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HomeMy WebLinkAboutPermit Building 2008-11-12 Status Issued CITY OF SPRINlJ1<lELD' Building/Combination Permit PERMIT NO: COM2008-01649 ISSUED: 11/12/2008 APPLIED: 11/12/2008 EXPIRES: 05/12/2009 VALUE: $ 3,500.00 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 54I-726-3769 Inspection L,ine SITE ADDRESS: 112 A ST ASSESSOR'S PARCEL NO.: 1703353201101' Springfield TYPE OF WORK: Carport TYPE OF USE: Alteration Commercial PROJECT'DESCRIPTION: Enclose East side of covered breezeway Owner: SLACK TODD P & JOY L Address: 112 N A ST SPRINGFIELD OR 97477 Contractor Type I CONTRACTOR INFORMATION 1 ' ?':-r-,,~-:-r.._,.. ,....-iti~;;;.t.Il~.I....-:;'; ......'.....,.:..-J.. ".".., Contractor:,Jlfi r;; ;" ,"~ ,~, !i;], "', , '::" ' . , "License Expiration Date Phone h!Dt!iicatill;IC;;:..ii,t-1~ -lH~I." ',. "....'!~ f~~." <".f. 1.., 1 # of Units: Primary Occupancy Group: Secondary Occupallcy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I"".,"..n.u'.vy.... ~~, "...~._.... OO\;\J).YOllllr;rBUlbDING INFORMATION .;),1 calling the cem'~r. (NOW: "'" ''''''1'''''''''' number for th€lhOff~t<iiies:mty Nollilcu.tloll U Center aelgllilllf:stllt?ct&f'~, Type, of Heat: VB . Water Type: "Range Type: ""Energy Path: ',~pri.~~h'.,d.,Buildiilg:" No -, Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION 1 NoneEt . ,'"' "oJ', , ~I"RE 11' if HE ,WORK l~~H~~~~Nt\8Fil~iM~fitR10lt is NOT 'COMMENCE~'UfPlgrJwmnONED FOR ANY 180 DAY'~R1tJ6.overage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS 1 Street Improvements: Storm Sewer Available: , Speciallustruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Descr~ption Type of Construction $ Per Sq Ft. . or multiplier Square Footage or Bid Amount , Value Date Calculated Page I of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01649 ISSUED: 11/12/2008 APPLIED: 11/12/2008 EXPIRES: 05/12/2009 VALUE: $ 3,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 3,500.00 $3,500.00 . $3,500.00 11/12/2008 Total Value of Project Fees P~id 1 Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid Receipt Number $6.97 $8.37 $3.49 $69.72 11/12/08 11/12/08 11/12/08 11/12/08 1200800000000001129 1200800000000001129 1200800090000001129 1200800000000001129 Total Amouut Paid $88.55 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 after 7:00 a.m. will be made the following w,ork day. I ,~~iJ.\!, ir~,d J nS!lec.ti'!,~~.1 Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested alld approved and the building is complete. By signature, I state and agree, that I 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 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 thisproject. 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 times during construction. ./? ~ '/~2h~ Date I / Owner or Contractors Signature Page 2 of2 . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0l649 COM2008-0l649 COM2008-0l649 COM2008-01649 Payments: Type of Payment Check cReceintl RECEIPT #: , Description Building Penn it + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By MAJOR F AMJL Y FUNERAL HOME City of Springfield Official Receipt Development Services Department Public Works Department '1200800000000001129 Date: 11/12/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 4298. In Person Payment Total: Page ]' of I 2:14:36PM Amount Due 69.72 3.49 8.37 6.97 $88.55 Amount Paid $88.55 $88.55 I I1l2/2008 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job Number (]7.y ';?'-I 'i Date 11/; .?~ 8' D I & 2 Family Dwelling or Accessory 0 New Construction 0 Demolition o Multi-Family 0 Addition/AlterationlReplacement 0 Other o CommerciaVIndustrial 0 TenanHmprovement Job Address IIZ-N . .4 S+. Lot Block ,r. Subdivision . Bldg No. Suite No. Tax Maprrax Lot /lJrf? :7"-;>:;_ all DJ Project Name Description of Work/location on premises/special conditions :1x-ee7~ D Name ~~ S \....c.k. Mailing Address l \ t- N. fJ, S+ - City So"J ~~,.('",-\II. State of.. Zip "'i7'-177 ~ Phone 011- 7'-f' . "1'" 7 Fax Nt -')<[7-110 Z. Owner Representative "T:d6. S\...~ Phone .\'-1/ - 7<.f(" ,'f'" 7 Fax rT/-7'fl-fr7 Z. SQFt X $/SQ Ft Value New Dwelling Area Garage/Carport Area Other Structure Area Tota(Value "".,__' &3c;;:ap r;m~~"'?"",0EOi>~?'li'i~m~ffi"'''lIi' _;nr1!ITrITL~iJ"''''''1M,",-*m,'-'':C'''N~'''''j~m~'!II''A\.>*JmsmP'''''''''i*'Ii!' "~IlIi" ~ . .-a t'<>-','P<'''''iil***=''*' *' """ """"w,**'....C'w,.....,._...,.,._$"',,,,u'?""w __,_,,""010" _"'''Ii '7~ ~ "~",~-,"",,,,;",,r;.~.. Riil!. _ ""'.-- -,.,-,.. '1"'1: ."".....:;ii:'"'I"M..'ltt''>.v .....- '1-' "'Wiil""-'1I!'~ . . rff~()l!!~la F.i,,-~~~!!L.r: u . ~~am!___Y4?;~~~!m;~mTi@g0,Aj:t02t,,,,,x*,g~;,,,,," SQ Ft X $/SQ Ft Value o Name ~/ cdd 5/~ c...K Mailing Address Existing Building Area New Building Area City Phone . State Fax Zip Total Value D Name Address City Contact Person Phone Existing New State Zip Occupancy. Groujl( s) Const. Type( s) Number of Stories Fax D General Plumbing Mechanical Electrical o Ireoil'ffiierciiilllfitii':1l'tmalfRiiQjec:t~lI Has site review application been submitted? DYes D No 0 N/A If so, Name of Planner Journal Number o Heat Source:' Primary Water Heater Range Do you require any of the following for this project? Over-width or Second Driveway 0 Y~s D No Temporary Power 0 Yes D No Air Conditioning DYes 0 No Notice: All contractors & subcontractors are requiTed to be licensed with the Construction Contractors Board oflbe State of Oregon under provisions ofORS 701 and be to be licensed in the where work is being performed. Energy Path I PLAN CHECK FEE I ~.. s:;.. I RCPT# . I BUILDING P.ERMIT I DATE I 11//2.-/.1 F I BY APPLICATION Shared Drive(T:)IBuildingFormsIBuilding Permit Application 3-08.doc J -\ -D"oI/\<::(\-\-;o1'5 01' \01; +<^I\ , Sd \~j~_J \ Not -\-0 $~.:~~~:J \\-..- ........-..........-....-..... . V"L' 0.>\3 ~\-,~o.t~;f)~ UIt{!,en Plo.;-e.'fcisr:n.s~?, (\0, ,\d.. 11 0''\ .sect:.' 01;' '1;l " \IX V4" I COnue..te. ("0. '\5 -II, ,,\J '1' ..J'l.... \;; H\ ~ \e.. 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