HomeMy WebLinkAboutPermit Building 2009-1-30
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00035
ISSUED: 01130/2009
APPLIED: 01/09/2009
EXPIRES: 07/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54] -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6489 FOREST RIDGE DR
ASSESSOR'S PARCEL NO.: 1702344303600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
,
Residential
PROJECT DESCRIPTION: Single family residence-
complete previously permitted sf residence COM2006-0 1458
Owner: DANNY HUSTON
Address: PO BOX 42201
EUGENE OR 97404
Phone Number: 541-232-9155
I CONTRACTOR INFORMATION I
Contractor Type
Gerieral
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
# of Stories:
Height of Structure
Type of Heat: .
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENl'SI'~NrION: Oregon law requires you to
'_". v rulu!> adopted by the Oregon Utility
Nl'!tlflcn.tlo.I'iI!!\'.1':~!1\ 'IiYPJ'.;e rules are set forth
in OAR 95ilQ(tliJln1JtJJDflwlr: OAR 952-001-
0090. You may o\j~aln caples of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sew/ir,.{\Yf,i!able:
SpeciallnJt'{.\lctlonE:
THIS PERMIT SHALL
Notes: AUTHORIZED UN EXPIRE IF THE WORK
CnMMl:"".c- f7.I D€R THIS PERMIT IS ~I{)T
ANY 1 80 DA-Y~ I hJ 1'.!:lf\IVUUNfiB rlll1 I
PERIOD. I Valuation Description
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I 012
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00035
ISSUED: 01130/2009
APPLIED: 01109/2009
EXPIRES: 07/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
Plan Review Comments
01/22/2009
01/22/2009
APP DJB
Approved for issue.
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 Reollired Insnections I
Final Building: After all required inspections have heen requested and approved.and the building is complete.
Final Plumbing: When all plumbing work is complete.
Final Mechanical: When all mechanical work is complete.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully exami'ned 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, aod
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that orily 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 c~~~J located at the front of the property, and the approved set of plans will remain on the site at all
times duri'Yonstructi,. _ ,/
/'/h/;1' ~&'~" /- 30~o9
'?/ - 4-'p-- fY' c.,'"
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth ~tr.eet
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00035
COM2009-00035
COM2009-00035
COM2009-00035
COM2009-00035
COM2009-00035
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200900000000000119
Date: 01/30/2009
Description
Building Pennit
Minimum/Adjustment Plumbing
Minimum/Adjustment Mechanical
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DANNY HUSTON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
1181
In Person
Payment Total:
Page I of I
12:23:42PM
Amount Due
79.00
79.00
79.00
79.00
15.80
37.92
$369.72
Amount Paid
$369.72
$369.72
1/30/2009