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HomeMy WebLinkAboutPermit Building 2004-3-11 . . CITY V1< ~rKll~~1<u'LU 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line * Building/Combination Permit PERMIT NO: COM2004-00252 ISSUED: 03/11/2004 APPLIED: 03/05/2004 EXPIRES: 09/11/2004 VALUE: Status Issued SITE ADDRESS: 3838 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 , CONTRACTOR 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 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft G~r~e;:Carport Sq !t!,Other::~\\'1...., t,U (\\.1 1.-\" "f ~Imp'e~lous Sui:face Area: _ va,,'1' _ ()''U~ ..t>. ';u-:.. ,,0 I DEVELOPMENT INFORMATlON'~io 'Q'I \~-~u\e~i>-~ :~~WS :- "'~\ \~ '0-00'<' ,,\'{\OS ouQ,'{\ f~QUp.3ED PARKING ;0'<- ~eS \e~' \'{\~ . eS 0 . ",\09 ....\0'(\ Overlay Dist: "I ~u Ce'(\ "r;::/\O r09' .",l!fotal:~\C'a: ~o~. '0'(\ \"v .'(\ v . ". ~\C1' # Street Trees R!id:\' n ,,0 ;""\'0-\ I,,\o\e. "',.Hanilicapped: '\'v- S.....v 0" ~~. \\\\''' """, Paved Drive.Rqil: ~ 9 ~'O-'1 '(\\0~' 0'(\ v nG.9mpact: ,,0'" -{ou C0 O~e~ ?>'?)c- % of Lot Cove~e:. . Q, \'{\0 \'{\e ~ .9-,,0- o - '0-\\\(' ~ \O~ ,"c Ci A"\'Oe _,.","'''' I PUBLIC IMPROVEMENTS I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: # of Un Us: 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: Street Improvements: Storm Sewer Available: Special Instruction: Description Type of Construction Sidewalk Type: (J?''f- Downspoutslllral~r ~ ~(J\ . \. 't.'I.?\\\\.. ~?W-\ \ \ l\O"\C~' WI\\ C6\\f>-\? \\\\C6 ? (J~'t.\) f(J? \~:~~~~\1.~~~~~ \C6~f>-~f>-~\) i.~ :,,~J- ?'t.f\\S I Valuation Descr~~:;;Jl \)f>-'{ $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Notes: Total Value of Project Pal!e 1 012 . . Lt! f OF ~rK1NGFIELD Building/Combination Permit PERMIT NO: COM2004-00252 ISSUED: 03/1112004 APPLIED: 03/05/2004 EXPIRES: 09/1112004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l.FI'I''' Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Amount Paid Date Paid Receipt Numher $9.00 $6.30 $45.00 $45.00 3/ll/04 3/ll/04 3/ll/04 3111/04 1200400000000000297 1200400000000000297 1200400000000000297 1200400000000000297 Total Amount Paid $105.30 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 Rl'ouired In~nl''''ion~J I Water Line: Prior to filling trench and including required testing. 2 Storm Sewer Line: Prior to filling trench. By signature, I state and agree, that 1 have carefully examined the completed application and do herehy certify that all Information hereon is true and correct, and 1 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. 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 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. 2c,~,~ ~~ " ""' .'. ~ /r/".. ~ _ wner or Contractors Signature 7-/1 - CJ1 Date Paee 2 of2 225 Fifth Street ".r Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-0025I COM2004-0025I COM2004-0025 I COM2004-0025 I COM2004-0025 I COM2004-00252 COM2004-00252 COM2004-00252 COM2004-00252 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 I 65 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00 165 COM2004-00165 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-00250 COM2004-0025I COM2004-00251 COM2004-0025I ~..'1R~~..... ~.. . ~. Receipt #: 1200400000000000297 Description Water Line - Each AddtllOO' 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 Encroachment Pennit 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 Addtl 100' Water Line - 1st 50 Fcet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 F~et Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Payments: Type of Payment Check Paid By JAMES MOORE Received By djb :::;~.c~ r~umhcl Batch Number Authorization Number- 2580 City of Springfield OffiCio" Development Services Depan~ \ Public Works Departmeb_ Date: 03/11/2004 . Item Total: 10:45:23AM Amount Paid 28.00 45,00 42.00 16.31 23,30 45.00 45.00 6.30 9.00 143,00 28.00 t ,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 . :z '" . How Received In Person Payment Total: Amount Paid $3,536.53 $3,536.53