HomeMy WebLinkAboutPermit Building 2004-3-22
Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00238
ISSUED: 03/22/2004
APPLIED: 03/02/2004
EXPIRES: 09/22/2004
VALUE: $ 4,665.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SITE ADDRESS: _ _. 853 S S~m I eOUlres you to
ASSESS~~\S.:.lf~"ROE1.:<N'&~90'110~~~IoOlW8Bn Utility
~o\loW rules adopted by t et for'
PROJ]~to~fDE~feWtl?lo.N:. TSheae rules aRre 9552-00
1I..C1 01-0010 through OA
"",()b.RQS2-0 ['\;;:; ~.,'I"... \
obtain CUlJlvi:l VI ,..- ,- '
Owner~09iU~H~~a~-!9m~-SGl~)te: the telephone
Address: C853ISr.S'i)i'1eSPMNGFIELBtiOR t~tf7t7cation
...,,IT'IhtH for the Oregon 1Il~ _. l.~'
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I CONTRACTOR INFORMATION'
if'iO m~ ~ Mfv
Contractor Licoo~'d3d t11~ir~t~PPJ.oate Phone
MIKE BLANKENSHIP CORP AP. I gYlnn~?~6j S\ 'd~, OJ~liflWl2.t\ft~ 541-746-0194
BUlLDI1J.~~Q~Ori B~~~S 1\\N'd3d S\\-\l
~\.ln"~ jHl:1' B~31 :~.~~Hna
# of SfOttes~' Lot S'lZe:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Impervious Surface Area:
SPRINGFIE TYPE OF WORK: Shop
TYPE OF USE:
New
Residential
Phone Number: 541-741-2854
Contractor Type
General
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SETBACKS
I DEVELOPMENT INFORMATION.
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 Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description'
Garal!e
Type of Construction
Garal!e
$ Per Sq Ft
or multiplier
$24.30
Square Footage
or Bid Amount
192.00
Value
Date Calculated
Description
Total Value of Project
Pal!e 1 of 2
$4,665.60
$4,665.60
03/02/2004
"<l..
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00238
ISSUED: 03/22/2004
APPLIED: 03/02/2004
EXPIRES: 09/22/2004
VALUE: $ 4,665.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid'
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
Receipt Number
$44.46
$6.84
$4.79
$68.40
3/2/04
3/22/04
3/22/04
3/22/04
1200400000000000261
1200400000000000356
1200400000000000356
1200400000000000356
Total Amount Paid
$124.49
I Plan Reviews I
Initial Review
Structural Review
03/03/2004
03/03/2004
03/03/2004
03/12/2004
APP
APP
RJB
RJB
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.
LReouired Insnections ,
1 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
5 Final Building: After all required inspections have been requested and approved and the building 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
"m~ that the pe<mit card;' 10;at'7Je froot of the propedy, and the approved set of plans will remain on the site at aU
t1mCSdu:::t~x<< 3h~1r
Owner or-Contractors Signatu;e - Date I
Pal!:e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00238
COM2004-00238
COM2004-00238
Payments:
Type of Payment
Check
t "
Receipt #: 1200400000000000356
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MIKE BLANKENSHIP COR
Received By
nJm
Check Number
Batch Number Authorization Number
8843
City of Springfield Jfficial Receipt
Development Services Department
Public Works Department
Date: 03/2212004
11:36:25AM
Amount Paid
Item Total:
68.40
4,79
6,84
$80.03
How Received
In Person
Payment Total:
Amount Paid
$80,03
$80.03