HomeMy WebLinkAboutPermit Building 2004-11-17>
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
B uildin g/ C o mb in atio n P er rnit
PERMIT NO: COM2004-01341ISSUED: 1111712004APPLIED: 1012812004
EXPIRESz 0511712005VALUE: $ 4,183.00
SITE ADDRESS: 2567 16TH ST
ASSESSOR'S PARCEL NO.: 1703243400102
PROJECT DESCRIPTION: Covered patio over existing slab
Springfield TYPE OF WORK: Single Family Residence
Residential
set torth
Owner:
Address:
JAMES WILHELM
2567 16TH ST SPRINGFIELD OR 97477 You maY
the center (Note the
is1
Expiration Date
1u1912005
inO
0090.
-001-
Phone
541-942-8663
Contractor TyPe
General
Contractor
PROGRESSIVE EXTERIORS INC
License
95016
# of Units:
Primary OccupancY GrouP:
Secondary OccuPancY GrouP:
Primary Construction TYPe
Secondary Construction TYPe:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sq Ft Basement:
Sq Ft Garage/Carport
,Sq Ft Other:
'Occupant Load:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Value
$4,183.00
$4,183.00
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled n/a
{CLD
\SA
15.80
s3.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Urban Fringe
26.00
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Fully Improved
Yes
Curbside 5'
Curb and Gutter
Date Calculated
1012812004
Notes: Storm drainage into existing piped to curb face
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 4,183.00
Total Yalue of Project
-
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Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01341ISSUED: llll712004APPLIED: 1012812004
EXPIRESz 0511712005VALUE: $ 4,183.00
E ees Pa
Fee Description
Plan Review Residential
+ l0o Administrative Fee
+ 7oh State Surcharge
Building Permit
Plan Review Minor - Planning
Total Amount Paid
Amount Paid
$44.46
$6.84
$4.79
$68.40
$s9.00
$183.49
Date Paid
10t28104
tut7l04
tut1t04
tvt7l04
rut7t04
Receipt Number
220040000000000134s
1200400000000001620
r200400000000001620
1200400000000001620
1200400000000001620
Plan Reviews
Initial Review
Planning Review
Public Works Review
r0t29t2004
r0t29t2004
10t29t2004
10t29t2004
Lu08t2004
Ly02t2004
APP
APP
APP
SKG
TAJ
CAS Storm drainage to existing, piped to
curb. Red line on plan, spoke with
Kyle to confirm. lll2l204 CAS
Structural Review r0t29t2004 1111612004 0K RJB
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
witt 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.t///-t/-o /
Reouired Insnections
Owner or Contractors Signature
Pase 2 of 2
Date
b.T m L
[{Me7477 r''
3f SPringfield Official Receior_- -_Iopmeat Services o"oin^ZTi
P u bli c Works O "i, ".ir_ i, i
RICEIPT#: 1200400000000001620 Date:17/77/2004 e:32:12AM
Job/Journal Number
coM2004-01341
coM2004-01341
coM2004-01341
coM2004-01341
Description
Plan Review Minor - Planning
Building Permit
+ 7o/o State Surcharge
+ l0%o Administrative Fee
Amount Due
59.00
68.40
4.79
6.84
Item Total:$r39.03
rayments;
Type of Payment Paid By
Check Number Authorization
Received By Batch Number Number How Received Amount paid
Check PROGRESSIVE EXTEzuORS njm 20350 In Person $139.03
Payment Total:
-5i5r0f
tUt712004 Page I of I