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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