HomeMy WebLinkAboutPermit Miscellaneous 2009-1-23
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Status
Issued
CITY OF SPRIN(j1<mLD .
Building/Combination Permit
PERMIT NO: COM2009-00106
ISSUED: 01/23/2009
APPLIED: 01/23/2009
EXPIRES: 07/23/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 756 53RD ST
ASSESSOR'S PARCEL NO.: 1702332103400
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Reroof
Owner: ROGER MCELHANY
Address: 756 N 53RD ST
SPRINGFIELD OR 97478
Phone Number: 541-746-4943
Contractor Type
General
Contractor
OWNER
I CONTRACTOR INFORMA nON I
License' Expiration Date Phone
# of Units:
. Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION I
'IOU 10
# o~~r~~1ites \Jlilil'!
RJtION' OlegifeVW\\<I~ Sli'\I\lPJ'~<a1 \Ol1\1
~1iE ules ~dOPI15\S'! l'l~f:a~ 952-001-
10110Vf~ion cel1lel, ~~rQ(<1$eP~\1e lules '0'1
Nol\1lC~~ 952-001.0 ~1\~'f,Yp!,o lelep\1one
In ot>: '{ou ((Ia'l 0 "f.et'gYl'P-?tfi':~ NO\\\\cat1on .
00901'1\n9 1116 cen~!;~iu.!<le\t'BWildiQ~~ nla
ca. h~ \-he eJf ':? _" q~'2.-t"""
I1U((lur>~EYECd~i\H;NT INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.'
I PUBLIC IMPROV~MENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sid~~:
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I V aluat;iftn'lj)~scriDtion I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date 'Calculated
Pa2e 1 of2
Status
Iss u ed
CITY V!' .snurliGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00I06
ISSUED: 01/23/2009
APPLIED: 01/23/2009
EXPIRES: 07/23/2009
VALUE: $ 2,000.00
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
2,000.00
$2,000.00
$2,000.00
01/23/2009
Total Value of Project
I
,.
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Techn'ology Fee
Building Permit
Amount Paid,
Date Paid
Receipt Number
$6.96
$2.90
$58.00
1/23/09
1/23/09
1/23/09
1200900000000000041
1200900000000000041
1200900000000000041
Total Amount Paid
$67.86
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 Rellllired !,!,~n~cti~n~ I
Roof Sheathing
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, andl 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 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 during construction.
~SiA fA ~ (jj~~f" 0 \ - ';).J - 0 9
Owner or Contractors Signature d Date
Paee 2 01'2
225 Fifth Street .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 1 06
COM2009-00106
COM2009-00 I 06
Payments:
Type of Payment
Check
cReccintl
RECEIPT #:
Description
Building Penn it
, + 5% Technology Fee
+ 12% State Surcharge
Paid By
ROGER MCELHi\NY
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000041
Date: 01123/2009
Item Total:
Check NUJ1Iber Authorization
Received By Batch Number Number How Received
djD 316 In Person
Payment Total:
Page I of 1
9:47:43AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
1/23/2009