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HomeMy WebLinkAboutPermit Building 2007-2-21 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00268 ISSUED: 02/2112007 APPLIED: 02/2112007 EXPIRES: 08/21/2007 VALUE: $ 5,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 E ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Contractor FOREST GRISWOLD License 95545 Expiration Date 12115/2008 Phone 541-935-5024 BUlLlJll''; INFORMATION I VB # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq'Ft 2nd Floor: Water Type: NOTICE: ~ 1.f:.t~B1!5'\'\1i\W.JORK Range Type: THIS PERMIT SHAll ES I 'Fl 'lfi!l\'1'Cfs'llm Energy Path: .M11HORIZED UNDER TS ~Ptll tlU'''! cnR Sprinkled Buil~~f^MFNCE[fO'rt IS Ml>.~~upIMUiO)jtd! I DEVELOPMENT INEf}RMl\U"lON' itl'l'UU. REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: '.a~ yOU to t""-N reqUh ~ AiTENTION:Or€go"b"'the Oregon Ut.",tv 1:"~'" tllleS adoPte~; .:.:.! ...1.." ~re s~t forti I PUBLIC IMPROVEMENTSllotitication cem.o60.'10 through OAR 95:l,oUUb' O.l\R952-OO1 . of the ru es In "Sllle'YsH\J'1J!l\:1taln coplesh telephone 0090. lOIol (Mote: t e . . . cllfflll'~~'db~J~on Utility NotifIcation . 'lumb9rtor \he1 1 800-332-2344). canter 5 - Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00268 ISSUED: 02/21/2007 APPLIED: 02/21/2007 EXPIRES: 08/21/2007 VALUE: $ 5,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $ 1.00 5,000.00 $5,000.00 $5,000.00 02/21/2007 Total Value of Project L.Fees P3irl I Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Amount Paid Date Paid Receipt Number $6.84 2/21/07 1200700000000000189 $3.42 2/21107 1200700000000000189 $5.47 2/21107 1200700000000000189 $68.40 2/21107 1200700000000000189 Total Amount Paid $84.13 I Plan Reviews , Structural Review 02/21/2007 02/2112007 DON 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. 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. By signature, 1 state and agree, that I 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 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. . t./g!# Owner or COD ac;':;Sigoature . . ;)-:p L -rJ7 Date Paee 2 of2 225 Fifth Street Springfield,'oregon 97477 541-726-3759 Phone . 8Pjr~;'..'. Itiic,.- '.' · .---- : ., t'tJ _ "_ ,.. ..." '.. ~.". ..:r c.& of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2007-00268 COM2007-00268 COM2007-00268 COM2007-00268 Payments: Type of Payment Check cReceinl1 RECEIPT #: Description Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CASCADIA ENTERPRISES 1200700000000000189 Date: 02/21/2007 Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb 11397 In Person Payment Total: Paee I of I 1:26:53PM Amount Due 68.40 3.42 5.47 6.84 $84.13 Amount Paid $84,13 $84.13 212112007