HomeMy WebLinkAboutPermit Building 2008-2-21
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00258
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2660 C ST
ASSESSOR'S PARCEL NO.: 1703361420700
Springfield TYPE OF WORK: Dryrot
Residential
TYPE OF USE: Repair
PROJECT DESCRIPTION: Foundation and dryrot repair
Owner: KESTREL CORP
Address: 32770 KESTREL LN
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
DENNIS ROY BERGMAN
License
179091
BUILDING INFORMATION.
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction TyNOTtCE: VB .-,'>XM~ r-YVRE WORK
Secondary Construction TTR'S PERM\T SHALL tJRJ~ l\'tm \S NOT
# of Bedrooms: AUTHORIZED UNDER nH~~r.Pli 'l:flR
r.OMMENCED OR_ \~ AI$~gk\~ diMli'tg n/a
ANY 180 UAY r~toPMENTINFORMATlON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
" ' Overlay Dist:
# Street Trees Rqd:-.-,
Paved Dnve Rqd:
% of Lot Coverage:
A. · ....mnM. 'keg""!" I...~ r.tquf,o; yar t:
follow rules adop~lq:o.Vb~llme~TS I
Notification Center. IIIU"IOI IUIIOIiHll", .,,,,L IUIUI
Street Improvements: In OAR 952-D01-D010through OAR 952-001.
Storm Sewer Available: 0090.. You may obtain copies of the rules by
Special Instruction: calhng the center. (Note: the telephone
rwmber for the Oregon Utility Notification
Notes: Center is 1-800-332-2344).
Expiration Date
10/31/2009
Phone
541-505-2343
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:
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2008-00258
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$5.00
$6.00
$2.50
$50.00
2/21/08
2/21/08
2/21/08
2/21/08
1200800000000000160
1200800000000000160
1200800000000000160
1200800000000000160
Total Amount Paid
$63.50
I Plan Reviews I
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.
I Reouired Insoections .
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
/16/;) fA
r;.. :., - v
Owner or Contractors Signature
'2 ....). l -() r
Date
Pa2e 2 of2
225 Fifth Street
,
Springfield, Oregon 97477
54i-726-3759 Phone
Job/Journal Number
COM2008-00258
COM2008-00258
COM2008-00258
COM2008-00258
Payments:
Type of Payment
Check
cReceml1
RECEIPT #:
DescriptIOn
BUlldmg Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
KESTREL COMPANY
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000160
Date: 02/21/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dJb
In Person
Payment Total:
1351
Page 1 of I
3:02:30PM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
2/21/2008