HomeMy WebLinkAboutPermit Building 2004-07-08Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00831ISSUED: 0710812004APPLIED: 07/0812004EXPIRES: 01/0812005VALUE: $ 2,000.00
SITEADDRESS: 3549OSPREYDR
ASSESSOR'S PARCEL NO.: 1702194305300
PROJECT DESCRIPTION: Adding overhead door at rear of garage
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: Remodel Residential
License Expiration Date Phone
Owner:
Address:
SIDMAN MATTHEW D & TARA R
3549 OSPREY DR SPRINGFIELD OR 97477
Contractor Type Contractor
]ONTRACTOR INFORMATION
# of Units: # of Stories:
Primary Oc;,g1rypyproup: R-3 Height of Structure
Secondary Ot&fuhlltyGroup: Type of Heat:
Primary cofr5fi,id?ibliil*Fost.iAt I tx/BilRt I t' I HErltffi&lfype:
Secondaryc-dlI+t€$timEvEgiilt il I His pi iiLliI RaMg,rType:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
#ofBedroogsh,ll,iENCEil 0R ls ABAND0NED F
ppergy Path:
Si'rinll"a Building:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
nla
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
Ul t rau/ It,ll<rU UU TU
wru ES pte
Street Improvemcnts:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 2,000.00
Total Value of Project
Value
$2,000.00
$2,000.00
Date Calculated
07t08/2004
DEVELOPMENT INFORMATION
P"ge
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Valuation Description I
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Frx
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00831ISSUED: 0710812004APPLIED: 07/0812004EXPIRES: 01/0812005VALUE: $ 2,000.00
Fee Description
+ l0o Administrative Fee
+ 7o/o State Surcharge
Building Permit
Total Amount Paid
Amount Paid
$4.50
$3.15
$45.00
$52.6s
Date Paid
7t8t04
7t8t04
7t8t04
Receipt Number
2200400000000000906
2200400000000000906
2200400000000000906
Plan Reviews
To Request an inspection call the24 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.
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.
Reouired Insnect
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 Springfietd 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 during construction.
(/
Owner or Contractors Signature Date
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225 Fifth Street
Spriugfield, Oregon 97 477
541-726-3759 Phone
'ity of Springfield Official Receipt
".evelopment Services Department
Public Works Department
RECEIPT #: 2200400000000000906 Date: 0710812004 2:24:08pM
Job/Journal Number
coM2004-00831
coM2004-00831
coM2004-00831
Description
Building Permit
+ 7o/o State Surcharge
+ l0% Administrative Fee
Amount Due
45.00
3.15
4.50
Item Total:$52.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
' Check MATTHEW D SIDMAN dlm 531 In Person $52.65
Payment Totat:
-$ffi
71812004 Page I of I
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