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Home My WebLink AboutPermit Building 2004-3-11 '. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * . lCITY OF ~rKll~ld<lELD Building/Combination Permit PERMIT NO: COM2004-00251 ISSUED: 03/11/2004 APPLIED: 03/05/2004 EXPIRES: 09/11/2004 VALUE: Status Issued SITE ADDRESS: 3804 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 0 Address: PO BOX 508 PLEASANT HILL OR 97455 I CONTRACTOR INFORMATION I Contractor Type General Contractor SUNRISE 2 SUNSET LLC License 130243 Expiration Date 07/28/2004 Phone 541-741-4513 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 0"'- Imperx!re.'~rrlice Area: _.to ,\,\ _ ,,$\1 , DEVELOPMENT INFO~ATlON'l\.. 't.iS'\~~'t.\lI~~ ~~\lI "'0' \v'" .~\' 0' ,I x.\lI ,\\\ ..\(\\J~'t.REQUlRED PARKING ~, \''t.\lI'" 1J~'iJ ,,~\>.\.v , Overlay DIS~\-\\S ~SLX.'iJ ~ \S " T~_,' # Street Tre~~d9 x.~c,'t.$ \J't.\lI\\J\)' .........Handicapped: Paved Drive ~~~ CO\) 'iJ~ \' __.-~ Compact: % of Lot Cove~g'4!: \ # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: .,0\0 I PUBLIC IMPROVEMENTS I (e(\U\(es ~\J\\Ii\''i ",n I~\N ()(egO \ \O~ ..,.Q(ISidewalk)'Fype: ale se QO' ~\IO\~' leo In <> (\\leS 95Z- ~\-\"C: ,es adO'Do"",,spOuts!J?rllrif:> (uleS \. \o\lo\N (~ n Cel\\et. ,0 \n(Ou~s 0\ \ne none ~0\i\iC~\:5Z-QQ'"~~Win C~~~" \ne \e:\~iC~\iO(\ (\?!r, 'IoU ~~~.en\et._~n \}\i~\~~AA1' "V ai;.;'" ,. \ne V' - p'n\l:'~"~ I Valuation DescriD~ion~.(\o( .",\c 1- . I (",.."" Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Palle I of2 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-0025I ISSUED: 03/11/2004 APPLIED: 03/05/2004 EXPIRES: 09/11/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I fm P~irl I Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtlIOO' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Water Line - 1st 50 Feet Water Line - Each AddU 100' Amount Paid Date Paid Receipt Number $23.30 $16.31 $45.00 $28.00 $45.00 $42.00 $45.00 $28.00 3/11104 3/11104 3/11104 3111/04 3/11104 3/11104 3/11104 3/11104 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 Total Amount Paid $272.61 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 Rp.nuirerlln~np.,,~ I Water Line: Prior to filling trencb and including required testing. 2 Sanitary Sewer Line: Prior to filling trencb and including required testing. 3 Storm Sewer Line: Prior to filling trencb. By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all information bereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with tbe 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from tbe street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on tbe site at all times during construction. ~ -:m~ Owk{.. or Contractors Signature ?--/(-ocj Date Pa2e 2 of2 225 Fifth Street ~ Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00251 COM2004-0025I COM2004-0025 I COM2004-0025I COM2004-00251 COM2004-00252 COM2004-00252 COM2004-00252 COM2004-00252 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 . COM2004'00165 COM2004-00 165 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-0025I COM2004-0025I COM2004-0025I -~~~- .wt.u.""......'.. : .. . . . , . 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 Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Planning Final Occy Inspection Fixture Storm Drainage Impervious Area SDC SanitarylStorm Admin Encroaclunent Permit Paving Water Line - ISl 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 Watcr Line - Each Addtl 100' Storm Sewcr - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Payments: Type or Payment Chcck Paid By JAMES MOORE Received By djb C7t:~= n"l~ber Batch Number Authorization Number 2580 City of Springfield OffiCI.., Development Services Depan~ 'j Public Works Departmeh_ .~.: Date: 03/11/2004 10:45:23AM Amount Pail " Item Total: 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 . . How Received In Person Payment Total: Amount Paid $3,536.53 $3,536.53