HomeMy WebLinkAboutPermit Building 2009-4-22
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00533
ISSUED: 04122/2009
APPLIED: 04/22/2009
EXPIRES: 10122/2009
VALUE: $ '2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 147 10TH ST
ASSESSOR'S PARCEL NO.: 1703354102300
Springfield TYPE OF WORK: Bathroom
TYPE OF USE: Remodel
PROJECT DESCRIPTION: REF: 99-01050-01 - minimnm for completion of previous permit
Residential
Owner: HEIDI BROWN
Address: 147 10TH ST
SPRINGFIELD OR 97477
Phone Number: 541-747-7351
Contractor Type
. General
Electrical
Mechanical
Plnmbing
Contractor
OWNER
OWNER
OWNER
OWNER
Ll.7"'T'....
I CONTRA("TOINNFORMATlON I
NOtifiCilt'-'''1S ildOPle;;' '''w reqUir
in OAR 9~on Center. Th bf:.iC1l:~lle es lExipiration Date Phone
0090, Yo 2-001-0010 thOse rUles il~on Utility
Calling t~ may Obtain c rOUgh OAR ~~et forth
nUmber ~ e center (N oP1es of the 2-001.
Or the Or' ate: the rUles b
Cent", ,_ / egOn Vlili., , I te/eph()~_ Y
BUILDING INFORMATleN!'4~)~IT1Cation
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Fi 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
overM-9X1PE: Total:
# Stre~\1~RfRMlr SHAll EXPIRE IF THE u};l.andicapped:
Pavedltiti.le:JR@ID UNDER THIS PER vv€l~act:
% ot1l@MJlm''N'ern OR IS ABA M/T IS NOT
ANY 180 DAY PERlnn NDDNED FOR
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Notes:
~~~.cY\
!>....'V ~
~~
~
Sidewalk Type:
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Pa2e I 01'3
Status
fssued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
IValuati?n D~seription I
Description
Tvpe of Construction
Estimate
$ Pel' Sq Ft
or mnltiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Estimate
Total Value of Project
f,'t/ff ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Minimum/Adjustment Electrical
Minimnm/Adjustment Mechanical
Minimnm/Adjnstment Plumbing
Amount Paid
. Date Paid
$30.36
$12.65
$58.00
, $58.00
$79.00
$58.00
4/22/09
4/22/09
4/22/09
4/22/09
4/22/09
4/22/09
Total Amount Paid
$296.01
I Plan Reviews I
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM2009-00533
ISSUED: 04122/2009
APPLIED: 04122/2009
EXPIRES: 10122/2009
VALUE: $ 2,000.00
Value
Date Calculated
$2,000.00
$2,000.00
04/22/2009
Receipi Number
2200900000000000411
2200900000000000411
2200900000000000411
2200900000000000411
2200900000000000411
2200900000000000411
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.
~irprlln~np,~t~
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.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00533
ISSUED: 04/22/2009
APPLIED: 04/22/2009
EXPIRES: 10/22/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54i-726-3769 Inspection Line
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 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
] 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.
, 7l;il01.~ J M_ ~ L/ - 1. 2. - 0 C;
Owner or Contractors Signature Date
Paee 3 01'3
225 Fifth Strcet
Spl'ir/gfie1d, Orcgon 97477
541-726-3759 Phone
if~
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00533
COM2009-00533
COM2009-00533
COM2009-00533
COM2009-00533
COM2009-00533
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
Date: 04/22/2009
2200900000000000411
Description
Building Permit
Minimum/Adjustment Plumbing
Minimum/Adjustment Mechanical
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
HEIDI BROWN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
009775 In Person
Payment Total:
Pa2e I of I
9:29:55AM
Amount Due
58,00
58.00
79,00
58,00
12,65
30.36
$296.0 I
Amount Paid
$296,0 I
$296.0 I
4/22/2009