HomeMy WebLinkAboutPermit Building 2008-9-9
t'
CITY OF ~rKll...,-,FIELD
Status
Issued
I~ .
Building/Combination Permit
PERMIT NO: COM2008-01362
ISSUED: 09/09/2008
APPLIED: 09/09/2008
EXPIRES:. 03/09/2009
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 956 A ST
ASSESSOR'S PARCEL NO.: 1703354203500
Springfield TYPE pF WORK: Single Family Residence
TYPE OF USE: Remodel
PROJECT DESCRIPTION: BWOP - bathroom addition, bedroom remodel I upstairs, See review notes,
Residential
Owner: DILLOW JOSHUA & LISA
Address: 956 A ST
, SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
All' EONTRACTOR' INFORMA TioN:lt~
foll.~....,"~"...,-,.._---,---" _, , '1
Notilication Cenier, Thos~) i'llie,oL' nre !l\1lt !(;IithE . t' 0 t Phone
Contractor in OAR 952-001-0010 through t"W~!,1JJ!.001. 'XPIra IOn, a e
OWNER 0090, You may obtain copies of the rules by
OWNER 'calling the center, (Note: the telephone
OWNER number for the Oregon Utility Notification
BARNES HIGH TECH ~~(HNa-332-2833;il 02/17/2010 541-726-9854
BUILDING INFORMA :nON ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R-3 .' Height of Structure
- Type of Heat:
VB Water Type:
r
:"10TiCE: Range Type: i,
'HIS PERMlf;R:lWikta~R~'F THE WQBK
',llTl-Immm 11~lnFR THIS"Pf:RMIT IS IidT
1,; 0 fV~\llE\\UtI1011ME:NIltlNII1l.mNWfioR1
ANY 180 M{~tKiu'J. , I
t. i
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IL
I PUBLIC IMPROVEMENTS.
, "
Street Improvements:
Storm Sewer Available:
Special Instruction:
,Sidewalk Type:
1Downsponts/Drains:
Notes:
Paee I 0(3
[?
.
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Estimate ,
Estimate
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fixture
Minimum/Adjustment Mechanical
Minimnm/Adjustment Plumbing
Penalty Fee - BWOP Building
Penalty Fee - BWOP Electrical
Penalty Fee -,BWOP Mechanical
Penalty Fee - BWOP Plumbing
Vent Fan
Total Amount Paid
Structural Review
09/09/2008
I V aluation Descrintio~ I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount;
12,500,00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: tOM2008-01362
ISSUED: 09/09/2008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE: $ 12,500.00
"
Value
Date Calculated
Total Value of Project.
Fl'p" P~irl I
Amonnt Paid
Date Paid
$12,500,00
$12,500,00
09/09/2008
$21.00
$64,69
$38.82
$32,35
$50.00
$20,00
$149.46
$51.00
$44.00
$1.00
$149.46
$70.00
$52,00
$52.00
$8,00
919/08
919/08
919/08
919/08
919108
919108
919/08
919/08
919/08
919/08
919/08
919108
919108
919/08
919/08
Receipt Number
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
2200800000000001358
Compliance via REF: ORS 455.320
(Owner Built Dwelling Exempt from
certain structural code provisions;
recording of exemption.
ORSC 2008 section RIOI.3.
Exemption specific to room height
requirements.
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,
$803.78
Plan Reviews I
ACC DJB
Paee 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01362
ISSUED: 09/0912008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Re< "ired Insoectioos I
.. , '.
Final Building: 'After all required inspections have been requested and approved and the building is complete.
Final Plumbing: When all plumbing work is complete,
Final Mechanical: When all mechanical work is complete.
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 aud the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with,ORS 701.005 wi)1 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.
~___~ _~oQQ,~
1-Q-of;
Owner or Contractors Signature
Date
Paee 3 of 3
225 Fiftb Street
SI1ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
'COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-0 1362
COM2008-01362
COM2008-0 1362
Payments:
Type of Payment
Check
r
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001358
Date: 09/09/2008
10:32:59AM
Description
Building Permit
Penalty Fee - BWOP Building
Fixture
Minimuml Adjustment Plumbing
Penalty Fee - BWOP Plumbing
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Penalty Fee - B WOP Mechanical
Add, Alter, Extend Circ
, Add, Alter, Extend Circ Ea Add
Penalty Fee - BWOP Electrical
+ 5% Technology Fee
+ J 2% State Surcharge
+ 10% Administrative Fee
Paid By,
JOSHUA DILLOW
Amount Due
149,46
149,46
51.00
1.00
52,00
8,00
44,00
21.00
52,00
50,00
20,00
70,00
32.35
38,82
64,69
$803,78
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
$803,78
$803.78
1586
In Person
Payment Total:
Page I of I
9/9/2008