HomeMy WebLinkAboutBuilding Miscellaneous 2008-9-30
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01479
ISSUED: 09/30/2008
APPLIED: 09/29/2008
EXPIRES: 03/30/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541- 726-3676'Fax
541-726-3769 Inspection Line
SITE ADDRESS: 757 Cloverleaf Lp
ASSESSOR'S PARCEL NO.: 1703223103200
Springlield TYPE'OF WORK: Curbcut
TYPEiOF USE: Alteration
Residential,
PROJECT DESCRIPTION: 757/7590verwidth
Owner: GARRETT DAVID WAYNE & CARRIE SUE
Address: 759 CLOVERLEAF LOOP
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
,
Contractor Type
Contractor
License
Expiration Date ,Phone
BUILDING INmRMATIONI,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# or 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 Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
!.~n/a
I DEVEL~)P~ENT I~FORM~.TION 1
Front yard Setback:"
Side I Setback:
Side 2 Setback:
Rearyard Seiback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd'-
Paved Drive Rqd: ..
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
1\
''9' .'~"-~:':,r' .
". ~ ,.J
AJTFNTJnN' \lrpnnn '~"r rPQ"irpo "('I' In
, I,PUBLIC IMPROVEMJN1:s'" ules adopted by the Oregon Utility
, . f'.." r: .1tion:Center. Those rules are set forth
In OAR 952:~eOOllOlhlWllgh OAR 952-001-
0090. You 1TJ)l'y,~qt\ll~i';iW~~&~.f the rules by
calling the cehYeY.urN'clfe: lfie telephone
number for the Oregon Utility Notification
. "Ce~ter is 1-800-332-2344).
Street ImproverMOtTlCE'
TH ' .
Storm Sewer Ax~{'fhPefRMIT SH "
Speciallnstrucllfll:HORIZED UNDALL EXPIRE IF THE
f;OMMENCE ER THIS PE . WORK
Notes: ANY 180 DAyD ORIS ABANDONRl\tilT IS NOT
PERIOn ED FOR
I ,valuation Descdotion I.
Description
Tvpe ~f Construction
$ Per Sq Ft
or multiplier
Sq'uare Footage
or Bid Amount
, ..
Value
Date Calculated
Pa2e I of 2
'-;"IIili~INOI'i'llitLD '
- ~'~'.'W",_""d"~~~M'''''''N'''
f,
!'
Status
Issl1ed
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Fee Description
+ 5% Technology Fee
Curbcut Permit
Overwidth Application Fee
Total Amount Paid
Amount Paid
$6.40
$88.00
$40.00
$134.40
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01479
, ISSUED: 09/30/2008
APPLIED: 09/29/2008
EXPIRES: 03/30/2009
VALUE:
Total Value of Project
Fees Paid 1
Date,Paid
Receipt Number
9/30108
9i30/08
9/30/08
2200800000000001458 '
2200800000000001458
2200800000000001458
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 after 7:00 a.m. will be made the following
work day.
I Reljuired Insn.~c.!hl~.~ .
Curbcut - Overwidth: After forms are erected but prior to placement of toncrete.
By signature, I state and 'agree, that (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 Springlield and the Laws of the State of Oregon p~rtaining 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 coutractors and employees who are in compliance with ORS 701.005 will be'used on ihis project.
I further agree to ensure that all required inspections are requested at the proper time,that ea~h 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.
r: ok) 1/I/1:r1 M Md~,
I - ,
I Owner or Contractors Signature
o,q - J tJ - q f
/ Date
Paee 2 of2
2~5 Fifth Street
Springfield, Oregon 97477,
541-726-3759 Phone
Job/JouniaJ Number
COM200S-0 1479
COM200S-0l479
COM200S-0 1479
Payments:
Type of Payment
Check
Change
Job/Journal Number
COM200S-0 1479
COM200S-0 1479
COM200S-0 1479
Payments:
Type of Payment
Check'
Change
cReceintl
RECEIPT #:
Description
Overwidth Application Fee
Curbcut Permit
+ 5% Technology Fee
Paid By'
DAVID GARRETT
Description
Overwidth Application Fee
Curb cut Pennit
+ 5% Technology Fee
Paid By .
DAVID GARRETT
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001458
Date: 09/30/2008
Jtem Total:
Check Number Authorization
Received By Batch Number Number How'Received
Ikw
2974
.In Person
In Person
Payment Total:
Item Total:
Check Number ~uthorization
Received By Batch Number Number How Received
Ikw
2974 .
In Person
In Person
Payment Total:
Page 1 of I
8:56:40AM
Amount Due
40,00
SS,OO
6.40'
$134.4\l '
Amount Paid
$134,50
($0..10)
$1 34.4\l
Amount Due
40,00
SSOO
6.40
$134.4\l
Amount Paid
$134,50
($010)
$134.4\l
9/301200S