HomeMy WebLinkAboutPermit Building 2003-06-30Status 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: COM2003-00566ISSUED: 06t30t2003APPLIED: 06/30t2003EXPIRES: 12t30t2003VALUE: $ 500.00
SITEADDRESS: 2112 5TH ST
ASSESSOR'S PARCEL NO.: 1703262106100
PROJECT DESCRIPTION:Install header in new door opening
Owner: EATON MICHAEL J
Address: 2112 N sTH ST SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Single Famity Residence
TYPE OF USE: Alteration Residential
License Expiration Date PhoneContractor Type
General
Owner
Contractor
OWNER
EATON MICHAEL J
# of Buildings:
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:
Storm Sewer Available:
Special Instruction:
# 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:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
\t
Type
ot\B
Notes:
Page 1 of 2
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Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00566ISSUED: 0613012003APPLIED: 06/3012003EXPIRES: 1213012003VALUE: $ 500.00
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 500.00
Total Value of Project
Amount Paid Date Paid
Value
$500.00
$500.00
Date Calculated
06t30t2003
Fee Description
+ l0Yo Administrative Fee
+ 7%o Stile Surcharge
Building Permit
Total Amount Paid
$4.s0
$3.1s
$4s.00
$s2.6s
6t30t03
6130t03
6t30t03
Receipt Number
1200200000000001677
1200200000000001677
1200200000000001677
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Framing Inspection: Prior to cover and after all rough in inspections have been approved.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 70f .005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
C *= o -zo,
Owner or Contractors
b
Pase 2 of 2
Date
03
Valuation Description I
lees rato I
Keourreo InsDecuons I
z21pifttt Street
Springfield, Oregon 97 477
S4t-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
#
991vI2003-00566
991vI2003-00566
+ 7%o State Surcharge
+ l0%o Administrative Fee
Building Permit
3.15
4.50
45.00
Item Total:$s2.65
of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Cash
Chatge
MICHAELEATON
MICHAEL EATON
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In Person
In Person
Payment Total:
$60.00
($7.3s)
$52:6-5
69yI2003-00566
g9N{2003-00566
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Building Permit
3. ls
4.50
45.00
Item Total:$52.65
Payments:
ReceivedofPaid By
MICHAEL EATON
MICHAEL EATON
Batch Number Authorization Number [Iow Received
In Person
In Person
Payment Total:
Amount Paid
$60.00
($7.3s)
Cash
Chatge
djb
djb
-T52-6-5-