HomeMy WebLinkAboutPermit Building 2008-2-7
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00175
ISSUED: 02/07/2008
APPLIED: 02/06/2008
EXPIRES: 08/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4661 BLUEBELLE WAY
ASSESSOR'S PARCEL NO.: SUMMER 3 LOT PART F
SPRINGFIETYPE OF WORK: Site Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Site improvements for partition
Owner: SCOTT LEATHAM
Address: 2264 LAKEVIEW DR
EUGENE OR 97408
Phone Number: 541-912-1122
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor License
DURBIN EXCAVATING LLC NOnrn:. 167917
BUILDING 'INROJRlNMliFfON I\LL E
flU I HORIZED I XP/RE IF THE WOR
# ofSto~WMENC UNDER THIS Pf2~~j:1e\}j K
HeightAt\~rf5tu~lD OR IS ABANDcJwrfit. ~ fi{)'T
Type of Heat: U uAY PERIOD. Sqti ~-M loor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building. n/a Occupant Load:
Expiration Date
01/06/2010
Phone
541-688-3970
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENT/0N. Oreqon law real!ir~~ "nll tn
I PUBLIC IMPROvri~~~lif adopted by the Oregon Utli,ty .
. " Center. Those rules are set forth
In OAR 952-001-~GfuWallldIJ~OAR 952-001-
0090. You may obtain cop.te~of tJJ~ rules by
calling the cer1?Or.'~8ffi~/t11&ll{er~Phone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00175
ISSUED: 02/07/2008
APPLIED: 02/06/2008
EXPIRES: 08/07/2008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$26.20 2/7/08 3200800000000000088
$31.44 2/7/08 3200800000000000088
$13.10 2/7/08 3200800000000000088
$16.00 2/7/08 3200800000000000088
$50.00 2/7/08 3200800000000000088
$32.00 2/7/08 3200800000000000088
$50.00 2/7/08 3200800000000000088
$32.00 2/7/08 3200800000000000088
$50.00 2/7/08 3200800000000000088
$32.00 2/7/08 3200800000000000088
$332.74
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.
~eouiredJnsnections I
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When aU plumbing work is complete.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008~00175
ISSUED: 02/07/2008
APPLIED: 02/06/2008
EXPIRES: 08/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
~ cE----
Owner-6r Contractors Signature
f) - 7~o8
Date
~
Pa2e 3 of 3
225 Fifth Street
Springfield; Oregon 97477
,
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 175
COM2008-00 175
COM2008-00 175
COM2008-00 175
COM2008-00175
COM2008-00 175
COM2008-00 175
COM2008-00 175
COM2008-00175
COM2008-00 175
Payments:
Type of Payment
Check
cRecemt I
RECEIPT #:
3200800000000000088
Date: 02/07/2008
DescnptlOn
Fixture
Samtary Sewer - 1 st 50 Feet
Samtary Sewer Each Addtl 100'
Water LIne - 1st 50 Feet
Water LIne - Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
Paid By
SCOTT LEATHAM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
993
In Person
Payment Total:
Page 1 of 1
10:57:51AM
Amount Due
1600
5000
3200
5000
3200
5000
3200
13 10
3144
2620
$332.74
Amount Paid
$332 74
$332.74
2/7/2008