HomeMy WebLinkAboutPermit Building 2007-5-25
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.Lll i' OF ~rK1J'\jGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00757
ISSUED: OS/25/2007
APPLIED: OS/25/2007
EXPIRES: 11125/2007
VALUE: $ 3,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 650 HARLOW RD APT 151
ASSESSOR'S PARCEL NO.: 1703223402200
Springfield
TYPE OF WORK: Dryrot
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Repair dryrot on deck
Owner: MEN 1ST ROBERT L CO-CONSERV
Address: BOX 64142
ST PAUL MN 55164
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I CONTRACTOR INFORMATION I
. vI'
Contractor 1/tIS /CtLicense
PACIFIC FIRE & FLOOD INC ~4{;h!,f'ItA!73615
~..& .,.. 'I'
I BUlLDINGJNFORM>\TION'I~
., '0. -.,(.(<; v4'o. 't.L E.
# of Stories: '0 04vO Ory> ~It 1; :.tP/ry>tot Size:
Heigbt of Strnctnre:b!',?, IS 18 /tIS A S:r~t l~t Floor:
Type of Heat: . 1'00 ~4'o. ~~~~'l-~Floor:
Water Type: . 04't~q'F~Bas~t:
Range Type: _S'qcr,~G4tn}le7Carport
Energy Patb: Sq 1:'1lOther:
" -'l~brinkled Building: nla Occupant Load:
O/I~_ ~'V"',_ .
.'Jr' ......
4~ D)i)'lliLOPMEN11JNFORMATION I
0090.'1f9S1' CSf};::/J/&"'ct7; /c7/1t,&
Cc7/1. YOl,Ov1?1ltX.Qist:7'h ~ Il}s. 9lJlr.
'llJ'hb IFIg t."RS'fi:~e~ :t'fig~~a"'lJ O's&\ Ss YOlJ
&, I~~a"~, fi~~IR~Il'lJgl} /SS c7r. 0" Uti .10
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, 'I),. 11I:J1 '/8... --(),..
I PUBLIC IMPROVE~h]NIJiSj~I};~&S /
- 'q .Ie. f)
, "~~!/~j~ewalk Type:
Downspouts/Drains:
Expiration Date
12/28/2008
Phone
541-726-5896
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of2
.
.CITY OF ~rt(lj'lld<lJ!,LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00757
ISSUED: OS/25/2007
APPLIED: OS/25/2007
EXPIRES: 11/25/2007
VALUE: $ 3,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
3,000.00
$3,000.00
$3,000.00
OS/25/2007
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Amount Paid
Date Paid
$5.28
.$2.64
$4.22
$52.80 .
5/25/07
5/25/07
5/25/07
5/25/07
Receipt Number
1200700000000000634
1200700000000000634
1200700000000000634
1200700000000000634
Total Amount Paid
$64.94
I Plan Reviews I
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.
Final Buildiug: After all required inspections have been requested and approved and the building is complete.
,
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
By signature, I state and agree, that I have carefnlly examined tbe 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 Com'munity 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 during construction.
~[;:t tJ~1 fl in. 01;-' 2"--0')
Owner or Contractors Signature Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3'7S9 Phone
..
Job/Journal Number
COM2007-00757
COM2007-00757
COM2007-00757
COM2007-00757
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Building Permit
Paid By
PACIFIC FIRE AND FLOOD
INC
~.
~_...
~,
Caof Springfield Official Receipt
.Iopment Services Department
Public Works Department
1200700000000000634
Date: OS/25/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1473
In Person
. Payment Total:
Page I of I
II :45:20AM
Amount Due
2.64
4.22
5.28
52.80
$64.94
Amount Paid
$64.94
$64.94
5/2512007