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