The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-8-24 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01178 ISSUED: 08/24/2007 APPLIED: 08/09/2007 EXPIRES: 02/24/2008 VALUE: $ 15,000.00 Springfield TYPE OF WORK: Single Family Residence SITE ADDRESS: 369 S D ST ASSESSOR'S PARCEL NO.: 1703353401300 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Change roof design on residence Owner: BRIAN FRIED KIN Address: 369 SOUTH D STREET SPRINGFIELD OR 97477 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Phone Number: 541-746-9608 I CONTRACTOR INFORMATION. License Expiration Date Phone BUILDING INFORMATION I R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: .1'"' 1!!:l1\ ~ \. ':)1 .-. qW1IY . I PUBLIC IMPROV~~.'~g6~10'al\\ ~~\1~U\\\'00 StReNrnt9vements: XP\RE \f THE WORK UO\\'0onnoN 4\ 'a\oN)';ia@W~~^ 'C6CO Stqti'll~~M.u.~~\~L E H\S PERM\! \S NOT auol\~~~~ ~ s~\dOO ~\-e~sWj~~~o~ SP$.~f\I\r!}frn1&\1.\Joi~; :6ANDONED FOR . "~;;~96 'd'VO l\~~~~~l\~ 'l(nU~()s~~nA MO\\O~ NofeP:~~i~~~~ PER\OD. .l\1l0~\~~~;a~6 al\~~{ ~~~~~b :NO\lN3U'i AN 1 ,\\\\. , sellnbal :\ nn" . I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-01178 ISSUED: 08/24/2007 APPLIED: 08/09/2007 EXPIRES: 02/24/2008 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 15,000.00 $15,000.00 $15,000.00 08/09/2007 Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Plan Review Residential Amount Paid Date Paid Receipt Number $16.15 $8.08 $12.92 $161.54 $105.00 8/24/07 8/24/07 8/24/07 8/24/07 8/24/07 1200700000000001085 1200700000000001085 1200700000000001085 1200700000000001085 1200700000000001085 Total Amount Paid $303.69 I Plan Reviews I 08/09/2007 08/09/2007 APP LLH 08/09/2007 08/21/2007 APP TAJ 08/09/2007 08/14/2007 APP BRC 08/09/2007 08/24/2007 APP RWC No Planning issues. No SDC charges. BC Approved as submitted, field verify. Initial Review Plannin2 Review Public Works Review Structural Review 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. I Reouired Insoections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Insulation: Prior to cover. 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 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 tim~n'r;:U~ ~ '- / Owner or Contractors Signature Date Pa2e 2 of2 , . 'Construction Contractors Board 700 Summer St NE, Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit#(~;7'- 01/7%. Address: 3 (cl1. .. s. . ,~ "=d by' ~~ rtl. Statement: Information Notice to Property Owners , About Construction Responsibilities S\Q.~\ pate: s);;2'fJO'7 I Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and . plumbing permits.'Licensedarchitect and engineer applicants, exempt from licensing under ORS 701.010(7), need not.submit this statement. Thi~ statement will befiled with thepermit. . . Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: IJf 1. I own, ~eside in, or will reside in the completed structure. . o 2. I understand that I must become licensed as a construction contractor if the structure is sold or. offered for sale'beforeor on completion. D 3A. My general contractor is (Name) (CCB #) , I will instruct my general contractor that all subcontractors who work on the structure must be ,. licensed with the Construction Contractors Board. I OR cgt ...3B. I will be my own general contractor. ~ If 1 hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors . Board, If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CcBand will immediately notify the'office issuing this building permit ofthe name of the contractor. : I hereby certify that tlieabove information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ~ "~ A"'7 2t.r/ ;hCJ6i (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 06-01-04 -- J ~-)~;:. ." . . '\.' C.... ,,..- ': as,Your\' '.;! :' ,ty, ~" . ("._ '\ l..~ \ .,.... ~, \ ~' \. i"- ~ '\...... ~.___~_.__w ~.","", >'-''''''._'__'.' . . Information Notice to Property Owners about Constn Contractors . ifJ.accordance with 5), was developed by the by the 1989 Oregon as ovvn contractor to construct a new can prevent problems by a improve~ent to an respo~sibilities and concerns. . you, contract with.will1;>e~'employces" jf in .' or to assIst in the the will, you use contractors not or As 'an liable can Hie . , ,m~orne if "ou {3~378-4988. ... '..'"," Tax: As an more tax on at 503-947-1488. .....: ..... . .. )_!'L' Tax. for. Qgth;, With!'lOlding and for the and must (f U.S. Internal You IRS at 1 As an lUcome the tax. a Federal EIN !:J::' . '," ~. . . . . ' code - f ~ ,I .~ sufficient time to your ..} . 1) or 06-01-04 225 Fifth ~treet Spri.ngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number ,COM2007-01 178 COM2007-01 178 COM2007-01 178 COM2007-01 178 COM2007-01178 Payments: Type of Payment Cash cReceintl RECEIPT #: Description Plan Review Residential Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BRIAN FRIEDKEN City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001085 Date: 08/24/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm In Person Payment Total: Page I of I 9:]6:]6AM Amount Due 105.00 161.54 8.08 12.92 16.15 $303.69 Amount Paid $303.69 $303.69 8/24/2007