HomeMy WebLinkAboutPermit Building 2008-4-4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00478
ISSUED: 04/04/2008
APPLIED: 04/04/2008
EXPIRES: 10/04/2008
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1890 RAMBLING DR
ASSESSOR'S PARCEL NO.: 1703252101400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Engineered repair of existing patio cover
Owner: COBURN ALBERT L & ELAINE R
Address: 1890 RAMBLING DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
BELFOR USA GROUP INC
License
146973
E_~piration Date
_ 02/16/2009
Phone
541- 726-9905
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
<
BUILDING INFORMATION I <:.'
,Ai. .") 2(]On Jaw requfres
# q~StoJaes.:L;" ,:,uofJled by the Ore90
~jgbt ~_flS~fp.s~mer. Those rules are ~ t t Floor:
T~;,.f~ea!:001-0010through OAR ~~_ .d Floor:
waGv.TYP~:mayobtaln Copies ofthe ~E t sement:
Raogellf~pfue center. (Note: the telemip~ arage/Carport
EdeI&l~tfnr the Oregon Utility NotifR%t'i~Rther:
Sprinkled<BuB1i$ 1-80~4). Occupant Load:
I DEVELOPMENT INFORMATION I
VB
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:'
NOTICF-
I PUBLIC I*~LL
Tllul1/L UNDE E~PfRE F P't~. tAlqfl~K
COMMENCED OR IS ~ m1S~ ~if/,~f '(. .:\"'5r
ANY 180 DAY PERIOD. ~~~lRr~.ms:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-00478
ISSUED: 04/0412008
APPLIED: 04/04/2008
EXPIRES: 10/0412008
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
$5.00
$6.00
$2.50
$50.00
4/4/08
4/4/08
4/4/08
4/4/08
Receipt Number
2200800000000000414
2200800000000000414
2200800000000000414
2200800000000000414
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Total Amount Paid
$63.50
I Plan Reviews I
Structural Review
04/0412008
04/04/2008
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.
I Reouired Insnections I
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 durin construction.
/(t~-6
I '{
Date
Owner or Contractors Signature
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00478
COM2008-00478
COM2008-00478
COM2008-00478
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
Description
BUlldmg PermIt
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
BELFOR
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000414
Date: 04/04/2008
Item Total:
Check Number AuthonzatlOn
ReceIved By Batch Number Number How Received
dJb
19076
In Person
Payment Total:
Page I of 1
2:57:53PM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
4/4/2008