HomeMy WebLinkAboutPermit Miscellaneous 2010-6-25
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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
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Phone Number: 541-953-5751
I CONTRACTOR INFORMATION .
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUlL'DING INFORMATION ~
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# 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:
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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:
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Page, I of 2
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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
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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
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$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 "
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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 ~
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Footing: After trenches are excavated. r::i~ .-: '~;,;;~:t:
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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 '.,,'~,
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Ow~er o\--ebntractors Signature Date
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Page 2 of2
225 Fifth Street
Spri~gfield: Oregon 97477
541-726-3759 Phone
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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
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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