HomeMy WebLinkAboutPermit Building 2007-11-7
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01605
ISSUED: 11/07/2007
APPLIED: 10/29/2007
EXPIRES: 05/07/2008
VALUE: $ 12,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 969 S 69TH ST
ASSESSOR'S PARCEL NO.: 1802022306400
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Engineered support and floor repair
TYPE OF USE: Repair
Residential
Owner: BECKY HOFFMAN
Address: 969 S 69TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Engineer
Contractor License
CONSTRUCTION CONSULTANTS L TD INC 120549
KP ENGINEERING P.c.
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: ION' Oregon law reqEiratikYqlA, e:
ATTENT, a' dopted by the ~tMtf''i\ltlding: n/a
fnllnw ru es \_. .,,'U orA ~~t oi\l\
~O~~:~~;'Z0101~~ORMATlON I
0090, You may obtaln C~te' the telephone
Frontyard Setback: calnng the cent~r. (N n Utm~,"rMl~ftft
Side 1 Setback: number for thei ~~OO-332~t Trees Rqd:
Side 2 Setback: Center s Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: -
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-968-3980
Expiration Date
02/2412008
Phone
541-688-1907
393-0782
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01605
ISSUED: 11/07/2007
APPLIED: 10/29/2007
EXPIRES: 05/07/2008
VALUE: $ 12,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
12,000.00
Value
Date Calculated
Description
Total Value of Project
$12,000.00
$12,000.00
10/29/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $88.27 10/29/07 1200700000000001346
+ 10% Administrative Fee $13.58 11/7/07 1200700000000001379
+ 5% Technology Fee $6.79 11/7/07 1200700000000001379
+ 8% State Surcharge $10.86 11/7/07 1200700000000001379
Building Permit $135.80 11/7/07 1200700000000001379
Total Amount Paid $255.30
I Plan Reviews I
Initial Review 10/30/2007 10/31/2007 APP LLH
Structural Review 10/31/2007 11/06/2007 APP DLM Approved as submitted
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.
~e(]uire<Unsnections I
Post and Beam: Prior to floor insulation or decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pat:?:e 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01605
ISSUED: 11/07/2007
APPLIED: 10/29/2007
EXPIRES: 05/07/2008
VALUE: $ 12,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
'- 1ttJi /I~ /1- 7-07
. .
Owner or Contractors Signature
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2007-0 1605
COM2007-01605
COM2007-0 1605
COM2007-0 1605
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CONSTRUCTION
CONSULTANTS L TD INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001379
Date: 11/07/2007
1:15:03PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
135.80
6,79
10,86
13.58
$167.03
Amount Paid
djb
5471
In Person
$167.Q3
Payment Total:
$167.03
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