HomeMy WebLinkAboutPermit Miscellaneous 2009-3-16
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00303
ISSUED: 03/16/2009
APPLIED: 03/0512009
EXPIRES: 10/07/2009
VALUE: $ 19,800.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 352 S 43RD PL
ASSESSOR'S PARCEL NO.: 1702323404302
Springfield TYPE OF WORK: Single Family Residence
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
ufo of Lot Coverage: l<.
~O~\~E: \,;;1 C\ I^" l='\l'IRE If ~~; ~~~T
I PUBLIC IMPRd\{.1E~~i.!~ IJNDER lHIS I't~ED fOR
"L I ,1- OR II: t.SANDO
COMMENCED SiMwalk Type:
ANY 180 DAY P~RW.?,.;nsponts/Drains:
TYPE OF USE: Alteration
PROJECT DESCRIPTION: BWOP Plumbing I Elect- Remodel for ABA Bath moved a window
Owner: FREEMAN PAMELA J
Address: 352 S 43RD PL
SPRINGFIELD OR 97478
Contractor Type
Electrical.
Plumbing
I CONTRACTOR INFORMATION I
Contractor Li~ll!!!eJiles IDXbi~~tion Date
BURRELL BROS ENTERPRI~~~II.:~e Olego~L#~,4&Oleg0!1 ~1~)t~W2009
COMPLETE PLUMBlNq~~~.!;, rules adopte ,.~~~(!,9.41Ies ~~ ;;0_Q~j~V2011
I BUlUDlNG'I;~.;OR'M\l'r-ION-.i~l~ ~{the lules bY
I!1Ul'''- a" 0011:1'" --,'. thetelephO!1e
",,, YoU m, (Note. f\'.c~\\of\
#CoI-~tone\11e centel. Utility No I !jOT SIZe:
Heigl\~I~P~;,U!<\\Ur.oleg~~_332-2344). Sq Ft 1st Floor:
TypPffi!WeeUntel IS 1-6 Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of 3
Residential
Phone
541-747-2724
541-688-0355
_.~=~
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Descriotion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tv De of Construction
Total Valoe of Project
J;'pp<. P~irl J
Fee DescriPtion
+ 12% State Snrcharge
+ 5% Technology Fec
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Penalty Fee - BWOP Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Fixtu re
Minimum/Adjustment Plnmbing
Penalty Fee - BWOP Plnmbing
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Bnilding Permit
Penalty Fee - BWOP Building
Penalty Fee - BWOP Mechanical
Plan Review Residential
Amonnt Paid
Date Paid
$8.04
$3.35
$55.00
$12.00
$8.04
$3.35
$67,00
$6.96
$2.90
$57.00
$1.00
$58.00
$75.00
$31.25
$79.00
$233.50
$233.50
$79.00
$151.78
3/16/09
3/16/09
3/16/09
3/16/09
3/17109
3/17/09
3/17/09
4/8109
4/8109
4/8/09
4/8/09
4/8/09
4/14/09
4/14/09
4/14/09
4/14/09
4/14/09
4/14/09
4/14109
Total Amoont I'aid
$1,165.67
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00303
ISSUED: 03/16/2009
APPLIED: 03/05/2009
EXPIRES: 10/07/2009
VALUE: $ 19,800.00
Valne
Date Calculated
Receipt Number
2200900000000000267
2200900000000000267
2200900000000000267
2200900000000000267
2200900000000000275
2200900000000000275
2200900000000000275
2200900000000000349
2200900000000000349
2200900000000000349
2200900000000000349
2200900000000000349
3200900000000000244
3200900000000000244
3200900000000000244
3200900000000000244
3200900000000000244
3200900000000000244
3200900000000000244
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.
, RpnJlirp.rlln~nprtinn~ I
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00303
ISSUED: 03/16/2009
APPLIED: 03/05/2009
EXPIRES: 10/07/2009
VALUE: $ 19,800.00
Final Bnilding: After all reqnired inspections have been reqnested and approved and the bnilding is complete.
Final Plumbing:. When all plnmbing work is complete.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne 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 describcd herein, and
that NO OCCUPANCY will be made of any strnctnre without permission of the Commnnity Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther 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 a fro of the property, and the approved set of plans will remain on the site at all
t;:;;;zruJ 'Lj / (L( 107
Owner or Contractors Signature
Paee 3 of 3
Date
225.Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
it~,
City of Springfield Official Rcceipt
Dcvelopment Services Departmcnt
Public Works Department
Job/Journal Number
COM2009-00303
COM2009-00303
COM2009-00303
COM2009-00303
COM2009-00303
COM2009-00303
COM2009-00303
Payments:
Type of P:lymenl
CreditCard
cReceinll
RECEIPT #:
3200900000000000244
Date: 04/14/2009
Description
Pian Review Residential
Building Permit
Penalty Fee - BWOP Buiiding
I st Appliance
Penaity Fee - BWOP Mechanicai
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
B D BUILDING AND DESIGN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
085489 In Person
Payment Total:
Page 1 of I
10:36:52AM
Amount Due
151.78
233.50,
233.50
79.00
79.00
31.25
75.00
$883.03
Amount Paid
$88303
$883.03
4/i 4/2009