HomeMy WebLinkAboutPermit Miscellaneous 2008-11-5
Status
Issued
CITY OF ~rK1J'lGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01627
ISSUED: 11/05/2008
APPLIED: 11/05/2008
EXPIRES: 05/05/2009.
. VALUE: $ 4,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 325 21ST ST
ASSESSOR'S PARCEL NO,: 1703361305400
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: New roof and trusses (partial)
Owner:
Address:
SCOTT WILLIAMS
354 S 69TH PL
SPRINGFIELD OR 97478
'(vr8G'G88'oo~r~ S! J81U80
.---- , - -
Contractor Type
.. ,J .-,.,. '(,l;'!, -'---~v '~"11"~""7~"''"1'"''''''''''
eu..J.,A....~, ~-" ..~.._...\ ..__..~-. --: n, Q.---.---
Aq s~il: CONTID\CTORJNFORM~TlO~]O
'!o.O'(,96 tJVO q5no.l41 0. ~OO' !Oo.'''''6 HVn UI
Contractor 41.10) las em selnJ asOlU 'J81U80 ;Pj~~9,~!~ON Expiration Date Phone
AIIIIlnUo6aJn 6tJ1 Aq p8JdoPB samJ MOIIOl
OJ nr BUiLDl~G'NF6rrMA'ri(!)N'I,ll\l
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type .
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R-3 Height of Structure
Type of Heat:
VB Water Type:
Range Type:
, "'-',,",1:. Energy Path:
. . ji" '-. Sprinkled Building: n/a
.jt: Dr:D~IIIT CUlIl1 CVDIDC IC TUr: \^,nov
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
"U TH 0 II: IDllYtJL.lr!l'MRNT1<:1 N "(:l~'l\T AJ'I'IIlllM.
_ _' ", iliiiiil.i.iIIiiiiilli..lT fir i........
COIV1MENGED DR IS ABANDONED FOR
ANY 180 DAY P~/,OOy Dist:
# StreetTrees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
. Compact:
I PUBLIC IM~ROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
SidewalkType:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date <Oalculated
Page I of2
_ 6!'l1ll1il!llE;lli:l~ilb
,,..:, ....'
. I" ';.'
~;
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01627
ISSUED: 11/05/2008
APPLIED: 11/05/2008
EXPIRES: 05/05/2009
VALUE: $ 4,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
. 541-726-3676 Fax
541.726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
4,000,00
$4,000.00
$4,000.00
11105/2008
Total Value of Project
Fees Pai~, .
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt N umher
$6.97.
$8.37
$3.49
'$69.72
11/5/08
11/5/08
11/5/08
1115/08
1200800000000001113
1200800000000001113
1200800000000001113
1200800000000001113
Total Amount Paid
$88.55
I Plan Reviews ,
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 Reoli .ed Tnsl,ectionsl
li1111. 1,1
Frarning Inspection: Prior to cover ~nd after all rough in inspections have been approved.
Final Building: After all required inspections have heen requested and approved and the huilding is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure with~ut permission of the Com"munity 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,
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the
stre . e ermJ' . roo. loca t the front of the property, and the approved set of plans will remain on the site at all
es dur ust uctl n
( /1-5 ~f?
(),;.... ~?Con ractors Signature Date
Pal!e 2 01'2
225 Fifth Street
SpringfilVld, Oregon 97477
541-726-3759 Phone
\
"
Job/Journal Number
COM2008.0 1627
COM2008.0 1627
COM2008.0 1627
COM2008-0 1627
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Building Penn it
+ 5% Technology Fee
+ 12% State Surcharge
+ 1 0% Administrati~e Fee
Paid By
WILLIAMS CONST
1200800000000001113
Check Number
Received By . Batch Number
cjc
Page 1 of 1
City of Springfield Official Receipt
Development Services Department
. Public Works Department
Date: 11105/2008
Item Total:
Authorization
Number How Received
4559
In Person
Payment Total:
1I:53:30AM
Amount Due
69.72
3.49
8.37
6.97
$88.55
Amount Paid
$88,55
$88.55
11/5/2008