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Home My WebLink AboutPermit Building 2004-07-02Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00777ISSUED: 0710212004APPLIED: 0612512004 EXPIRESz 0110212005VALUE: $ 8,000.00 SITE ADDRESS: 830 2lST ST ASSESSOR'SPARCELNO.: 1703361205100 PROJECT DESCRIPTION: Place foundation under existing house Owner: DIXON SHERyL Address: 1291 G ST SPRINGFIELD OR 97477 Springfield TYPE OF \ilORK: Foundation TYPE OF USE: New Expiration Date t0t3u200s Residential Phone s41-688-3648 Contractor Tvpe General Contractor WILLIAM A BRIGHAM CONST CO INC License s9618 CONTRACTOR INFORMATION \o # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Secondary Construction # of Bedrooms: Frontyard $" Side I Setback:$ Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes Description Type of Construction Foundation Only Use Bid Amount Stories: of Structure Heat: Type: Type: Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 8,000.00 Total Value of Project Building:nla Occupant Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: VaIue $8,oo0.oo $8,000.00 PARJ(NG Date Calculated 06t25t2004 PUBLIC IMPROVEMENTS \f "nl l.l il Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00777ISSUED: 0710212004 APPLIEDz 0612512004 EXPIRESz 0110212005VALUE: $ 8,000.00 Fee Description Plan Review Residential + 1006 Administrative Fee + lYo State Surcharge Foundation Permit Total Amount Paid Amount Paid $s9.67 $9.18 $6.43 $91.80 $167.08 Date Paid 6t25t04 7t2t04 7t2t04 7t2t04 Receipt Number 1200400000000000977 r200400000000001025 120040000000000102s 120040000000000102s Plan Reviews Initial Review Structural Review 06t30t2004 06t30t2004 06t30t2004 07t0u2004 RJB DLM OK APP PIan review comments on drawings. 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. Foundation: After forms are erected but prior to concrete placement. 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 Springlield 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. -Z- O L Owner or Contractors Signature Date Reou Paee2 of2 r ees raro I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone -rty of Springfield Official Receipt -,revelopment Services Department Public Works Department RECEIPT #: 1200400000000001025 Date: 0710212004 9:18:32AM Job/Journal Number coM2004-00777 coM2004-00777 coM2004-00777 Description Foundation Permit + 7%o State Surcharge + l0Yo Administrative Fee Amount Due 91.80 6.43 9.18 Item Total:$107.41 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard WILLIAM BRIGHAM djb 000429 138941 In Person Payment Total: $107.41 $107.41 7/2/2004 Page I ofl l|,srllol.Il's