HomeMy WebLinkAboutPermit Building 2009-10-27 (2)
.'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009.01576
ISSUED: 10/27/2009
APPLIED: 10/27/2009
EXPIRES: 07/21/2010
VALUE: $ 1,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1422 ANDERSON LN
ASSESSOR'S PARCEL NO:: 1703284002400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: 6 circuits for heaters, hot tub, and lights in residence.lnstall beams,
Residential
. 0" , ,~:
Owner: DAME CHERYL A
Address: 1422 ANDERSON LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor
OWNER
NEW REYNOLDS ELECTRIC INC
J LOGUE GAS WORKS INC
License
Expiration Date Phone
184921
147111
01/01/2011 541-343-7297
03/06/2011 541-345-7599
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary COllstruction Type:
# of Bed rooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
,..;.,\0
" Oll\~tl"NFORMATION I
...notl: Ole\! d p'j r. ,! e.l~ U~ nn1-
,..~",.. e.doQ\e oselu\es p.952"'"
Front yard Setback\ollOVl ,,:,\8Scell\el.1n nlOU\!n ~iiiii\ElJin~
Side I Setback: tlo\ifICa\\Oll -O01.001~~ copies~~f~~lles Rqd:
Side 2 Setback: ill o~ 952 (IIll.'I oP\ll.\lI tlo\e: \n~~5t\\QiiWi!'hqd:
Rearyard Setback: 0090- '(O~n8 cell\el. ~Oll \.l\\\\~'3lI~'f<ot Coverage:
Solar Setbacks: cll.Wlllg \01 \n8.01:.1>00.'332-
. ..-rhBt l:;il'\:" \A \ ..
\J I PUBLIC IMPROVEMENTSI
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Spcciallllstruction:
Sidewalk Type:
DownspoutslDrains: ,.': """~O?>~
~ "\~t. ~O\
~'i'\?>t. ~?>~~ \':> ~
~O\\C\~\"\ ':>~~~~ \~\~~O~t.~ to '
\~\'2> 'i';?>\1.t.~ U~~ \'2> {>.~il\ ' '
\>.U\~ x..~Ct.~ t.~\O~'
CG~~ ~ ~~ \>
{>.~'{ ,\'0 ,
Notes:
.'!~' ':l'.2elof ~
CITY OF SPRI~Gl' lELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspeCtion Line
"
PERMIT NO: COM2009-01576
ISSUED: 10/27/2009
APPLIED: 10/27/2009
EXPIRES: 07/21/2010
VALUE: $ 1,500.00
Status
Issued
I Relluired In~nectio,ns I
Rough Electric: Pri~r to. Cover
Final Electric: When all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service.
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Final Building: After all required inspections have been requested and approved and the building is complete,
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Mechanical: Wheu all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do. hereby certify that all
info.rmation hereon is true and co.rrect, and I further certify that any and all work perfo.rmed shall be done in acco.rdance with
the Ordinances of the City o.f Springlield and the Laws o.f the. State of Oregon pertaining to. the wo.rk described herein, and
that NO OCCUPANCY will be made o.f any structure, without permission o.f the Co.mmunity Services Divisio.n, Building Safety,
I further certify that o.uly co.ntracto.rs aud emplo.yees who. are in co.mpliance with ORS 701.005 will be used o.n this pro.ject.
I further agree to. ensure that all required inspectio.ns are requested at the pro.per time, that each address is readable from the
street, that the permit card is Io.cated at the fro.nt o.f the pro.perty, and the appro.ved set o.f plans will remain o.n the site at all
times during c~ruct:n,__ /
, , ~1.J"-J7~ 1-,2/ - Iv
Owner or Contractors Signature Date
; T'~ '.
:
....\
Page 3 o.f 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Extend Circ Ea Add
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Snrcharge
+ 12% State Snrcharge
+ 5% Technology Fee
+ 5% Technology Fee
Bnilding Permit
Building Permit
Reversal- + 12% State Surchar
Reversal ~ + 5% Technology Fee
Reversal - Building Permit
+ 12u/o State Surcharge
+ 5% Technology Fee
1st Appliance
LP Cas Tank & Piping
Total Amount Paid
"
.-"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01576
ISSUED: 10/27/2009
APPLIED: 10/27/2009
EXPIRES: 07/21/2010
VALUE: $ 1,500.00
I V~luation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
1,500.00 '
Value
Dale Calculated
Total Valne of Project
$1,500,00
$1,500.00
12131/2009
Fpp~, P1irlJ
',,;\1;:: ~. "~,
Amount Paid:.',
Date Paid
Receipt Number
$10:20
$4.25
$55,00
$30,00
$14.76
$6.15
$42.00
$81.00
$6.96
$6.96
$2.90
$2.90
$58.00
$58.00
$-6.96
$-2,90
$-58.00
$11.52
$4,80
$79,00
$17,00 ':'f' ,; ,"
10/27/09
, 10/27/09
10/27/09
10/27/09
12/29/09
, 12129/09
12/29/09
12/29/09
12131/09
12/31/09
12/31/09
12/31/09
12131/09
12/31/09
12/31/09
12131/09
12/31/09
1/21/10
1/21/10
1/21/10
1/21/10
1200900000000001194
1200900000000001194
1200900000000001194
1200900000000001194
1200900000000001364
1200900000000001364
1200900000000001364
1200900000000001364
1200900000000001371
1200900000000001367
1200900000000001371
1200900000000001367
1200900000000001371
1200900000000001367
1200900000000001368
1200900000000001368
1200900000000001368
1201000000000000066
1201000000000000066
1201000000000000066
1201000000000000066
if"
$423,54
I Plan Reviews ,
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.
Paee 2 of3
225 ,Fifth Street
Springfield, Oregon 97477
541" 726-3759 Phone
Job/Journal Number
COM2009-0 1576
COM2009-0 1576
COM2009-0 1576
COM2009,O I 576
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
I st Appliance
LP Gas Tank & Piping
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
RICHARD WOOD
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000066 ,
Date: 01/21/2010
Item Total:
Check Number Authorization
Received By Batch Number Number UowReceived
djb
b74109 In Person
Payment Total:
.. ~~,
.1>:"
Page 1 of 1
I :28:30PM
Amount Due
79,00
17,00
11.52
4,80
$112,32
Amount Paid
$" 2,32
$112.32
1121/2010