HomeMy WebLinkAboutPermit Building 2007-12-26
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED'
APPLIED:
EXPIRES'
VALUE
CO M2007 -01788
12/26/2007
12/06/2007
06/26/2008
$ 19,000 00
SITE ADDRESS 19080 ST
ASSESSOR'S PARCEL NO 170336\310500
Spnngfield TYPE OF WORK Vse Imtldls
TYPE OF VSE
PROJECT DESCRIPTION Substandard BUlldmg - Fire damage repaIr
Owner P ARTHA V A BEHESHT NEJAD INTL FOVNDA T
Address 312 19TH ST
SPRINGFIELD OR 97477
Contractor Type
General
I CONTRACTOR INFORMATION I
Contractor
CAROLYN F PATTERSON
LIcense
82276
# ofVmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Seconddry ConstructIOn Type
# of Bedl ooms
Frontyard Setback
SIde I Setback
Side 2 Setback
Rearydl d Setback
Solar Setbacks
Street Improvements
Storm Sewer A vadable
Special InstructIOn
Notes
DescnptIon
BVILDING INFORMATION I
# of Stones
HeIght nf Strncture
Type of Heat
VB Water Type
Range Type
Energy Path
ATTENTION: Orew6Il'MW~~you to n/a
J~~ft~~'~~;i;~:J
In OAR 95"1llOt"-OO10through OAR 952-001.
0090. You may OI:\WI tOI the rules by
calling the cent~'S '. ~ 9phone
Il&Imlw for the ~.&<<U1 !! IDcatJon
Center Is 7~Y't tovera 'e
I PVBLIC IMPROVEMENTS I
RepaIr
ReSidentIal
ExpIratIOn Date
04/27/2009
Phone
541-744-2867
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gal age/Carport
Sq Ft Other
Occupant LOdd
REQVIRED PARKING
Total
Hdndlcapped
Compact
SIdewalk Type
Downspouts/Drams
NOTICE:
TH IS PERMIT SHAll EXPIRE IF THE WORK
ftllTUnOl71:n ""nco TUIC DCDMIT IC MnT
...-
~~~~ff1~l~~A~R~EDFOR
$ Per Sq Ft
or multIpher
Square Footage
or Bid Amonnt
Tvpe of ConstructIOn
Pa2e 1 of2
Value
Date Calculated
-~i'iI
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-01788
ISSUED: 12/26/2007
APPLIED 12/06/2007
EXPIRES' 06/26/2008
VALUE: $ 19,00000
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Line
BId Amount
Use BId Amount
$100
19,00000
$19,000 00
$19,00000
12118/2007
Total Value of ProJect
Fees Palll I
Fee DescriptIOn
+ 10% AdmInlstrallve Fee
+ 5% Technology Fee
+ 8% State SUI charge
BUIldIng PermIt
Amount PaId
Ddte PaId
ReceIpt Number
$1959
$979
$1567
$195 86
12126/07
12126/07
12/26/07
12126/07
2200700000000001905
2200700000000001905
2200700000000001905
2200700000000001905
Total Amount PaId
$240 91
I Plan Reviews ,
To Request an inspection call the 24 hour recordmg 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 lollowmg
work day.
I Relllllrerllnsnectillns I
By slgndture, I state and agl ee, thdt I have cal efully examIned the completed apphcatlOn dnd do hereby cerllfy that all
mformahon hereon IS true and correct, and I further certIfy thdt any and all wor k performed shall be done In accordance with
the OrdInances of the ClIy of SprIngfield and the Laws of the State of Oregon pertaInIng to the work described hereIn, dnd
that NO OCCUPANCY WIll be made of dllY structure wIthout permISsIon of the CommuOlIy ServIces D,VISIOII, BUIlding Safety
I further cerllfy that ollly contractors dnd employees who are In comphdllce wIth ORS 701 005 WIll be used 011 thIS project
I further agree to ensure that all requIred InspectIOns are requested at the proper tIme, that each dddress IS reddable from the
sll eet, that the permIt card IS located at the front of the pI operty, and the approved set of plans WIll remllln on the sIte dt .11
times dunng constructIOn
(~~A IA;J;./m--; I~-P-(P -07
Owner 01 cpfuractors Signature Date
)
P dee 2 of 2
225 FIfth Street
Sprmgfield, Oregon 97477
,/
541~726-3759 Phone
Job/Journal Number
COM2007-01788
COM2007-01788
COM2007-01788
COM2007-0 1788
Payments
Type of Payment
Check
cRecetoll
RECEIPT #
Descnptaon
BlIlldlllg Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdminIStrative Fee
PaId By
CAROL YNS CONSTRUCTION
CIty of Sprmgfield Officml ReceIpt
Development Services Department
PublIc Works Department
2200700000000001905
Date' 12/26/2007
Item Total
Check Number AuthorizatIOn
Received Bv Batch Number Number How Received
dJb
1762
In Person
Payment Total
Page I of I
1 42 SIPM
Amount Due
19586
979
1567
1959
$240 91
Amount Paid
$240 91
$240 91
12/26/2007