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HomeMy WebLinkAboutPermit Building 2004-3-11 '. ': . . 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 . . ,.,.". ~~_.~4 03:S1p ~net.h S. Pfeiffer I .--.... WI i ~-""'r'L... ." I ..,' ,;~'~I ""r"~" I I l :l- __'. (" '-J ... ,_"'"'. : ,,;:.",-,-- "1,- .! ..~ '. ...- .\ ~ ,I' '~i"' J: ". !: . _ _b' .. _ ._.... J" ..#. .--.~,.. ..~.-..,,':' ! ~!.\i~T~~ I I - .. ~ II' a ~~ _A 1.:'1 ~. - To ~ ~ ::': .': ~R ..r, .'. .,-..: .,. ~, :';~ :.;, .~, 541 747-1183 ~/4{U~ ft..~1. Ver.JGC FUZE: Pl..:A:.E. p.1 .. /.., /"." "'-4.: i: ." i ~ t , -~ I , ; \ ". .... ,"~. I i-I . .... ! -,- -::~}\ t-l&U "~l.. P\~IZC; , .'.....' . ,C /4:t, f...fIJ...!B' i _r.:'''-.~.'- .~. ... ......-...--,- - ". ..,~' I ., -'7~'_'~~A- " ,... '(t:L..,,. ",. FI~(';;'I..Aa:: ,,,,~ C:'+-u.~:i~U I ,..~,.....: . .j' :. : ':, ~ ?{ ~ ;'.1- '. ~ ---- -;., 1-..-..... 01 ,. ft ~ ,..:.. " . (#'-^:' . ..- 1\ 1_ I ('24;<24 ;.:.U....t,,") ..... ....., .... )(";.' 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UNITes) OCCUPANCY LOAD STORIES TYPE ~NST~..\'?'J<:'J'I LEGAL DESCRIPTION I 7 &I ~? 1'2- f)(,., /170 ADDRESS ,,~ 2. f-/.A-W1/I..77'}>" / OW"'''~ _~I'i fl?Ad.71.r/ N~ -c.rA~6\lTENTS HERE ON HAVE BEEN REVIEWED. WITH ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS' OR PROJECT AFTER THE DATE BELOW $HAU- BE! APPRO\II!tl fit THE BUILDING OFFICIAL. ' CITY OF 5~IELD. OREGON APPROVED BY. /1.1:..../ ~4 DATE1~ 'Mar" 04,04 G3:51p ~el'.h S, Pfeiffer" ;0:.1 ,. i , ' , I _(,r:.r-:-i-{'I,.J ~.f=LLdAL l>tf:12.t:' - MAr,TH..1 1:3E;1:-;'U\tC '^~J,A'-~i~\.;" (~bl-J.E; ~,) I \1= ~IW 'V' i Rr .. 1 , 541 747-1183 . 3/'+/04 ~E:7tr.>EJJ,c.E. ~tl2:..E:P~ p.2 /€ 'n- I Wi h; o.l?cn5 \.:;'.f="r t ~'~D .. '\.1.~/C::; " t~.2)8 '. Ct'l. ~~ III 5'9. IS ~.Fr ~ "- I I I '. j - ". i - I '" I '::: ',. ::; " 1 :t :-,1 I o. f :.~~ I .,-"., j -' .- I ..... I ..,. I '- i ~~:: I V WI '>f\,', . W3 W". 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