HomeMy WebLinkAboutPermit Building 2008-9-17
I
CITY OF SPRINGFIELD
.Building/Combination Permit
PERMIT NO: COM2008-01083
ISSUED: 09/1712008
APPLIED: 07/17/2008
EXPIRES: 03/1712009
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5751 PERIDOT WAY
ASSESSOR'S PARCEL NO.: 1802033203500
Springfield TYPE OF WORK: MiseeUaneous
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 2nd driveway in baek of house
Owner:. SMITH KENNETH S
Address: 5751 PERIDOT WAY
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
Contractor Type . Contractor
License
Expiration Date' Phone
BUILDING INFORMATION'
# of Units:
Primary Oecupaney Group:
Seeondary Occupancy Group:
Primary Construction Type
Seeondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
"
,
.II/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Scthack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Pavcd Drive Rqd:
% of Lot Coverage:
.ATTENTION: Oreoon I~,^, ro,,, "'M .._.. L
I PUBLIC IMPROVE~e~ aoopted by the Oregon UtiI;iy
r~tJ~n enter, Those rules are set torth
~n090 ,,952'00SiMVlllklTiYPJlil OAR 952-001-
. ,ou rna'("obtam C~)iJ>< "I 'h I
calling the cM\1;\~P'SIl~,u '/!Jrhains: e ru es by
b ' 1',0 e. r e telephone
nurn ere for the, Oregon Utility Notification
enter IS 1-800-332-2344).
Total:
Handieapped:
Compaet:
Street ImPfJl.vements:
fl.uT/CE-
Storm Sew~S'-r}l:'BIhle:
SpeciallnJtrucf,on:MIT SHALL EXPIRE IF THE WORK
I) HORIZED UNDER THIS
Notes: :'viMENCEO OR IS ABANrioERMIT IS NOT
. 1~n nAY Den",>" NED FOR
-...... .....
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
, Date Calculated'
Page 1 of 2
, ~
Sta tus .
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01083
ISSUED: 09117/2008
APPLIED: 07/1712008
EXPIRES: 03/17/2009
Y,ALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~ees ~ai~ I
Fee Description
+ 5% Technology Fee
Curbeut - 2nd Driveway
Overwidth Applieation Fee
Amount Paid
Date Paid
Receipt Number
$6.65
$88.00
$45.00
9117/08
9/17/08
9/17/08
2200800000000001414
2200800000000001414
2200800000000001414
Total Amount Paid
$139.65
11
,
"
I Plan Reviews I
,
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 afte'r 7:00 a.m. will be made the following
work day. .
I R~9"ired I~snections I
Curbeut - Second: After forms are erected but prior to plaeement of confrete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby eertify that all
information hereon is true and eorreet, and I further certify that any and all work performed shall be done in aeeordance with
the Ordinanees of the City of Springfield and the Laws of the State of Oregon, pertaining to the work described herein, and
,.
that NO OCCUP ANCY will be made of any structure without permission of the Community Serviees Division, Building Safety.
"
I furthcr certify that only eontraetors 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 eard is !9~ated at the front of the property, and the approved set of plans w. ill remain on the site at all
times during constru~. // . .'
/7~(~~~~ . c;A ~[5
Owner or Contraetors Signature
Date
Page 2 00
2i!5 Fifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
Job/Journal Number
COM2008-0 I 083
COM2008-0 I 083
COM2008-0 1 083
Payments:
Type of Payment
Cash
cRcceintl
RECEIPT #:
Description
Curbeut - 2nd Driveway
Overwidth Applieation Fee
+ 5% Teehnology Fee
Paid By
KEN SMITH
il".~~,.,'.".
. .-
. --, . ...... .....,,_...,.. ~. ..
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001414
Date: 0?/17/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ctm In Person
Payment Total:
Page I of]
r
II :49:54AM
Amount Due
88.00
45.00.
6.65
$139.65
Amount Paid
$139.65
$139.65
9/17/2008