HomeMy WebLinkAboutPermit Encroachment 2008-3-20
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2008-00323
ISSUED: 03120/2008
APPLIED: 03/10/2008
EXPIRES: 09/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3800 E ST
ASSESSOR'S PARCEL NO.: 1702311300700
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: For Encroachment Permit and Private Sewer and Storm Lines
Residential
Owner: MCSW ANE JOHN E & HILDA R
Address: 3800 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
Contractor Type
Plumbing
Contractor
KIPCO INC
License
52470
BUILDING INFORMATION I
Expiration Date
02/03/2009
Phone
541-689-9265
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Street Improvements:
I DEVELOPMENT INFORMATION I
NOT1CE~ H"ll EX\'lRE If T~VU\"lt\ _ REQUIRED PARKING
Frontyard SetblWS PERM\T S ER TH\S PERMffv~I~OJist: Total:
Side 1 Setback: AUTHORIZED UNO At.mONE\}' 8EWet Trees Rqd: Handicapped:
Side 2 Setback: COMMENCED OR IS AB Paved Drive Rqd: ATTENTION: Oregon law reg_~t9u.t.o
Rearyard Setba~y 180 DAY PERIOD. % of Lot Coverag'bllow rules adopted by the Oregon Utility
Solar Setbacks: Notification Center. Those rules are set forth
:01 e.\n :f~ ':''-'~ nnH\ thrnllnh Q~R 952-001-
I PUBLIC IMPROVEMIOlii5.~OU may obtain copies of the rules DY
call g th~: ~nter. (Note: the telepho~e
number fori'fflwtM<e~Utility Notification
C~~~dl9~s~344).
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00323
ISSUED: 03/20/2008
APPLIED: 03/10/2008
EXPIRES: 09/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 5% Technology Fee
Encroachment Permit
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Curbcut Permit
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl100'
Water Line - 1st 50 Feet
Water Line - Each Addtl100'
Amount Paid
Date Paid
Receipt Number
$6.75
$135.00
$37.40
$44.88
$4.00
$22.70
$80.00
$50.00
$80.00
$50.00
$32.00
$50.00
$112.00
3/10/08
3/10/08
3/20/08
3120108
3/20/08
3/20/08
3/20/08
3/20/08
3/20/08
3/20/08
3120108
3/20/08
3/20/08
3200800000000000154
3200800000000000154
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
2200800000000000336
Total Amount Paid
$704.73
I Plan Reviews I
Public Works Review
03/10/2008
03/10/2008
10
JHJ
Took in encroachment permit for
storm sewer connection (JHJ)
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.
L..Reouire~nsDections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Water Line: Prior to filling trench and including required testing.
Pal!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: cOM2008-00323
ISSUED: 03/20/2008
APPLIED: 03/10/2008
EXPIRES: 09/20/2008
VALUE:
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
rim.. du"ng czoo; ~
Owner 7ractors Signature'
Paee 3 of3
J -JO-- IJ I?
Date
225 Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
..
Job/Journal Number
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
COM2008-00323
Payments:
Type of Payment
CredltCard
cRecelOtl
RECEIPT #:
2200800000000000336
Date: 03120/2008
DescriptIOn
Curbcut PermIt
+ 5% Technology Fee
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each AddtI 100'
Water LIne - 1st 50 Feet
Water LIne - Each AddtI 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Paid By
JOHN MCSW ANE
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 02009Z In Person
Payment Total:
Page I of 1
10:46:15AM
Amount Due
8000
400
5000
8000
5000
11200
5000
3200
2270
4488
3740
$562.98
Amount Paid
$562 98
$562.98
3/20/2008