HomeMy WebLinkAboutPermit Building 2009-5-22
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00699
ISSUED: 05/22/2009
APPLIED: 0512012009
EXPIRES: 11/22/2009
VALUE: $ 1,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I nspection Line
SITE ADDRESS: 320 S G ST
ASSESSOR'S PARCEL NO.:, 1703353403001
Springfield TYPE OF WORK: Single Fumily Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Alteration to Kitchen. Small Structural Changes.
Residential
Owner: ADAMS PATRICK J
Address: PO BOX 896
SPRINGFIELD OR 97477
Contractor Type
General
.......\\\0
I CONTRACTOR INFORM;\;(r-JOI'hl~\\\'l~ '
\'<I,'" OIJ,,- \ \Ol~
. ~O~ ~e ,e se ~:,
Contractor ,:\', Ole I eO. 'P'l ~ IJvjcens-:,s~-O ~"ti'piration Date
DA VID ZARZYCKI, 9!'it'i~!"cr681,T~KClI!!A056~e II.I\~~" 04/26/2011
,"cBuiLDING'iNEeR.:MA<fION'11 \e\e\~\~;"\\O\l
~i.>" ~ ':l"~ ~ u~. ~u'- '\i\'l':\O
,01>; "Ill" \el. ~ 1,,\\1 "'11.11.).
\~ 95~fiS,t~l,el2~ ()le~O" .':O':O~.?:."
00 1;!,~iglirO~~(11I1';'(U{<200
'TJ:PC'OfX~;tfjl IS ,
l\Vater t'ype:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-688-0243
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occ~pancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
, Paved Drive Rqd: '1'JOP-~
%.llr.....tCoverage: ""nIP-I: II' i\-\I: ".01
"0 \ \\,,~. S\-\/I.'-'- <-"r p-N\I\ IS I'
_\'" OI'~\1 . rn 'T\-\IS pE __ r:(\tl,
I PUBL'~B1=1,IIJ\ll\ R@vt~~ t\/I.~UUl'\..v '
. \ " ',.\'
, CON\NIt:.I'O~~ PEI'\\OU. Sidewalk Type:
p.,N'< ~ 80
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instrllction:
Downspouts/Drains:
Notes:
1 Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
CITY OF SrKll"GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00699
ISSUED: '05/2212009
APPLIED: OS/20/2009
EXPIRES: 1112212009
VALUE: $ 1,000.00
225 Fifth Street, Sprillgfield, OR
541-726-3753 Pholle
541-726_3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
1,000.00
$1,000.00
$1,000.00
OS/20/2009
Total Value or Project
Fees P~i~ I
Fee Description
Plan Review Residelltial
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$37.70
$6.96
$2.90
$58.00
5/20/09
5/22/09
5122/09
5/22/09
2200900000000000537
2200900000000000557
2200900000000000557
2200900000000000557
Total Amount Paid J
$105.56
I Plan Reviews I
Initial Review
Initial Review
OS/21/2009
OS/21/2009
OS/2112009
OS/21/2009
WI
APP
NJM
LLH
Structural Revie",'
OS/22/2009
OS/22/2009
APP
KLK
To Request an inspection call the 24 hour recol'ding 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.
,Reouired 1nsnectio~~ I
Footing: After trenches are excavated. '
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
. Final Building: After all required inspections have been requested arid approved aild the building is complete.
By signatllre, 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 he done in accordance with
the Ordillances of the City of Springfield alld the Laws of the State of Oregon pertaining to the work described herein, alld
that NO OCCUPANCY will be made of any structllre without permission of the Community Services Division, Building Safety.
I further certity that ollly cOlltfactors and employees who are in compliance with ORS 701.005 will be used on this project.
Ifllrther 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
';my{;:'B~s
Owner or Contractors Signature
05
.,);).
:Jf)() q
Date
Paee 2 of 2
22:;; Fifth Street
---
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00699
COM2009-00699
COM2009-00699
Paymellts:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ ] 2% State Surcharge
Paid By
ETHEL WELTMAN
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000557
Date: 05/22/2009
Item Total:
Check Number Authorization
Received By. Batch Number Number How Received
djb
6654
In Person
Paymellt Total:
Page 1 of 1
2:24:33PM
Amount Due
58,00
2.90
6,96
$67.H6
Amount Paid
$67,86
$67,H6
5/22/2009