HomeMy WebLinkAboutPermit Building 2009-7-15
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Status
Issued
CITY OF SPRIN(J!<1t.LD
Building/Combination Permit
PERMIT NO: COM2009-01019
ISSUED: 07/15/2009
APPLIED: 07/13/2009
EXPIRES: 01115/2010
VALUE: '
225 Fifth Street, Springfield, OR
541.726.3753 Phone
, 541.726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 1637 G ST
ASSESSOR'S PARCEL NO,: 1703362112600
Springfield TYPE OF WORK: Bathroom
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Convert laundry to bathroom
Owner: THOMAS EDMUNDSON
Address: 1637 G ST
SPRINGFIELD OR 97477
Phone Number: 541.736.5760
I ,CONTRACTOR INFORMATION I
Contractor Type
, General
Mechanical
Plumbing
Contractor
OWNER
OWNER
ROBINSON PLUMBING INC
License
Expiration Date Phone
107124
07/13/20 II 541.345.6909
VB
I BUILDING INFORMATION ~
. 'lOll to '
# of Stories: laW leC\llllesO\\ Utilit'l Lot Size:
Hei~ht ofGitr:(ifrub~ t\le Oleg e set \Olt'Sq Ft 1st Floor:
P,J\\3IYP~ltI$a,:,ec\ \lOse lilIes ~~ 952-00'5:9 Ft 2nd Floor:
\Ollo\WalerT-Xp'!i.:ll, '\ t\llOllg\l 0, t\le lilIeS 'Sq Ft Basement:
~oti\Ralig~IxPe00'\0\\ collieS 0 telell\lO\\~a Ft Garage/Carport
'In OEnSm"~ gathflPtal I~'ote', t\le "oti\iCaWSq Ft Other:
\' . I \"'.~.,. "r.-S \\~ "\: \'l
009spii \~~ BiI1Idii1~~0\\ UtIlI i~/iII). Occupant Load:
.n'I\\\C\ ''''',01 _0 ","'2-
- . -I' .,,, .'~ ., ~j~'" -
I,DEVJril;0PMf~\rll'NrORMATION I
,.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R.3
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
'llf\~~
I PUBLIC IMPROVEMENTS I <'\t. \~ i\'\~ \5 ~\l"\
. , ~~\~R~\\ \
\\O\\C~:. ~\i ~\\~ ~'JYI"'~~\) ~()?
"\'0 '?'t.~ to\) \)"~n~~raIDs:
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'VG\J\\J\ \)~ '?
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Notes:
Page I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726"37691nspection Line
I Valuation Descriotion I
Descriotion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
Fpp~ ~\WU
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Fixture
Minimum/Adjustment Plumbing
Sanitary Sewer. Improvement
Sanitary Sewer, Reimbursement
SDC Sanitary/Storm Admin
Amount Paid
, Date Paid
$16.44
$6.85
$79.00
$57,00
$1.00 '
$110,23
$144,97
$12,76
7/15/09
7/15/09
7/15/09
7/15/09
7/15/09
7/15/09
7/15/09
7/15/09
Total Amount Paid
$428,25
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01019
ISSUED: 07/1512009
APPLIED: 07/13/2009
EXPIRES: 0111512010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000809
1200900000000000809
1200900000000000809
1200900000000000809
1200900000000000809
1200900000000000809
1200900000000000809
1200900000000000809
To Request an inspection call the 24 hour recording at 726.3769. All inspections requested hefore 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.
l..J3&'Q,IIJ,rrrl \pwections .
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Pal!e 2 01'3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769Inspecti~n Line
CITY OF SPRINt.l'lJ<.LD .
Building/Combination Permit
PERMIT NO: COM2009.01019
ISSUED: 07/15/2009
APPLIED: 07/13/2009
EXPIRES: 01/15/2010
VALUE:
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 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 ihis project.
I further agree to ensure that all required inspections are requested at the proper lime, 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 ou the site at all
times during construction.
'J~ c (U~
Owner-or Contractors Signature
Paee 3 of 3
1-A~/o1
Date
225 Fifth s.treet
Springfield, Oregon 97477
541-726.3759 Phone
CitY of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009.0 1 0 19
COM2009.0 1 0 19
COM2009.01019
COM2009.0 1 0 19
COM2009.0 1 0 19
COM2009.01019
COM2009.01019
COM2009.01019
Payments:
Type of Payment
Check
cRccciotl
RECEIPT #:
1200900000000000809
Date: 07/15/2009
Description
Fixture
Minimum/Adjustment Plumbing
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Sanitary Sewer - Reimbursement
Sanitary Sewer. Improvement
SDC Sanitary/Stonn Admin
Paid By
THOMAS EDMUNSON
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
2018
In Person
Payment Total:
j
Page 1 of 1
I :53:06PM
Amount Due
57,00
1.00
7900
6,85
16.44
144,97
110,23
]2,76
$428.25
Amount Paid
$428.25
$42H,25
7 II 5/2009