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Home My WebLink AboutPermit Miscellaneous 2009-3-4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00298 ISSUED: 03/04/2009 APPLIED: 03/04/2009 EXPIRES: 09/04/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: . 4891 A ST ASSESSOR'S PARCEL NO.: 1702324]00205 Springfield TYPE OF WORK: Miscellaneous TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Encroachment & Mailbox placement Owner: HABITAT Address: P.O. BOX 458 SPRINGFIELD OR 97477 Phone Nnmber: 541-741-1707 I CONTRACTOR INFORMATION' Contractor Type General Contractor HABITATS INC License 145961 BUILDING INFORMATION' Expiration Date . Phone 09/02/2010 541-338-7967 # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Constrnction Type . Secondary Construction Type: # of Bedrooms:. # of Stories: Height of Structure Type of Heat: Water Type: Rauge 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 rDEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Cover(lge:.ENTION . . , . , : Oregon law requires you to . ~olJ.o.w.rules adopted by the Oreoon 'ItiI/tv I PUBLIC IMPROVEMENis',"2" O'-'O~I Itel. I nose rUles are set forth . -. . ... - 1-0010 through OAR 952-001- uu:;u. YOU malS. ":'to;'I,o~-'-n ofth I. b II. h luewa fi"..ype. e ru es y ca mg t e center. (Note: the tele hon number for thDownsp.outs/jDrains:t,'fP t. e -, ~. ""::"'"" I v IlIty f\lU rea Ion Center IS 1-800-332-2344). Street Improvements: Storm Sewer Av:rilab""C . . nUll . Special InstructiOlti E. I nlS PERMIT SHA . AUTHOR/ZED UNO LL EXPIRE IF THE WORK COrvlMENr.1=n no ,~R ~~/S PERMIT /S NOT ANY 180 0 . .~ r,ur"~:; rJFi AY PERIOD. I Valuation DescriDtion I Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00298 iSSUED: 03/04/2009 APPLIED: 03/04/2009 EXPIRES: 09/04/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es P~,i,~ I $7.75 $139.50 $15.50 3/4/09 3/4/09 3/4/09 Receipt Number 2200900000000000225 2200900000000000217 2200900000000000225 Fee Description + 5% Technology Fee Encroachment Permit Sidewalk Repair Permit Amount Paid Date Paid Total Amount Paid $162.75 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. I Reouired Insnections. . Encroachment: After item(s) have been removed to inspect condition of public right of way. Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 ~e 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 durJng4et} struction. ( 9ate 3 -4-~c; n ,,0.. c. /YS' Owner or ontracf9ts Signa Paee 2 of 2 225 Fifth Street " - Springfield, Oregon 97477 541-726-3759 Phone Job/Jou'rnal Number COM2009-00298 COM2009-00298 Payments: Type of Payment Check cReceintl RECEIPT #: Description Sidewalk Repair Permit + 5% Technology Fee Paid By HABITAT FOR HUMANITY . City of Springfield Official Receipt Developmen.t Services Department Public Works Department 2200900000000000225 Date: 03/04/2009 2:54:57PM Amount Due 15.50. 7.75 $23.25 Item Total: Check Number, Authorization Received By Batch Number Number How Received Ikw 1861 Pa.ge I of I Amount Paid In Person Payment Total: $23.25 $23.25 , 3/4/2009