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Home My WebLink AboutPermit Building 2009-11-24 _ $.I';'!J:~t~!Ii~t!i!,;g,; r'~' .' 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