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Home My WebLink AboutPermit Building 2009-1-28 Status Issued , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00133 ISSUED: 01/28/2009 APPLIED: 0l/28/2009 EXPIRES: 07/28/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 608 4THST APT 1 ASSESSOR'S PARCEL NO.: 1703352402800 Springtield TYPE OF WORK: Foundation TYPE OF USE: Repair Residential PROJECT DESCRIPTION: - Foundation repair Owner: Address: HANSEN T DEAN & PATRICIA S 2917 POWDERHORN ST EUGENE OR 97408 I CONTRACTOR INFORMATION 1 " Contractor Type General Contractor HAROLD & MADISON INC License 168164 Expiration Date 01120/2010 Phone 541-688-3648 I BUILDING INFORMATION, VB AT"#;ofStoHes';lregon law requires you t~ot Size: , iollcHeight. iit'StriiCtU'r~y the Oregon Utilit~g Ft 1st Floor: No\1i;r:~'~~(';!.e"r.:r. Those rules are set for~~ Ft 2nd Floor: in OIWater- Ty~eP01 0 through OAR 952-00~.\I Ft Basement: 009CR,)f,ge Typl:'btain copies of the rules :slI Ft GaragelCarport ca'E)nn l!Yo/iiWler. (Note: the telePhone~ Ft Oth . nu",g:: mr tlw 'n~Org;,n Utility N~O!ificatio q eLl'. 'd' '''pnnKleo'lfun 0 332 234 '<I ccnpant oa . Center IS ~ - - J. I DEVELOPMENTlNFORMATlON 1 REQUIRED PARKING # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms:, R'3' Frontyard Setback: Side 1 Setback: Side 2 Setback: , Rearyard Setback: Solar Setbacks: qverlay Dist: # Street Trees Rqd: Paved Drive Rqd: O{o of Lot Covenige: i! Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBL~I~ROVEMENTS' I< ~HI~ PERMIT SHALL EXP\Rft;\l~~~~ AUTHORIZED UNDER ~~~;gmUiRW\'lOrains: COMMENCED ORIS AD ' , ANY 180 DAY PERIOD. ' Notes: I Valuation Descriution I Description Tvpe of Constrnction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Calcnlated Pa2e 1 of2 '"., .. Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00133 ISSUED: 01/28/2009 APPLIED: 01/28/2009 EXPIRES: 07/28/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation Only Use Bid Amonnt ~1.00 5,000.00 $5,000.00 $5,000.00 01128/2009 'Total Valne of Project' ,Fees Paid 1 Fee Description + 12% State Surcharge + 5% Technology Fee Fonndation Permit Amount Paid, Date Paid Receipt Nnmber $10.47 $4.36 $87.25 ' 1128/09 1128/09 1128/09 2200900000000000108 2200900000000000108 2200900000000000108 Total Amonnt Paid $102.08 . 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 work day. . Rel]lIir~~, I~~rec!io~s I Footing: After trenches are excavated. ' , Fonndation: After forms are erected but prio~ to concrete placement. By signature, !'state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is tme and correct, and I fnrthercertify that any illld all work perforrned shall he done in accordance with the Ordinances of the City of Springfield and the La~s 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 Community Services Division, Building Safety. I further certify that only contractors and employees ,who are in compliance with ORS 701.005 will be nsed on tbis project. I furtber agree to ensure that all required inspections are reqnested 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 ai all ":;;r;;jJ/ d ~' / /L9 /, 9 0/ / V ' f t ):Yner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number - COM2009-00 133 COM2009-00133 COM2009-00 133 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: Description Foundation Permit + 5% Technology Fee , + 12% State Surcharge Paid By BRIGHAM CONSTR City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000108 Date: 01128/2009 Item Total: Check Number Authorization Re~eived By Batch Number Number How Received djb 05587d In Person Payment Total: Page 1 of 1 10:59:06AM Amount Due 87.25 4.36 10.47 $102.08 Amount Paid $102,08 $102.08 1/28/2009