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Home My WebLink AboutPermit Building 2010-1-12 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00044 ISSUED: 01112/2010 APPLIED: 01112/2010 EXPIRES: 07/1212010 VALUE: Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 25 SEWARD AVE ASSESSOR'S PARCEL NO,: 1703224400700 Springtield TYPE OF WORK: Kitchen PROJECT DESCRIPTION: Sump for kitchen sink TYPE OF USE: Alteration Residential Owner: NICKELSON JERRY D & JOYCE H Address: 25 SEWARD AVE SPRINGFIELD OR 97477 I ,CONTRACTOR INFORMATION I Contractor License ,.-- REVOLUTION ELECTRIC, INC 179066 JENCOURT ENVIRONMENTAL SERVICES 1182531 AmtmON:~~et'ft N , toIIaff rutes au..... ~e I '" # of UOItS: Center.' 952.001- Primary Occupancy Group: N~=.OC)1.oo1~Q 'tI'I'8'Hl\'8a by Secondary Occupancy Group:'" );~_ may~. 'itil\ePhone Primary Construction Type OO:ild'lfU'8 center. l\WNO\\iioalIon Secondary Construction Type: tlUmbeftortJ\8 tJiS44). # of Bedrooms: Center It 1 gy ath: Sprinkled Buildiug: Contractor Type Electrical Plumbing I DEV,ELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date 10/30/2011 06/11/2010 Phone 541-505-8351 541-689-1711 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: !. REQUlRED'P ARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ," ,._,:,\,,,,;,;:~"r.'" . " ., . 'NO?\<. . 'NOi\Ct:" :S~r>.\.\. ~~if?'I,s ~OI 1\1IS PER\'J\\1 \l~OER VIlWnr~Nt'(Pfl!lj\}:,,:. r>.\l1\10RI2EO O? IS r>.Br>.~O . CO\'J\\'J\E~~~~ PERIOO. r>.N'i ~80 u Street Improvements: Storm Sewer Available: Speciallustruction: Notes: ~ i.Paee 1 of 2 ..; Status Issued CITY OF SPRING.H1'.,LD Building/Combination Permit PERMIT NO: COM201O-00044 ISSUED: 01112/2010 APPLIED: 01/12/2010 EXPIRES: 07/12/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone, 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fee~ .p~.~.~ I Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $6,96 $2,90 $19,00 $39,00 1/12/10 1/12/10 1/12/10 1/12/1 0 1201000000000000034 1201000000000000034 1201000000000000034 1201000000000000034 Total Amount Paid $67,86 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, inspections requested after 7:00 a.m. will be made the following work day. I, R,eouired lnsnection~ I ".1 Rough Plumbing: Prior to cover and includin~ i'equir~d testing, Fiual Plumbing: Wh~n 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 Ordiuances of the City of Springfield and the Laws of the State of Oregou 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 en re that all required inspections are requested :it the proper time, that each address is readable from the street, that the permi card is located at the front of the property, and the approved set of plans will remain on the site at all times during constru tion. D f6~~// V -- /IIL/ln / I Owner or Contractors Signature Date Page 2 of2 225;Fifth Street Springfield, Oregon 97477 541-726-3759 Phooe Job/Journal Number COM20 1 0-00044 COM20 I 0-00044 COM20 I 0-00044 COM2010-00044 Payments: Type of Payment Check cReceinll RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000034 Date: 01/12/2010 I :33:58PM Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1138 In Person Amount Due 19.00 39.00 6.96 2.90 $67,86 Description . Fixture Minimum/Adjustment Plumbing + ] 2% State Surcharge +-5% Technology Fee Paid By JEN COURT ENVIRONMENTAL SRVCS LLC Amount Paid $67.86 Payment Total: $67,86 :,t,)'k " .~i t,f J ~, Page 1 of 1 1112/20 I 0