HomeMy WebLinkAboutPermit Building 2009-6-8
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00764
ISSUED: 06/08/2009
APPLIED: 06/01/2009
EXPIRES: 12/08/2009
VALUE: $'6,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: ]004 5TH ST
ASSESSOR'S PARCEL NO.: 1703352]03100
SpringIieId TYPE OF WORK: Interior
TYPE OF USE: Alteration
PRoiECT DESCRIPTION: Remodel interior stairs
Owner: CELESTE WONG
Address: ]004 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR ~NFORMATlON I
Contractor Type
General
License
Contractor
OWNER
BUILDING ]NFORMATlON I
# of Units: # of St~ges:
Primary Occupancy Gronp: ~W\aW lequilEA.lIWfI\\ltStructure
Secondary OccuP""'f.YI:!'H:'ii't\P~l'. Oler.d by the Ole~t%!tl\"t:
Primary Constru~ti~!lvTYIl~s ad~~I.\W,ose lules ~}i~!l2-(l'~I''':
Secondary Constf~S!jpn311YPeye~_001 0 through O~a~%~e1illPf:
# of Bedrooms: in OAR 952-00 obtain copies oj If;n~i\W~!fE!'th:
0090, 'Iou may ntel (Note: the 'S8er'i~'\ljliluilding: n/a
__";nn lI,e ce . __ IllililV N OIlG'
~umber jortt~~i~1~80q-;WVr?t(}PMENT INFORMATION I
C~ .
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
S!orm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
E' f~~'NO~"
~~~\~ERM\i ~~~\\ ~~~~~RM'if~~"01
AU1HOR\2ED \S ABANDONEO
~~~~i~~~~ ~~R\OD.
Residential
Phune Number: 54]-988-]005
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupapt Load:
REQUIRED PARKING
Total:'
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Constru~tion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2009-00764
ISSUED: 06/08/2009
APPLIED: 06/01/2009
EXPIRES: 12/08/2009
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
54]-726-3676 Fax
54 ]-726-3769 Inspection Line
Estimate
Estimate
$1.00
6,000.00
$6,000.00
$6,000.00
06/0]/2009
Total Value of Project
F~~~ ~.aid I
Fee Description
Plan Review Residential
+ ]2% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$63.05
$]1.64
$4.85
$97.00
6/1109
6/8/09
6/8/09
6/8/09
2200900000000000589
1200900000000000630
]200900000000000630
]200900000000000630
Total Amount Paid
$176.54
. I Plan Reviews I
Initial Review
06/02/2009
06/02/2009
APP LLH
Strnctural Review
06/0212009
06/05/2009
APP CJC.
As noted.on plans
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. Reouired Tn.neelion. I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the b~i1ding is complete.
Footing: After trenches are excavated.
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] 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 OCCUPANCY will be made of any structure without permission of the Community Servic.es 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~he permit card is located at the front of the property, and the approved set of plans will remain un the site at all
ti(es duri: ~~~trurn~ GI ~f n~ .
Owner 0; Contractors Signature/'
C
Date
Page 2 01'2
225 Fifth Street
Spri,'!gfieId, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00764
COM2009-00764
COM2009-00764
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
. . + i 2% State Surcharge
Building Permit
+ 5% Technology Fee
Paid By
CELESTE WONG
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000630
Date: 06/08/2009
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
djb
033813 In Person
Payment Total:
Pagelofl
IO:39:]OAM
Amount Due
11.64
97.00
4.85
$113.49
Amount Paid
$113.49
$113.49
6/8/2009