HomeMy WebLinkAboutPermit Building 2010-3-5 (2)
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00282
ISSUED: 0310512010
APPLIED: 03105/2010
EXPIRES: 0910812010
VALUE:
r<r,ILUJf
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3~69Inspection Line
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SITE ADDRESS: 885 S 42ND ST
ASSESSOR'S PARCEL NO.: 1802052108700
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: Demolition
PROJECT DESCRIPTION: Demolition of Single Family Dwelling and Removing or Filling Septic Tank
Residential
Owner: JEHOVAHS WITNESSES E CONGREGATION 0
Address: 658 S 57TH ST #90 ' .i,\"';"~:"'ii.",,'"
SPRINGFIELD OR 97478 ~., VlOR\( .
NCii"ef,\ _ ~ "
1\-11S PER ION ~
fi.\Jl\-10RI! P. IS "
Contractor Type Contractm'MMEt-\CEO 0 ERIOn.':' License Expiration Date Phone
pt'.IY'\ 80 0 fi.'{ P
I BUILDlNGI~FORMATlON~
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
. # of Stories:
. Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
.' '
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontya rd Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
ATTEN110N: or_~';r.~~I~I~
fonOW rules ~Ir6\'lt,~'\Wa set forth
Notification c:r~8\~Mu~\\vef~S2'()()1'
In OAR 952-OO1-OOtaIn copies of the rules by
calling
num\)er Center is 1-800-332-2 Sidewalk Type:
Downspouts/Drains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes: f:
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I Valuation ~escriPtion ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
'Issued
PERMIT NO: COM2010-00282
ISSUED: 03/05/2010
APPLIED: 03/05/2010
EXPIRES: 09/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,,1.:otal Va,lue of Project
Fees Paid I
Fee Description
***+ loolt) Administrative Fee***
+ 5% Technology Fee
Demolition
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
$5,80
$2,90
$58,00
$6,96
$2.90
$58.00
3/5/10
3/5/1 0
3/5/10
3/8/10
3/8/10
3/8/10
Receipt Number
2201000000000000203
2201000000000000203
2201000000000000203
2201000000000000209
2201000000000000209
2201000000000000209
TotarAmount Paid
$134.56
I Plan Reviews ~
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 -ivorking day, inspections requested after 7:00 a.m. will be made the following
work day. '.;; " .
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LRemiired I nsnections I
Site Inspection: To be made after excavation but prior to setting forms.
Line to Septic Tank: Prior to filling trench and required testing.
Final Plumbing: When all plumbing work 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 thnt 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 wilhout permission of the Commuuity Services Division, Building Safety.
I further certify that only coutractors 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, 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 during construction.
Owner or Contractors Si.gnature
Date
,""". ""'" ,
Page 2 of 2
225.Fifth3treet
Springfield, Oregon 97477
541-726-3759 Phone
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Wt.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000209
Date: 03/08/2010
10:56:47 AM
Job/Journal Number
COM20 I 0-00282
COM2010-00282
COM20 1 0-00282
Description
Sanitary or.Stonn Sewer Cap
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
CreditCard
Paid By
DA VID V AN HOUTEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
6.96
2.90
$67.86
Amount Paid
KLK
KLK
06391 C In Person
Payment Total:
$67.86
$67.86
,.;
.,
cReceintl
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