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Home My WebLink AboutPermit Building 2009-6-5 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00782 ISSUED: 06/05/2009 APPLIED: 06/04/2009 EXPIRES: 12/05/2009 VALUE: SITE ADDRESS: 382 S 58TH ST B ASSESSOR'S PARCEL NO.: 170233440160] Springfield TYPE OF WORK: Bathroom TYPE OF USE: Alteration PROJECT DESCRIPTION: Change of Occupancy and change bathroom to meet ADA ~ _ ___ ,.....\AI ronllires vou to Owner: Address: EHL PROPERTY LLC 399 E 10TH AVE STE ]0] EUGENE OR 97401 EHL PROPERTY LLC 399 E ]OTH AVE STE ]0] EUGENE OR 9740] Owner: Address: Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: F.rontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer AvaiIuhle: Special Instruction: Notes: Commercial AI I t:l' "V". -. - t -d by the Oregon UlIIllY follow rules adop e rules are set forth ~otification cen:e~'16~~:~U9h OAR 952-001- In OAR 952-001 Obtain copies of the rules by 0090. You may 0 Note' the telephone calling the cen~r. (on Utility Notification number for the r1e8g00_332-2344). Center IS - I CONTRACTOR ]NFORMATION I License Expiration Date Phone B I BUILDING INFORMATION I NOTI~~'I\~W~iALL EXPIRE IF THE WOR~ot Size: THIS Heighf,of\Str.uolurellS PERMIT IS NOsq Ft ]st Floor: AUTHq.y~tJf idW:"S.nA'B' ANDONED FOR Sq Ft 2nd Floor: COMI\W~feF-1V~~ I . Sq Ft Basement: ANY 11!l\'ngeWyp~!110D. Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: No Occupant Load: VN I DEVELOPMENTINFORMATION I REQUIRED PARKING. Total: Handicapped: - Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Page] of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00782 ISSUED: 06/05/2009 APPLIED: 06/04/2009 EXPIRES: 12/05/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] - 726-3676 Fax 54]-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Moved Structure Plumbing Conn Amount Paid Date Paid Receipt Number $13.80 $5.75 $57.00 $58.00 6/5/09 6/5/09 6/5/09 6/5/09 ]200900000000000627 ]200900000000000627 ]200900000000000627 1200900000000000627 Total Amount Paid $]34.55 I Plan Reviews I Plumbing Plan Review' 06/04/2009 06/04/2009 10 RWC Field verify ADA standards 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 ReoIJired Insoections I 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 further certify that any and all work performed shall he 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 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. (----~ (0 r'Sl 01 Owner or Contractors Signature Date Page 2 of 2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street t". Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0078I COM2009-0078I COM2009-0078I COM2009-0078I COM2009-0078I COM2009-00782 COM2009-00782 COM2009-00782 COM2009-00782 . Payments: Type of Payment Check cReceintl RECEIPT #: 1200900000000000627 ]] :02:52AM Date: 06/05/2009 Description Fixture + 5% Technology Fee + 12% State Surcharge Not Covered Plumbing + 12% State Surcharge Fixture Moved Structure Plumbing Conn + 12% State Surcharge +5% Technology Fee Amount Due 57.00 2.85 6.84 58.00 13.80 57.00 58.00 13.80 5.75 $273.04 L, Paid By ELDERHEEAL TH AND LIVING Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid In Person $273.04 cJc 4179 . Payment Total: $273.04 Page I of I 6/5/2009