HomeMy WebLinkAboutPermit Building 2009-7-15 (2)
~ '
. .
-~~!!IJ~q~'~~:"H'/'
.. ".
CITY OF SPRINGFIELD'
Building/Combination Permit
I
Status
Issued
PERMIT NO: COM2009-01019
ISSUED: 07/15/2009
APPLIED: 07/13/2009
EXPIRES: 02/06/2010
VALUE: $:2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection 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
Pbone Number: 541-736-5760
.1
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I CONTRACTOR INRORMKfJON I
\\ \a\N' "01690\\ v:i'()\\\,\
Contractor' ,~h\' 0\e90 A 0" \\,\6 \ e al6 56LicWlse
_, ,'f \' <I' , \6U' \.I 60 g5't-UV
OWNER ,< -," <, aclo\! ",\,,05e \' 011-\'\ 5 '0'1
,,,,,<'\, tel \ \.1\)\'\ 11\\6
REYNOLDS~.',,~S:rRIC OoW \\,\10 \e5 01 \\,\6 WJl}21
OWNER', ",:,~\;g,,'2.'O~:,- 0'0130\\\ CO~e', I\,\e 16\{~\ca\\0\\
ROBINSON'nUMBINQll){G, \.~~ \ \\I\\\'! ~~, 107124
Vv~ , "''''' . ".........- -...,,-,-.....
c;).\\",\\9( ,BUmDlNG\INFORMA TION I '
\\\.1\,\\'0<. e6\\'''' '
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Ii
Expiration Date
I'
Phone
Contractor Type
General
Electrical
Mechanical
Plumbing
J!
01102/2011
il
I,
07/13/2011
541,343-7297
541-345-6909
VB
Lot Size:
Sq Ft ht Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupa~t Load:
"I"O\(.
I DEVELOPMENT INFORMA TION...t,t: W 1\'11: S ~ClI
~O\\\i;' II S\\1>-\..I- ~~IS 1't.\\~I\{Cl\\:' REQUIRED PARKING
Ov,r~!\y, fj1S~~~\) \l~\)t.\\ 1>-~\)Cl~t.\) ~ Total:
# St~eet''I\l'een~qd: ,,\\ IS 1>-'0 I Handicapped:
,'" "r-\)\J "n
Pav d1)"ive~qd:" OCO\\J\)' I Compact:
rU\'J\I~' t\l r ~D ~
% of-LotF""'uerli'ge,
1>-~' ' -
n/a
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLICIMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
I,'
Downspouts/Dra~ns:
Notes:
Page I of 3
.
_~~INGFI_'f
ta', ..
-;::^
.
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descdntion I
Descriotion
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000,00
Estimate
Total Value of Project
Frp\PIlW
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Fixture
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbnrsement
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
$16.44
$6,85
$79,00
$57,00
$1.00
$11 0,23
$144,97
$12,76
$9.48
$3,95
$55,00
$24,00
$6.96
$2.90
$58,00
7/15/09
7/15109
7/15/09
7/15/09
7/15/09
7/15/09
7/15/09
7/15/09
8/4/09
8/4/09
8/4/09
8/4/09
8/6/09
8/6/09
8/6/09
Total Amount Paid
$588,54
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/C~mbin'ation Permit
,
PERMIT NO: COM2009-01019
ISSUED: 0,7/15/2009
APPLIED: 07/1312009
EXPIRES: 02/06/2010
VALUE: $\ 2,000.00
Value
$2,000,00
$2,000,00
Date Calculated
08/06/2009
Receipt Number
,
1200900000000000809
1200900000000000809
1200900000000000809
1200.900000000000809
1200900000000000809
1200900000000000809
1200900000000000809
1200900000000000809
2200900000000000873
2200900000000000873
2200900000000000873
2200900000000000873
2200900000000000890
2200900000000000890
2200900000000000890
"
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will,rbe made the following
work day.'
I ~~ollir~" Tn<,IIIJ,d~
Rongh Plumbing: 'Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete,
Rough Mecbanical: Prior to Cover
Final Mecbanieal: When all mecbanical work is complete,
Paee 2 of 3
_~^!,!!,,~Iill~t ,
=1
CITY OF SPRINLYHJ<;LD
Building/C{)mbination Permit
Status
Issued
PERMIT NO: COM2009-01019
ISSUED: 0:7/15/2009
APPLIED: 07/13/2009
EXPIRES: 02/06/2010
VALUE: $12,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rongh Electric: Prior to Cover
Final Electric:, When all electrical work is complete,
Framing Inspection: Prior to cover and after all rongh in inspections have been approved, "
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cO,ver,
Floor, Insulation: Prior to decking,
Final Building: After all required inspections have been requested and approved and the building is complete,
By signature, I state and agree, th'at I have carefully examined the completed application and do h~reby certify that all
information hereon is trne and correct, and 1 fnrther 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 structnre withont 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 a'ddress 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.
'~~ C ~ 15/~1"
Owner or Contractors Signature
Date
Paee 3 of 3
225~Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1019
COM2009-0 I 0 19
COM2009-01019
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Building Penn it
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
TRACEY EDMUNSON
..,......,;O.-cflJ;,.:......,,",!I.'.'
-.r~! ..'."...,,'.
. ", "
. " "
. - ~I
~' ,. '"
- ~. ~
"
City of Springfield Official Receipt
Development Services Department
Public Works Department
Ii
2200900000000000890
2:32:27PM
Date: 08/06/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How~'Received
Amount Due
58,00
2,90
6,96
$67,86
Amount Paid
djb 093117 In Person
Payment Total:
$67,86
$67,86
Page I of I
8/6/2009