HomeMy WebLinkAboutPermit Building 2009-6-2
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00766
ISSUED: 06/02/2009
APPLIED: 06/02/2009
EXPIRES: 12/02/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspection Line
SITE ADDRESS: 1010 65TH ST
ASSESSOR'S PARCEL NO.: 1702341200417
Springfield TYPE OF WORK: Kitchen
PROJECT DESCRIPTION: Kitchen remodel
TYPE,OF USE: Remodel
Residential
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r.nMMnlr.m nR IS ARMlnn~IFn FOR
I .AIU 1 ~U U8Y t'ttillJ,U. I
ValuatIOn UescrmtIon
Owner: JANET ROLLINGS
Address: 1010 65THST ,
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type.
General.
Contractor
PLEASANT HILL CONSTRUCTION LLC
License
184107
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I: ~":lm! .BUlL~IN~.I~.~ORMA TIONt
fu',uw rules adnpted by. the Oregon Utility
I. t",' t" n C'en#,of Stor,es:ules are set forth
'.J!'"' '"lca"\u. . tGI. 1 IIV"''-' ,
. '~R3R' 952001 Heightotof-StrucJtjr,lj 952-001-
In UA - -uu.:..<. :'''''"''.;:::1''
OOQo. You may (!!YP~~I~I~tI,~~J; of the rules by
g,p,ling the cerW~*Vl'y~,~:the telephone
number for th~R.llllg~(Type:lity Noliflcatlon
Center fuHtFgjHPlith'l-2344).
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special I nstruction:
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pa2e 1 of2
Phone Number: 541-736.1776
Expiration Date
to/0112010
Phone
541-988-4938
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspo~ts/D,.ains:
Value
Date Calculated
!iiP.:RINI)EliIiILO,
-r .....c.,'....,..
i
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
,541-726-37691nspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Total Amount Paid
Amount Paid
$9.48
$3.95
$79.00
$92.43
Total Value of Project
Fees Paid J
I Plan Reviews I
Date Paid
612/09
6/2/09
612109
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00766
ISSUED: 06/02/2009
APPLIED: 06/02/2009
EXPIRES: 12/02/2009
VALUE:
Receipt Number
1200900000000000599
1200900000000000599
1200900000000000599
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.
.1 Reouired Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I ha~e carefully examined Ihe 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 'OCCUP ANCY will be made of any structnre without permission of the Community Services Division, Building Safety;
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I 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 ~oea at the front of the property, and the approved set of plans will remain on the site at all
times during c01ction. (
~~L CZ",r G-2~0'7
own/;(;~ontractors Siguature Date
Page 2 of2
22~lI<ifth'Street
Springfield, Oregon 97477
54] -726-3759 Phone
Job/Journal Number
COM2009-00766
COM2009-00766
COM2009-00766
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
PLEASANT HILL CONSTR
LLC
GPRINOF'laLO ...., ,
~~:
City of Springfield Official Receipt .
Development Services Department
Public Works Department
]200900000000000599
Date: 06/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1093
In Person
Payment Total:
Page I of I
9:55:50AM'
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
6/2/2009