The URL can be used to link to this page

Home My WebLink AboutPermit Building 2005-7-19 (3) . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 01119/2006 VALUE: 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 Residential Owner: ME YERS STEW ART 0 Address: 33461 BLOOMBERG RD EUGENE OR 97405 Contractor Type General I CONTRACTOR INFORMA TI Ol'll tes 'fOU to 01'1' Oregu' "'~' oregon Ulilit'l Contractor ;..liENil 5 ~dopled 'I)i~~n~S5 areB'fPlPImon Date W ALTER DREWS III 10110W r~l~ r"nler, i\'i~'484~k O;..R 952d89t~2005 I BtitiDiNG;INFl')~A'r.ONii~5 01 ttle r~~~;' '" 0 "'(aU m"'V J., Note', the tele,~ ation \)lbfCStor~..'..... e center. ~ UI'llil" Notl1fot Size: ~\\I' ,,,-<,- 0 egon ") , Hel~\\\\~tr lor ttle, r 800-332-2344 'Sq Ft 1st Floor: TYPe of H~ler IS 1- Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Sprinkled nla Occupant Load: Phone 541-606-1755 # of Uni": Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: 'DEVELOPMENT INFORMATION ." REQUIRED PARKING Overlay D!~t])1\CE'. EXPIRE IF Ti"~tal:,)RK # Street Trm.S PERMIT SHALL THIS PERMfla!tdlcapTped: Paved Drlve~qd,')RIZED UNDER ONElfompact: % of Lot C'6ve'r~ge:NCED OR IS ABAND 1 v', L;U \VII" L D ~I\IY 180 DAY PERIO . IPUBLIC IMPROVEMENTS. Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Partiallv Improved No Sidewalk Type: Downspouts/Drains Drywell - Provide Drywell Engineering Notes: I Valuation Descriotion I Description Type of Construction $PerSq Ft or multip6er 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 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 Total Amount . . CIi i' uFSPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2005-00918 ISSUED: 07/19/2005 APPLIED: 07/15/2005 EXPIRES: 01/19/2006 VALUE: Total Value of Project ~~ Paid I Amount Paid Date Paid 7/19105 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 Receipt Number 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 1200500000000001033 $10.00 $10.40 $7.28 $4.00 $41.00 $45.00 $247.91 $325.91 $14.00 $74.13 $908.79 $1,688.42 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. 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 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 permit card is located at the front of the property, and the approved set of plans wiD remain on the site atalltim~',:;~~ 7/('J/()J~ ~ ~ 'I OWII1!r.or Contractors Signature Date 2 of 2 225 Fifth Street S,eringfield, Oregon 97477 541-726-3759 Phone . .~.~.""." ~ ....i .ili.ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 COM2005-00918 Payments: Type of Payment CreditCard .' '\ 7/1912005 RECEIPT #: 1200500000000001033 Date: 07/19/2005 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtllOO' Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Paid By STEW ART MEYERS Recel ved By djb I of I Item Total: Check Number Authorization Batch Number Number How Received 007626 In Person Payment Total: IO:42:59AM Amount Due 45,00 14,00 4,00 41.00 10,00 7,28 10.40 908,79 325.91 247.91 74.13 $1,688.42 Amount Paid $1,688.42 $1,688.42