HomeMy WebLinkAboutPermit Building 2004-3-11
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00272
ISSUED: 03/1112004
APPLIED: 03111/2004
EXPIRES: 09/1112004
VALUE: $ 2,550.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 552 HAMILTON ST
ASSESSOR'S PARCEL NO.: 1703341206100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Underpin fireplace with helical piers
Owner: MARTIN JAMES G & BONNIE C
"., Address: 3355 LAKE WOOD DR EUGENE OR 97408
I CONTRACTOR INFORMATION'
Contractor Type
General
Contractor
OREGON HELICAL PIERS
License
41125
Expiration Date
03/18/2006
Phone
541-689-1414
BUI~DING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
">
SETBACKS
I DEVEL?PMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
"
Storm Sewer Available: Downspoutsillrains:
Special Instruction: S you to
n law reqUIre
Notes: ATTENTION:Orego b the Oregon Utility
tollow ~U\~~~~~~:e~h:se rules a~e .s.e: '.?~ NO!IC~: ,T CUdl' F~PIRE IF THE WOR~
'UU"u~"- 10 througn' '... .,-- -. I ru:" f ~:l!L 1'HIS PtKMll I:> I~V I
OAR 952-001-00 ,II '," YO "."" I .. I'UTHORIZEO UNDER
n y obtain copies'! Valuation DescrmtJon ~ D OR IS ABANDONED FOR
:l090. You ma (Note: the """t-'''~':- COMMENCE
Callina the center. I 'I't $'P-er,Sq",IitOn Square FoomOO<80 DAY pERIOD.
Description TYpe orleonstruelionJt, I Y . .. . ",'0" Value Date.Calculated
numbel IU' , ,. - - ^^ ^^? .or,mnll1pher or Bid Amount --~--
. 1 Pl"'~ ....-... -r' I , ".
Bid Amount Vse'Bia'Amount $1.00 2,550.00 $2,550.00 03111/2004
Total Value of Project
Paee 1 of2
$2,550.00
.
. CITY OF SPRINul'lJ!.LD .
Building/Combination Permit
PERMIT NO: COM2004-00272
ISSUED: 03111/2004
APPLIED: 03111/2004
EXPIRES: 09/1112004
VALUE: $ 2,550.00
,;,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.Ff'f" p~itJ ,
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
Receipt Numher
$5.28
$3.70
$52.80
3/11104
3/11104
3/11104
1200400000000000300
1200400000000000300
1200400000000000300
Total Amount Paid
$61.78
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Re"'lirf'rl Tn.nf'dion'IJ
1 Special: See Plan Reviewer or Inspectors Notes for specific requirements.
2 Final Building: After all required inspections have been requested and approved and the huilding 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.
1 furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readahle from tbe
street, tbat tbe permit card is located at tbe front oftbe property, and tbe approved set of plans will remain on tbe site at all
times during construction.
kcl-fUv,
Owner or ~tractors Signature
\?)/jo~
Dato!' {/
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00272
COM2004-00272
COM2004-00272
Payments:
Type of Payment
Check
.4'
~_n;_.~.
~~t-,
~;4'.'"<'" .,.
Receipt #: 1200400000000000300
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
OREGON HELICAL PIERS
Received By
dl
Check Number
Batch Number Authorization Number
6312
City uf Springfield Official Receipt
Development Services Department _.
Public Works Department
Date: 03/11/2004 1I:59:28AM
Amount Paid
Item Total:
52.80
3.70
5.28
$61.78
How Received
In Person
Payment Total:
Amount Paid
$61.78
$61.78
.
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