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HomeMy WebLinkAboutPermit Building 2007-12-28 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED: EXPIRES. VALUE' cOM2007-01221 12/28/2007 08/17/2007 06/28/2008 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 455 S 37TH ST ASSESSOR'S PARCEL NO 1702314301400 Spl mgfield TYPE OF WORK SIte Work Only TYPE OF USE New ReSldentlJI PROJECT DESCRIPTION SIte utlhtles for partitIOn approval Owner Address FOUMAL LAURA 1750 WASHtNGTON ST EUGENE OR 97401 I CONTRACTOR INFORMATION 1 Contractor Type General Contractor THE JAG GROUP LLC License 165147 ExpiratIOn Date 06/15/2009 Phone 541-434-1333 BUILDING INFORMATION I # ofUmts PnmJry Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones Height of Structure Type of Heat Water Type Range Type Energy Path Spnnkled Buddmg Lot S,ze Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GJrage/Carport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Frontyard Setback Side I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt Total # Street Trees Rqd' HandIcapped Paved Drive Rqd Compact % of Lot Coverage ATTENTION' Ore ~~:~~::,~~~'e~ adoPI~~~:~~e~~lr~~ ,yo,U to I PUBLIC IMPROVEMf;~952~~0~1:~~1~ ~hose rUles ir~;e~~~';{,. ,L ~ou"Sl.AAl rough OAR 952 001 calling lhe c~nlerl1l~P/ll.es of lhe rUI~s b; number forllmv~N~~m~ le/ephone Center IS 1-800-332" Y Notdrcatlon -2344). !iJO"'I"~ Street Iml1rovements fr'IS Pc;; Storm/~emr)~v3'ftt"~ SpeclaL1,~~truci['lID U H/jLL Ex, ANy 'VlENCE. lVDER 'PIRE IF Notes 780 D/jyD OR IS /j rlilS PER rliE Wo PER',:>~ BliNn,,:. 'lVtlr 10 'R/( 0". -"CU FO''k If V aiuatlOn DescrmtlOn I DeSCriptIOn Type ot ConstructIOn $ Per Sq Ft or multlpher Square Footage or B,d Amonnt Value Date Calculated Pa2e 1 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2007-01221 ISSUED. 12/28/2007 APPLIED. 08/17/2007 EXPIRES: 06/28/2008 VALUE: 225 Fifth StJ eet, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectJon Lme Total Value of PloJect l.Fpp" P~i<U Fee DescrlotlOn + 10% AdmmlStratlve Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge Encroachment PermIt Fixture Samtary Sewer - 1st 50 Feet Samtary Sewer Each Addtll 00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll 00' Water Lme - 1st 50 Feet Water Line - Each Addtll00' Amount PaId Date P Jld ReceIpt Number $23 00 $675 $11 50 $1840 $13500 $1600 $50 00 $1600 $50 00 $1600 $50 00 $32 00 12/28/07 12128107 12/28/07 12/28/07 12/28/07 12128107 12/28107 12/28/07 12/28/07 12/28/07 12/28/07 12/28/07 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 2200700000000001914 Total Amount PaId $424 65 I Plan Reviews I To Request an inspectIOn call the 24 hour recordmg at 726-3769. All mspectIons requested before 7'00 a m. will be made the same workmg day, mspections requested after 7:00 a.m Will he made the followmg work day. 11?f1f1"~ Samtary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testing Storm &ewer Lme Pnor to filhng trench W Jter Lme Pnor to filhng trench and mcludmg reqUIred testmg Pa2e 2 of 3 Status Issued 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line CITY OF SPRIJ'Iot.t<u'LJ.} Building/Combination Permit PERMIT NO. cOM2007-01221 ISSUED 12/28/2007 APPLIED 08/17/2007 EXPIRES. 06/28/2008 VALUE' By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby celtlfy that all mformatJOn hereon IS true and correct, and I fUl ther certify that any and all work performed shall be done m Jccordance WIth the OrdlDances of the CIty of Spnngfield and the Laws ot the State of Oregon pertammg to the work descnbed hel em, and that NO OCCUPANCY will be made of any structure wlthont permISSIon of the Commumty Se, vIces DIVIsIOn, Bulldmg Safety I further certify that only contractOl s and employees who are m comphance WIth ORS 701 005 WIll be used on thIS proJect I fnrther agree to ensnre that JII reqUIred mspectlOns are requested at the pI oper time, that each address IS I eadJble flom the street, thJt the permIt cJrd IS located at the front of the property, and the approved set of plans wIll remam on the SIte at aU ,....."(];:k;);J C1~1im Owner or Contractors SlgnatJ)e /f P J2e 3 ot 3 )i { !7 )~.ALe1 d C(;l /)001- / Date 225 FIfth Street Sprhi'gfield; Oregon 97477 541-726-3759 Phone ".r~~~ 4 k 111 aIi:--, - City of Sprmgfield OfficIal Receipt Development ServIces Department PublIc Works Department Job/Journal Number COM2007-01221 COM2007-01221 COM2007-0 1221 COM2007-0 1221 COM2007-0 1221 COM2007-01221 COM2007-0 1221 COM2007-0122I COM2007-0 1221 COM2007-0 1221 COM2007-0 1221 COM2007-01221 Payments Type of Payment Check cRecelOtl RECEIPT #: 2200700000000001914 Date 12/28/2007 DeSCriptIOn FIxture Sanitary Sewer - 1st 50 feet Samtary Sewer Each Addtl 100' Water Lme - 1st 50 Feet Water Lme - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% AdminIstrative Fee Encroachment Permit + 5% Technology Fee Asphalt DepOSIt - 800 0000 @ $1 0000 Paid By LAURA FORMAL Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received 131 In Person Payment Total lkw Page 1 of 1 2 37 44PM Amount Due 1600 5000 1600 5000 3200 5000 1600 II 50 1840 2300 13500 675 800 00 $1,22465 Amount Paid $1,22465 $1,22465 12/28/2007