909
Date. 08/25/2008
DescriptIOn
FIXture
MlmmumlAdJustment Mechanical
-Mechamcallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
DA VIS BROS
Item Total
Check Number Authorization
Received By Batch Number Number How Received
IIh
9300b In Person
Payment Total
Page 1 of 1
I 17 21PM
Amount Due
6800
5200
2100
600
1440
1200
$173 40
Amount Paid
$17340
$173 40
8/25/2008