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Home My WebLink AboutPermit Building 2010-3-10 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00252 ISSUED: 03/10/2010 APPLIED: 02/26/2010 EXPIRES: 09/10/2010 VALUE: $ 5,000.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6605 E ST ASSESSOR'S PARCEL NO.: 1702341403829 Springtield TYPE OF WORK: Kitchen TY.PE OF USE: Alteration Residential PROJECT DESCRIPTION: Kitchen remodel Owner: W ALBURGER MARILYN ROSE Address: 6605 E ST SPRINGFIELD OR 97478 Phone Number: 541-505-9249 Contractor Type General Electrical iU1T'ffl"T'mb['-~'f 'r:: re' t I CONT ~ ij;l~f MX ;rON"t 6~~~~X~~i1i~Y Notification Center. .Those ruleSJIre set forth Contractor in OAR 952-001-0d4\fll\l~gh aMPJ5!!~6,.Date DA VID ZARZYCKI GENER009o;O"j(j~1':IIbt!l~~pies of the 9tlle91~11 NEW REYNOLDS ELEcTRlc:cHlImg the centElJ84(1llilte: the teleilllll&lB20t 1 11I1I1111~~ utility NotifiCatiOn I BUILDING INfo . -332-2344). Phone 541-688-0243 541-343-7297 # uf Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: _~""'C"--.,,"' Sq Ft 2nd Floor: VB Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: NOTf\!:I:!~kled Building: No Occupant Load: roj!~,~~~~;l~~~~ REQUIRED PARKING ~~~f\'\~~[Ya~lh?~ I~~B. ANDONED FOR Total: WT;.Q'$1tP.~~ Handicapped: Paved Drive Rqd: Compact: 0/0 of Lot Coverage: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVE~ENTS ~ .d., . it i~ ':". :t" ,.... Sidewalk Type: Downspouts/Drains: .,. Notes: Pa2e I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Residential + ]2% State Surcharge + 5% Technology Fee Add, Alter, Exteud C;rc Add, Alter, Exteud Circ Ea Add + 12% State Surcharge + 5% Technology Fee Building Permit Total Amount Paid Structural Review 03/03/2010 I nitial Review Plannine: Review 03/0112010 03/03/2010 Public Works Review 03/04/2010 Structural Review 03/05/20] 0 Structural Review 03/09/20] 0 I Valua~ion Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000.00 Total Value of Project ~ Amount Paid $56.71 $10.20 $4.25 $55.00 $30.00 $10.47 $4.36 $87.25 ';.i .'.",n' , Date Paid 2/26/]0 3/5/10 3/5/10 3/5/10 3/5/10 3/10/10 3/10/10 3/]0/10 $258.24,i^,,:, I 'Plan Reviews ~ 03/03/20 I 0 03/03/2010 03/05/2010 03/05/20] 0 03/09/2010 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00252 ISSUED: 03/10/2010 APPLIED: 02/26/2010 EXPIRES: 09/10/2010 VALUE: $ 5,000.00 Value Date Calculated $5,000.00 $5,000.00 02/26/2010 Receipt Number 120]000000000000181 ]201000000000000205 ]201000000000000205 1201000000000000205 1201000000000000205 2201000000000000220 2201000000000000220 2201000000000000220 APP LLH APP DDK Interior remodel only. No planning issues. APP LKW No new surface, no new tixtures, No SDC's WE KLK Left phone message for geu. contractor for questions on structural gravity loads. Also, the owner is required to sign structural application- it's unsigned. APP KLK 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 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00252 ISSUED: 03/10/2010 APPLIED: 02/26/2010 EXPIRES: 09/10/2010 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone .. 541-726-3676 Fax 541-726-3769 Inspection Line I Reauired InsDections ~ Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. '.l"I' By signatnre, I state and agree, that [ have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and r 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 that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. [ further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. [ 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-l ..3 II IJ ~ D Dati / '. " '..-:. . ~;i .,. . .~-\~: ';'1\ '!' ,. :/ ~: ~. Page 3 of 3 ',-'J' ~ Structural Permit Applicatio.e 225 Fifth Street. Spdngfield, OR 97477 . PH(541)726.3753. FAX(54 ])726.3689 . PEPARTMEI'.lTUSE oNi.. Y COM2.0f() -002SZ. PerrnI! no.: Date: 2-2-6 -/0 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ,.'" Y. ,< ;il'O'C'A'i\;:'GOVE'RNrv"ENT2'(A~ ':1".-,' i?',R"-'0"VA~~_~~.it~:',4::..~,t.jj<<_:.";:;;i%.' :.>...... c... ,,' _~., L...__..u....,.._.,.~,._...,..".,.,..,,' .",._ ,_,~.._._..c"A.,. ,.'.,'i:..",....u..,I',~..._",.;I..{~ This project has finalland~use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: D Ves D No m~~~~'iiK~AirEl:;PB"Y.lli:if}'(~.i)N$t@c!t(GfN~i.$2(1\W:~l\it,;1i!; Residential 0 Government D Commercial l\i\'.;~i;;ii;i,;:(!J9~1SIi:~'.fN[0~MAT[iiN'iA.~prlo.CAtTI5Ni;g~;if~t1:Y~2 ZIP o "'3FZ r Address: City: S Phone: ZIP: ctl<t1 ~ Fax: E- his installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements unde ORS 701 10. Print name: Signature: C'TOR~INFAT"IO"""N"'-"'""''''~''''?'''~' , .;"~ ",;.. "PRNt. ': ,:., ,,__ it~'n3l<;:!1"j\t},<t\:k~~~ Name Electrical Plumbing Mechanical CCB License Number . Phone Nu~ber ~,,;~~ .':'~ ',~ 'i~.':'~::'~~'~'."-'t.;~:':'=:;""S:~":.F~~'~"S9H~.15U[~,i~~"9'~_~':" ):~,"'-;r;.' ~::':'; ..:.. '!i::~Y.~I~}hl9trr{i~.for,~~ti9_QW~;j;?1~~i~~~0l1.[i~(;;t(i;;f'Ji~ti/5;'.~.N;':l:.;i;;iIir::}?;.'~ (a) Job description: Occupancy ~ "$ '-in. Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new alteration (b) Foundation~only permit? Total valuation: o addition DVes )ZJNo k :~'7:.~-:B:~'~J~)~Yg:Je~~i;~'t.;::;:i:f~~~i\jij$~t~~~~~fi\W>;~'.~ :,'i:i:'<" ,'(;:h;:t;;>i ~,:-'~{~,,~\':~"~~-'-' (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) $ $ $ $ Ian review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): V~~~~t~t~~s~!f~n_'fo:~sl!~~~;'j,;%:;1t~~J%;I~~4Y~~~~j:~;t:.k~F'~F~.:; ~':~:~;:' ~~~~\:'..:~~~~.' ~, (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ R.t!Y~ E,- p~ 225 Fifth Street SpringfiCld, Oregon 97477 541-726-3759 Phone Iif~' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000220 10:04:38AM Date: 03/10/2010 Job/Journal Number COM20 1 0-00252 COM20 I 0-00252 COM20 I 0-00252 Payments: Type of Payment Check cReceintl Description Building Penn it + 12% State Surcharge + 5% Technology Fee Paid By KEITH W ALBURGER Item Total: Check Number Authorization Received B)' Batch Number Number How Received CJC 4192 In Person Payment Total: Amount Due 87.25 10.47 4.36 $102.08 Amount Paid $102.08 $102.08 .... Page I of I 3/10/20 I 0 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Tt~~~. ".... ~" . IlL c.r Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000181 Date: 02126/2010 8:41:13AM Job/Journal Number COM20 1 0-00252 Description Plan Review Residential Payments: Type of Payment CredilCard Paid By DA VID ZARZYCKI Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 56.71 $56.7\ Amount Pajd djb ,;.;. 00761 z In Person Payment Total: $56.71 $56.71 i' cReccintl Page 1 of 1 2/26/2010