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