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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