HomeMy WebLinkAboutPermit Building 2010-5-12
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00596
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1319 D ST
ASSESSOR'S PARCEL NO.: 1703351409600
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Bath and kitchen remodel
TYPE OF USE: Remodel
Residential
I PUBLIC IMPROVEMENTS ~ , ".,"'';;0'';;'":''' <.,:
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Owner: GREGORY RONALD I & LYNN L
Address: 1319 D ST
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION ~
Contractor Type
General
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
License
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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"'Overlay DlSt:
# StreetTrees Rqd:
Pave':(Oiive Rqd:
oO!o''Of L~t'Coverage:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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Page I of 3
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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Status
Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Exhaust Hoods
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00596
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
Value
Date Calculated
I Valuation Description ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid Date Paid Receipt Number
$18.00 5/12/10 1201000000000000436
$7.50 5/12/10 1201000000000000436
$79.00. .,' ,': 5/12110 1201000000000000436
$13.00:':;" j '1" 5112110 1201000000000000436
$57.00' ; 5/12110 1201000000000000436
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$1.00 5/12/10 1201000000000000436
[..p:eollirecUnsnec.tions I
Rough Plumbing: Prior to cover and including required testing.
Final Plnmbing: When all plumbing work is complete.
Rongh Mechanical: Prior to Cover
. Total Value of Project
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$175.50
I Plan Reviews ~
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Final Mechanical: When all mechanical work~is co.mplete.
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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.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00596
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, 1 state and agree, that 1 have carefully ex"amined.the completed application and do hereby certify that all
information hereon is true and correct, and I furthef~~rti1;~' t'iiafan'y and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Ieaws 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.
1 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.
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Paee 301'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
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RECEIPT #:
1201000000000000436
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Date: 05/12/2010
1:55:24PM
Job/Journal Number
COM20 I 0-00596
COM2010-00596
COM2010-00596
COM20 1 0-00596
COM20 1 0-00596
COM20 1 0-00596
Payments:
Type of Payment
Check.
cReceint 1
Description ...' ,.~.
Fixture I ~", ?
Minimum/Adjustment Plumbing
I SI Appliance
Exhaust Hoods
+ 12% State Surcharge
+ 5% Technology Fee
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Paid By
RONALD GREGORY
. Check Number
Received By . Batch Number.
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Item Total:
Authorization
Number How Received
Amount Due
57.00
1.00
79.00
13.00
18.00
7.50
$175.50
Amount Paid
5164
In Person
Payment Total:
$175.50
$175.50
5/12/20 I 0