HomeMy WebLinkAboutPermit Building 2008-9-2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phooe
541-726-3676 Fax
541-726-3769 lospection Line
SITE ADDRESS: 483 18THST
ASSESSOR'S PARCEL NO,: 1703362400600
CITY OF SPkmtJFIELp,
Building/Combination Permit
PERMIT NO: COM2008-01315
ISSUED: 09/02/2008
APPLIED: 09/0212008
EXPIRES: ' 03/0212009
VALUE: $ 2,000.00
Springfield TYPE OF WORK: Bedroom
PROJECT DESCRIPTION: Relocate bedroom wall
Owner:
Address:
AL VORD"TA YLOR 1NC
405 A ST '
SPRINGFIELD OR 97477
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occupaocy Group:
Primary Coostruction Type
Secondary Coostruction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallostruction:
Notes:
Description
".
.,~;~
TYPE OF USE: Repair
Residential
I CONTRACTOR INFORMATION I -',
, "
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
NanCE: Paved Drive Rqd:
T:l1~ PERMIT sllP[r't!XfllR"~iFeTHE wo~k
fl.-J, ,IORlZED l!~mFR T~I,C: PI'O~AJT Ie' ""T
l;:J;VIMEil~puim(G 1MP.RO,V'iENUli'iJI>1R
/\,J ( I bu tJr" n:nlUU, ' ,
IValu~~ion Description I
Type of Constructioo
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Contractor License
RICHARDS REMODELING LLC 30422
f~I;~\~';~;J ~B?j(~iN'C).lNFB~~A t'iON,t
Notification Center. Tllose rules are set forth
in OAR 952-001-~t9fG"mt~!EJh OAR 952-001-
0090, You may cl!~ig!1tco!~Str~~(l{f~J rules by
calling the ce"T.ype\oftH.eat:1e telepllOne
number for the \)lat~pllyjie:ity 1.lotification
Center iRang<liif)'ji:e:-2:;44).
Energy Path:
Spriokled Building:
Paee 1 of 2
Expiration Date
ll/13/2008
Phone
541-345-3836
o/a
LotSize:
Sq Ft 1st Floor:
Sq Ft 20d Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occopaot Load: '
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Dowospouts/Drains:
, Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR ,
541-726-3753 Phooe '
541-726~3676 Fax
541-726-37691nspectioo Line
Bid Amount
Use Bid Amouot
$1.00
Total Value of Project
Fl'es Paid I
11.1..1011 .
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
$5.20
$6.24
$2,60
$52,00
9/2/08
9/2/08
, 9/2108
.9/2/08
Total Amount Paid
$66.04
Plan Reviews I
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-013l5
ISSUED: 09/02/2008
APPLIED: 09/02/2008
EXPIRES: 03/02/2009
VALUE: $ 2,000.00
2,000,00
09/02/2008
$2,000,00
$2,000,00
Receipt Numbe,'
1200800000000000928
1200800000000000928
1200800000000000928
1200800000000000928
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.
I Reollired lnsnections I
By sigoature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
informatioo hereon is true and correct, and 1 further certify that aoy and all work performed shall be dooe in accordaoce with
the Ordioaoces of the City of Springfield aod the Laws of the State of Oregon pertainiog to the work described hereio, aod
that NO OCCUPANCY will be made of any strocture without permission of the Commuoity Services Divisioo, Buildiog Safety,
I further certify that only coo tractors and employees who are in compliaoce with ORS 701.005 will be used 00 this project.
I further agree to ensure that all required inspectioos are reqoested atthe proper, time, that each address is readable from the
street, that the permit card is located at the froot of the property, aod the appro,:ed set of plans will remaio 00 the site at all
times during construction. .
Owner or Contractors Signature
Paee 2 of 2
Date
-. ~~: . ,
225 FIFTH STREET . SPRy\G~~D\~, 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ,
City Job Number U D\S Date o//~/() if
/", ' I I
Gr" 1 & 2 Family Dwelling or Accessory 0 New Construction 0 Demolitio~
o Multi-Family W Additiou/Alteration/Replaeement 0 Other
o Commercial/Industrial + 0 Tenant Improvement
Job Address 1./83 I g ~ ';) +-,
Lot Block
Subdivisior:t
Bldg No,
Tax MapITax Lot
Suite No,
('71)< ,;?Qq-O(??20
~ -
Project Name
Description of Work/location on premises/special conditions J1j)D wlt1.L- 7"i>" (E:h'l7V'l71:--" ;Jcj)/~
o
Name A-L-v'.:ro"- r~";f),t<?-
Mailing Address 1ft? i;' A4:T
~!:.~~~t~ '~~4ffiii!/:P~1'~;~ lli}}.~i~W~~~~~ afR~~i~~~1'fr~~i!~\I?]~~I&:~~~~
SQFt
X $/SQ Ft
= Value
City
Phone
State
Zip,
New Dwelling Area, _
Garage/Carport Area
Other Structure A'rea
Total Value
:K(j~~ffiili~1~~~~Z:tt~fLlI~:td~T}jf[4i~i~~iiHijD~~~?J~~~tl~~~t
- SQ Ft X $/SQ Ft ,:, Value
Fax
Owner Representative
Phone
Fax
. Existing B~i]ding:Area
New Building Area
o
Name t/t;-J N l>S ~14
Mailing Address ~7/' Vit-l-L':-lP 1e../'P772-
City E:1.A.4t=.'7V/=- State Zip 7?Yd/
Phone ']'-(5-.7;(76 Fax
Total Value
[j ~k,:~;~ifJh1T~iI]j*~~1r~(Wik~~~~[~~~t:r~~il~~~:~~~~
if 'M" -''' ,....L...,9.M 1...,9. ..".",,~1iii,$#l\t'",,"h..l!
Name ::s6ht--)'A-l/J. ~"1vlr0-Fc>12P
Existing
New
Address
City
Contact Person
Phone
State
Zip
Occupancy Group(s)
Const. Type(s)
N umber of Stories
Fax
o
Name
c.ho.lf'C~ ~ k:.PMOJ/<"J "''j
LLC_
Phone #
'5'-11 <64<;;-3'>s3&'
General
Plumbing
Mechanical
Electrical ()pp,ihf':q,.) '(J;.J ~;":twe..- (hfuJ. D
o fC6r;il1IefciiiflPidu~'tridter(reci~~;~~~_ D~
__ ,_.. ...._.' )!... ,.........._'.. tJ..,..._".
Has site review application been submitted? Heat,Source: Primary
DYes D No 0 N/A Water Heater Range
Ifso, Name of Planner Do you require any of the following for this project?
Journal Number Over-width or Second Driveway D,Yes 0 No
Temporary Power' 0 Yes 0 No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under provisions ofORS 701 and may be required to be licensed: in the i.urisdiction where work is bein~performed.
I tF o~, Qffice- Use;'Ori lii::;~':~:i~~;?J:1.:~::;[;I':~'~~~!.t~:'{'l: ", !'>;'. ;;_J~::'.'\'> J~,:W~~~:'~;};:<:,\ ~-: " '7;~;NF:''-{; {.~!:.~,~;t':~.l>: ,., ':}::':;:.*'?\\1it:'~~.:;
~~-~~ \. ~"i;.;;.
I PLAN CHECK FEE 1 I RCPT# J I. DA IE I
APPLICATION
Secondary
Energy Path
I
1
I BY I
BUILDING
PERMIT
S!lared Drive{T:)lBl.lildingFonnslBilildilig rem}!l Applic3tion 10-02.doc
~1'. "
225 Fifth Street,
Springfield, Oregon 97477
541-726-3759. Phone
Job/Journal Number
COM2008-0 1315
COM2008-01315
COM2008-0 1315
COM2008-0 1315
Paymeots:
Type of Payment
CreditCard
cReccintl
RECEIPT #:
Description
Building Pennit
+ 5% TechnologyFee
+ 12% State Surcharge
+ 10% AdmiDistrative Fee
Paid By
RICHARD VEJNOSKA
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000928
Date: 09/02/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cJc 002024 In Person
Pay'meot Total:
'I,
,;
Page I of 1
3:00:39PM
Amount Due
52,00
2,60'
6.24
5.20
$66.04
Amount Paid
$66,04
$66.04
9/212008