HomeMy WebLinkAboutPermit Building 2007-10-17
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01516
ISSUED: 10/17/2007
APPLIED: 10/08/2007
EXPIRES: 04/17/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4080 NORTH ST SPRINGFIE TYPE OF WORK: Site Work Only
ASSESSOR'S PARCEL NO.: WHITE PART NORTH S
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Site work for partition approval
Owner: TERRY WHITE
Address: 696 COUNTRY CLUB RD
EUGENE OR 97401
I CONTRACTOR INFORMA nON I
Contractor Type
Plumbing
,Contractor License
ROYAL FLUSH ENVIRONMENTAL SERVIC153694
BUILDING INFORMATION I
Expiration Date
12123/2007
Phone
541-895-2072
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
A I ,c,,,",,ON: Oregom1aW"eq~:es ~i~:V
fonoW ru'es adopted mtJbft:B!/~et forth
Notification Center. T~~'bAR 952..()O1-
in OAR 952-001-001~ t~~pi~S of the rules by
0090:. You ...r;~~~';~'~Note: the tel~~ho~e ~
~Cll\lll\:l t., . 0 egon UtllllY '"ilV(I{~'
PROVEMENTS number for the. r1 800-332-2344).
. Center IS -
Sidewalk Type:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
P
Street Improvea~ts: ~\.\. !IP$~~lJ\\"( \S ~
Storm s!\t\"UMi\\'tA\'t $~ ~,,1'\\S \' ~~tl fOQ
Special I",\i'~~'R\'Z.~O U~\) 'S f\~~tlO
I\U''"'U Ct,O 01' ,
Notes: COlJ\tA~~ f\'( V~",\OO.
~ "IQ t) /"
Downspouts/Drains:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01516
ISSUED: 10/17/2007
APPLIED: 10/08/2007
EXPIRES: 04/17/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
Curbcut Permit
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtI 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$6.60
$13.20
$3.30
$4.25
$6.60
$5.28
$10.56
$85.00
$50.00
$16.00
$50.00
$16.00
$50.00
$16.00
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
10/17/07
1200700000000001314
2200700000000001600
1200700000000001314
1200700000000001313
2200700000000001600
1200700000000001314
2200700000000001600
1200700000000001313
2200700000000001600
2200700000000001600
2200700000000001600
2200700000000001600
1200700000000001314
1200700000000001314
Total Amount Paid
$332.79
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.
~eouiredJnsnections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Pa2e 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: COM2007-01516
ISSUED: 10/1712007
APPLIED: 10/08/2007
EXPIRES: 04/17/2008
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 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
times during construction.
Own.. 0' co1Z!/!::~:
Pa2e 3 of 3
/0./7.07
Date
225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 15 I 6
COM2007-01516
COM2007-01516
COM2007-01516
COM2007-01516
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JEFFREY BOWERS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001314
Date: 10/17/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
lkw 03549A In Person
Payment Total:
Page 1 of 1
11:36:l1AM
Amount Due
50.00
16.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
10/1 7/2007