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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