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Home My WebLink AboutPermit Building 2004-7-27 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00933 ISSUED: 07/27/2004 APPLIED: 07/27/2004 EXPIRES: 01127/2005 VALUE: $ 12,000.00 ,.., , ~n;~'. ~.,' '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1474 A ST ASSESSOR'S PARCEL NO.: 1703363200600 Springfield TYPE OF WORK: Fonndation Residential ~O~~ _ ~f. . ;.'?'\ I PUBLIC IMPROVEMENTS' r.'f-?\~~ ~~\t.\'\ ,';)~ ; . ~\~~~';, V~ d\ ~'" ~\)'\\t~~\t.\~~7\~()~ )!7~~\)O~~ '\~\'O V Cl\lSL~~~\l/l/iIt~ralDs: t>-~\~ ~t.~Ct.\) V~~\O\). . CO~ \~~ \)~ ,. ~~ TYPE OF USE: PROJECT DESCRIPTION: Foundation Owner: WILLIAM N BELL OREGON LIVING TRUST Address: 821 NORTHRlDGE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction Bid Amount Use Bid Amount c$PerSqFt or multiplier $1.00 Square Footage or Bid Amount 12,000.00 Total Value of Project Pal!e 1 of2 New Phone Number: 541-746-1945 Expiration Date 07/03/2005 Phone 541-688-4611 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated $12,000.00 $12,000.00 07/27/2004 . . CITY OF SPRIrlit.-t<IELD . Building/Combination Permit PERMIT NO: COM2004-00933 ISSUED: 07/27/2004 APPLIED: 07/27/2004 EXPIRES: 01127/2005 VALUE: $ 12,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L.Fl'l's Pairll Fee Description + 10% Administrative Fee + 7% State Surcharge ~Uilding p~mit vrdA;f\'on ~ ~I'l..~ To;1f Amount Paid ~ Amount Paid Date Paid Receipt Numher $12.30 $8,61 $123,00 7/27104 7/27/04 7/27/04 1200400000000001142 1200400000000001142 1200400000000001142 $143,91 I Plan Reviews I Structural Review 07/27/2004 07/27/2004 APP DLM foundation for existing structure. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Reauirl'rI InsDl'dinns , Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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 contractors and employees who are in compliance with ORS 701.005 will be used on this project. I 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 cODstructio 7-~7-6V ~\ Owner or Contractors Signature Date Pa!!e 2 of2 ~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00933 COM2004-00933 COM2004-00933 Payments: Type of Payment Check 7/27/2004 . RECEIPT #: Description Building Pennit + 7% State Surcharge + 10% Administrative Fee Paid By KEN MARQUARDT CONSTR INC a1',~'I~.t~~~~,_~ _'_,_'.. " Wit; i I' :' ~'. . ,'--' '~ j --".,,'.' " ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000001142 Date: 07/27/2004 Item Total: L'heck Number Authorization Received By Batch Number Number How Received djb 6364 In Person Payment Total: Page 1 of 1 10:12:lIAM Amount Due 123,00 8,61 12,30 $143.91 Amount Paid $143,91 $143.91