HomeMy WebLinkAboutPermit Building 2008-6-11
-~~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO
ISSUED:
APPLIED'
EXPIRES:
VALUE:
COM2008-00842
0611112008
06111/2008
1211112008
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIDe
SITE ADDRESS 285 S 37TH ST
ASSESSOR'S PARCEL NO 1702314207800
SprIDgfield TYPE OF WORK SIte Work Only
TYPE OF USE New
Resldenhal
PROJECT DESCRIPTION SIte work for parllllon approval
Owner DANIEL FISCHER
Address 325 S 43RD PL
SPRINGFIELD OR 97478
Phone Numher 541-953-0899
, CONTRACTOR INFORMATION I
Contractor Type
General
PlumbIDg
Contractor
OWNER
OWNER
LIcense
Expiration Date Phone
BUILDING INFORMATION'
# of UUltS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary Construchon Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
Helgbt of Structure
Type of Heat
Water Type
Range Type
Energy Path
SprIDkled BuJldIDg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Otber
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
Fronlyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
NOTICE:
THIS PERMIT SH
AUTHORIZED UN~~ EXPIRE IF THE WORK
COMMENCED OR IS A;HIS PERMIT IS NOT
ANY 180 DAY PERIOD ANDONED FOR
I PUBLIC IMPROVEMEffl'r'!lmON Oregor law reqUIres you to
TOIIOW rulec 8d'iootik.':'+v the Oregon Utility
Notification ~kn~~r I fi6~~ rules are set forth
In OAR 952-IDbVnsp6utslDt~lnS'JAR 952-001-
0090 You may obtain copies of the rules by
calling the center (Note the telephone
number for the Oregon Utility NOtifiCation
Center IS 1-800-332-2344),
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIOn
Notes
Page I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00842
ISSUED. 0611112008
APPLIED: 0611112008
EXPIRES' 1211112008
VALUE:
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspechon Lme
I Valuation DescrmtJOn I
Description
Tvpe of Construchon
$ Per Sq Ft
or mulhpller
Square Footage
or BId Amount
Value
Date Calculated
Total Value of Project
Fpp<, Pqul I
Fee DescriptIOn
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
SaDltary Sewer - 1st 50 Feet
SaDltary Sewer Each AddtllOO'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Water Lme - 1st 50 Feet
Water Lme - Each Addtll00'
Amount PaId
Date PaId
ReceIpt Number
$1980
$23 76
$990
$50 00
$1600
$50 00
$1600
$50 00
$1600
6/ll/08
6/ll/08
6/ll/08
6/11108
6/11108
6/1I/08
6/ll/08
6/ll/08
6/ll/08
1200800000000000637
1200800000000000637
1200800000000000637
1200800000000000637
1200800000000000637
1200800000000000637
1200800000000000637
1200800000000000637
1200800000000000637
Total Amount PaId
$251 46
I Plan Reviews ,I
To Request an inspectIOn call the 24 hour recording at 726-3769 All inspectIOns requested before 7 00
a,m, will be made the same workmg day, inspectIOns requested after 7:00 a m. WIll be made the followmg
work day.
I Rpil~."tPfl In.necttons I
Water Lme Prior to filhng trench and mcludmg reqUired testmg
SaDltary Sewer Lme Prior to filling trench and mcludmg reqUired testmg
Storm Sewer Lme Prior to filling trench
Paee 2 of3
-u;:;" ,.
-.,-
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO, COM2008-00842
ISSUED, 0611112008
APPLIED, 06/1112008
EXPIRES 12IIlf2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By slgnatnre, I state and agree, that I have carefully exammed the completed dpphcatlOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further cerl1fy thdt any and all work performed shall be done m accordance with
the Ordmances of the CIty of Springfield and the Laws of the State 01 Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be made of any structure without permlsslOu of the CommuDlty Services DIVIsIOn, BUlldmg Safety
I further cerl1fy th~t nly contractors and employees who are m compliance with ORS 701 005 will be used on thiS project
I further agree to e S re that all reqUIred mspectlOus are requested at the proper time, that each address IS readable from the
st~ ., that the per card IS located at the front of the property, and the approved set of plans will remam on the site at all
h! les fig const. chon
~ / ~' - (,-I(~o;2,
. 2 'v
---OwIter1Jr Contractors Signature Date
Pace 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~.
CIty of Sprmgfield OffiCial Receipt
Development ServICes Department
Public Works Department
Job/Journal Number
COM2008-00842
COM2008-00842
COM2008-00842
COM2008-00842
COM2008-00842
COM2008-00842
COM2008-00842
COM2008-00842
COM2008-00842
Payments
Type of Payment
Check
cRecclOtl
RECEIPT #:
1200800000000000637
Date, 06/1112008
DescriptIOn
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each Addtl 100'
Water Lme - 1st 50 Feet
Water Lme - Each AddtllOO'
Stonn Sewer - 1st 50 Feet
Stonn Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
DANIEL FISHER
Item Total
Check Number AuthOrIzatIOn
Received By Batch Number Number How Received
dIm 124 In Person
Payment Total
Page 1 of 1
I 1807PM
Amount Due
5000
1600
5000
1600
5000
1600
990
2376
1980
$251 46
Amount Paid
$25 I 46
$251 46
6/1 112008