HomeMy WebLinkAboutPermit Miscellaneous 2008-12-8 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 626 C ST
ASSESSOR'S PARCEL NO.: 1703352411500
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01751
ISSUED: 12/08/2008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE: $ 2,000.00
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
PROJECT DESCRIPTION: Final inspections to complete garage permit # COM2005-00203
Residential
NOr. Overlay Dist: .
I THl leE: # Street Trees Rqd:
AU S PERMIT Paved Drive Rqd: '
C THORIZED SIMtrLLtXPoverage:
~~~~~~C~~DER !HI:~~/F THF ~~
OT
Owner: ARNOLD BROWN
Address: 626 C ST
SPRINGFIELD OR 97477
Contractor Type
General
Electriclll
Plumbing
Contractor
OWNER
OWNER
OWNER
# of Units:
Primary Occnpancy Group: U
Secondary Occupancy Group:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
Fl'ontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyllrd Setback:
Solar Setbacks:
, Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-912-1610
-47"1-~,
~ .'OlloIA.-'V Iln,."
l;eoN:r,RN@'I'OR-I-NEORMATION I
.i l' 'U"
00 "'IT 9S "Gen" 'Pled 6 '<iw re
C '90: You <'007.Jer. Iho ~ I-YaitS@s Expiration Date
I} <tIling Ih tn<iy 070 Ih se rUl rego You 10
/Jtnber. e Cen~bl<iin ^ rOUgh oes lire :: (jft~ib,
'Or III fer. ~OPi \<lIT Qe/" T
Cent^ e Or~,_ (!vOt",. ets 01 f'- 9~?,.,~l'fh
- t-.... '"to ~.....~:!n" "'llJ~ ',.
BUILDING INnll 'lIilO ,,- el1 b"
I I \" 'IOn '
"'-<"'I '""iCli/.' e
# of Stories: 4). 101}
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATI()N I,
REQUIRED PARKING
Total:
Haudicapped:
Compact:
Sidewalk Type:
Downsponts/Drains:
Page I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
1 Valuation Descrintion 1
Description
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Total Value of Project
FpP~ ~
Fee DescriPtion
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Tecbnology Fee
Bnilding Permit
Minimnm/Adjnstment Electrical
Minimnm/Adjnstment Plnmbing
Amount Paid
Date Paid
$15.60
$18.72 '
$7.80
$52.00
$52.00
$52.00
12/8/08
12/8/08
12/8/08
12/8/08
12/8/08
12/8/08
Total Amount Paid
, $198.12
1 Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01751
ISSUED: 12/08/2008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE: $ 2,000.00
Value
Date Calcnlated
Receipt Nnmber
2200800000000001721
2200800000000001721
2200800000000001721
2200800000000001721
2200800000000001721
2200800000000001721
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 1?~rllirecl.'nsn~ctions I
Final Bnilding: After all required inspections have been requested and approved and the bniIding is compiete.
Final Plumbing: When all plumbing work is complete.
Final Electric: When all electrical work is complete.
Page 2 of 3
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1iE~' , ,
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Status
Iss u ed
CITY OF ~rKmGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01751
ISSUED: 12/08/2008
APPLIED: 12/08/2008
EXPIRES: ' 06/08/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, 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 withont permission of the Commnnity Services Division, Building Safety.
I fnrther certify that only contractors and employees who 'are in compliance with ORS 701.005 will be nsed 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 card is located at the front of the property, and the approved set of plans will remain on the site at all
times dUrin~co'!.sruction. , _"
///,/ ./
~,'I'-'" ,--'
<.-~--- 1--,;;r7:.....-~ /2/F//iY
ITf '
Owner or Contractors Signature Date
Page 3 of3
225 Fifth Street
Springfield;Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1751
COM2008-0 1751
COM2008-0 1751
COM2008-01751
COM2008-01751
COM2008-0 1751
Payments:
Type of Payment
CreditCard
cReceintJ
City of Springfield Official Receipt
Development Services Department
Public Works Department
. RECEIPT #:
2200800000000001721
I :48:27PM
Date: 12/0812008
Description
Building Penn it
Minimum/Adjustment Plumbing
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
52,00
52,00
52.00
7.80
18,72
15,60
$198,12
P~id By
ARNIE BROWN
Item Total:
Check Number Autho.rization
Received By Batch Number Number How Received
djb 008132 In Person
Payment ,Total:
$198,12
$198.12
Amount Paid
Page 1 of 1
12/8/2008