HomeMy WebLinkAboutPermit Miscellaneous 2009-4-13
Sta tus
Issued
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00491
ISSUED: 04/13/2009
APPLIED: 04/13/2009
EXPIRES: 10/13/2009
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
.541-726-3769 Inspection Line
SITE ADDRESS: 222 6TH ST
ASSESSOR'S PARCEL NO.: 1703353190001
Springfield TYPE OF WORK: Dryrot
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Dryrot repair
Owner: COMPOSITE HOLDINGS LLC
Address: 222 6TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORlVlATION I
Contractor Type
General
Contractor
T RIDGE INC
License .
123921
Expiration Date
04/14120 I 0
Phone
541-501-2867
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
l..IUllwm.G,lliE'lfOOt;g~lll..s you to
follow rhl1e.s adopted by the Oregon Utility .
Notificaftcll1 ~\!m~~; Those rules are set forth Lot SIZe:
in OAR ~'l!gjtl1lfJ.\\l!1!I~P'II~eJgh OAR 952-001- Sq Ft 1st, Floor:
0090. Ye~lffi8f tI'.sl1!ln copies of the rules by Sq Ft 2nd Floor:
callin(}'tIlll'COiYRlf. (Note: the telephone Sq Ft Basement:
numb~~Ogttil'yjil:sgon Utility Notification Sq Ft Garage/Carport
a:ilerg~rF\at":800-332-2344). Sq Ft Other:
Sprinkled Building: n/a . Occupant Load:
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist: Total:
# Street Trees Rqd: Ha~dicapped:
Paved Drive Rqd: ...._ 0'" Compact:
% off{'Cm~ge:""'" .
THIS PERMIT SHALL EXP1RElfTHEWO~~
. '.1IRL"1'>.'.7[Il.o'lJ'ftK I HI::' t't:tlIVI([ lS'"'M&'f
I PUBLIC 1Ml'RC1VEMt<:.N.~ OR
ju,{,,;,'~f.u~u u IS ABANDONED F
ANY 180 DAY PERIOreidewalk Type:
Downspouts/Drains:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Sethacks:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00491
ISSUED: 04/13/2009
APPLIED: 04/13/2009
EXPIRES: 10/13/2009
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
6,000.00
$6,000.00
$6,000.00
04/1312009
Total Valne of Project
.~ees p~i~.1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Dnte Paid
Receipt Number
$11.64
$4.85
$97.00
4/13/09
4/13/09
4/13/09
2200900000000000371
2200900000000000371
2200900000000000371
Total Amount Paid
$113.49
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 .R.ef\".i.red Ins,?eetionsJ
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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 carefully 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 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
time'@vnstr"Zn:- L; -/3- 0 r
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
.. .. ..
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00491
COM2009-00491
COM2009-00491
Paymcnts:
Type of Payment
Check
cReceint!
RECEIPT #:
Description
Building Penn it
+ 5% Technology Fec
+ 12% State Surcharge
Paid By
TIMBER RIDGE
CONSTRUCTION
City of Springfield Official Receipt
DeyeIopment'services Department
Public Works Department
2200900000000000371
2:53:14PM
Date: 04/13/2009
Item Total:
t.:heck N umber Authorization
Received By Batch Number Number How Received
Amount Due
97.00
4.85
11.64
$113.49
Amount Paid
djh
$113.49
4881
In Person
Payment Total:
$113.49
Page 1 of 1
4/13/2009