HomeMy WebLinkAboutPermit Building 2008-12-3 (2)
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01729
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/09/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6875 IVY ST
ASSESSOR'S PARCEL NO.: 1802022309400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair water damaged kitchen, remove bearing wall
Residential
Owner: GARRETT BRIAN KEITH & ALECS
Address: 6875 IVY ST
SPRINGFIELD OR 97478
Phone Number: 541-914-2567
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General MCKENZIE TAYLOR 109867 11/09/20 I 0 747-5413
Electrical JEM ELECTRIC INC 161235 09/07120 I 0 541-729-1074
Engineer MORTIER ENGINEERING 541-484-9080
Plumbing DENNY SPENCER HARRINGTON 176395 OS/29/2009 (541) 689-3839
I BUILDING INFORMATION I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Electric
Electric
Electric
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: .
Occnpant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
No
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: auire!iotBI! to
# Street Trees Rqd: 0'" oregon la'll re 0' relH;n'di~~Wp'ed:
. l>.mT""11 ". d '0,/ the ~ ~.. ,,,. (,1
Paved Dnve 'T1~' ,,-" adopte '\es ~eompact:\
% of Lot Cov~!lllg;ii rules center. ,hOse IU hap,\"\ 9S'Z-OO'o'/'
Noti\ica\\on 01_00lothrOUg \ tne ruleS
L I'"\.b.~ 952~O _l.-.t<:loif\ copIes 0 ~...\nl'l't"\ona
I PUBLIC IMPROVE~IIi:Niq~~"~e~ter. \~~\~ii\:'\Y NotilicallOIl
"'- - 'or tbe Oreg _'?~')_Z34~,).
number , sld~"IaUOif )1'e:
" center'
DownspoutslDrains:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer AvllIlJIICE:
Speciallnstructiir~jlS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. '
Notes:
Pa2e I 00
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~.~.J r \; " '" .:.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone~
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 100/0 Administrative Fee
+ 12% State Surcbarge
+ 5% Technology Fee
Fixture
Total Amount Paid
CITY OF SPRINGFIELD ~
Building/Combination Permit
PERMIT NO: COM2008-01729
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/09/2009
VALUE: $ 2,000.00
I v aluation Des~riDtion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
12/03/2008
Value
Date Calculated
Total Value of Project
$2,000,00
$2,000.00
Fpp'U:iilU
Amount Paid
Receipt Number
Date Paid
$10.40
$12.48
$5.20
$52.00
$34.00
$18.00
$8.00
$9.60
$4.00
$50.00
$30.00
$11.90
$14.28
$5.95
$119.00
12/3/08
1213/08
12/3/08
12/3/08
12/3/08
12/3/08
12/23/08
12/23/08
12/23/08
12/23/08
12/23/08
12/24/08
12/24/08
12/24/08
12/24/08
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001772
2200800000000001772
2200800000000001772
2200800000000001772
$384.81
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 Rpm~.,npp~i..n., I
Framing Inspection: Prior to cover and after all rough in inspections have been approved:
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the huilding is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFu.Lu .
Building/Combination Permit
PERMIT NO: COM2008-01729
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/0912009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rongh Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing 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
tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at tbe proper time, that eacb address is readable from the
street, tha t e permit card is located at tbe front of the property, and the approved set of plans will remain on the site at all
timesdu i COla~ /2-z1Y-OJY'. .
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1729
COM2008-0 1729
COM2008-0 1729
COM2008-0 1729
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MCKENZIE TAYLOR
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001772
Date: 12/24/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
.01480
01480 In Person
Payment Total:
Page I of I
8:17:24AM
Amount Due
] 19.00
5.95
14.28
11.90
$151.13
Amount Paid
$151.13
$151.13
12/24/2008