HomeMy WebLinkAboutPermit Building 2010-3-9
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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: COM2009-01708
ISSUED: 03/09/2010
APPLIED: 11/30/2009
EXPIRES: 09/09/2010
VALUE: $ 2,000.00
SITE ADDRESS: 6815 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344400501
Springfield TYPE OF WORK: Fire Damage
PROJECT DESCRIPTION: Fire Damage
TYPE OF USE: Repair
Residential
Owner: MOORE JOSHUA P
Address: 6815 MAIN ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor License
RB N ME CONTRACTORS LLC 185254
BUILDING INFORMATION I
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
# of Stories:
R-3 Height of Structure
Type of Heat: \0
VB Water Ty le:law requireS Y~i\I\V
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calling ~~r tne oregO".332..2.34'\).
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# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Cover~ge:,,'-
I PUBLIC IMPROVEMENTS I
Phone Number: 541-228-4107
Expiration Date
01/23/201 I
Phone
541-52 I -8698
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
",
Compact;
..
Sidewalk Type:
DownspoutslDrains:
$ Per Sq Ft
or multiplier
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Page I of 2
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01708
ISSUED: 03/09/2010
APPLIED: 11/30/2009
EXPIRES: 09/09/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
2,000.00
$2,000.00
$2,000.00
03/09/2010
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amouut Paid
Date Paid
Receipt Number
$6.96. "." ...
$2.90 ; ,-, "'.
$58.00
3/9/10
3/9/10
3/9/10
1201000000000000215
1201000000000000215
1201000000000000215
Total Amount Paid
$67.86
I Plan Reviews I
To Request an inspection call the 24 hour I'ecording 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 Insoections I
Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
Final Bnilding: After all required inspections have beeli requested and approved and the bnilding 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 furth'er;~~'rtify that any and all work performed shall he 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
Ihat NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety.
I fnrther 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, 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
tim~~~ 3-9-/0
o~gnature Date
Paee 2 of 2
225 Fifth Street
<11-" , .
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000215
2:16:lIPM
Date: 03/09/2010
Job/Journal Number
COM2009-0 1708
COM2009-0 J 708
COM2009-0 1708
Payments:
TYI}C of Payment
Check
cReceinll
Description
Building Permit
+ J 2% State Surcharge
+ 5% Technology Fee
Paid By
MICHAEL BROWN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
6.96
2.90
$67.86
Amount Paid
djb
In Person
Payment Total:
$67.86
$67.86
1739
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P~ge 1 qf 1.
3/9/20 I 0