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HomeMy WebLinkAboutPermit Building 2008-2-15 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01346 ISSUED: 09/04/2007 APPLIED: 09/04/2007 EXPIRES: 08/15/2008 VALUE: $ 22,500.00 Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6883 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802031101800 Springfield TYPE OF WORK: Foundation PROJECT DESCRIPTION: Foundation repair TYPE OF USE: Repair Residential Sidewalk Type: Downspouts/Drains: NOTICE: HE WORK l~~:O~~:O ~~~~~ V~~~~~~IT IS NOT :.f.f n.i[t!~~l\ ':'0 Ie. ARANDONED FOR Valuation Descri tiMl 180 DAY PERIOD. Owner: TOWERY JEFFREY R & DORIS G Address: 6883 FORSYTHIA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Contractor SOLID GROUND License 165804 BUILDING INFORMATION. # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: , requIreS you tWype of Heat: Primary ~rle~@gon b~he Oregon Utill\yater Type: Seconda'lcm8W~a~ Y e rules are set tat\htge Type: # of Bedrwmbation Center. ~~~:oU9h OAR 952-0lj}~~rgy Path: In OAR 952-001-00t1. copies ot the rule~~nkJed Building n/a v3::;~~" "'1P" ob atn Ul~ ell':' \:'~rhnn9 calling the cen~~~~~n Utility ~WJl9wi\ffi>MENT INFORMATION I number tor the. 1 800-332-23 ~J. Center IS - Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa2e 1 of2 Phone Number: 541-726-3700 Expiration Date 07/27/2009 Phone 744-8998 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated Status Finaled CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01346 ISSUED: 09/04/2007 APPLIED: 09/04/2007 EXPIRES: 08/15/2008 VALUE: $ 22,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Estimate Estimate $1.00 $1.00 5,000.00 17,500.00 $5,000.00 $17,500.00 $22,500.00 02/15/2008 02/15/2008 Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Foundation Permit + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid Receipt Number $7.57 $3.79 $6.06 $75.74 $18.04 $21.65 $9.03 $180.42 9/4/07 9/4/07 9/4/07 9/4/07 2/15/08 2/15/08 2/15/08 2/15/08 1200700000000001154 1200700000000001154 1200700000000001154 1200700000000001154 2200800000000000213 2200800000000000213 2200800000000000213 2200800000000000213 Total Amount Paid $322.30 I Plan Reviews I Structural Review 09/04/2007 09/04/2007 APP DLM 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 following work day. L Reouired Insoections I Footing: After trenches are excavated. Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further 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 property, and the approved set of plans will remain on the site at all times during construction. owne;;,:~;c::eto;r;:;ttot~ M.' /~ ~J/'II\I i,Ar ( fM",^.--f Date Pa!!:e 2 of 2 :p~ 2/r0~ 225 Fifth S~reet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01346 COM2007-01346 COM2007-0 1346 COM2007-01346 Payments: Type of Payment Check cRecemtl RECEIPT #: DescnptlOn BUlldmg Permit + 12% State Surcharge + 10% Admmlstratlve Fee + 5% Technology Fee PaId By V AN DORN CONSTRUCTION INC City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000213 Date: 02/15/2008 Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How ReceIved dJb 1615 In Person Payment Total: Page I of I 10:49:21AM Amount Due 18042 21 65 1804 903 $229.14 Amount Paid $229 14 $229.14 2/15/2008