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Home My WebLink AboutPermit Building 2004-3-11 . Status Issued * . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00250 ISSUED: 03/1112004 APPLIED: 03/05/2004 EXPIRES: 09111/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3780 Kathryn Ave ASSESSOR'S PARCEL NO.: CHARLES MOORE SU Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Industrial PROJECT DESCRIPTION: Construct site utilities Owner: MOORE CHARLES L & LISA D Address: PO BOX 508 PLEASANT HILL OR 97455 , \..V", ~CTOR INFORMATION I Contractor Type General Contractor SUNRISE 2 SUNSET LLC License 130243 Expiration Date 07/28/2004 Phone 541-741-4513 BUILDING INFORMATION I SETBACKS # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: H\ Water Type: Sq Et.,~al;ement: Range Type: '>tl {eo.\SlftW~i'8'~~Carport Energy Path: enOl' \a: "'~ OSi'{Ft Oth'eH){\ o{ " \\,Q (e <>- _no . ,-<'\ON'. \eO 'O'! {u\\Jmpervious.Sorface Area: .-GN\ _..\nO .. ...c..e _b.f\~"'-._,.. t , DEVELOPMENit\!lNioRMA:rl0IS~in{Ou~~ ~\ \ne ~~~()e \i\iC\:l."- n .QQ "V . \'~i()' CO?' . \ne W\ejilig,QlRED PARKING ~o '. p. 9"''' 0'0" NOW'. NO\'\\" Overlay,Dist: -IOU {(\a.'! ()\e{. ~ \.l\i\\\'! AA~~tal: # Street-1)'''e'lls R!ld:\ne ce O{egO() ,,<;'2.''2.'3 Handicapped: V- .""", 'ne ('\0'''' Paved Drive,Rqd: {\O{' '" \.\> ' Compact:. l""",,:oe .....1tI"..... ,,'.1" r' % of Lot Coverage: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEl\-'''I' 'Ill Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: \ C~: DownsX~~~~E WORK ~~~\ERMli S\1i\~\\1\S PERMI1 IS NOi i\\li\10R\2EO \l~~ IS i\Bi\NOONEO fOR ('nMM;:~~~ f:T,nn I Jl.N1 IUl Valuation Desctiotion Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00250 ISSUED: 03/11/2004 APPLIED: 03/05/2004 EXPIRES: 09111/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.s Pairl I Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtII00' Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Water Line - Each AddtII00' Amount Paid Date Paid Receipt Number $19.10 $13.37 $45.00 $28.00 $45.00 $45.00 $28.00 3/11104 3/11104 3/11104 3/11104 3111/04 3/11104 3/11104 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 Total Amount Paid $223.47 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. I. Reouirerl Insnp.ctions I 1 Sanitary Sewer Line: Prior to filling trench and including required testing. 2 Water Line: Prior to mUng trench and including required testing. 3 Storm Sewer Line: Prior to filling trench. By signature, I state and agree, that 1 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. ~ -m~ o<..er or Contractors Signature '3 - /(- ot! Date Pa!!e 2 of2 225 Fifth Street ."t' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00251 COM2004-0025 I COM2004-0025 I COM2004-0025I COM2004-0025I COM2004-00252 COM2004-00252 COM2004-00252 COM2004-00252 COM2004-00 165 COM2004-00165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00165 COM2004-00165 COM2004-00250 COM2004-00250 . COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-0025I COM2004-0025I COM2004-00251 ~~."l""'-."'."~." .~. Receipt #: 1200400000000000297 Description Water Line - Each Addtl 100' Storm Sewer - .1st 50 Feet Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Storm Sewcr - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Planning Final Occy Inspection Fixture Storm Drainage Impervious Area SDC SanitarylStorm Admin Encroachment Permit Paving Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet + 7% State Surcharge ' + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll 00' Water Line - 1st 50 Feet Water Line - Each AddU 100' Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1 st 50 Fect Sanitary Sewer Each AddtllOO' Water Line - 1st 50 Fcet Payments: Type or Payment Check Paid By JAMES MOORE -.cbecM: l_umoer Received By Batch Number Authorization Number djb 2580 ~. City of Springfield OffiCI.., Development Services Depan, Public Works Departmell. Date: 03/11/2004 10:45:23AM Am.nnt Pal,! 28,00 45.00 42.00 16.31 23.30 45.00 45,00 6.30 9,00 143.00 28.00 1,972,00 98,60 120.00 421.35 45,00 45.00 8.26 53.94 45.00 28.00 45.00 28.00 45.00 13.37 19,10 45.00 28,00 45,00 $3,536.53 \ v ~,l . . !lem Total: How Received In Person Payment Total: Amount Paid $3,536.53 $3,536.53