HomeMy WebLinkAboutPermit Miscellaneous 2008-12-8
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01750
ISSUED: 12/08/2008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE: $ 0.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Springfield TYPE OF WORK: Single Family Residence
SITE ADDRESS: 626 C ST
ASSESSOR'S PARCEL NO.: 1703352411500
Residential
TYPE OF USE: Addition
PROJECT DESCRIPTION: Final inspections to complete addition permit # 00-00221-01
Phone Number: 541-912-1610
Owner: ARNOLD BROWN
Address: 626 C ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION .1
A-,..,.,.
Contr~,~~or-lV'fOIV'
OWNE~;:I rOles' ' Grego '
OWNERA i'll/On C qdOP/ed n /qw re
OWNER v. 952'00 ~nter. Ih by the 3lJfres Yo
~ 'OlJ tn 'OOto oSe r rego lJ to
O'YNER.o,,- qjl n". thr~, lJ/es o. n Ulu;, _.'
--"0 ~C'e "<t.- ~":'>"_ -~
er fo/ t" nftlr. BDlliDmc;'1T'illI() . N
C "eO'iilii" '''I' '~J'
enter is :egon~-'~/he t~/e rlJ/es b /.
'800. l1I/f>}'Np-e~Ohon ~
R-3 igtl~~9ts'ti:!Iihme
Type of <<eat: IJ
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
Expiration Date Phone
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st 'Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Fl'ontyard Setback:
Side I Setback:
Side 2 Setback:
Rearrard Setback:
,Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Notes:
VB
n/a
I DEVELOPMENT INFORMATION 1
NOTICE" Overlay Dist: ,
THIS PERM # Street Trees Rqd:
AUTH IT SHAtr.~~.Rj;i,:e Rqd:
COMMORIZED UNDEFf'7'll1~'i1{:(1~v!I'IfMVORK
ANY 1 o~~;~D OR !~ flR~^,!::~~~/T IS NOT
r~~IMPRb~
REQUIRED PARKING
Total:
Handicapped:
C:ompact:
Sidewalk Type:
DownspoutsfDrains:
, .
Page I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01750
ISSUED: 12/08/2008
APPLIED: 12/0812008
EXPIRES: 06/0812009
VALUE: $ 0.00
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I ValuMion Descrintion 1
Descriotion
Tvpe of Constl'nction
$ Per Sq Ft '
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calcnlated
Total Value of Project
Fpp, P~irU.
Fee DescriPtion
+ 10% Administrative Fee
+ 12% State SUl'cbarge
+ 5% Technology Fee ,
Bnilding Permit
Minimum/Adjnstment Electrical
Minimum/Adjnstment Mechanical
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt N nmber
$20.80
$24.96
$10.40
$52.00
$52.00
$52.00
$52.00
12/8/08
12/8/08
12/8/08
12/8/08
12/8/08
12/8/08
12/8/08
2200800000000001720
2200800000000001720
2200800000000001720
2200800000000001720
2200800000000001720
2200800000000001720
2200800000000001720
Total Amount Paid
$264.16
I Plan Reviews I
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 ReoJJirerUn~nectjnns I
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plnmbing work is compl~te.
Final Electric: When all electrical work is complete.
Final Bnildiug: After all required inspections have been reqnested and approved and the bnilding is complete.
Page 2 of 3
._6i!il\~~~II,l:!'~t~ ,
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,
'I'
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2008-01750
ISSUED: 12/0812008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE: $ 0.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541"726'3769 Inspection Line
By signatnre, 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 withont permission of the Commnnity Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensnre that all required inspections are requested at tbe proper time, that each address is readable fr?m 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 ai,all
times dnring constr~,ion.
~/'>~-oL~d W5//J2?
~ <..'
Own~r or Contractors Signatnre Date
"
Page 3 of 3
225 Fifth Street
"
Springfield, Oregon 97477
541-726-3759 Phone
r.;~~
,IlL"
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1750
COM2008-01750
COM2008-01750
COM2008-01750
COM2008-0 1750
COM2008-0 1750
COM2008-0 1750
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200800000000001720
Date: 12/08/2008
Description
Building Permit
Minimum/Adjustment Plumbing
Minimum/Adjnstment Mechanical
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administratiye Fee
Paid By
ARNIE BROWN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
008132 In Person
Payment Total:
",
Page I' of 1
1:47:22PM
Amount Due
52,00
52,00
52,00
52,00
10.40
24,96
20,80
$264.16
Amount Paid
$264,16
$264.16
12/8/2008