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Home My WebLink AboutPermit Building 2005-7-19 (2) . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 01/21/2006 VALUE: . Status: Issued 225 Fiftb 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 IPUBLIC IMPROVEMENTSI . -,,'.:. C TUC Sidewalk Type: Partlall,:~I!!,proved HI\LL \:XPIR\: Ir C1C:' ~'~T THIS PIl'i'o'l/l\T S \:R IHIS P\:RM\T 1I>0wnspoutslDrahts I\UI\-\ORII\:O UNOIS I\BI\NOONto FOR COMM\:NCto OR I\N1' \ BO 01\1' PtRIOO. Owner: MEYERS STEWART 0 Address: 33461 BLOOMBERG RD EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor au to License WALTE~ DM.WmIIDo.uire~~ I lIili\'! 124842 ~"f'tC.NT\U'~d~pted '0'1 t"'litiiLDING'INFORMA nONI _ 1o\l()'ll~\es enter. inoSe. nop.J\':l::>c.-v- # of Units: NotifiCation C 01-0010 t\'\rou9 lIi'\f\~tories:'o'J Primary OccupanW! ~Ff$bilP2-O obtain CoP\~S 'V~lg~~ofJne Secondary OccupWO~O. '(oU rna'l nW, tNote. tr.T.Y,~S'1I1lHeae Primary Construcho~W19 \he ce Oregon Ut\\\Wf,,~~ .Type: Secondary Constructi~llrn'Oer lor \he, 1_800-332. Rlinge Type: # of Bedrooms: center IS Energy Patb: Sprinkled Contractor Type General I DEVELOPMENT INFORMATION I 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 I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount I of 3 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: 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 Addtll 00' SDC SanitarylStorm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 7% State Surcharge Sanitary or Storm Sewer Cap Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 0112112006 VALUE: Total Value of Project, ~ Amount Paid Date Paid Receipt Number 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001056 1200500000000001056 1200500000000001056 510.00 $10.40 57.28 $4.00 541.00 $45.00 $247.91 $325.91 $14.00 $74.13 $908.79 $4.50 $3.15 $45.00 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 7/21105 7/21105 7/21/05 $1,741.07 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. IRpn~ 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. 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 0112112006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 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 per it ~~"d at the front of the property, and the approved set of plans wID remain on the site at all times durin tr:~/~ 1 &~ f- our'C;;~tractors Signature" Date ' / 3 of 3 ~.", :J 225 Fifth Street : Spl1ingfiel'd, Oregon 97477 541-726-3759 Phone . 8j:Q~:~'^d_'__"~.~,: Iak.. , 'I, _ . ., i City of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200500000000001056 Date: 07/2112005 12:19:04PM Job/Journal Number , COM2005-00918 : COM2005-00918 ; COM2005-00918 " ~ Descrlptlou + 7% State Surcharge + 10% Administrative Fee Sanitary or Storm Sewer Cap Payments: Type of Payment CreditCard Paid By STEWART MEYERS Received By djb Item Total: LbeCK Number AutnonzatJon Batch Nmnber Number How Received 087994 In Person Payment Total: Amon ut Due 3.15 4.50 45.00 $52.65 Amount Paid $52,65 $52.65 . I,: .. " , ,',). " , r) ;~ 'j , I;'. - , , , ^ ..' 712112005 I of I