HomeMy WebLinkAboutPermit Building 2007-12-26
CITY OF ~Y1<.lJ"l..l' mLD
Building/Combination Permit
225 FIfth Street, Sprlllglield, OR
541-726-3753 Phone
541-726-3676 F dX
541-726-3769 InspectIOn LllIe
PERMIT NO' COM2007-01922
ISSUED' 12/26/2007
APPLIED 12/26/2007
EXPIRES, 06/26/2008
VALUE: $ 20,000.00
Status
Issued
SITE ADDRESS 2963 WdYSlde Lp
ASSESSOR'S PARCEL NO 1703224103300
Springfield TYPE OF WORK Smgle Fam.ly ReSIdence
PROJECT DESCRIPTION Repair water damage
TYPE OF USE Repdlr
Resldentldl
Owner CLINE REGINAL L & FRANCES G
Address 2963 WAYSIDE LOOP
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechamcal
PlumhlUg
Contractor LIcense
EHLERS CONSTRUCTION INC 04231
RONS HEATING AND AIR CONDITIONING 169680
DONN B MERRICK 57159
# of Umts
Primary Occnpancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Seconda. y ConstructIOn Type
# of Bedrooms
Frontydrd Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solal Setbdcks
Overlay D"t
# Sll eet TI ees Rqd
Paved Drive Rqd
0/0 of Lot Cover dge
I PUBLIC IMPROVEMENTS'
Street Improvements
Storm Sewer A va dab Ie
Spec13llnstructlOn
Phone Number 541-744-1770
EXpIratIOn Date
11/19/2008
05/04/2008
11118/2008
Phone
541-689-6177
541-343-6829
541-687-1907
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gdl dge/Carport
Sq Ft Othel
Occupant LOdd
REQUIRED PARKING
Totdl
H,mdlcapped
Compact
SIdewalk Type
DownspoutslDrams
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes
Paee I 013
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 InspectIOn Lme
DescrIPtIOn Tvpe of ConstructIOn
B,d Amount Use BId Amount
Fee DescriptIOn
-Mechamcallssuance Fee-
+ 10% Admlmsllatlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
BUlldmg PermIt
Fixture
Mmlmum/AdJustment Plumbmg
MIScellaneous Mechamcal
Total Amount PaId
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO
ISSUED'
APPLIED.
EXPIRES'
VALUE.
COM2007-0I922
12/26/2007
12/26/2007
06/26/2008
$ 20,000 00
I V al~atJOn Descrmtlon I
$ PerSq Ft
or mulllpller
$100
Square Footage
or BId Amount
20,000 00
Value
Date Calcu/dted
Total Value of Project
$20,000 00
$20,000 00
12/26/2007
Fpf< P'WIJ
Amount PaId
Date Paid
ReceIpt Numbel
$20 00
$30 44
$1522
$24 36
$204 44
$32 00
$1800
$50 00
12/26/07
12/26/07
12/26/07
12/26/07
12/26/07
12/26/07
12/2 6/07
12/26/07
2200700000000001902
2200700000000001902
2200700000000001902
2200700000000001902
2200700000000001902
2200700000000001902
2200700000000001902
2200700000000001902
$39446
I Plan ReViews ,
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 followmg
work day
L_I~I,~I&&rrrlln~,nechons I
Floor InsulatIOn Prior to deckmg
Fmal Bu"dmg After all reqUIred mspectlOlls bave beell requested alld approved and the bu"dmg IS complete
Rough Plumbmg Prior to cover and mcludmg requlI ed testmg
Fmal Plumbmg When all plumbmg work IS complete
Rougb Mechanical Prior to Cover
Fma' Mechamcal Whell all mechamcal work IS complete
Pa2e 2 01 3
-~
.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2007-01922
ISSUED: 12126/2007
APPLIED. 12/2612007
EXPIRES 06/2612008
VALUE. $ 20,00000
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By sIgnature, I state and agree, that 1 have carefully exammed the completed apphcatlOn and do herehy cerllly that all
mformallon hereon IS true aod correct, and I further certIfy that any and all work performed shall be done m accol dance With
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pel tammg to the work descllbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permISSIon of the CommuOlty Sel vIces DIVISIOn, BUlldmg Safety
I further cerllfy that only contractors and employees who are m comphance WIth ORS 701 005 will be used on tills pI oJect
I further agree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each address IS readable trom the
street, that t erF~s located at the front of the property, and the approved set of plans wIll remam on the SIte at all
limes dur g c structlOn ~ ')
\~ J /2/b7 irt
Own;r or Contractors Slgfu tu; e Date ( {- /
U
Pace 3 of 3
225 FIfth Street
Sprm~field,~Oregon 97477
541-726-3759 Phone
~
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2007-01922
COM2007-01922
COM2007-0 J 922
COM2007 -01922
COM2007-01922
COM2007-01922
COM2007-0 1922
COM2007-0 1922
Payments
Type of Payment
Check
LRecemtl
RECEIPT #,
2200700000000001902
Date. 12/26/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdminIstratIve Fee
Building Permit
Fixture
Minimum/AdJustment Plumbing
Miscellaneous Mechamcal
-Mechamcallssuance Fee-
Paid By
EHLERS CONSTRUCTION
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb
4212
In Person
Pdyment Total
Page I of I
105928AM
Amount Due
IS 22
2436
3044
204 44
3200
1800
5000
2000
$394 46
Amount Paid
$394 46
$394 46
12/26/2007