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Home My WebLink AboutPermit Building 2007-10-17 (2) 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: 10/17/2007 APPLIED: 10/08/2007 EXPIRES: 04/1712008 VALUE: SITE ADDRESS: 4080 NORTH ST SPRINGFIE TYPE OF WORK: Site Work Only ASSESSOR'S PARCEL NO.: WHITE PART NORTH S PROJECT DESCRIPTION: Site work for partition approval Owner: TERRY WHITE Address: 696 COUNTRY CLUB RD EUGENE OR 97401 TYPE OF USE: New Residential I CONTRACTOR INFORMATION' Contractor Type Contractor BUILDING INFORMATION I # 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: License Expiration Date Phone n/a 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. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special hfstl'uction: "~;f!f'~/f'> ,... - 8\J..;1(~ tI I/J1S 4.."11 Notes: '1/, pr::o A, I j_,.., t..,ft,11, ~ '-,;I.l,">.__ s'f.{Alf ,... A~V.~J;'~~NCE~ ~~~%ii TH~~~~!1t~fion DescriPtion' DAY PER ABAND IVII7 IS N . . IOn 9NED C"rIf,,.pe'PSq Ft Square Footage DescrIptIon Tvpe of C'dnstructIon rlJtL It' I' B'd A' or mu Ip ler or I mount Pal!e 1 of 2 REQUIRED PARKING Total: Handicapped: Compact: Sidex1tEMpe: Dq~lqwtttl,(Ohf~egon law Not". ~t!A ado requ' , ',/cation C Pted by th Ires You t 10 OAR enter. Th e Oreg 0 0090. y~52'001'001 0 those rUles areo~e Utility I . calling ~~~~_Obtain c~~~~~ _~~R 952~bo;;J: ,i"II/De; for th '.1"" (/Vote. th -, "It' rutes by I C e Oreg . '. e fe/epl enter is 1 On Utility JIJ.,. lOne -800-332 -2344) ~ ITICation Value Date Calculated 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 Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid $13.20 $6.60 $10.56 $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 Receipt Number 2200700000000001600 2200700000000001600 2200700000000001600 2200700000000001600 2200700000000001600 2200700000000001600 2200700000000001600 Total Amount Paid $162.36 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. L Reouired Insoections I Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 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 aJl 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. /h hr,A lP- Owner or ~nf.:~ors-Signa;"re 10./7. n7 Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01516 COM2007-01516 COM2007-01516 COM2007-01516 COM2007 -01516 COM2007-01516 COM2007-01516 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001600 Date: 10/1712007 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By TERRY WHITE Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 2770 In Person Payment Total: Page I of 1 11:16:09AM Amount Due 50.00 16.00 50.00 16.00 6.60 10.56 13.20 $162.36 Amount Paid $162.36 $162.36 10/17/2007