HomeMy WebLinkAboutPermit Building 2008-9-4
_~~I""~Ii'I~~y
cJ,", .,'
J,l"
BI'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-0134I
ISSUED: 09/04/2008
APPLIED: 09/04/2008
EXPIRES: 03/0412009
VALUE: $ 2,000.00
Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phonc
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 952 PRESCOTT LN
ASSESSOR'S PARCEL NO.: 1703341209000
Springlield TYPE OF WORK: Dryrot
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Dryrot repair
Owner: CHRISTOPHE URHAUSEN .
Address: 952 PRESCOTT LN
,SPRINGFIELD OR 97477
Phone Number: 541-747-0548
I CONTRACTOR INFORMATION I
Contractor Type
Gcneral
Contractor
OWNER
License
Expiration Date Phone
, '
1~,~q1I11Jl"(J)RMATlON I
ATTENTION: Oregon b the oreg1:lt1 vi..II, '
# of Units: follOW rules adoPte~h:Se ruWl8tb~~!ortb
Primary Occupancy <N!l\ilication CeR~~10 \hrOU9\llle!IiHI~2nQ.ll~i"re
Secondary occupancYlWOAlil952.00~,Q,btaln COpieJ~&l1Jr ~,~Df
Primary Construction(jOOG. You ma;efl\er (Note: \la'oMlElWl\\lr:n
Secondary Construction ~ the:e Or~gon U\~~
# of Bedrooms: number tor ter Is 1-ao()$~1'ath:
,Cen Sprinkled B,uilding, n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
. I DE,VELOPMENTIN.FORMATlON I
REQUIRED' PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Speciallnslruction:
I PUBLIC IMPROVEMENI~~~~
.. , 1.,lj}ll\t' ..rt~~\..\J\
NO"{\~~~t-A\'f S\\~\~l\'\\S'Pf.~WI'S'~{)'\tlk Type:
1\'\\S L1Q~\1.f.tl U~tl '" ~~r>,~tlO~f.~ownspoutslDrains:
~U1 T1 Cf.tl O~ ," .
CQW\Wlt~ r>,'l Pf.?\Qtl.
,.~'l '\80 tl '
r
"
Notes:
I V alu~ltion Descrioti?n 1
DescriPtion.
Type of Construction '.
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
_S2~INGF'lm D'
F': "^^-'"'~. - - ^.
" .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01341
ISSUED: 09/04/2008
APPLIED: 09/04/2008
EXPIRES: 03/0412009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
2,000.00
$2,000.00
$2,000.00
09/04/2008
Total Value of Project
Fe~~ P"IidJ
Fee Description
+ 10% Administrative Fee,
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Da!ePaid
$5.20
$6.24
$2.60
$52.00
9/4/08
9/4/08
9/4/08'
9/4/08
Receipt Number
2200800000000001340
2200800000000001340
2200800000000001340
2200800000000001340
Total Amount Paid
$66.04
Plan Reviews 1
To Request an inspection call the 24 hour recording at 726-3769. ,All inspections 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 Reouired Insnections .
Framing Inspection: Prior to cover and after all rough in inspections ha~e 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 ap'plication and do hereby certify that all
i,nformation 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
""'~7U~ .~~lc+f8..
Owner or Contractors SIgnature Date
Pa!!e 2 of2
225 Fifth Street
'",.,. . 'r.'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1341
COM2008-0 1341
COM2008-0 1341
COM2008-0 1341
Payments:
Type of Payment
CreditCard
cReceiot 1
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
CHRISTOPHER,URHAUSEN
r
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001340
Date: 09/04/2008
2:48:24PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
52,00
2,60
6,24
5,20
$66.04
Amount Paid
djb
$66,04
$66,04
999041 In Person
Payment Total:
Pa!!e I of 1
9/4/2008