HomeMy WebLinkAboutPermit Building 2009-1-22
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00047
ISSUED: 01/22/2009
APPLIED: 01/12/2009
EXPIRES: 07/22/2009
VALUE: $ 1,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541~726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1075 LINDA LN
ASSESSOR'S PARCEL NO.: 1802030000504
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Convert carport into garage
Owner: DALETAS KENNETH S & PATRICIA A
Address: 1075 LINDA LN
SPRINGFIELD OR 97478
Contractor Type
General
ATTr:,,,-,_
fOllol"CONTRA<!:'!;OR INFORMATION.
NotitiCEition'c 4c>upred by the-"4""s you to
,Contractor In OAR 952_00enter, Those rU/~r'l!;il:eri$lJity
OWNER 0090, Yourn~,;~~~10 thrOUDh ~Aa;:e.~et forth
'-'QI/lr~~' . -'.....l" ~:'"'-'-. . .....u...-uUl..
nUmb,i~Bl'HbmNG INEORMA:lJ1I@l'i{"es b
, .." '" urego U':' 'v ''''ePhon y
Cent", ',' . n t,lity N" e
'lrOfi8eoW~332_2 ot,flcation
Height of Struc1u~44).
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction-Type:
# of Bedrooms:
U
Lot Size: I
Sq Ft 1st Floor:!
Sq Ft 2nd Floor':
,
Sq Ft Basement;
Sq Ft Garage/Carport
Sq Ft Other: I
Occupant Load:
VB
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
~!n_._ .
-.'...' .If" -.
THIS pr~~VELOPMENT INFORMATION'
AUTHOR/if' I .)~ALL EXPIRE IF T
COMli/IENC/ ur01'efl"ym&V)E~' HE WOflKtn Fringe
ANY 180 0 Ofil SJrf!i!Air~~l~ alT IS NOT
DAYPER\\3W DriWR~ {J FOR
. % ol"Lot Coverage: '
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: -
Sidewalk Type:
DownspoutslDrains:
Notes: No new added surface no fixtures per owner
I Valuation DescriDtion ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00047
ISSUED: 01/22/2009
APPLIED: 01/12/2009
EXPIRES: 07/22/2009
VALUE: $ 1,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P~i~ I
Fee Description
Plan Review Residential
+ 12% State Surcharge'
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$37.70
$6.96
, $2.90
$58.00
1/12109
1/22/09
1/22/09
1/22/09
3200900000000000019
2200900000000000082
2200900000000000082
2200900000000000082
Total AmonntPaid
$105.56
I Plan Reviews I
Initial Review 01/12/2009 01/12/2009 APP'
Planning Review 01/12/2009 01/14/2009 APP DDK No Planning issues.
Public Works Review 01/12/2009 01/14/2009 APP, LKW No new added surface no fixtures
per owner
Structural Review 01/1212009 01/21/2009 APP CJC as noted on plans
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. Relluired Insnec~ions ,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and 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 sball be done in accordance with
the Ordinances ofthe 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 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 o.ermjt card is located at the front of the property, and the approved set of plans will remain on the site at all
t7c~ringt!Jt~_-_. ' , 1 /22(0 ~ .
I' .! I
Owner or Contractors Signature Date
Page 2 of 2
225 Fifth Street
Sprihgf.ield, Oregon 97477
,541-726-3759 Phone
.
Job/Journal Number
COM2009-00047
COM2009-00047
COM2009-00047
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Building Penn it
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
KEN DALETAS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000082
Date: 01/22/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cJc 2530 In Person
Payment Total:
Page I of I
10:34:55AM
Amount Due
58.00
2.90
6,96
$67.86
Amount Paid
$67.86
$67.86
1/22/2009