HomeMy WebLinkAboutPermit Building 2009-11-24
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CITY OF SPRINhHELD
Building/Combination Permit
. ,
Status
Issued
PERMIT NO: cOM2009-01692
ISSUED:. 11/24/2009
APPLIED: 11124/2009
EXPIRES: OS/24/2010
VALUE:
225 Fifth Street, Springfield. OR
54'1~726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3945 ~ASPER RD
A~SESSOR'S PARCEL NO.: 1802061410600
.
Springfield TYPE OF WORK: Bathroom
TYPE OF USE: Remodel
Residential
PROJECT DESCRIPTION: Install.shower diverter and vent fan
Owner: GILMAN MARK R & AMY E
Address: 3945 JASPER RD
SPRINGFIELD OR 97478
Phone Number: 541-852-1335
I CONTRACT?R INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor License dwiration Date
JOHN R CALHOUN n 18....._r89 yUtii;'IIi04120lJ
RICHARD ST ANLEY '-'f(t~_Oregod '0'1 \h8 Olegon e\ tolth
CHAPIN ENTERPRI~~Ji<fuleS a~?~~e 1l)0s'\ll~ ~ ~2.oo'\l5/06/2010
i\'-'~'_1!JX f2=_~ . '''8 rules UJ
I JiIlPl~i.~':lIL~"" ot u' ..
tll J, oU may [,[If... Note: \tie tel~f.:on
OO~~1i~*center. ~ n Utili\'l NOu'"'Lot Size:
~t\M.Q~~2344}' Sq Ft 1st Floor:
~pe o~ \& Sq Ft 2nd Floor:
. Water Type: Sq Ft Basement:
Range Type: . ". Sq Ft Garage/Carport
Energy Path:. , . ..,. ,c Sq Ft Other:
Sprinkled Building: n/a Occnpant Load:
..
Phone .
541-607-8649
541-485-7311
541-485-1146
# ~f Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# Of Bedrooms:
R-3
VB
I DEVELOPMEN! INFORMATION I
REQUIRED PARKING
Frontvard Setback:
" .
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overla,' Dist: " .' 'Total:
# Street Trees Rqd: Handkapped:
Paved Drive Rqd: "Coni'p'O'Ct': .
% of Lot CoverNflT\CE; EX)'IRl \F'UlIWOR\(
THIS PERMT'f~A~~~pERtA1US NOT
I ~UBLIC IMPR?VE~lIgf~~~~s ABANOON~U'Ur. " .
ANY\ 80 OMlI;\EIllPf1.pe: . . . .
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of 3 .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-01692
ISSUED: 11/24/2009
APPLIED: 11/24/2009
EXPIRES: OS/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Li~e
I Valuatio~ D~s~d'ltion I
. DescriPtion
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F~I'~ r1ilU
Fee Description
+,12% State Surcharge
+'5% Technology Fee
1st Appliance
Fixtul'e
Minimnm/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$16.44
$6.85
$79.00
$19.00
$39.00
11/24/09
11/24/09
11/24/09
11/24/09
11/24/09
3200900000000000771
3200900000000000771
3200900000000000771
3200900000000000771
3200900000000000771
Total Amount Paid
$160.29
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, insp!lctions requested after 7:00 a.m. will be made the following
work day.
Ul-en uirel\.l n,~np.(':tio"i.l
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
..Paee2 of 3
Status
,
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-01692
ISSUED: 11/24/2009
APPLIED: 11/24/2009
EXPIRES: OS/24/2010
VALUE:.
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
th;t NO OCCUPANCY will be made of any strncture without 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 fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
st~eet, 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
'~'"""::~n CA"~" . \,-~,,-,'"
O',"ner or Contractors Signature
. Date
Paee 3 of 3
225 Fifth Street
-,I -
Sprin,gfieId, Oregon 9747~
541-726-3759 Phone
City of Springfield Official Receipt
Devclopment Services Department
Public Works Department
jobJJo'~rna I :.N umber
COM2009-0 1692
COM2009-0 1692
COM2009-0 1692
COM2009-0 1692
COM2009-0 1692
Paym~nts:
Type of Payment
Check
cReceintl
RECEIPT #:
3200900000000000771
Date: 11124/2009
Description
Fixture'
Minimum/Adjustment Plumbing
I st Appliance,
+ 5% -~echnology Fee
+ 12% State Surcharge
Paid By
UNIQUE BUILDING SYSTEMS
Item Total:
Check Number Authorization
Received ~y' Batch Number Number How Received
djb
2511
In Person
Payment Total:
Page 1 of 1
9:28:26AM
Amount Due
19.00
39.00
79.00
6.85
16.44
$160.29
Amount Paid
$160.29
$16U.29
,
11/24/2009