HomeMy WebLinkAboutPermit Building 2006-3-22
,~..."
CITY OF SPRING}lELD '
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-00335
ISSUED: 03/22/2006
APPLIED: 03/22/2006
EXPIRES: 09/22/2006
VALUE: $ 2,000.00
SITE ADDRESS: 654 CENTENNIAL BLVD
"ASSESSOR'S PARCEL NO.: 1703264310900.
Springfield TYPE OF
Foundation
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Repair foundation
Owner:
Address:
VIVIAN FOX
PO BOX 414
SPRINGFIELD OR 97477
Phone Number: 541-747-2763
Contractor Type
General
, " '0, \!c'J to
r - ,n Ijtllll)'
I CONTRACTOR INFORMATION?I'o~t"
\ ~~' 0 952'OO~-
, '. c'r (.) I\r\ \..
Contractor " " J iJ\U'JJ\~lc.enJeJ\es EXPIratIon Date
EHLERS CONSTRUCTION INC """'~Jn C09\8fQ.l'.H!\p~\Ione 11/19/2006
I BUILDINGcINFORMATi0N.ot\hcatlon
\..,c_" oJ , . "\Ie U\V~~" 2 2344).
('1.ef IO! l . ' 000-33-
n\..lrn'1f of.SrnneS': ~-u
H~r'g~t ';;i
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Phone
541-689-6177
, # of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
U
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
SqFt
Sq Ft Other:
Occupant Load:
VN
nla
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
\NOR~QUlRED PARKING
O~"'T~~t: L E~?\Rt \f 1\1t \<<2> t-\OTotal:
# S't;~f~i~\\ <<2>\1~\R 1\1\<<2> ?ERM\1 rOR Handicapped:
pav~'~\~Dt-\D 1\ B~t-\DOt-\ED Compact:
% WiIo~~e~~R \S r-
COMM n~'{ ?ER\OD.
~ifl ... 9,1'1 \J
IPUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated .
1 of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
J
- I
CITY OF SPRINGfilELD
Building/Combination Permit
PERMIT NO: COM2006-00335
ISSUED: 03/22/2006
APPLIED: 03/22/2006
EXPIRES: 09/22/2006
VALUE: $ 2,000.00
Foundation Onlv Use Bid Amount
$1.00
2,000.00
$2,000.00
$2,000.00
03/22/2006
Total Value of Project
LFees Paid'
Total Amount
Amount Paid Date Paid Receipt Number ..
" '
$4.50 3/22/06 1200600000000000326 I'
.$3.60 3/22/06 1200600000000000326
$45.00 3/22/06 1200600000000000326
$53.10
I Plan Reviews I
03/22/2006 03/22/2006 APP DJB engr'd
. Fee Description
, + 10% Administrative Fee
, + 8% State Surcharge
Building Permit
..
Structural Review
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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Final Building: After all required inspections have been requested and approved and the building is complete.
I'
,.,
I,
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 certity 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 wiD be made of any structure without permission of the Cominunity Services Division,
Building Safety. I further certity 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 r uired inspections are requested at the proper time, that each address is readable from
the street, t e mit card' cated at the front of the property, and the approved set of plans wiD remain on the site
al all ti ,do 0 'It . ?/:lyJ r:h
ontractors Signature Date t ?
.W
1..
{Of
2 of 2
2'~5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,~it,
Job/Journal Number
COM2006-00335
COM2006-00335
COM2006-00335
Payments:
Tfpe of Payment
Check
. '.:4
j
,~; .
"J
'f',!, I
'Y.!
"...,
r
i'l
"
'i
\;,
. .\....
'.
(~
'iT
""'"
;1
'\
f
~'l:
"
1
itT
'. ~"I
~r'
3/22/2006
RECEIPT #:
I"'ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
1200600000000000326
Date: 03/22/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Building Permit
Paid By Received By
EHLERS CONSTRUCTION INC djb
I of 1
Item Total:
l:heck Number Authorization
Batch Number Number How Received
36533 In Person
Payment Total:
9:05:39AM
Amount Due
3.60
4.50
45.00
$53.10
Amount Paid
$53.10
$53.10