HomeMy WebLinkAboutPermit Building 2004-03-11F
Status 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: COM2004-0027 5ISSUED: 0311112004APPLIED: 03/1112004EXPIRES: 0911112004
VALUE:
SITE ADDRESS: 18712ND ST
ASSESSOR'S PARCEL NO.: 1703262401200
PROJECT DESCRIPTION: Repair roof, ceiling and floor structure
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair Residential
Owner:
Address:
SMALLWOOD ROBERT H & TERESA
PO BOX 70576 EUGENE OR 97401
Contractor Type
General
Contractor
JERRYDUERKSEN
Expiration Date
10t0u2004
Phone
54t-521-9741
License
153032
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
VN
enter- Thos
of Construction
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Storm Sewer Available:
Special Instruction:
N:Oregon law requtres You tu
adoPted bY the Oregon UtilitY
e rules are set for'
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQURED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THErlotification C
n oAR 952-00 1-0010 throug h oAB 952-00
Aq
calling the center (N
num ber for the Oregon
Notes:
$ Per Sq Ft
or multiplier
AUTHORIZED UNDER THIS PERMIT IS
ANY 1BO DAY PEHIOD.
.--.,*.,ei**i.-..---nn Square Footage
or Bid Amount
Total Value of Project
Page 1 of2
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type Value Date Calculated
RK
OT
IrUlIJLrtl\(, lI\I (rl(]YlA I ltrl\ |
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-7263676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00275ISSUED: 0311112004APPLIED: 03/1112004EXPIRES: 0911112004
VALUE:
Fee Description
+ l0/o Administrative Fee
+ loh State Surcharge
Building Permit
Penalty Fee - BWOP Building
Total Amount Paid
Amount Paid
$4.s0
$3.15
$45.00
$4s.00
$97.65
Date Paid
3nu04
3nu04
3mt04
3nu04
Receipt Number
1200400000000000302
1200400000000000302
1200400000000000302
1200400000000000302
PIan 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.
I Post and Beam: Prior to floor insulation or decking.
2 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
3 Drywall: Prior to taping.
4 Final Building: After all required inspections have been requested and approved and the building 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.
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.
3 tt 6/
Owner or Signature
Pase2 of2
Date
r ees raro I
Keourre(l lnsDectlons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
#: 1200400000000000302 Date: 0311112004 2240:23PM
coM2004-00275
coM2004-0027s
coM2004-0027s
coM2004-00275
Building Permit
Penalty Fee - BWOP Building
+ 7Yo State Surcharge
+ l0%o Administrative Fee
45.00
45.00
3.15
4.50
Item Total:$97.65
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
CreditCard ROBERT H SMALLWOOD dlm 000322 236711 In Person
Payment Total:
$97.6s
$97.6s
CitY of SPringfield
225 Fifth Street, Springlield, OR 97477
541-726-3759 Phone
547-126-36768ax
August 23,2004
SMALLWOOD ROBERT H & TERESA
PO BOX 70s76
EUGENE OR g74OI
Job Number:
Location:
Project:
Dear Permit Holder:
Sincerely,
Lisa Hopper
Building Safety Supervisor
coM2004-0027s
1871 2ND ST
Repair roof, ceiling and floor structure
The Springfield Building safety code Administrative code provides that in order for a permit toremain valid' the work which has been authorized bythe permit must begin *irhi, lg0 days of the dateof issuance, and an inspection must be requested at ieast.rrry Ig0 days.
According to our records, you obtained a permit for a projec t at lgTl2ND sT which is set to expire on9lll/2004' our records indicate that you iave not requesied an inspection *itt i., the past five (5)months' This letter is written to notify you that your permit(s) wiflbe
"rpirirg ;hortly. If you are readyto request an inspection for your projeci, please pnonr the inspection line at sit-lza-2169. If you donot request an inspection prior to the expiration date, your;;1Gt;il'i.;"#and additional permitfees will be required in order to compleie your project.
If you have any questions, please feel free to phone me at 541-726-3790.
:rurnber f or t4. SI]BTUTAL OF.frBAW?Qa 'a''t/1'\
n L/Tt'g
Owners Signarure:o-0
7o/o Stats Surcharge
l0% Adminisrrarive Fcc
TOTAL
a
13.'ltInspectloo Request: 726-j7 69
Sharcd DrivCT: lBui lding Form#Elc.ctrira I permrt Appl icarion l.03.rloc
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