HomeMy WebLinkAboutPermit Building 2007-11-20
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01708
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
VALUE: $ 8,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2231 WEMBERLYWAY
ASSESSOR'S PARCEL NO.: 1703252104400
Springfield TYPE OF WORK: Foundation
TYPE OF USE: Repair
PROJECT DESCRIPTION: Engineered foundation repair - helical piers
Owner: TROTTER M J
Address: 2231 WEMBERLY WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
WILLIAM VAN DORN
License
165804
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 T5e'res you to
# of Bedrooms: ATTENTION: OregD&~~ ~~g,qn Utility
foUoW rules. adOP!~~:~e?~tij~~ ~orth' n/a
rO~~~~~2ijts~irooP!\\fENT~R~1 N I
~090. You may OD\t\\I1 "~[~~ ~h~'~~~
ca\ling the cen~~~~1i1iW:NotiilCatlon
number for the. t1."'~te~~~u.
Center IS '1 . .
Paved Dnve Rqd:
% of Lot Coverage:
.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Expiration Date
07127/2009
Phone
510-3366
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:
Sidewalk Type:
DownspoiltslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
&=tU \,/1\ j~ ,IuAllOOtI[& rCp.
I Valuation DesC/t" AY PERIOD.
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!:e 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01708
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: 0512012008
VALUE: $ 8,000.00
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
8,000.00
$8,000.00
$8,000.00
11/20/2007
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
. Building Permit
Amount Paid
Date Paid
$10.15
$5.07
$8.12
$101.48
11/20/07
11/20/07
11/20/07
11/20/07
Receipt Number
1200700000000001424
1200700000000001424
1200700000000001424
1200700000000001424
Total Amount Paid
$124.82
Plan Reviews'
Structural Review
11/20/2007
11/20/2007
DON DJB
Engineered foundation repair -
helical piers
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.
I Reouired Insoections I
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 construction.
~~:-u Qf5VV\-/
Owner or ConWct\..dSignature
11.~/o~
, .
Date
Page 2 of2
225 Fifth ~treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01708
COM2007-0 1708
COM2007-01708
COM2007-01708
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
V AN DORN CONSTRUCTION
INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001424
Date: 11/2012007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
673
In Person
Payment Total:
Page 1 of 1
2:20:33PM
Amount Due
101.48
5.07
8.12
10.15
$124.82
Amount Paid
$124.82
$124.82
11/20/2007