The URL can be used to link to this page

Home My WebLink AboutPermit Building 2010-4-12 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00454 ISSUED: 04/12/2010 APPLIED: 04/12/2010 EXPIRES: 10/12/2010 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDR.ESS: 3388 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1702193400100 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair PROJECT DESCRIPTION: Complete previous fire damage permit 01-01013-01 Residential Owner: DIAL ONEITA M Address: PO BOX 1212 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ - "~' Expiration Date 11/09/2010 Phone 747-5413 Contractor t-"t,~,_lj);"''fo! :- L!cense . .,;.'. MCKENZIE TAYLOR... 109867 I BUILDING INFORMATlON~ '. '. u\,es ~\;, # of Units: On \6'H>' flll;lon 1\\\ Primary Occupancy Group: ~\Il', Ote~ed ~~ llfjtlJ~'O,. Secondary Occupancy Grou~1't€ YUle9 adO~r '\:n~~ '~\itgSZ I> \)'f Primary Construction Type to\l?~e.\\~en~o,ot\ml e ~e tu\:n8 Secondary Construction TYlhI!l~1\Pt90Z.oo' OP\8.I~f le~~on # of Bedrooms: \~O '/011 tl\ll'f ntet. ~'?~\\<<,tVlpl\\\ caillnl} Inet ~e Ole8 ~.~~Uing: l\ ce EVELOPMENT INFORMATION Contractor Type General Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nia Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/u of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I . ,-'~"l" . '." "':'-"'''',,"'' . Sidewalk ;'I;ype-/JJ*~:\,,\~~ \: ....,,"~: /C."'" ~ DOW'~~p~u(\l'I'~~\\~ \~ ~O /. . ~';I\"'~ \\~~'" . ,.~~~\Ct:~~~ ~"'~~v. '\~\~~~~t.~ ~Ov. '~" ,\\\'0 ';It: \1.t.~ ~~ \~ ~~tI ,. . ..,,~~ ~~~ Valuation Descri t'i'ilir' f:) 0'" r>: Square Footage or Bid Amount Value Date Calculated Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft or multiplier Paee 1 of2 , .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00454 ISSUED: 04/12/2010 APPLIED: 04/12/2010 EXPIRES: 10/12/2010 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springtield, OR 54t-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~otal V.iue of Project L Fees P~id ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Amount Paid Date Paid Receipt Number $16.44 4/12110 2201000000000000347 $6.85 4/12/10 2201000000000000347 $79.00 4/12/10 2201000000000000347 $58.00 4/12/10 2201000000000000347 Total Amount Paid $160.29 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 working day, inspections requested after 7:00 a.m. will be made the following work day. I ReQuired Insuections ~ ",...." Final Building: After all required inspections',have been requested and approved and the building is complete. Final Mechanical: When all mechanical 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 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 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 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,:arid the approved set of plans will remain on the site at all times durind7truction. ~ p2h~~ Owner or Contractors Signature Date I ',::a ' ,>:>"'.'.~ .,/,,:;. ,;,. Paee 2 of 2 225..FifthStreet Springfield, Oregon 97477 541-726-3759 Phone Wi~-'.'... - A& .. .~ . ~""." ...... ..". ,', --" -- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000347 Date: 04/12/2010 2:15:I3PM Job/Journal Number COM20 I 0-00454 COM20 I 0-00454 COM20 I 0-00454 COM20 I 0-00454 Payments: Type of Payment Check cReedo!! Description Building Penn it I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By MCKENZIE TAYLOR CONSTRUCTION , -:t; Amount Due 58.00 79.00 16.44 6.85 $160.29 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1467 In Person Amount Paid $160.29 Payment Total: $160.29 ,!),;<. ,;' " .',' Page I of I 4/12/20 I 0