HomeMy WebLinkAboutPermit Building 2005-7-19
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00918
ISSUED: 07/19/2005
APPLIED: 07/15/2005
EXPIRES: 02/0512006
VALUE:
. Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1620 KELLOGG RD
ASSESSOR'S PARCEL NO.: 1703342200916
Springfield TYPE OF
Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Sanitary, gas and paving for partition approval parcell
Owner:
Address:
MEYERS STEWART 0
33461 BLOOMBERG RD
EUGENE OR 97405
, Contractor Type
. General
# of Units:
Primary Occupancy Group:
Secondary Occupancy
I'rlmary Construction Type
Secondary Construction
# of Bedrooms:
< Front yard Setback:
: Side 1 Setback:
Side 2 Setback:
" Rearyard Setback:
, Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
,(\~'f-
-<v.'<- ,. ,'lI \
I CONTRACTOR INEORMATION ,
\.1-" \>'<-'0" \\)"
Contractor ..1;-' S\\\>.\..\.. ,\\\S ~\J\i5~ense
WALTERDR)!:W~l1Ir~~\\ \\\\'i)\.~ r;..'O\>.~ 124842
,. r"'......- ~..., .........
,\\\VIBUlliDING INFORMATIONI
\>.\)".~'i:S,v,,\>,'\ ~~.
,,\JW \~:of'Storles:
\>.\\'{ Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
nla
I DEVELOPMENT INFORIV^TION ,
90n laWleo.UIl ;~~ \}tili\,!
J1cl'4110tt Ole te~~9ria)l Qfa~le set lortn
f>\ \ wlules adO? 4f\~(.eetl.#~e~952'OO~'
10lo catiOn centel. ~ft\"llc!J~Jiv\,l ~ules bY
~ottl~R 952-00~-OO ~y\<<tfdfilt'€llt rr"if.'one
In 0 '(ou t(\a'l obta 'l'4ote: t\'le te ilicatiOn
""QI)" .~ntp.I,' 'J\""\' Not
ca\lin~:;Ji'WBl',leM~ij,~NTSI
nut(\b cen\e\'~ '
Partiallv Improved
No
Residential
Expiration Date
08/25/2005
Phone
541-606-1755 .
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
I of 3
Drywell - Provide
Drywell Engineering
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 SO Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each AddtllOO'
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary or Storm Sewer Cap
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Total Amount
Public Works Review
.
Total Value of Project
~ Fl'l's Pair! I
Amount Paid
Date Paid
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: cOM2005-00918
ISSUED: 07/19/2005
APPLIED: 07/15/2005
EXPIRES: 02/05/2006
VALUE:
Receipt Number
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001033
1200500000000001056
1200500000000001056
1200500000000001056
1200500000000001146
1200500000000001146
1200500000000001146
1200500000000001146
1200500000000001146
Drywell approved per PW
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.
$10.00
$10,40
$7.28
$4,00
$41.00
$45.00
$247.91
$325.91
$14.00
$74.13
$908.79
$4.50
$3.15
$45.00
$7.30
$5.11
$14.00
$45.00
$14.00
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
7/19/05
7/19/05
7/21/05
7/21/05
7/21/05
8/5/05
8/5/05
8/5/05
8/5/05
8/5/05
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.
Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the Inspector with receipt and
verification from company performing pump and fill.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
$1,826,48
I Plan Reviews I
08/05/2005
08/05/2005
APP CAS
2 of 3
.
. CITY OF SPRINGnl!.LJJ
Building/Combination Permit
PERMIT NO: cOM2005-00918
ISSUED: 07/19/2005
APPLIED: 07/15/2005
EXPIRES: 02/05/2006
VALUE:
Status: Issued
. 225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
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 certity 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 win be made of any structure without permission of the Community Services Division,
Building Safety. I further certity that only contracton 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 the front of the property, and the apP;;{;oved et of plans win remain on the site
at all times during con~jtion. ~I .d
~/.%,M'r::i S/Or
/~ f
Owner or Contractors Signature Date
./
"
3 of 3
"J ~
, ~
225 Fifth Street
Springfield, Oregon 97477
541-726-37~9 Phone
"
, Job/Journal Number
\ COM2005-00918
:; COM2005-00918
" COM2005-00918
COM2005-00918
COM2005-00918
f:~
'~'~Payments:
""Type of Payment
~ CreditCard
. ~
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8/5/2005
.
RECEIPT #:
Description
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
Fixture
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
STEW ART MEYERS
.!'~R1".!'-"'.~:~_.._. !
l!t.1
~.l
1200500000000001146
Recel ved By
djb
Lheck Number
Batch Number
1 of 1
City of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 08/05/2005
Item Total:
AulllOrlzation
Number How Received
094382 In Person
Payment Total:
2:01:52PM
Amou nt Due
45.00
14.00
14.00
5.11
7.30
$85.41 :
,
Amounl Paid
$85.41
$85.41