HomeMy WebLinkAboutPermit Building 2007-12-26
-~ .,,'~".
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspectlOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01904
ISSUED' 12/26/2007
APPLIED. 12/20/2007
EXPIRES: 06/26/2008
VALUE:
SITE ADDRESS 3841 EST
ASSESSOR'S PARCEL NO FOUMAL SUB E STRE
# ofUmts # 01 Stones
Pnmary Occupancy Group HeIght of Structure
Secondary Occllpancy Grollp A""'" Type 01 Heat
Pnmdry Consh IIctlOn Type 'Olio' r:NTION: Ore Water Type
Secolldary COllstructlOn Type NO!lfj~ rUles adOPtm~I1I'rIlIlUlres
# of Bedrooms In OAR at/on Center .ffigyl1!n~ efJ,O you to
0090 952-001-001 p}ilifl.Iild'Elt'IM'1!R2Utlflty n/ d
. Yo!, ""~r L rnrO""h ~ \ - set 0rth
n~;;;b~~ ~he p~~.lfdJ>MbItUt~FOR~rrION
or "Ie U - ('10, rei . -, ,
Center IS J:f;;,n Utlflt'i.~Pt~rone
'{'JveflJ!12!:14'4J ICatlon
# Street Tle~s Rqd
Paved Dnve Rqd
% of Lot Coverage
PROJECT DESCRIPTION Site work
Owner
Address
LAURA FOUMAL
1750 WASHINGTON ST
EUGENE OR 97401
Contractor Type
Plumbmg
Contractor
SURRETTS
Frontyal d Setback
SIde] Setback
S.de 2 Setbdck
Rearyard Setback
Solar Setbdcks
Street Improvements
Storm Sewel A va.ldble
Special InstructIOn
Notes
DeSCrIption
Type of COllstructlOn
SPRINGFlETYPE OF WORK SIte Work Only
TYPE OF USE
New
Res.denllal
I CONTRACTOR INFORMATION'
LIcense
158295
BUILDING INFORMATION'
ExpiratIOn Date
01/14/2008
Phone
741-3553
Lot SIZe
Sq Ftlst Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gal age/C.arpOlt
Sq Ft Othe.
Occupant Load
REQUIRED PARKING
Total
Halld.capped
Compact
I PUBLIC IMPROVEMENTS'
SIdewalk Type
Downspouts/DI aIDs
NOTICE:
r~~~6ERMIT SHAll EXPIRE IF THE WORK
r.nnflW:~~~~~ ~~D,~R,~H/S PERMIT IS NOT
"c. -" "MUlilVUUIVtU I-UR
I Val:~Uo~~R&.8IiBlPt.
$ Per Sq Ft
or multiplier
Squal e Footage
or B.d Amount
Value
Ddte Calculated
Pa2e I of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01904
ISSUED: 12/26/2007
APPLIED. 12/20/2007
EXPIRES: 06/26/2008
VALUE:
225 FIfth Street, Spl mglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Totdl Valne of Project
FpPli'.~
Fee DescriptIOn
+ 10% AdmmlStratJve Fee
+ 5% Technology Fee
+ 8% State Surcharge
FIXture
SaUltdry Sewer - 1st 50 Feet
SaUltary Sewer Each Addtll 00'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtll00'
Wdter Lme - 1st 50 Feet
Water Lme - Edch Addtll00'
Amount PaId
Ddte PaId
ReceIpt Numher
$23 00
$11 50
$1840
$1600
$50 00
$1600
$50 00
$32 00
$50 00
$1600
12/26/07
12/26/07
12/26/07
12/26/07
12/26/07
12/26/07
12/26/07
12/26107
12/26/07
12/26/07
1200700000000001527
1200700000000001527
1200700000000001527
1200700000000001527
1200700000000001527
1200700000000001527
1200700000000001527
1200700000000001527
1200700000000001527
1200700000000001527
Totdl Amount PaId
$282 90
I Plan Reviews ,
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 ~r;r1I.,rptlll'<.nectJons I
SaUltary Sewer Lme PrIOr to tillIng trench and mcludmg I equlred testmg
Storm Sewer Lme Prior to tillIng trench
Fmal Plumbmg When all plumbmg work IS complete
Water Lme Prior to tillIng trench and mcludmg I equlred testmg
Rough Plumbmg Prior to cover and mcludmg reqUIred testmg
Pa2e 2 of3
--~
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2007-01904
ISSUED' 12/26/2007
APPLIED. 12/20/2007
EXPIRES: 06/26/2008
VALUE:
By signature, I stdte and agree, that I have carefully exammed the completed apphcatlOn dnd do hel eby certify that all
mformallon hereon IS true and correct, and I further certify thdt any and all work performed shall be done 10 accordance with
tbe Ordmances of tbe City of Sprmglield and the Laws of the State 01 Oregon pel tammg to the work descllbed herem, and
that NO OCCUPANCY will be made of dny structure without pel miSSion 01 the CommuDlty ServIces DIVIsIOn, Buddmg Safety
I fUl ther cerllly that only contractors and employees who are III comphance with ORS 701 005 will be used 011 this project
I further agree to ensure that all reqUired mspecllons are requested at the proper time, thdt each address IS readable from the
street, that the permit card IS located at the front of the pi opel ty, dnd the approved set of plans will remalll 011 the SIte at all
"m.'''''''n::LtiVJA(o~
Owner or Contractors Signature
Paee 3 01 3
I\?,_. JALM
~
alu'dlY5!-
225 FIfth Street
.., ....
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal Receipt
Development Services Department
Pubhc Works Departmcnt
Job/Journal Number
COM2007-01904
COM2007-01904
COM2007-0 1904
COM2007 -01904
COM2007 -01904
COM2007 -01904
COM2007-0 1904
COM2007 -01904
COM2007-01904
COM2007-01904
Payments
Type of Payment
Check
cRecemtl
RECEIPT #.
1200700000000001527
Date' 12/2612007
DescriptIOn
Fixture
Sanitary Sewer - ] st 50 Feet
Sanitary Sewer Each Addtl ] 00'
Water LIRe - 1st 50 Feet
Water LIRe - Each Addtl 100'
Storm Sewer - ] st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmIRlStratlve Fee
PaId By
LAURA FOUMAL CPA
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
2026
In Person
Payment Total
Page I of 1
3 14 05PM
Amount Due
1600
5000
1600
5000
1600
5000
3200
11 50
1840
2300
$282 90
Amount Paid
$282 90
$282 90
12/26/2007