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HomeMy WebLinkAboutPermit Building 2005-9-6 . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01212 ISSUED: 09/06/2005 APPLIED: 09/06/2005 EXPIRES: 03/06/2006 VALUE: . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2719 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703224105700 Springfield TYPE OF Site Work Only PROJECT DESCRIPTION: InstaU water line to lot 3 Cline partition TYPE OF USE: New Residential \l\ a'i'S, .~C It I\\~ Ie, ",\II IPUBLIC IMPROVEMENisj,~s 'i''i:.'''I~~ tCl?- " ' "II - \:,\1' I\\"~ t.. .~ ~~I\~I \l'01't\) '1;)r\'\'SidewalkType: '\ \,'.:J . I~\:. \'I IS ro '1,\ t"Cl\' .,r'i:.\) Cl G'Cl\)' DownspoutslDrains p>v '- 1"'-' o\;:, ,I \J\,.,'"I\.- \)t'o'l' C, , ~ 'I <Q\) ~~ Owner: CLINE RALPH G JR & BEITY A Address: 1150 WmSTLERS LN ROSEBURG OR 97470 I CONTRACTOR INFORMATION I OU \0 Contractor nulle'=> 'l U\I\I\'l License EMERY)lf,sdN~\(J~.N-'Sn\tJ)eVON INC 312 ~IO~' Ole~~o 'O'l \~~ule'(BUIL'}~G'INFORMA TIONI :\'\:.~ Ie'=> '3-00~ I ,'(Io'=> ouQ,'(I ~. \'(Ie 1'-"-:',,0 # of Units: '" "101tl IU Ce(lW ;'.~\'(II '\n,=> 0\ .""o'f.gtor~s: ;" .',,(1 .(lv' O~Q \e\t;. .,\10' Primary Occu... \.\fy,\Gro~p~-()\ :0\-3.1(1 c ~e'. \'(Ie \~!!ignr of , Secondary Oc~ t3'!-ify9'.:> \(\'3-'l 0 ~el. ~O U\~\\'l "'T;~e of Heat: Yrimary Const~cti~'<ryp.~e ce(l Ole9;O(l ?>?>~,'2.?>~ater Type: Secondary cons~ltJ,.l1.n,9; ~ \01 \'(Ie. \-'O~~' Range Type: # of Bedrooms: \}\(\'Oel c,e(l\0\ ,S Energy Path: ~ Sprinkred Contractor Type Plumbing nla I DEVELOPMENT INFORMATION I " Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Street Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description S Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction 1 of 2 Expiration Date 11/24/2007 Phone 503.769-7751 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ,,~ REQUIRED Pt\~G .J vt:':) Total: Handicapped: Compact: Value Date Calculated . . CITY OF SPRINGFIELD' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeclion Line Building/Combination Permit PERMIT NO: COM2005-01212 ISSUED: 09/06/2005 APPLIED: 09/06/2005 EXPIRES: 03/06/2006 VALUE: Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feel Water Line - Each Addtll00' Amount Paid Date Paid $7.30 $5.11 $45.00 $28.00 9/6/05 9/6/05 9/6/05 9/6/05 Receipt Number 1200500000000001307 1200500000000001307 1200500000000001307 1200500000000001307 Total Amount $85.41 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Water Line: Prior to filling trench and including required testing. 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 cerlity that any and all work performed shall be done bt accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertabting to the work described herebt, and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certity 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 lime, that each address is readable from the street, that the permit card is located at the front oflhe property, and the approved set of plans wiD remain on the site at all limes during constructiolL ~/?..a/4-fl E ~"" 9:: 9ItJ~/~s ,,,- Owner or Contractors Signature Date 2 of 2 225 Fifth Street SP.ringf!tld, Oregon 97477 541-726-3759 Phone . .~.~-'''''.'..''.' ~ ~.): ~ty of Springfield Official Receipt .evelopment Services Department Public Works Department Job/Journal Number COM2005-01212 COM2005-01212 COM2005,Ol212 COM2005-01212 Payments: T)1Ie of Payment CreditCard " - '. " 9/6/2005 RECEIPT #: 1200500000000001307 Date: 09/06/2005 Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Water Line, Each AddtllOO' Paid By RALPH CLINE Item Total: Lheck Number Authorization Received By Batch Number Number How Reeeived DJB 086681 In Person Payment Total: I of I 2:36:45PM Amoont Due 5,11 7.30 45,00 28.00 $85.41 Amount Paid $85.41 $85.41