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HomeMy WebLinkAboutPermit Miscellaneous 2010-6-25 ,H:S,;l ;'J)'H. ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00828 ISSUED: 06/25/2010 APPLIED: 06/25/2010 EXPIRES: 12/25/2010 VALUE: $ 1,500.00 Status Issued (1;7{;"\' ;l;F :i,j: ':'i' I 1 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :'~;\'~'I' ,'~' ~. -"i('- \ ctfti SITE ADDRESS: 2020 E ST ASSESSOR'S PARCEL NO.: 1703361211700 Springfield TYPE OF WORK: Foundation TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Foundation repair Owner: STEVE MUSSAK Address: 4988 CHANCELLOR LN EUGENE OR 97402 I, h"~':;;'\' "\ Phone Number: 541-953-5751 I CONTRACTOR INFORMATION . Contractor Type General Contractor OWNER License Expiration Date Phone BUlL'DING INFORMATION ~ '-, ") r< '\'1 ......, '. # ofUnits:,.,~~,fSto~jes:. Primary Occupancy Group: R-3 ',~l!.~'ight (irS'tructure . Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy p~lbs. yOU \0 TION: OregonS!>V/.t~'~\\I\!l\i\itV nla 10\10'11 rules ITION ." ation C Not\lIC 001- , 01 the I In OAR 952- a obtain copIes . "\ep\1ore Frontyard Setback: 0090. 'tou m Y ter. ~\\tlll~\Jjl~S~ ~'Iication Side I Setback: calling the ~~~ 01e1gStTlillI1iff ~ ,qd: Side 2 Setback: numbel for is 1 ~q,\}la~~ d: Rearyard Setback: Centel % of Lot Coverage: Solar Setbacks: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Spedallnstrnction: Description Type of Construction Sidewalk Type: '''t'.,;: Downspouts/Drains: it ''is ..J; I~\,,: , ~."J'\~' ,~.W~~ ~'la",",","~r; . ;" : : '..t..,.....,', 'i;[l,~J ' ':::);,~': \r i~~ 'l'la?-~ . :H ':~,n"'C~:. \.. fj,.?\?-E ~\i ,S ~a 1W~ \.l\-\DE?- \:-\DaI'-lED Valuation Descr' tion,1 D ?- \S r>,\3P\ , ,.- WlE\'\ ED a aD $ Per Sq Ft C~~are.Foot)(g\lE?-\' V I , ' < bli v' . a ue Date Calculated or multiplier por'Bid Amount Notes: ,~ .r', Page, I of 2 , ~. - ,..;' , , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00828 ISSUED: 06/25/2010 APPLIED: 06/25/2010 EXPIRES: 12/25/2010 VALUE: $ 1,500.00 ".,," ..~ ~..,., ....- Status Iss u ed 225 Fifth Street, Springfield, OR ,541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation On Iv Use Bid Amount $1.00 1,500.00 , ,rl:iot;\;~~i~-eo;' Project ;--......,.d .', $1,500.00 $1,500.00 06/25/20] 0 1';iF~es P~id ~ $6.96 $2.90 $58.00 6/25/10 6/25/10 6/25/10 Receipt Number 2201000000000000747 2201000000000000747 2201000000000000747 Fee Description + 12% State Surcharge + 5% Technology Fee Foundation Permit Amount Paid Date Paid Total Amount Paid $67.86 Plan Reviews " .. .L. .'~<t" , ". ." To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired Inspections ~ '~"""1': !U"\-;'lf.';.\ ., .. - '.'., ~ Footing: After trenches are excavated. r::i~ .-: '~;,;;~:t: 01 ~, Foundation: After forms are erected but prior to concrete placement. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. ] further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the proper~;:aiid, the approved set of plans will remain on the site at all times during construction. l " J: ' ,I '.,,'~, I. "J,_i," -,," r::i!;z,~ ~- "",.'".' Co - :z$- / () Ow~er o\--ebntractors Signature Date ~. ., 1',0.1. : ,U,., i i~: '.l,'" I .~ ,}.f!iCVi.., . ,,-:il , r.zJ:.. ,.....J. i' .; ....'r..!', ):t'-','r!"'"l- -':\' tH'~ f;;f:~:.-. "j',' Page 2 of2 225 Fifth Street Spri~gfield: Oregon 97477 541-726-3759 Phone ~1~~~:;~ Wk City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 220100000000Q000747 Date: 06/25/2010 1:43:39PM Job/Journal Number COM20 I 0-00828 COM20 1 0-00828 COM20 10-00828 Payments: Type of Payment CreditCard cReceintl Description Foundation Permit + 12% State Surcharge + 5% Technology Fee' Paid By TERESA SUTTEN Received By Check Number Batch Nu~ber djb ~.HHfl '.Jin:~'~Jifrf:' 'r" " ," - . .....'......... ...-.-......,... . J{}:!},i :.:n,I.:IJn:!~ Page I of] . Item Total: Authorization Number How Received Amount Due 58.00 6.96 2.90 $67.86 Amount Paid b71158 In Person Payment Total: $67.86 $67.86 6/25/20 I 0