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Home My WebLink AboutPermit Building 2005-7-19 .. Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00916 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 01119/2006 VALUE: SITE ADDRESS: 1616 Kellogg Rd ASSESSOR'S PARCEL NO.: 1703342200916 Springfield TYPE OF Site Work Only TYPE OF USE: New PROJECT DESCRJPTlON: Sanitary, water, gas and paving for partition approval parcel 3 , Residential - Owner: MEYERS STEWART 0 Address: 33461 BLOOMBERG RD EUGENE OR 97405 I CONTRACTOR INFORMA TlON I Contractor Type General Contractor WALTER DREWS III License 124842 Expiration Date 08/25/2005 Phone 541-606-1755 I BUILDING INFORMATIONI . s'/ou'" # of Units: a>N felif~liie,~\ili\'I Primary Occupancy Group: . Otegol\ \ \'(#el'giiP-~ set \0"\"1. Secondary Occupancy ~~\O~. doQ\ed '0'1 e~M\llf:Jf ISlft-OO\ P"rimary Construction ~di\'O'f (\l\eS a: l\\et. 1\"1oS ~-9-u!Fl . ~'i\)les '0'1 Secondary construction\O~fc&\iOl\ ce ,.00' 0 \\"It~~6\j: . \"lOne # of Bedrooms: ~o~ ~ 95'1..00 o'O'l:iJ.il\ cJ.i~1Jl)\ ~ \hca.\iOl\ \t\ 0 '(oU t1\a'l l\let. 1..~~R5\l\k!e'llo n/a _,,00. .~~...e -:rrl' ~~Il!J,\. ~\I~~:\ot .' IUEY,I3V;t>)pMENT lNFORMA TlON I ,,~ Cel\1Eo Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: !pUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type:\\'t. \!'lC\?-~ ~\ul'- II" \" \'S ~ DownSpoutsiDralils \\\)\\c.~~\SI" 'S\\:~~;-\\\~~~~~~\) ra?- ,\\\'S? ?-\l'i:.\) \\ ?- \'S 1'-'6 I\\\'\\?t"-~C,'t.\),~t"-\\\C\\)' . -, ""00' ,\)t'" I V I Ii De ~-:,.' \'01 a ua on scnotIOn Notes: Description Tvpe of Construction SPerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated I of 2 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Gas Outlets 1-4 MinimumlAdjustment Mechanical Sanitary Sewer - 1st SO Feet Sanitary Sewer Each AddtllOO' Water Line - 1st SO Feet Water Line - Each AddtlIOO' Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00916 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 01/19/2006 VALUE: Total Value of Pi'oject Fl'l'sJ:iWU Amount Paid Date Paid Receipt Number 1200500000000001031 1200500000000001031 1200500000000001031 1200500000000001031 1200500000000001031 1200500000000001031 1200500000000001031 1200500000000001031 1200500000000001031 $10.00 $19.10 $13.37 $4.00 $41.00 $45.00 $28.00 $45.00 $28.00 7/19/05 7/19/05 7/19/05 7/19/05 7/19/05 7/19/05 7/19/05 7/19/05 7/19/05 $233.47 I Plan Reviews , 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. Sanitary Sewer Line: Prior to mling trench and including required testing. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 thill 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certify that onJy 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 wID remain on the site at all times dUrlng~~C~1 .f / ~ ~AAzz - ~/l"--- 7/ ( r / oS' ~ '-/. / ' , ~ __ . r Contractors SIgnature Date 2 of 2 225 Fifth Street " SPri.!1gfie1il, Oregon 97477 541-726-3759 Phone . .~~~~~",ao.",..,,_.. _' ,__._ :,' II;L. .... I I ' -'.,! Job/Journal Number , COM2005-00916 : COM2005-00916 COM2005-00916 , COM2005-00916 COM2005-00916 COM2005-00916 , COM2005-00916 ~~COM2005-00916 , COM2005-00916 Payments: . TJ1>e of Payment CreditCard ;, , .: ) ".\ 'r,: '} "",;. , 'l " , ~;, " ..: .! 7/19/2005 RECEIPT #: JlJ.ty of Springfield Official Receipt .velopment Services Department . Public Works Department 1200500000000001031 Date: 07/19/2005 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each AddtllOO' Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By STEW ART MEYERS Received By djb I of I Item Total: l:heck Number AuUlOrtzallon Batch Number Number How Received 007626 In Person Payment Total: 10:41:I3AM Amon nt Due 45.00 28,00 45.00 28.00 4,00 41.00 10,00 13.37 19,10 $233.47 Amount Paid $233.47 $233.47