HomeMy WebLinkAboutPermit Building 2007-3-13
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00268
ISSUED: 02121/2007
APPLIED: 02/21/2007
EXPIRES: 09/13/2007
VALUE: $ 5,000.00
SITE ADDRESS: 722 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274200500
Springfield
TYPE OF WORK: Foundation
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Partial foundation replacement
Owner: CARIAS MARIO
Address: 4963 EST
SPRINGFIELD OR 97478
Contractor Type
General
Plumbing
I CONTRACTOR INFORMATION.
Contractor
FOREST GRISWOLD
KEVIN LEE KIKER
Phone
541-935-5024
541-221-3212
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
95545
159330
Expiration Date
12/15/2008
03/30/2008
I BUILDING INFORMATION I
# of Stories: Lot Size:
R-3 Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Patb: Sq Ft Other:
l\\6iJil<m! ;Building: nla Occupant Load:
I DEVEta~ENT:it-JFdk~kfIbm IF THE WORK
n'J. lIW(..~V {;,W(" ,f.fJ r ERMIT IS NOTREQUIRED PARKING
'OQM.w:~~F.D OR IS ABANDONED FOR Total:
illSYrJJfrlMsYIiliilBIOD. Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
ATTEN IIUI~.UI",gUI SlII~",~i~tHi~ yOu lu
follow rules adopted by the Orepon .Uti,ty
Notification Center. Th8gg~mg't.t~J'!IllBor:
in OAR 952-001-0010 through OAR 952.00'
0090. You may obtain copies of the rules 1
calling the center. (Note: the telephone
numbor'orthe ONlgon Utility Notification
Cent8r is 1-800-332-2344).
Paee I of 3
..
71l".;~
IIIr _,.~.. )
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00268
ISSUED: 02/21/2007
APPLIED: 02/21/2007
EXPIRES: 09/13/2007
VALUE: $ 5,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion J
Description
Estimate
Tvne of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Total Value of Project
$5,000.00
$5,000.00
02/21/2007
F",,<. P.,ill .
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Miscellaneous Plumbing
Amount Paid
Date Paid
Receipt Number
$6.84
$3.42
$5.47
$68.40
$4.50
$2.25
$3.60.
$45.00
2/21/07
2/21/07
2/21107
2/21107
3/13/07
3/13/07
3/13/07
3/13107
1200700000000000189
1200700000000000189
1200700000000000189
1200700000000000189
2200700000000000336
2200700000000000336
2200700000000000336
2200700000000000336
Total Amount Paid
$139.48
I Plan Reviews I
Structural Review
02/2112007
02/21/2007
APP DJB
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.
UeollireCUnsnections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Final Plumbing: When all plumbing work is complete.
Paee 2 of 3
By signature, 1 state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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. 1
further agree to ensure that all required inspections are requested at tbe proper time, that each address is readable from the
street, that the permit card is located at the front oftbe property, and the approved set of plans will remain on the site at all
times during construction. /7
/J- /)V
~~?, -
Owner or ~ig;;:;;ure
"
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Paee 3 of3
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00268
ISSUED: 02/21/2007
APPLIED: 02/21/2007
EXPIRES: 09/13/2007
VALUE: $ 5,000.00
3!;f2.!/) -7
/.-
Date I
L
225 Fifth Street
~ ,~
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00268
COM2007-00268
COM2007-00268
COM2007-00268
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
Description
Miscellaneous Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
KEVIN KIKER
C~f Springfield Official Receipt
~opment Services Department
Public Works Department
2200700000000000336
Date: 03/13/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 545766 In Person
. Payment Total:
Page I of I
3:27:04PM
Amount Due
45,00
2,25
3.60
4.50
$55.35
Amount Paid
$55,35
$55.35
3/13/2007