HomeMy WebLinkAboutPermit Building 2009-7-14
Status
Issued
CITY OF ~rIHNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01026
ISSUED: 07/14/2009
APPLIED: 07/1412009
EXPIRES: 01/14/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2417 16TH ST
ASSESSOR'S PARCEL NO.: 1703243402000
Springfield TYPE OF WORK: Bat~room
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Bathroom remodel
Owner: ANITA CARTER
Address: 2417 16TH ST
SPRINGFIELD OR 97477
Phone Number: 541-746-8586
I CONTRACTOR INFORMATION I
Contractor Type
General
Ele'ctrical
Plumbing
Contractor License
LA WRENCE W PIfJ,\:JIEW~IO~I' 35806
WEILAN D ELECt.RI<!; I?AYJ~IO'N;EI,,'1JG"aw re 172373
SURRETTS .Notlficatio[1 (':~.oPted bv th" ~~~'Y5YoU to
..,. .~....... .,....- --.. 1......-- -.-.....,.,'1 Uflllt
Oooh Bmt:?:;rGJINF,QRM1:~NII set for~
calling t};l ~_~~tam Copies otH 952'001.
nUmber (], ~f'Stor.e$:(Note' th' the rUles b
R_3 c'fiYtli'! \If S!f-lJf~t,1it e telephone Y
\f1Pe Of JwofJ-332.J; Notification
Water Type: 44).
Range Type:
Energy Path:
Sprinkled Bnilding:
Expiration Date
06/29/20 II
04/06/20 II
01114/2010
Phone
541-510-9491
541-747-7701
741-3553
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
VB
Lot Size:
Sq Ft I st Floor:
"
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOT ~~r1ay Dist:
III-~;'eet Trees Rqd:
THIS ~Ml"'3TfJff.,,-d'
AUTHO,fqJli.1tfEptfi\ttrm~XP1RE IF THE WORK
C.oMMENCED OR Ie; lJO~~~:~~~IT IS NOT
:\JL-'-"','L':J\!: E:~ ,.,.9,,'Lu rUN
~K.,tvrPK~""'lli\...n I S I
Sidewalk Type:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutsfDrail'!s:
Notes:
Paee I 01'3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
F",," PqirIJ
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixtu re
Minimum/Adjustment Plumbing
Vent Fan
Amount Paid
$24.48
$10.20
$79.00
$58.00
$57.00
$1.00
$9.00
Total Amount Paid
$238.68
I Plan Reviews I
Date Paid
7/14/09
7/14/09
7/14/09
7/14/09
7/14/09
7/14/09
7/14/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01026
ISSUED: 07/14/2009
APPLIED: 07/14/2009
EXPIRES: 01/14/2010
VALUE: $ 2,000.00
Value
Date Calculated
Receipt Number
2200900000000000793
2200900000000000793
2200900000000000793
2200900000000000793
2200900000000000793
2200900000000000793
2200900000000000793
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 Rpf1l1irprunsnections 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 building is complete.
Rough Plnmbing: Prior.to cover, and including required testing.
Final Plumhing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01026
ISSUED: 07/14/2009
APPLIED: 07/14/2009
EXPIRES: 01/14/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR ,
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefnUy examined the completed application and do h~reby certify that aU
information hereon is true and correct,'and I further certify that any and aU 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 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 aU
,~im7h~strUCd~1 J /~ Idf
OwJei or CorJ/acto/s Signa:ure . Date . I
\
\
Paee 301'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~:AINQ~I"EI.. D, ~" _ ' ;.
,. ~. - . '..
--:,.'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 I 026
COM2009-0 I 026
COM2009-0 I 026
COM2009-0 I 026
COM2009-0 I 026
COM2009-0 I 026
COM2009-0 I 026
Payments:
Type of Payment
Check
\ cReccintl
RECEIPT #:
2200900000000000793
Date: 07/14/2009
Description
Building Pemlit
Fixture
Minimnm/Adjustment Plumbing
1st Appliance
Ven! Fan
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
LARRY PHILLIPS
Item Total:
Check Number Authorization
Received.By Batch Number Number How Received
18211
In Person
Payment Total:
djb
Page I of I
1:36:00PM
Amount Due
58.00
. 57,00
1.00
79,00
9,00
10,20
24.48
$238.68
Amount Paid
$238,68
$238.68
7/14/2009