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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 . ~ " " :, l. .! J :1 I~ *.lli . ", ~ i ,: II ;' 1. !, t ,I ~ " , !rt 1',_" "i' \; '.\ i' r, , I~ f. . " 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