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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