HomeMy WebLinkAboutPermit Miscellaneous 2009-7-21 (2)
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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:. COM2009-0I050
ISSUED: 07/21/2009
APPLIED: 07/21/2009
EXPIRES: 02/03/2010
VALUE: $ 5,000.00
SITE ADDRESS: 1064 I' ST
ASSESSOR'S PARCEL NO.: 1703351106100
Springfield TYPE OF WORK: Foundation
PROJECT DESCRIPTION: Replace foundation
Owner: DUSTRUD PETER'
Address: 2100 MADISON ST
EUGENE OR 97405
TYPE OF USE: Repair
Residential
I CONTRACTOR INFORMATION .
Contractor Type
General
Mechanical '
Plumbing
Contractor
OWNER
OWNER
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
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I P~BLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special,[iisftti'cllon:
11f'J _ IV'-.
Notes.THIS PERMIT SHALL EXPIRE IF THE WORK
'AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e I 01'3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
ATTENTlml' 0 C'''M
fo/Downsp,ou siD~ams: law requires you t
.uw . u,es adopted b 0
.Notification Center Th y the Oregon Utility
In OAR 952-001-0010 those rules are setforth
0090. You may obtai. rough OAR 952-001_
calling the center (~op'es of the rules by
number for the Or~ onate:. the telephone
Center is 1-~00 3U3t2,lity Notification
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01050
ISSUED: 0712112009
APPLIED: 07121/2009
EXPIRES: 02/0312010
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
, $1.00
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$5,000.00
$5,000.00
07/30/2009
l<'pe< p~;.J .
r "rh.,.~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Foundation Permit
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
Date Paid
$26.91
$11.21
$87.25
$79.00
$58.00
$56.71
$9.12
$3.80
$76.00
7/21109
7/21109
7/21109
7/21/09.
7/21/09
7/21109 .
8/3/09
, 8/3/09
8/3109
Receipt Number
1200900000000000818
1200900000000000818
1200900000000000818
1200900000000000818
1200900000000000818
1200900000000000818
1200900000000000865
1200900000000000865
1200900000000000865
Total Amount Paid
$408.00
I Plan Reviews I
Structural Review
0712112009
07/2112009
APP DJB
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.
]?pflllirp,-i In~nections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Final Building: After all required inspections have been requested and approved and the building is complete.
Water Line: Prior to filling trench and including required testing.
Pa!!e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01050
ISSUED: 07121/2009
APPLIED: 07121/2009
EXPIRES: 02/03/2010
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 he 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 used on this project.
I further 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 at all
times dur~~onstruction.
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Owner or Contractors Signature
Date
Pa!!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0] 050
COM2009-0] 050
COM2009-0 1 050
Payments:
Type of Payment
Check
cReceintJ
RECEIPT#:
Description
Water Line - 1st 100'
+ 5% Technology Fee
+ ]2% State Surcharge
Paid By
PETER DUSTRUD
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000865
Date: 08/03/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
329
In Person
Payment Total:
Page 1 of I
8:03:24AM
Amount Due
76,00
3,80
9,12
$88.92
Amount Paid
$88,92
$88.92
8/312009