HomeMy WebLinkAboutPermit Building 2005-7-19
Building/Combination Permit
PERMIT NO: cOM2005-00917
ISSUED: 07/19/2005
APPLIED: 07/15/2005
EXPIRES: 01119/2006
VALUE:
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1618 Kellogg Rd
ASSESSOR'S PARCEL NO.: 1703342200916
Springfield TYPE OF
.
CITY OF SPRINGFIELD
Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Sanitary, water, gas and paving for partition approval parcel 2
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Owner: MEYERS STEWART 0
Address: 33461 BLOOMBERG RD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
WALTER DREWS III
# of Units:
PrImary Occupancy Group:
Secondary Occupancy
P"rlmary Construction Type
Secondary Construction
# of Bedrooms:
License
,\1'\ 124842
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I BUILDING INFORMATIONI
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G- ~\#DEY'EOOjlMENTINFORMATION I
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Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion ,
Description
$ Per Sq Ft
or multip6er
. Square Footage
or Bid Amount
Tvpe of Construction
I of 2
Residential
Expiration Date
0812512005
Phone
541-606-1755
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq,Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
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
Minimum/Adjustment Mechanical
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll 00'
Water Line - 1st SO Feet
Water Line - Each AddtllOO'
Total Amount
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00917
ISSUED: 07/19/2005
APPLIED: 07/15/2005
EXPIRES: 01119/2006
VALUE:
Total Value of Project
Fp.p.s PaidJ
Amount Paid
Date Paid
Receipt Number
$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
1200500000000001032
1200500000000001032
1200500000000001032
1200500000000001032
1200500000000001032
1200500000000001032
1200500000000001032
1200500000000001032
1200500000000001032
$233.47
I Plan Reviews I
To Request aD inspection caD the 24 hour recording at 726-3769. AJl inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wiD be made the following
work day.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling 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 that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to.the work described herein,
and that NO OCCUPANCY wiD be made ofany structure without permission of the Community Services Division,
Buildlng 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 oftbe property, and the approved set of plans wID remain on the site
atalltimes~~ 7,/li~r
Ow~ Contractors Signature I Date
2 of 2
.
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225 Fift~ Street
S~rlngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00917
COM2005-00917
COM2005-00917
COM2005-00917
COM2005-00917
COM2005-00917
COM2005-00917
COM2005-00917
COM2005-00917
Payments:
Type of Paymenl
CreditCard '
:'
"
:~
"
"
7/19/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 007626 In Person
, Payment Total:
RECEIPT #:
1200500000000001032
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
STEW ART MEYERS
I of I
.ity of Springfield Official Receipt
evelopment Services Department
Public Works Department
Date: 07/19/2005
10:42:20AM
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