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HomeMy WebLinkAboutPermit Building 2004-6-23 \- -w.r, ~,-;.iij.,.,.".-"'.".",".',,:,. ."',.,' I. . , --_.__.. _..._-_.~-.-~,.._,--~,,~--, 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