HomeMy WebLinkAboutPermit Building 2007-9-17
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01415
ISSUED: 09/17/2007
APPLIED: 09/17/2007
EXPIRES: 03/17/2008
VALUE: $ 3,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 21 KATHLEEN CT
ASSESSOR'S PARCEL NO.: 1703233200200
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace roof sheathing
Owner: CHENEY LINDA MAUREEN
Address: PO BOX 7054
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
JAMES SWIGGUM
License
165118
BUILDING INFORMATION I
Expiration Date
06/09/2008
Phone
689-8752
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type: .
Energy Path:
Sprinkled Building:
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
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Downspouts/Drains:
Storm Sewer Available:
Special Instruction:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
---tt . OAn t't"" ""1 ')')HHh."",.,h nill:! QI;9_001.
I~U II · MIT SHALL EXPIRE 'F TH~ . .. I 0090. y~'"u~ ~~y ~btain copies of the rules by
THIS PER ER THIS PERM'T hon DescrIptIOn calling the center. (Note: the telephone
AUTHORIZED UNDj~~BANDONED FQ~ number for the Oregon Utility Notification
DescrOOMMENCGQ.Ql3r sfiuction erISt.ql~t squBa.rdeAFootage CentelilWe 1-800.33B~~Mculated
ANY 180 DAY PERI . or mu Ip ler or I mount
Notes:
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01415
ISSUED: 09/17/2007
APPLIED: 09/1712007
EXPIRES: 03/17/2008
VALUE: $ 3,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
3,400.00
$3,400.00
$3,400.00
09/17/2007
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Amount Paid Date Paid Receipt Number
$6.72 9/17/07 2200700000000001460
$3.36 9/17/07 2200700000000001460
$5.37 9/17/07 2200700000000001460
$67.16 9/17/07 2200700000000001460
Total Amount Paid
$82.61
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.
Reouired Insoections I
Roof Sheathing
Final Building: After all required inspections have been requested and approved and the building 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 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.
I further certify that only contracto an employees who are in compliance with ORS 701.005 will be used on this project. I
further agree ~enSUl'e~at all re uired inspections are requested at the proper time, that each address is readable from the
street, thatth'c permit ca () is loc ed the front of the property, and the approved set of plans will remain on the site at all
'imering cons'en}' nn. " 1 / '
.../~~~') 7///' /01
7 Con'e.c'o.. s;gn:n.~ O..e/ /
(
Pal!e 2 of 2
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
Ci!>, Job Number (' 7 - ! 4-/ S Date ~ j; 1 /07
~ 1 & 2 Family Dwellinglor Accessory 0 New Construction I /0 Demolition
o Multi-Family 0 Addition/Alteration/Replacement 0 Other
o Commercial/Industrial 0 Tenant Improvement
Job Address 21 }(1ol't1rl '-&"'l.-;../ (?,.
Lot Block Subdivision
Bldg No.
Tax Map/Tax Lot
Suite No.
Project Name
Description of Work/location on premises/special conditions
~ Property Owner ;
Name ,L'/w.on {I-/U'/~./
.2 / J<: 14/"- u i-tt r ,.;
State eM Zip
t /
/I!,4 /( Or! 5t1J:llc'K. tJl'I /lC01 CJS13 0;-/ / 5H/H!tl S ,,';
1 & 2 Family Dwelling I
SQ Ft X $/SQ Ft Value
Mailing Address
City S~O;::.L.P
Phone / 7,26 ~ /034
Cj-,
91117
New Dwelling Area
Garage/Carport Area
Other Structure Area
Total Value
Commercial/Induslrial/l\{ulti- Family
SQ Ft X $/SQ Ft
is 3-460 -
Fax
Owner Representative
Phone
Fax
= Value
o Applicant
Name
Mailing Address
City
Phone
Existing Building Area
New Building Area
State
Fax
Zip
Total Value
o Architect/Designer/Engineer
Name
Address
Existing
New
City
Contact Person
State
Zip
Occupancy Group(s)
Const. Type(s)
Number of Stories
Phone
)d
Fax
Contractor(s)
Contractor's Name
,JI/Y\. 6WIGGIIN\
CCB#
/0SI/B
Expiration Date
~/~/~9
Phone #
&89-8152
General
Plumbing
Mechanical
Electrical
o Residential Projects
Heat Source: Primary
Water Heater Range
Do you require any of the following for this project?
Over-width or Second Driveway DYes D No
Temporary Power DYes 0 No
Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being oerformed.
I For Office Use Only
I PLAN CHECK FEE I
o Commercial/Industrial Projects
Has site review application been submitted?
DYes D No D N/A
Ifso, Name of Planner
Journal Number
Secondary
Energy Path
BUILDING
I
PERMIT
I DATE
I BY I
I RCPT#
I
APPLICATION
Shared Drive(T:)/Ouilding Fonns/Building Penllit Apphcalion IO.02.doc
225'~ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01415
COM2007-01415
COM2007-01415
COM2007 -01415
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JAMES SWIGGUM
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001460
Date: 09/17/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dIm 704 In Person
Payment Total:
Page 1 of 1
2:22:42PM
Amount Due
67.16
3.36
5.37
6.72
$82.61
Amount Paid
$82.61
$82.61
9/17/2007