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Home My WebLink AboutPermit Miscellaneous 2009-4-7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00463 ISSUED: 04/07/2009 APPLIED: 04/07/2009 EXPIRES: 10/07/2009 VALUE: $ 14,000.00 SITE ADDRESS: 6855 GLACIER DR ASSESSOR'S PARCEL NO.: 1802031102600 Springfield TYPE OF WORK: Foundation TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Engineered foundation repair Owner: KELLEY DAVID D & SUSAN ANN Address: 6855 GLACIER DR SPRINGFIELD OR 97478 I. CONTRACTOR INFORMATION . Contractor Type General Contractor License RAM JACK OF SOUTHERN OREGON LLC 146906 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Expiration Date 02/07/2011 Phone 541-688-7177 R-3 # of Stories: Lot Size: ^T.Height of Structure Sq Ft 1st Floor: . LJ t ,- f\ll 1("'''1_ nrpgon law requ' t '" Type of'Heat:" Ires you CSq Ft 2nd Floor: h~.~w,i'iW'fy"p'i,?pted by the Oregon Utilitgq Ft Basement: NOlllR'fllloni:,,,mer. Those rules are set forth. F G /C in OhE.,ag~2-\pl}1teh-Q01 0 through OAR 952-00~~ Ft oahrag: arport 0090 neJgv a . t . . f ~ t t cr. Tl"G.,r'8~ <JD.~.m copies 0 th~ rules 15' caISprmkleileBlllld'l\g:ote' th tn a h ccupant Load: ll.lt! Lilt;;' 1.; llltH. \d . e e ep. one .""""'~' "" ".~. "w..... ......... ".~rnlcallon I DEVELO~M.EI'U ,INFo.RMA1IQN ~l VB REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 1 PUBLIC IMPROVEMENTS I Sidewalk Type: NOT! C E: Downspouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ^~IV ;01) n'\' ru-nl~- - _ .t.~ \ I't. \.I...... I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 2 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: cOM2009-00463 ISSUED: 04/07/2009 APPLIED: 04/07/2009 EXPIRES: 10/07/2009 VALUE: $ 14,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 14,000:00 $14,000.00 $14,000.00 04/07/2009 Total Value of Project F~~\ PaI~ I Fee Description + 12% State Surcharge + 5% Technology Fee Foundation Permit Amount Paid Date Paid Receipt Number $21.00 $8.75 $175.00 4/7/09 4/7/09 4/7/09 1200900000000000247 1200900000000000247 1200900000000000247 Total Amount Paid. $204.75 I Plan Reviews I Structural Review 04/07/2009 04/07/2009 APP DJB Engineered foundation repair 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 ReOllJired Insnections , 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 carefnlly 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 shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the wo'rk 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 stre 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 ti es iug co struction. Lll'6i Owner or Contractors Signature Date Page 2 of 2 225 Fifth' Street Springfield,. Oregon 97477 541-126~3759 Phone Job/Journal Number COM2009-00463 COM2009-00463 COM2009-00463 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Foundation Permit + 5% Technology Fee + 12% State Surcharge Paid By RAMJACK OF SOUTHERN OR City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000247 Date: 04/07/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 548591 In Person PaymentTotal: Page 1 of 1 II :46:29AM Amount Due 175.00 8.75 21.00 $204.75 Amount Paid $204.75 $204.75 4/7/2009