HomeMy WebLinkAboutPermit Building 2009-2-24
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00244
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 08/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2082 9th St
ASSESSOR'S PARCEL NO.: 1703261311800
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Sidewalk
,
Owner: BERNARD D HIATT LIVING TRUST
Address: 836 R ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
# 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:
n/a
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:
REQUIRED PARKING
Total:
Handicapped:
Compact: .
Street Improvements:
I .w.; : regon aw
PUBLIC IMPROVEMEN rules adopted by the Oregon utility
Notificatiollilll.efttBf. ~lIe rules are set forth
In OAR 95~-o01-OO10throl,lgh OAR 952..001-
0090. YoUi\\t9~1W of the rules ."
calling the center. (Note: the telephone
number for the Oregon Utility Notl1lcallon
Center is 1-800-332-2344).
Notes:
Storm Sewer Available:
Special Instruction: JTlCE:
flS PERMIT SHA
~:r::?~IZED UNDi~ ~~PIRE IF THE WORK
-..". ABA
\I\JY 180 DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
.'C-"" ",
Page I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00244
ISSUED: 02/24/2010
APPLIED: 02/2412010
EXPIRES: 08/2412010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3 769 I nspection Line
Total Value of Project
Fees Paid _
Fee Descrialtion
+ 5% Technology Fee
Sidewalk Permit
Amount Paid
Date Paid
Receipt Number
$4.40 ..
$88.00
2/24/10
2/24/10
1201000000000000175
1201000000000000175
Total Amount Paid
$92.40
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.
L Reouired Insoections ~
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 1 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 withont permission of the Community Services Division, Bnilding Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all required inspections are re(IUcsted 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
';~~;p1 2~2HO
Owner or Contractors Signature I Date
Pa~e 2 of2
-n',,-: ,"
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.J:~~;~
WiL,
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000175
Date: 02/2412010
1I:10:04AM
Job/Journal Number
COM20 I 0-00244
COM20 I 0-00244
Payments:
Type of Payment
Check
cReceintl
Description
Sidewalk Permit
+ 5% Technology Fee
Paid By
BERNIE HIATT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
88.00
4.40
$92.40
Amount Paid
Ikw
$92.40
$92.40
1712
In Person
Payment Total:
.,,(,-,.!
Page I of I
2/24/20 I 0