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Home My WebLink AboutPermit Building 2009-8-20 ... -~a@!~I,!1~,~~L"."", ~t it..", ': "f:'" -r,- Status Issued CITY OF SPRINGFIELD 'Building/Combination Permit PERMIT NO: COM2009-01223 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/20/2010 VALUE: $ 2,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 540 E ST ASSESSOR'S PARCEL NO,: 1703352403700 Springfield TYPE OF ,WORK: Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: WINDOW REPLACMENT, HOOD DUCT RELOC, REWIRING ATTENTION: Oregon,law reguires YO~,to Residential IVIIVH' ........... ...........""'1'-'."..... '-'J ,...... ....''''::;1...'' ~,,,,., Owner: SIEGLE JONATHAN & LlSA\Jotification Center, Those rules are set forth Address: 540 E ST in OAR 952-001-0010 through OAR 952-001- SPRINGFIELD OR 97477 0090, You may obtain copies of the rules by ..... ,. I.,' _ ,,_ _ ~ _1_ ._1_ _.__ ...............::;1 .,,- -~..._.. \..-.-. -..- --,-f-"-,'- .., - f_n ~I__ .-...____ I '-l.:I:~.. t..'_-l.:..::--tion "l','CONTRACTOR,INFORMA TlON 'I Contractor Type General Plumbing Contractor License DAVID ZARZYCKI GENERAL CONTRACTlIl05626 BARNES HIGH TECH PLUMBING INC 833] I I BUILDING ~~FORMA TlON ~ Expiration Date 04/26/2011 02/17/20 I 0 Phone 541-688-0243 541-726-9854 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Cou'struction Type Secondary' Construction Type: # of Bedrooms: # of Stories: Lot Size: R-I NOTICEtleight of Structure Sq Ft ]st Floor: THIS PH'l:r,pl' QJH;l~t'!.: EXPIRE IF THE WORK Sq Ft 2nd Floor: VB AUTHORW~~e'JTJ.!'tRTHIS PERMIT IS NOT Sq Ft Basement: COMMH~~f,~e(TJP'~ ABANDONED FOR Sq Ft Garage/Carport ANY 180E,fggr,[,~\N[) Sq Ft Other: SprinKled Building: nla Occupant Load: I DEVELOPMENT INFORMATION ,I REQUIRED PARKING Frontyard Setback: Side I Setback: Side i Setback: Rearyard,Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS 1 Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa~e I of 3 -~~!!~!!i!,~SJ: ~l.~.""/~~ ' Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I223 ISSUED: 08120/2009 APPLIED: 08/2012009 EXPIRES: 0212012010 VALUE: $ 2,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valu~~ion neserintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $23.40 8/20/09 2200900000000000943 $9,75 8/20/09 2200900000000000943 $79,00 8/20/09 2200900000000000943 $58.00 8/20/09 2200900000000000943 $38,00 8/20/09 2200900000000000943 $20,00 8/20/09 2200900000000000943 Total Amount Paid $228.15 I Plan Reviews I 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,ill. will be made the following work day, TfP'1l1i~Trl ~nsne,ctions , 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 Plumbing: Prior to cover and including required testiug, Final Plumbiug: When all plumbing work is complete, Rough Mechanical: Prior to Cover Final Mechariical: When all mechanical work is complete. Rough Electric: Prior to Cover' Final Electric: Wben all electrical work is complete. Paee 2 of3 _~~'''''!!~J.~~''' l ' . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01223 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/20/2010 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 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 withont 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 nsed 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 frontof the property, and the approved set of plans will remain on the site at all tr]construction, O~ ~/ \_~, ~~/~ ~~ Owner or Contractors Signatur Date Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1223 COM2009-01223 COM2009.0 1223 COM2009-01223 COM2009-01223 COM2009-01223 Payments: Type of Payment Check cReccintl RECEIPT #: 2200900000000000943 Date: 08/20/2009 Description Building Permit Fixture Minimum/Adjustment Plumbing I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By JONATHAN SIEGLE Item Total: l:heck Number Authorization Received By Batch Number' Number How Received CJC 8629 In Person Payment Total: Page I of I 2:36:20PM Amount Due 58,00 38,00 20,00 79,00 9,75 23.40 $22H,15 Amount Paid $228,15 $228,15 8/20/2009