HomeMy WebLinkAboutPermit Encroachment 2007-9-26
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00560
ISSUED: 09/26/2007
APPLIED: 04/17/2007
EXPIRES: 03/26/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 255 57th St Springfield
ASSESSOR'S PARCEL NO.: SOREN MEADOWS SUB
TYPE OF WORK: Miscellaneous
TYPE OF USE: New
PROJECT DESCRIPTION: Driveway approaches (2), storm and catch basin
Residential
Owner:
Address:
I CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor
GORILLA CAPITOL
H & J CONSTRUCTION
License
Expiration Date Phone
5413447867
12/31/2007 541-689-5863
88084
I BUILDING INFORMATION I
# of Units: # of Stories:
Pri~(R!~pancy Group: Height of Structure:
Sec~n(fal'Y'@Ccupancy Group: Type of Heat:
Prith/dry e6:JFsMliEtGMlIIWiEXPIRE IF THE WORK Water Type:
Sec!l,QJJra:tlf)f{PMfrttSti~'HIS PERMIT IS NOT Range Type:
# ome;~l1i6W.~UED OR IS ABANDONED FOR Ene.rgy Path:. .
ANY 180 DAY PERIOD. . Spnnkled BUlldmg:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
Frontyard 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 . to
Street Improvements: . ATTENTION: Q~11&~r~:6~:~~X~i1ity
. follow rules aaop Wi re set forth
Storm Sewer Avatlable: Notification ceDiBl'.nr~/iah!i&~R 952-001-
Special Instruction: in OAR 952-001-001 ~ throu,g of the rules by .
0090. You may obtain COPI~Sh.e teleghone
Notes: Per Cheryl & Ron M -- Needs Encroachment for driveway e"a\c.\NYttltgeaEintfirwJNB!et~~~1i.MYii\l!\mdn without
permits. JLP 4/17/07' number for the Oregon 1212344)
Center is 1-800-33 - .
Paee 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriution
Tvpe of Construction
Fee Description
+ 5% Technology Fee
Encroachment Permit
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00560
ISSUED: 09/26/2007
APPLIED: 04/17/2007
EXPIRES: 03/26/2008
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$6.50 4/17/07 2200700000000000547
$130.00 4/17/07 2200700000000000547
$8.70 9/26/07 1200700000000001242
$4.35 9/26/07 1200700000000001242
$6.96 9/26/07 1200700000000001242
$14.00 9/26/07 1200700000000001242
$45.00 9/26/07 1200700000000001242
$28.00 9/26/07 1200700000000001242
$243.51
I Plan Reviews I
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.
~eouire~nsoections I
Storm Sewer Line: Prior to filling trench. .
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Paee 2 of 3
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: COM2007-00560
ISSUED: 09/26/2007
APPLIED: 04/17/2007
EXPIRES: 03/26/2008
VALUE:
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 wiJI 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~[ng eonSk~O.J~___
Own" or~etors Signntnre
Paee 3 of 3
9 Iz b (() 7
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00560
COM2007-00560
COM2007-00560
COM2007-00560
COM2007-00560
COM2007-00560
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DOUGLAS WEBER
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001242
Date: 09/26/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 083625 In Person
Payment Total:
Page 1 of 1
10:01 :06AM
Amount Due
14.00
45.00
28.00
4.35
6.96
8.70
$107.01
Amount Paid
$107.01
$107.01
9/26/2007