HomeMy WebLinkAboutPermit Building 2009-10-26
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01563
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/26/2010
VALUE:
, -~~~,t:~,,9~~~~-~
:1 4'.
1t'
Status
Issued
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 1050 L ST
ASSESSOR'S PARCEL NO.: 1703264406300
Springfield TYPE OF WORK: Bathroom
PROJECT DESCRIPTION: Remodelliath
. TYPE OF USE: Remodel
Residential
Owner: SCHIEFFER SHARON
Address: 1050 L ST
SPRINGFIELD OR 97477
I. CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
PREVENTEC INC.
DOUG PALMER ELECTRIC LLC
PRICE RITE ROOTER & PLUMBING
License'
113894
181465
159330
I ~UlLDlNG INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrg<!ms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
P~velIri-;:ive Rqd:
% of Lot Coverage:
Expiration Date
07/24/2010
04/14/2010
03/30/2010 .
Phone
541,343-4462
541,434,5600
541,221,3212
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.1 PPBLIC IMPROVEMENTS I . .~ .
" '. ::,,~:,.:;':A~?.l\~~~~~~~~,Jrpe:.
NOnCE: . ',' ..' '.' . ins:
. THIS PERMIT SMAll mmilt~ '
'AUTHORIZED UNDER THIS PERMlTrolSRNo, .'
COMMENCED OR IS ABANDONED .....
ANY 180 DAY PERIOD. '
Street Improvements:
Storm Sewer A vaihible:
Speciallnstruction:',:i"~
Notes:
Pa~e 1 012
Lll r OF .srKll~GFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01563
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/26/2010
VALUE:!
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-37691nspection Line
Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
.
Total Value of Project
Fee~, Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$6.96
$2.90
$57,00
$1.00
10/26/09
10/26/09
10/26/09
10/26/09
Receipt Number
1200900000000001186
1200900000000001186
1200900000000001186
1200900000000001186
Total Amount Paid
$67.86
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.m. will be made the following
work day.
~eouired J nsnections I
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete,
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 ill compliance with ORS 701.005 will be IIsed 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, iliat tbl, perfil card is cated at the front of the property, and the approved set of plans will remain on the site at all
tiWr~"Y~TJtion. ' . to!u ~r
Owner or Contractors Signature
Date
Paee 2 01'2
225 .!<;ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
(;;fji.
i
City: of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009,01563
COM2009-0 1563
COM2009-0 1563
COM2009-0 1563
Payments:
Type of Payment
Check
cReccintl
RECEIPT #:
D~te: 10/26/2009
2:17:36PM
1200900000000001186
Description
Fixture
Minimum! Adjustment Plumbing .
. + 5% Technology Fee
+ 12% State Surcharge
Amount Due
57.00
1.00
, 2.90
6.96
$67,86
Paid By
PREVENTECINC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
2327
In Person
Payment Total:
$67.86
$67,86
Page 1 of 1
10/26/2009