HomeMy WebLinkAboutPermit Building 2008-8-1
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO' COM2008-01151
ISSUED. 08/0112008
APPLIED: 08/0112008
EXPIRES: 02/0112009
VALUE $ 2,000.00
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2285 F ST
ASSESSOR'S PARCEL NO 1703361209900
SprIngfield TYPE OF WORK FoundatIOn
PROJECT DESCRIPTION Replace foundatIOn
TYPE OF USE Repair
ReSIdentIal
SIdewalk Type 'OOIH'3d J..VO Oll~ J..N'!
llow.nmmIOmNli\Y.,SI \10 03::lN3WWO::l
tlU:I U"" H3QNn 03ZUIOHLOV
iON SI1'WH3d3\1~~ l1YHS l1W\l3d SIHl
)I\10M 3H.1.:l1 :33\lON
Owner COLLINS RANDAL W
Address 2285 F ST
SPRINGFIELD OR 97477
. I CONTRAC roR IN~ORMA T10N I
Contractor Type
General
Contractor License
GERALD JOHN SMITH __ ......... 73518
1~'~tNcj~p ~
IIOftBOI!llON ^,,1. ~ :J8lU"-'~.m l II
# ofUmts euolld8\ll\elU ::~~~ nOk '0600
PrImary Occupancy Group ~ 8el"A.~ :~nOJ,"<I*OOo\'Glt~8~~~o~
SecondalY Occupancy Group.~OO-=ftl'Bse'NeS~~mlllll\Q~ n~ MOlloa
PrImary ConstructlOlI Type 'PlOln 1Jti6eJ() elll ^GMlIl\l~ll1Y>>~ \N311V
Second.lrv ComtructlOn Type N\'I\~ se1\nbeJ f1o\Bl{\lfl~@~p~OI
# of Bedrooms 0\ Energ} Path
SprInkled BuIldmg
I DEVELOPMENT INFORMATION I
Front yard Setback
Side I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIOn
Notes
I V aluatlOn Desc~iDtion I
DeSCrIptlO1I
$ Per Sq Ft
or multlpher
Square Footage
or Bid Amount
Type of Con;tructlOn
Paee I of 2
ExpIratIOn Date
07/23/2010
Phone
541-342-8463
n/a
Lot SlLe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Tolal
HandIcapped
Compact
Value
Date Calculated
-~~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-0IISI
ISSUED: 08/01/2008
APPLIED: 08/01/2008
EXPIRES. 02/01/2009
VALUE: $ 2,000.00
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
B,d Amount
Use BId Amount
$100
2,000 00
$2,000 00
$2,000 00
08101/2008
Total Value of ProJect
Fees Paul I
Fee DescrIptIOn
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUlldmg PermIt
Amount PaId
Date PaId
ReceIpt Number
$500
$600
$250
$50 00
8/1108
8/1/08
8/1/08
8/1/08
1200800000000000833
1200800000000000833
1200800000000000833
1200800000000000833
Total Amount PaId
$63 50
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7:00
a m. Will be made the same workmg day, mspectlOns requested after 7 00 a m. wIll be made the followmg
work day.
Renuired InsnectIons I
Footmg After trenches are excavated
FoundatIOn After forms are erected but prtor to concrete placement
Filial BllIldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the City of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem. and
that NO OCCUPANCY wIll be made of any structure WIthout permISsIOn of the Commumty ServIce, DIVISIOU, BUlldmg Safety
I further certIfy that only contractors and employees who are 10 comphance WIth ORS 701 005 will be used on thIs proJect
I fnrther agree 10 ensure that all reqUIred mspectlOns are requested at lhe proper tIme, lhat each address IS readable from the
street, thaI the permit card IS located at the front of the property, and the approved set of plans WIll remam on the sIte at all
times during constructIOn
~J.A-M. itL
~ () ( 0 <6
Owner or Contractors Signature
Date
Pa2e 2 01 2
225 Fifth Street .
Sprmgfield, Orcgon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0ll51
COM2008-0 1151
COM2008-0ll5l
COM2008-0 1151
Payments
fype of Payment
Check
cRecelOtl
RECEIPT #:
Description
BUlldmg Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
JERRY SMITH SERVICES
~~:Q~; ~
=-:,- -
CIty of Spnngfield Official ReceIpt
Dcvelopment Sen'lces Department
Pubhc Works Department
1200800000000000833
Date. 08/01/2008
Item Total
<":heck Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
5248
In Person
Payment Total
Page I of I
1 36 06PM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
8/1 /2008