HomeMy WebLinkAboutPermit Building 2005-2-23
Status
Issued
,- CITY OF SPRINGFIELD'
Bui,lding/Combination Permit
PERMIT NO: COM2005-00217
ISSUED: 02/23/2005
APPLIED: 02/23/2005
EXPIRES: 08/23/2005
VALUE: $ 6,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 217 SASH ST
ASSESSOR'S PARCEL NO.: 1803022400900.
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Helical pier support under the, foundation at front and right side.
Residential
Owner: NIVEN JANET L
Address: 217 SASH ST
SPRINGFIELD OR 97477
Owner: JARVIE JOHN E
Address: 217 SASH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
RAM JACK OF SOUTHERN OREGON LLC 146906
BUILDING INFORMATION I
Expiration Date
02/07/2007
Phone
. 541-688-7177
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary .occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback: .~',,,.J ,-,."';" """'~.'C' ,
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
. ~ICIMPROVEMENTS'
Street ImJijfol\rehiiDON: Oregon law requiresyouto
f('\II('\\N rIll~adoPted by the Oregon Utility
Storm SeW~'r A';!l1 e-: t Th se rules are set forth
S . I ~W~dRP. en er. 0
peCIa in OAR 952-001..Q010 through OAR 952-001-
Notes: 0090'. You may obtain copies of the rules by
calling the center. (Note: the telephone
\lumber for the Oregon Utility Notification
Center is 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00217
ISSUED: 02/23/2005
APPLIED: 02/23/2005
EXPIRES: 08/23/2005
VALUE: $ 6,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'I Valuation Description I
Description Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,400.00 .
Value
Date Calculated
Total Value of Project
$6,400.00
$6,400.00
02/23/2005
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review Residential
Amount.Paid
$8.40
$5.88
$84.00
$54.60
Date Paid
2/23/05
2/23/05
2/23/05
2/23/05
Receipt Number
2200500000000000207
2200500000000000207
2200500000000000207
2200500000000000207
Total Amount Paid
$152.88
Structural Review
02/23/2005
I Plan Reviews I
02/23/2005 OK' DLM
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.
L-Reouired In~Dections I
Foundation: After forms are erected but prior to concrete placement.
Special: See Plan Reviewer or Inspectors Notes for specific requirements.
Final Building: After aU required inspections liave 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 complilmce 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
.~~ z~~]~o5
Owner or Contractors'Signature Date
Paee2of2
.' 225 Fifth Street
~,.. Springfield, Oregon 97477
"~'541-726-3759 Phone
Job/Journal Number
COM2005-00217
COM2005-00217
COM2005-00217
COM2005-00217
. Payments:
Type of Payment
Check
~"
"!:1'~
.,
~,
~i.
~[,t
,
2/23/2005
RECEIPT #:
Description
Plan Review Residential
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
RAMJACK OF SO OREGON
City of Springfield Official Receipt
lelopmentServices Department
Public Works Department
2200500000000000207
Date: 02/23/2005
9:58:35AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
54.60
84.00
5.88
8.40
$152.88
Amount Paid
dim
1050
In Person
Payment Total:
$152.88
$152.88
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