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Home My WebLink AboutPermit Building 2004-09-24Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01087ISSUED: 0912412004APPLIED: 08/3012004EXPIRES: 03/24/200s SITE ADDRESS: 1230 sTH ST ASSESSOR'S PARCELNO.: 1703263405500 PROJECT DESCRIPTION: Add carport to garage for R.v. Owner: Address: COLLINS VIRGIL RA 1230 N FIFTH ST Springlield TYPE OF WORK: Single Family Residence OF USE: Addition Residential VALUE: $ 6,474.00 License Expiration Date Phone t \$sContractor Type General C OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay # Street Paved o/o of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft u-l 15.00 VN 390 Type of Construction Carport $$l $ Per Sq Ft Square Footage or multiplier or Bid Amount $16.60 390.00 Total Value of Project r4.00 5.00 nla t, Sidewalk Type: Downspouts/Drains PARKING Date Calculated 08t30t2004 Description Carport Value $6,474.00 $6,474.00 D I _8-'n$,61FrBD \'t Yr Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01087ISSUED: 0912412004 APPLIED: 08/3012004EXPIRESz 03124/2005VALUE: $ 6,474.00 tr'ees Pa Fee Description Plan Review Residential + l0o/o Administrative Fee + 7oh State Surcharge Building Permit Plan Review Minor - Planning Plan Review/Residential Hourly SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Amount Paid $s4.60 $8.40 $5.88 $84.00 $s9.00 $45.00 $6.94 $138.88 $402.70 Date Paid 8t30t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 9t24t04 Receipt Number 120040000000000128s r200400000000001387 120040000000000r387 1200400000000001387 1200400000000001387 1200400000000001387 1200400000000001387 1200400000000001387 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 08t3u2004 08t3u2004 0813u2004 08t3u2004 09t20t2004 09t07t2004 APP APP APP SKG TAJ MS 08t3u2004 0912212004 APP DLM 91712004 - Storm drainage to existing. -MS See documents for plan review comments. 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. Footing: After trenches are excavated. 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. 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. 4/z,l/o Y or Signature Pzse2 of2 Date !ilrnf}D q J Kequtreo rnsDeeuons l 225CIifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: r200400000000001387 Date: 0912412004 l1:04:32AM Job/Journal Number coM2004-01087 coM2004-01087 coM2004-01087 coM2004-01087 coM2004-01087 coM2004-01087 coM2004-01087 Description Storm Drainage lmpervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit + 7%o State Surcharge + ljoh Administrative Fee Plan Review/Residential Hourly Amount Due 138.88 6.94 s9.00 84.00 5.88 8.40 45.00 Item Total:$348.10 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check VIRGIL COLLINS djb In Person Payment Total: $348. I 0 -sffi- 2333 9/2412004 Page I of I Eaftta Construction Contractors Board Permit #, C/T*' ''/ -ClO{l 7 12-30 5268700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 \ileb Address: www.ccb.state.or.us Address: Issued by:b6 Date:o X X. Statement: lnformation Notice to Property Owners About Gonstruction Responsibil ities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and -plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: I I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contactor if the structure is sold or offered for sale before or on completion. 2. 3A. My general contractor is (ccB #)(Name) X I will instruct my general contractor that all subcontractors who work on the strucfure must be licensed with the Construction Contractors Board. OR 38. I will be my own general contractor. If I hire subcontractors,I will hire only subcontractors licensed with the Construction Contactors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the conhactor. I hereby certify that the above information is correct and that r have read and do understand the rnformation Notice to property owners about construction Responsibilities on the reverse side of this form' ofpermit apPlicant) (White copy to issuing agency permrtfile, pink copy to applicant') Property-owner.doc 06-0 1 -04 ate)