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."'.,.'!!:!! ".,'..."..... '..
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..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