HomeMy WebLinkAboutPermit Building 2009-8-19
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1130 CUSTOM WAY
ASSESSOR'S PARCEL NO,: 1703263407100
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01207
ISSUED: 08/1912009
APPLIED: 08/1912009
EXPIRES: 0211912010
VALUE: $ 9,700.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: GARAGE CONVERSION TO SLEEPING ROOM
Residential
Owner:
Address:
PEBBLES CASEY D
1130 CUSTOM WAY
SPRINGFIELD OR 97477
Contractor Type
Contractor
# of Units:
Primary Occupancy Group: R-l
Secondary Occupancy Group:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms: '
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I, CONTRACTOR INFORMATION I
Licenseou tcExpiration Date Phone
n law requII""' "
hTTFNTION: Ore go. , ,....~ ()roonn Utility
'1" BUICDINC'j'NFORMA'fI0N I ,J s~~~gb~~'
Nv....---- 0010 tnrUU\J" ~, ,R 9 b
, OAR 9,,?-001- "0 oithe rules Y
In # orStodes:)tain COplvS h Lot Size:
0090 'Iud '''~,' - ,., te' the telep one
al'liffSi~~J ~!i~t~ucture, "'t Notification Sq Ft 1st Floor:
Cum\l:XPf.:.~ftJleat:egon Ut~~~344), Sq Ft 2nd Floor:
n Wa,!.eJi11fype: 1-800-33 Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Patb: Sq Ft Other:
Sprinkled Building: No Occupant Load:
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Overlay Dist:
NOTI~reet :~e~s ~'I;~PIRE IFTHE WORK
THIS Fr,'1TI:<<,I,-p(lve_~'Jf;. PERMIT IS NOT
THGI'-l?[l!-'Jttj!!'yeragei;1\S D FOR '
~~MMFNCED OR IS ~BANDONE
Total:
Handicapped:
Compact:
- - ..~. '''-...... l"
I /!.liBUIā¬JIMPROVEMENTS ,
Sidewalk Type:
Downspouts/Drains:
I Valuation Descr~~tion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 3
Status
Issued
CITY OF SPRIl'ltil'lELD
Building/Combination Permit
PERMIT NO: COM2009-01207
ISSUED: 08/19/2009
APPLIED: 08/19/2009
EXPIRES: 02/19/2010
VALUE: $ 9,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SFIDnplex
R-3 VB 1&2 Familv
$96,83
200.00
$19,366,00
$19,366,00
08/19/2009
Total Value of Project
Fp~<~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Numher
$16,32
$6,80
$136,00
8/19/09
8/19109
8/19/09
1200900000000000947
1200900000000000947
1200900000000000947
Total Amount Paid
$159,12
I Plan Reviews ,
Structural Review
08/19/2009
08/1912009
APP CJC
AS NOTED ON PLANS
To Request an inspection call the 24 hour recording at 726c3769. 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, Rpmlilprl In.n~
Post and Beam: Prior to 1100r insulation or decking,
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after an rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
Final Building: After all required inspections have heen requested and approved and the huilding is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01207
ISSUED: 08/19/2009
APPLIED: 08/19/2009
EXPIRES: 02/1912010
VALUE: $'9,700.00
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 carefully examined the completed application and do herehy 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 berein, and
that NO OCCUPANCY will be made of any structnre without permission of the Commnnity 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 ihe approved set of plans will remain on the site at all
times during construction.
//1 ~ C gM----
o~ontractorSSignatn~ .
~)lqJoq
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal NUD:lber
COM2009-0 1207
COM2009-0 1207
COM2009-0 1207
'Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CASEY PEBBLES
City of Springfield Official Receipt
Development Services'Department
Public Works Department
1200900000000000947
Date: 08/19/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJC
1579
In Person
Payment Total:
Page I of I
11 :47:29AM
Amount Due
136,00
6,80
16,32
$159,)2
Amount Paid
$159,12
$159,)2
8/1912009