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Home My WebLink AboutPermit Building 2007-12-14 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED EXPIRES: VALUE COM2007-018S0 12/14/2007 12/13/2007 06/14/2008 $ 30,000 00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 6890 GLACIER DR ASSESSOR'S PARCEL NO 1802022204900 Spl mglield TYPE OF WORK FoundatIOn TYPE OF USE Repair ReSIdential PROJECT DESCRIPTION Fouudahon repair Owner PARR WILLIAM JOHN & N Address 6890 GLACIER ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Contractor VAN DORN CONSTRUCTION INC LIcense 165804 ExpIratIOn Date 07/27/2009 Phone 510-3366 BUILDING INFORMA TlON ~ # 01 UOIts PrImary Occupancy Group Secondary Occupancy Group PrImary ConstructIOn Type Seconddry ConstructIOn Type # of Bedrooms VB # of StorIes HeIght of Structure Type of Heat Watel Type Range T~ pe Energy Path Sprmkled Buddmg Lot SIze Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupdnt LOdd R-3 n/a I DEVELOPMENT INFORMATION I Frontyard Setbdck Side I Setbdck Side 2 Setback Rearyard Setback Solar Sethacks OverldY DlSt # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage REQUIRED PARKING Total Hdndlcapped Compact I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type Storm Sew~i#t!IWlI5N Oregon law requires you to Dowuspouts/Drams SpecIal IUSYo~fJW"Ules adopted by the Oregon ~~~~h NOTICE: HE WORK Notes rno~~~a~g~.~~~~~'16~~~~u~~e~:~e~5u~~~0~; T~~H~E~~i6 ~~~~~ ~~~~~~~IT IS NOT MM v^" m~" obtain copies of the . A _ '~rt:' ^n I" ^t:lHInONED FOR - calling the center. (Note' I"" '~'~'~"~"I- \.,UIVIIVICIW'-" Loll - number for the Oregon Utility ~~UruHm)fi Descnotion I ANY 180 DAY PERIOD Center is 1-800-332-.." i I . $ Per Sq Ft Square Footage or mulhpher or Bid Amount DeSCllptlOn Type of CoustructlOn Vdlue Date Calculated Pa~e I of2 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01850 ISSUED. 12/14/2007 APPLIED: 12/13/2007 EXPIRES' 06/14/2008 VALUE $ 30,000,00 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Bid Amount Use Bid Amount $100 30,000 00 $30,000 00 $30,000 00 12/14/2007 Total Value of Project Fees PaId I Fee DescnptlOn + 10% AdmlOlStratlve Fee + 5% Technology Fee + 8% State Surcharge Foundahon Permit Amount Paid Date Paid Receipt Number $27 95 $13 98 $22 36 S27954 12/14/07 12/14/07 12/14/07 12114/07 1200700000000001503 1200700000000001503 1200700000000001503 1200700000000001503 Total Amount Paid $343 83 Plan ReViews , Structurdl ReVIew 12/1412007 12114/2007 APP DJB Engmeered founddtlOD I epaIr To Request an inspectIOn call the 24 hour recording at 726-3769. All mspectlOns requested before 7 00 a.m, Will be made the same working day, mspectlOns requested after 7:00 a m, Will be made the followmg work day. I Reollired Insnechons I Fmal BUlldlOg After all required mspectlOns have beeu requested and approved and the bUlldmg IS complete By SIgnature, I state and agree, that I have carefully examlOed the completed apphcatlOn and do her ebv cerhfy that all mformahon hereon IS true and correct, and] rUI ther certify thdt any and all work performed !l>hdll be done In accordance With the Ordmances of the CIty of Sprmglield and the Laws of the State of Oregon peltamlOg to the work descrIbed herem, and that NO OCCUPANCY will be made of any structure WIthout permISsIOn of the CommuDlty ServIces DIVISIOn, BulldlOg Safety I further cerhfy thdt only contractors and employees who are 10 compliance WIth ORS 701 005 Will be used on thIS proJect I further agree to ensure that all required mspectlOlls are requested at the propel time, that each address IS readable from the street, that the permIt card IS located dt the front of the property, and the approved set 01 pldns will remalO on the site at dll times dUring constructIOn o~d..~ I;! f ~Lj-Io +- Date Pa~e 2 of 2 225 Fifth Street Sprmgfi~ld, Oregon 97477 541.-726-3759 Phone JobJJournal Number COM2007-01850 COM2007-0 1850 COM2007-01850 COM2007-0 1850 Payments Type of Payment Check cRecelOtl RECEIPT #: DescriptIOn + 5% Technology Fee t- 8% State Surcharge + 10% AdminIStrative Fee Foundation Permit Paid By V AN DORN CONSTRUCTION INC City of Sprmgfield OffiCial Receipt Development Services Department Pubhc Works Department 1200700000000001503 Date 12/14/2007 1 16 15PM Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received Amount Due 1398 2236 27 95 279 54 $343 83 Amount Peud ddk 675 In Person S343 83 Payment Total $343 83 Page 1 of I 12/14/2007