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