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HomeMy WebLinkAboutPermit Miscellaneous 2009-7-21 (2) . _.A~~II,I'~~9# 1j c, ~ ~1i j;, +:; . 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 , - -2344). -'.~2\tjt!,~~.~2L'i_t.+;;:".'- ='j)" i.:" sill 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. I~ l)rJK~/i ~'5 'Dq '(j 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