HomeMy WebLinkAboutPermit Building 2008-10-21
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Status Issued ii
225 Fifth Street, Springfield; OR
541-726.3753 Phone il
541-726-3676 Fax II
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541-726-3769 Inspection Lirie
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01557
ISSUED: . 10/21/2008
APPLIED: 10/21/2008
EXPIRES: 04/21/2009
VALUE: $ 2,000.00
SITE ADDRESS: 1416 N ST
ASSESSOR'S PARCEL NO,: 1703253212400
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PROJECT DESCRIPTION, Repair foundation
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Springfield TYPE OF WORK: Foundation
TYPE OF USE: Repair
Residential
Owner: DORIS KINDlilCK
Address: 1416 N ST II
SPRINGFIELD OR 97477
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Phone Number: 541-746.1045
I CON!~CTOR INFORMATION I
Contractor Type
General
C6ntractor
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'HAROLD & MADISON INC
License
168164
Expiration Date
01/20/2010
Phone
541-688-3648
VB
I BUILDING INFORMATION I
ATTENTION: .Dregon law requires you t~ '.
fo"-IM~~~'/;'S11:100pted by the Oregon Utili~ot Size, ,
Notl~lrl't~m~f.tufMoserules are set fo Ft 1st Floor, '
in OA~I1J'~Mwt001 0 through OAR 952-o~ Ft 2nd Floor:
009CW1lml ~bbtain copies of the rules Ft Basement: .
ca~llllJgIhellRl1'iter. (Note: the lelephon Ft Garage/Carport
nUrfliDerlfi>~:Qregon Utility Notificalil:Sq Ft Other:
Spri6ImQlbJliJjl~i6110-332.234,,* "bccupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
#of Units: il
Primary Occupancy Group!
Secondary Occupancy Group:
Primary Construction Typ~1
Secondary Construction Ty'"e:
# of Bedrooms: II
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
!I
'll
.,;l;;;"\1..Q.yerlay Dist:, "
'''' #'Street Trees Rqd:
Paved Drive Rqd':
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvement~:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
NOTICE: Sidewalk Type;
THIS PERMIT SHAle~wtm6tWORI<
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I Valuation Description I
Notes:
Description
Tvpe of qonstruction
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$Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 012
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01557
ISSUED: 10/21/2008
APPLIED: 10/21/2008
EXPIRES: 04/21/2009
VALUE: $ 2,000.00
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225 Fifth Street, Springfiel~, OR
541-726-3753 Phone I"
541-726-3676 Fax I
541-726-3769 Inspection Line
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Foundation Onlv Use Bid Amount
$1.00
2,000,00
$2,000.00
10/21/2008
Total Value of Project
$2,000,00
Fees PaiclJ
Fee Description ;;
+ 10% Administrative Fee!1
+ 12% State Surcharge "
+ 5% Technology Fee 11
Building Permit 11
Total Amount pLd
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Amount Paid
Date Paid
$5,20
$6.24
$2,60
$52.00
10/21/08
10/21/08
10/21/08
10/21/08
Receipt Number
2200800000000001536
2200800000000001536
2200800000000001536
2200800000000001536
$66.04
I Plan Reviews I
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To Request an inspecti6n call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m. will be made the s~me working,day, inspections requested after 7:00 a.m. will be made the following
work day. II
~~')lIir~~ 1~..S!l~~tio~~ I
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Footing: After trenches are excavated.
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Foundation: After f9rmsare erecte~ but prior to concrete placement.
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Final Building: After all required inspections have been requested and approved and the building is complete,
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By signature, 1 state and ag~ee, that 1 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 ~f 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 cJntractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure thJt all required illspectiolls 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 011 the site at all
,;m..,",:;:m,:" ~~ /tfIV/o8 .
11,,7J~ I .
ignatu. r Date
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Paee 2 01"2
225 ~ifth .St-reet
Springfield, Oregon 97477
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541-726-3759 Phone
Job/JournalNumber
COM2008-0 1557
COM2008-0 1557
COM2008-01557
COM2008-0 1557
Payments:
Type of Payment
CreditCard
cReceintl
RItCEIPT #:
Description
Buildihg Permit
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+ 5% Technology Fee
+ 12<x!1 State Surcharge
+ lO%IAdministrative Fee
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Paid By Ii
HAROLD MESKE
11
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City of Springfield Official Receipt
Development Services Department
Public Works Department
22008~0000000001536
Date: 10/21/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 096810 In Person
Payment Total:
Page I of I
1I:38:16AM
Amount Due
52,00
2,60
6.24
5.20
$66,U4
Amount Paid
$66.04
$66. U4
10/2112008