The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2009-12-1 (2) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 06/07/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3220 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221318400 Springfield' TYPE OF WORK: Plumbing Only TYPE OF USE: Remodel PROJECT DESCRIPTION: 'Replace tnb with shower and electrical for bathroom remodel Residential Owner: Address: CUSHMAN SUZANNE & MARK A PO BOX 1514 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plnmbing Contractor License DA VID ZARZYCKI GENERAL CONTRACTIII05626 NEW REYNOLDS ELECTRIC INC 184921 DA VID ZARZYCKI GENERAL CONTR INC 105626 CARLOS GILBERT MACIAS & RAQUEL TOII0117 BUILDING INFORMATION ~ Expiration Date 04/26/20 II 01/01/2011 04/26/2011 01/03/2010 Phone 541-688-0243 541-343-7297 541-688-0243 541-607-8740 # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: I'rimary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 n/a . ,I DEYELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: - % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Storm Se,veflA:vailable: ''Io';,.JI rvL.. Special Instruction: , :'~~ t"tHMIT SHALL EXPIRE IF THE WORK ~: ~;~!IZED UNDER THIS PERMIT IS NOT '" ~LJ~CED OR IS ABANDONED FOR . '~",t n':OI(l'O l' '. '- I PUBLIC IMPROVE;'~~N: Oregon law requires you to follow rules ad_~/iul ~egon Utility Notification Center. Those rules are set forth In OAR 952-001-~Pl'952-001- 0090, You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Street Improvements: Notes: Paee I of 3 _~eA.llIt!1!lj!l,~I,~i: ![( \ ; , ; S ta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee 1st Appliance Total Amount Paid I V ~Iuation Descrintion , $ Per Sq Ft or multipli~r Square Footage or Bid Amount CITY OF SPRI1''il..1' IELD ' Building/Combination Permit PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 06/0712010 VALUE: Value Date Calculated Total Value of Project Ff'f'< P~i1J Amount Paid Date Paid Receipt Number 1200900000000001287 1200900000000001287 1200900000000001287 1200900000000001287 1200900000000001292 1200900000000001292 1200900000000001292 1200900000000001292 2200900000000001389 2200900000000001389 2200900000000001389 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, $6,96 $2,90 $19.00 $39.00 $11.16 $4,65 $12,00 $81.00 $9,48 $3,95 $79,00' 12/1109 12/1109 1211/09 1211/09 1212/09 1212/09 12/2/09 1ZI2/09 12115/09 12/15/09 12115/09 $269,10 I.." I Plan Reviews I ~'rfi~I:!,~ Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing, Final ~Iumbing: When all plumbing work is complete, Rougb Electric: Prior to Cover Final Electric: When all electrical work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work,is complete. , Paee 2 of 3 , ,_~~FlI~~,!ilI~!il" '.;'.10 "~ Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 54/-726-3769 Inspection Lille CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01714 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 06/07/2010 VALUE: 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 furtlier certify that any alld all work performed shall be done in accordance with the Ordinances of the City of Springlield 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 in compliance with ORS 701.005 will be used 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 front of the property, and the approved set of plans will remain on the site at all times during construction. ~\ ()'~U owner~ractors Signature Paee 3 of 3 I ?-/; c/o q Date ( '/ , 225 Fifth Street Spririgfield,'Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01714 COM2009-01714 COM2009-01714 Payments: Type of Payment CreditCard d~eccin{r RECEIPT #: Description 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By CRAIG O'NEILL City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001389' Date: 12/15/2009 Item Total: Check Number Authorization Received By' Batch Number Number How Received njm o 1504c In Person Payment Total: Page 1 of 1 I :07:47PM Amount Due 79,00 ],95 9.48 $92.43 Amount Paid $92.43 $92.43 12/15/2009