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Home My WebLink AboutPermit Building 2003-4-17 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00196 ISSUED: 04/17/2003 APPLIED: 03/21/2003 EXPIRES: 10/17/2003 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 149 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274400900 Springfield TYPE OF WORK: Foundation TYPE OF USE: New Residential PROJECT DESCRIPTION: Foundation only Owner: BARBARA DERONDENPOS Address: 149 W CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Number: 541-515-2998 I CONTRACTOR INFORMATION I Contractor Type General Owner SETBACKS Contractor RICHARD GALYAN BARBARADERONDENPOS n~~~~ BUILDING INFORMATIO~.4~0~o~ 'V~,o~'V ~ \'d 0\0<:$ '!.o0 ti) 9P 'd'1 # of Stories: ~ \'lJ. ~0 e'b 'lJ. ~ ~<i;j ~MtPSize: Height of S3~~'\ 0 \~ O~ ~0 \~~~ Floor: Type on~ :O~,\e ~~o~ o~cf' P:J 0' ~ ~e~<\..~f%nd Floor: W,.~t),:.g 0\' ~f;)~~ 09,0 ~0~ ~'Ft Basement: ~~ll."'RG0~~ ~~ 0 O,\0'~~~ ~ b.~.Ft Garage/Carport A5~tV~~;P~~~ O'O"'J '!.o.~ ~ 'V~ a:'l,nJSq Ft Other: "i ~,\V a. 9~ ~~'\ 0~,\e '!..~o rJ~'5 Impervious Surface Area: ~O _b.'" l"'~ ,..,.0 n n~ '-, ~~ !"-.! -"'~ ....'-:. I DEVEL0~~''{qON I ~'O 00 ~ Overlay'ulst: # Street Trees Rqd: Paved Drive Rqd: License Expiration Date Phone 541-606-2998 541-515-2998 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 7.00 7.00 Total: Hanf~apped: ~J\ct: ~ '\~C(. ~ ~~ Ci~~~~~~~ ~\)~ I PUBLIC IMPROVE~TS~<<:>~~~~~ '\\\~;~\)\)~V ~~, ~Y,~WG\) \)'1~~k Type: 0,.{o ~1.\. ~ ~ "o.\\)'S. ,\\ ~'\\\C) ~~~~ ~ ~'!Jmspouts/Drains: ~ ~~~ ~\)~ \) ~ \~ ~~ % of Lot Coverage: 77.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft Square Footae:e Value Date Calculated Pae:e 1 of3 ~~Z:...I~..LD .~. ....... . ,... WtL-,- . ~,., ItIJf " ^"-. -.-,_._,.._...-~.,~ -'" . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00196 ISSUED: 04/17/2003 APPLIED: 03/21/2003 EXPIRES: 10/17/2003 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation Only Use Bid Amount $1.00 4,000.00 $4,000.00 $4,000.00 03/21/2003 Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number Plan Review Residential $39.39 3/21/03 1200200000000000860 + 10% Administrative Fee $10.56 4/17/03 1200200000000001016 + 7% State Surcharge $7.39 4/17/03 1200200000000001016 Building Permit $60.60 4/17/03 1200200000000001016 Plan Review - Planning $59.00 4/17/03 1200200000000001016 Storm Sewer - 1st 50 Feet $45.00 4/17/03 1200200000000001016 Total Amount Paid $221.94 I Plan Reviews I Initial Review 03/24/2003 03/24/2003 APP LLH Planninl! Review 03/24/2003 04/07/2003 APP AID LDR zoning confirmed and existing setbacks comply with current code requirements Public Works Review 03/24/2003 04/09/2003 APP DJW No Public Works inspections required. No SDC fee's required. Structural Review 03/24/2003 04/04/2003 OK TCM 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. 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to floor insulation or decking. 5 Final Building: After all required inspections have been requested and approved and the building is complete. 6 Underfloor Drain: Prior to cover or placement of concrete. 7 Storm Sewer Line: Prior to filling trench. Pal!e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00196 ISSUED: 04/17/2003 APPLIED: 03/21/2003 EXPIRES: 10/17/2003 VALUE: $ 4,000.00 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 construction. ~~, . ---/ ith//n.-.. I,,/' ,- - - v--- c:1 ,J Owner or Contractors Signature Pal!e 3 of 3 Ly-J 7--05 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00196 COM2003-00 196 COM2003-00196 COM2003-00 196 COM2003-00196 Payments: Type of Payment Check Paid By Description Building Permit + 7% State Surcharge + 10% Administrative Fee Storm Sewer - 1st 50 Feet Plan Review - Planning BARBARA J DE RONDEN POS Receipt #: 1200200000000001016 Date: 04/17/2003 Received By Check Number Confirm No djb Page I of I 4/17/2003 9:18:13AM City of Springfield · Development Services Department Public Works Department Official Receipt Amount Paid 60.60 7.39 10.56 45.00 59,00 Line Item Total: $182.55 How Received Amount Paid In Person 182.55 $182.55 Payment Total: " cRcceipt.rpt