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Home My WebLink AboutPermit Building 2009-11-23 Stlltus Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01689 ISSUED: 11/23/2009 APPLIED: 11/23/2009 EXPIRES: OS/23/2010 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1978 L ST ASSESSOR'S PARCEL NO.: 1703253403200 Springfield TYPE OF WORK: Foundation TYPE OF'USE: Alteration Residential PROJECT DESCRIPTION: Foundation replacemenf Owner: Address: COLEMAN ROBERT M PO BOX 72222' EUGENE OR 97401 ATTENTION: Oregon law requires y?~,~~. foilow rUles aooplsa uy L"".V''''''~'' _\!~':: . Notificil.tl1lfiJW'IU.t:1l0WINPI1:JR":;" ""Ii;;,."'.b " InOAR1o,,!'G~r.uu'V"U'"\1 i!i~ contractoroO,90,' You may obtain COPie:.~f.~;fY ADW LLC ;~I;~:~~~~J~i3Ullcin . I BlilUSllllll<J"IN1 Expiration Date 09/22120 I 0 Phone 541-683-3279 Contractor Type General # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . # of Stories: R-3 Height of Structure ,- 'Typ,'-of He"at: VB Water Type: -R~nge'Type: Energy f'ath: NOTICE" SprhikJed Building: n/a " . '-'rl<'~ ,.. Tue \AlnQI( ~~~H~I~cfpfiENrfjl~~'~NLf COMMENCED OR IS ABANDONED FOR ANY 180 DAy~'fmP.ist: II Street r'rees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Front yard Setback: Si~e 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special'lnstruction: Sidewalk Type: Downspouts/Drains: Notes: lya1uation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01689 ISSUED: 11/23/2009 APPLIED: 11/23/2009 EXPIRES: OS/23/2010 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total V~lue of Project F.~e.~ Pa ill I Fee Description + 12% State Surcharge + 5% Technology Fee Fonndation Permit Amount Paid Date Paid Receipt Number $28.02 $11.68 $233.50 11/23/09 11/23/09 11123/09 1200900000000001283 1200900000000001283 1200900000000001283 Total Amount Paid $273.20 I 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. Reouired Insnections I Footing: After trenches are excavated. .; ,~!, Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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 Slate 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 reqnired inspections are requested at the proper time, that each address is readable from the street, that the permit card is loc~tenhe front of the property, and the approved set of plans wJlI remain on the site at all ti~es dUI~ing cJlj~'tJJ/ oWII~ractors Signatnre Dale ,11. Paee 2 01'2 225 Fifth Street Springfleldi Oregon 97477 541-726-3,759 Phone . ,,- ~r;~~.1~. ; ~" .~.._-." City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000001283 Date: 11/23/2009 Job/Journal Number Descripti~n COM2009-0 1689 Foundation Permit COM2009-0 1689 + 5% Technology Fee COM2009-0 1689 + 12% State Surcharge Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Check USBANK CASHIERS CHECK cjc 31265022 In Person Check ROBERT COLEMAN cjc 74301600 In Person Payment Total: Job/Journal Number Description COM2009-0 1689 Foundation Permit COM2009-0 1689 + 5% Technology Fee COM2009-0 1689 + 12% State Surcharge Item Tcital: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Check USBANK CASHIERS CHECK cjc 31265022 In Person Check ROBERT COLEMAN \ cjc 74301600 In Person Payment Total: cReccintl Page I of I 2:58:31PM Amount Due 233.50 11.68 28.02 $273.20 Amount Paid $200.00 $73.20 $273.20 Amount Due 233.50 11.68 28.02 $273.20 Amount Paid $200.00 $73.20 $273.20 J 1/23/2009