HomeMy WebLinkAboutPermit Building 2004-6-23
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01576
ISSUED: 06/23/2004
APPLIED: 12/23/2004
EXPIRES: 12/23/2004
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1580 S BROOKLYN ST
ASSESSOR'S PARCEL NO.: 1703344301100
Eugene
TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Partial foundation wall (south side of dwelling.)
Repair
Residential
Owner: LYNCH SCHLEY D
Address: PO BOX 7903 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# 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:
R-3
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
" Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Se~1 MltlTdQN: Oregon law requrres you to
Special In~ilNles adopted by the Oregon Utility
Notification Center. Those rules are setforth u\p, (QJ1WC fE:
Notes: In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You mav obtain ~nrij:)o~ nfth~ '"'0'"'10.,. ^ IITllrHW'1ro I''''''''''r T'" _ _ __, On
II' h ., ..~..'v,,,...L- V.ULJLII Illu rCnl\lllJ I':> IIJUf
ca In9 t e center. (Note: the te e ne . . ( J ]"
number for the Oregon Utility N' a IOn DescrI tion fV IVIENCED OR IS ABANDONED FOR
I\JY 180 DAY PERIOD.
Center is 1-800-332-2344)$ Per Sq Ft Square Footage
Description Type of Construction or multiplier or Bid Amount
Foundation Only Use Bid Amount $1.00 500.00
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
$500.00
12/23/2004
Total Value of Project
Pal!e 1 of 2
$500.00
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01576
ISSUED: 06/23/2004
APPLIED: 12/23/2004
EXPIRES: 12/23/2004
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
LFees Paid J
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Foundation Permit
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$45.00
12/23/04
12123104
12/23/04
2200400000000001543
2200400000000001543
2200400000000001543
Total Amount Paid
$52.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~eouired Insoections ,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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, and the approved set of plans will remain on the site at all
times dUri" g c~7Iuctio";t1~ . ~~.
~~/KJj#AP) / 2 -!l3 -oLf
Owner or contraf Signature 1/ Date
Pal!e 2 of 2
"
-225 FUth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
~COM2004-01576
, COM2004-01576
COM2004-01576
Payments:
Type of Payment
CreditCard
12/23/2004
RECEIPT #:
Description
Foundation Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SCHLEY D LYNCH
iIi(~
City of Springfield Official Receipt
lelopment Services Department
Public Works Department
2200400000000001543
Date: 12/23/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dIm 454437 In Person
Payment Total:
Page 1 of I
2:29:22PM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65