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HomeMy WebLinkAboutPermit Miscellaneous 2009-7-21 (3) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01050 ISSUED: 07/21/2009 APPLIED: 07/21/2009 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 SITE ADDRESS: 1064 I' ST ASSESSOR'S PARCEL NO.: 1703351106100 Springfield TYPE OF WORK: Foundation TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace foundation Owner: DUSTRUD PETER Address: 2100 MADISON ST EUGENE OR 97405 I. CON~RACTOR INFORMATION' Contractor Type General Mechanical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone . BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: Range 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: :..!!OrIC . /!-lJr. f. n, JL:I\ltIfJf\1' o. . ....., ....t..R loi/mv 1'1'/'>0 ~d leg~nl'PUBm(JiIIV!l1.RQV,\lMEN;I:SI !V/fr Sf! Ne,tit'--" - C' oP,8d L'. "'0 v'~"on Ut'II't 'U"h '/'/'[.0 'A/ / '" Street Improvements: ,:',3,.on ;mt"L Those I '" I~' ".1MD' - S'itlew:l1k'l,fpe" In OF,:, S~2-0(J1-00-1 r~ es are set lorth'Vy 'vCEO ;:'Ul:R r. 'rlf IF Storm Sewer Availatile:', ' ..'I, ';iJ.'1 Dbl,f Ihrougn OAR 952-001_ 180 DAy D6:''\'Bs~ouW.IDr~~: riff Wo Special Instruction: c: .": C"Ji1pr" ~~~Ples of the rules by PfRIOD BANDON Mlr IS N RI( ""'. " riot! rJr~G Ie" the telephone . ED FO Or Notes: (' ~' . ,;- on UtiJlty NOlitiCation . R Je,,,,, IS 1-000-332-2344). ' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Pa!!e I of 3 "'''~'''''''IBI-D' , """ ,,' --",;';:N';,~FiS;ITDJ~:;G'1L"":~ "]!ij''7Y1:'\;Mp:~: ~1' "-~-', . ...." "' jl Sta tus Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 12% State Surcbarge + 5% Technology Fee Foundation Permit Minimum/Adjustment Mechanical ,Minimum/Adjustment Plumbing Plan Review Residential + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Sidewalk Repair Permit Water Line - 1st 100' Total Amount Paid Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01050 ISSUED: 07/21/2009 APPLIED: '07/21/2009 EXPIRES: 0210312010 VALUE: $ 5,000.00 I Valuation Oescrintion I $ Per Sq Ft or multiplier $1.00 Squ'are Footage or Bid Amount 5,000.00 $5,000.00 $5,000.00 07/30/2009 Value Date Calculated Total Value of Project fpp" Pr,if1J Amount Paid Rec~ipt Number Date Paid $26.91 $11.21 $87.25 $79.00 $58.00 $56.71 $9.12 $0.78 $3.80 $15.50 $76.00 1200900000000000818 1200900000000000818 1200900000000000818 1200900000000000818 1200900000000000818 1200900000000000818 1200900000000000865 1200900000000000866 1200900000000000865 1200900000000000866 1200900000000000865 7/21109 7/21109 7/21109 7121109 7/21109 7/21109 8/3/09 8/3/09 8/3/09 8/3/09 8/3/09 $424.28 I Plan Reviews I 07/2112009 0712112009 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. ~~/n'l;,~nsnections 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 aU required inspections have beeD requested and approved and the building is complete. Water Line: Prior to filling trench and including required testing. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Pa!!e 2 of3 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-01050 ISSUED: 07/21/2009 APPLIED: 07/21/2009 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 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 tbe 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 Divisiou, 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, tbat~ termit card is located at the front of the property, and the approved set of plans will remain on the site at all times during co strucOOn) ~ 12~< 'lhl~~ J 3' 0] . I 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 I 050 COM2009-0 I 050 Payments: Type of Payment Check \ cReceintl RECEIPT #: Description Sidewalk Repair Pennit + 5% Technology Fee Paid By PETER DUSTRUD City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000866 Date: 08/03/2009 Item Total: l:heck Number Authorization Received By Batch.Number Number How Received lkw 330 In Person Payment Total: Page I of I 8:22:00AM Amount Due 15.50 0,78 $16.28 Amount Paid $16,28 $16.28 8/3/2009