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HomeMy WebLinkAboutPermit Building 2005-5-25 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00544 ISSUED: OS/25/2005 APPLIED: 05/0912005 EXPIRES: 1112512005 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7244 DAISY ST ASSESSOR'S PARCEL NO.: 1702353402100 Springfield TYPE OF WORK: Foundation PROJECT DESCRIPTION: Foundation replacement TYPE OF USE: Repair Residential Owner: JOHN ROBISON Address: 7244 DAISY ST ,SPRINGFIELD OR 97478 Phone Numher: 541-746-3958 I CONTRACTOR INFORMATION I Contractor Type General Contractor FOREST GRISWOLD .. License 95545 Expiration Date 12/1512006 Phone 541-935-5024 VN I BUILDING INFORMATION I ,.. ~~:-U\8~I~Size: tDlIUM~~'thoseI\l\eSaresetfmq'lt 1st Floor: NotI!lWd1O/l1ia~othfOU{lhOAA952.m ~t 2nd Floor: In OWilQ~ las at the N\eS. 1ft Basement: ~~ Qb18In t:re: 1he teiepho8Q Ft Garage/Carport ~~f1I<lIII,8L Utilit'l ~otil~t Other: ~:.~~~~). Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: No SDC fee's 5/1212005 CAS I PUBLIC IMPROVEMENTS. Fullv Improved 1\C~' ~~m~I\\:1ftp.!'.:\NOR~ No "0 S PtRt-/I\\ SI--li\ll \h~m"P~,i\I$lfirtfln~O ~iI--lOR\ItO \JN~~~ ~Bi\NOONtO rOR COt-/lt-/ltNCO~~ ~tR\OO, ~N'{ i8G t'\ Curbside 5' Curb and Gutter , Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of2 . . CITY V1< ~rK11'1uN~LD:' Building/Combination Permit PERMIT NO: COM2005-00544 ISSUED: OS/25/2005 APPLIED: 05/09/2005 EXPIRES: 11/25/2005 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation Only Use Bid Amount $1.00 20,000.00 $20,000.00 $20,000.00 05/09/2005 Total Value of Project Fccc p~W ~ Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid $120.51 $18.54 $12.98 $185.40 5/9/05 5/25/05 5/25/05 5/25/05 Receipt Number 1200500000000000588 1200500000000000662 1200500000000000662 1200500000000000662 Total Amount Paid $337.43 I Plan Reviews I 05110/2005 05/10/2005 APP LLH 05110/2005 05/16/2005 APP TAJ 05/10/2005 05/12/2005 APP CAS 05/10/2005 OS/23/2005 APP DLM No Planning review required. No SDC fee's 5/12/2005 CAS Initial Review Plannin!! Review Public Works Review Structural Review To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. RCllllircd ucctionsj Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Final Building: After all required inspectioos have been requested and approved and the building Is complete. By signature, I state and agree, tbat I bave carefully examined the completed application and do hereby certify tbat all information hereon Is true and correct, and I furtber 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 pro ty, and the approved set of plans will remain on the site at all times during construction. G -J;~-~. ~/2--710~ Owner or Contractors Signature Date Pa!!e 2 of2 225 Fifth Street Spfingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00544 COM2005-00544 COM2005-00544 Payments: Type of Payment Check ':t .', . " 5/25/2005 . RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By CASCADIA ENTERPRISES 1I1:...."~.,'!!"..._Q."'.,.'!!:!! ".,'..."..... '.. .' ......,,, . ,. ; . " ---... I. _' j' . ~.-.-. ." ..JlLty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000662 Date: OS/25/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 10689 In Person Payment Total: Page I of I IO:09:36AM Amount Due 185.40 12.98 18.54 $216,92 Amount Paid $216.92 $216.92