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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