HomeMy WebLinkAboutPermit Building 2008-6-12
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Status
Issued
CITY OF SPRINGFIJ'.,LU
Building/Combination Permit
PERMIT NO: COM2008-00844
ISSUED' 06/12/2008
APPLIED 06/12/2008
EXPIRES: 12/12/2008
VALUE: $ 6,060.00
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 211 66TH ST
ASSESSOR'S PARCEL NO 1702344107105
Sprmgfield TYPE OF WORK Smgle FamIly ResIdence
TYPE OF USE
RepaIr
ReSldenhal
PROJECT DESCRIPTION RepaIr and reroof ReSIdence
Owner EDLUND STEPHEN A
Address PO BOX 25145
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
HATTEN ROOFING AND CONSTRUCTION 158323
BUILDING INFORMATION I
ExpiratIon Date
01/16/2010
Phone
541-461-5691
# of UOItS
Primary Occupancy Group
Secondary Occupancy Group
Primary Construchon Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stories
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprinkled BUIld 109
Lot SIZe
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMA nON I
Frontyard Setback
S,de 1 Setback
S,de 2 Setback
Rearya. d Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
Arr€A'
!ollow :~~/Otv n..
l"""f/Oclt -" ado ",VII law
n 04" IOn C 'Pled b req
o~ '1952 enler J, II; I.//re.
SIdewalk 9Re YOU ~OO 1-00 I o'iJOc'B r:'AOre9~ t~1./ te
'!tmo 0.. ay ob tl;rou -s art> tlllt}
Downsp~B~amSO' Oen' lam 00/ gl; OAF! - . et tOrt'
r tOr tl; ,er (tv JIBS t ' 9' '2 I,
Cent e Ore Ofe II; 0 tl;e r~ ' -001_
er IS 1_8~~n Utlllly ~elepl;, ~s by
-332-234 Ol1ftOa ' e
4) 'on
I
,'vurfC .
,1110 f.
Street Improvements I 'CJ PfflMlr
"-'('!:il.-" SHA,L
Storm Sewer Available 'v' -'.. <0 UN _ L C'(PI.
Special InstructIOn :y 10:, velD ORDtR THIS RE IF rHE
vI; GAl' IS AS PERM WOR/(
Notes PERIOD' 'ANDONEDlr IS NOr
FOR
I PUBLIC IMPROVEMENTS I
I ValuatIOn DescrmtIon ,
DeSCriptIOn
Type of Construction
$ Per Sq Ft
or multlpher
Square Footage
or BId Amount
Value
Date Calculated
Pa2e 1 on
--....... aiiI
W;a:- ,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00844
ISSUED' 06/12/2008
APPLIED 06/12/2008
EXPIRES. 12112/2008
VALUE. $ 6,060.00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
B,d Amount
Use BId Amount
$100
6,060 00
$6,060 00
$6,060 00
06/12/2008
Total Value of Project
Fees .P~ld I
Fee Description
+ 100/0 Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUIld 109 PermIt
Penalty Fee - BWOP BUlldmg
Amount PaId
Date PaId
ReceIpt Number
$1858
$1115
$929
$92 90
$92 90
6/12/08
6112108
6/12/08
6/12/08
6/12/08
2200800000000000887
2200800000000000887
2200800000000000887
2200800000000000887
2200800000000000887
Total Amount PaId
$224 82
I Plan Reviews I
To Request an inspectIOn call the 24 hour recording at 726-3769 All mspectJons requested before 7'00
a.m. will be made the same workmg day, mspectJons requested after 7'00 a m. Will be made the followmg
work day
I RellUJred InsoectlOos .
1111111 .
Roofing Prior to mstallmg any roof covermg
Fmal Butldmg After all reqUIred mspectlOns have been requested and approved and the butldmg IS complete
By SIgnature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby certIfy that all
mformatlOD hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance With
the Ordmances of the CIty of Springfield and the Laws of the State 01 Oregon pertammg to the work described herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permISsIOn of the CommuUlty Services DIVISIOO, BUlldmg Safety
I further cerltfy that only contractors and employees who are m compliance WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are reqnested 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 remam on the SIte at all
times dUring constructIOn
/~~
Owner or Contracto~ Slgndture
I
~
J~
6//2 /O~
Date
Pa2e 2 of2
225 Fifth Street
Sjmngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00844
COM2008-00844
COM2008-00844
COM2008-00844
COM2008-00844
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #.
~;q;jjI
~+ -
CIty of Sprmgfield OffiCIal Receipt
Development Services Department
PublIc Works Department
2200800000000000887
Description
BUlldmg Penmt
Penalty Fee - BWOP BUlldmg
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlDlstratlve Fee
PaId By
JASON DEAPENIHATTEN
Date 06/12/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
IIh 12017 In Person
Payment Total
Page I of I
8 50 52AM
Amount Due
9290
92 90
929
11 15
1858
$224 82
Amount Paid
$224 82
$224 82
6112/2008