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Home My WebLink AboutPermit Building 2007-01-29F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00137ISSUED: 0112912007APPLIEDz 0112912007EXPIRES: 0712912007 VALUE: SITE ADDRESS: 1473 sTH ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCELNO.: 1703264201300 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Sewer replacement (damaged) and stub out for future lot after partition. Owner: Address: Contractor Type General OLSON KEN & MARILYN 87417 HALDERSON RD EUGENE OR 97402 OLSON MATTHEW AARON 87417 HALDERSON RD EUGENE OR 97402 Contractor GARY HAAG License 107505 Expiration Date 07t05t2008 Phone 54t 746-2629 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height H Type of Heat:AU THOR1ZED HE WORK f of StructureJ IS PERMI 1 SHS&MIT IS NOT IRE II T uNt$Efhil D TOR Water Type: C0 MMENCED Basement Range Type: ANY 180 DAY P Garage/Carport Energy Path:Sq Ft Other: Sprinkled Building: nla Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: 0 Notes: Page 1 of3 Downspouts/Drains: Owner: Address: tortl the rules totlow may Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00137ISSUED: 0112912007 APPLIEDz 0112912007 EXPIRES: 0712912007 VALUE: Description Tvpe of Construction Fee Descrintion + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet + 5%o Technology Fee Encroachment Permit + l0oh Administrative Fee + 57o Technology Fee + 8olo State Surcharge Sirnitary Sewer Each Addtl 100' Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200700000000000090 1200700000000000090 1200700000000000090 r200700000000000090 2200700000000000132 2200700000000000132 1200700000000000136 1200700000000000136 1200700000000000136 1200700000000000136 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $4.50 s2.25 $3.60 $45.00 $6.s0 $130.00 $1.40 $0.70 $1.12 $14.00 $209.07 u29t07 u29t07 u29t07 U29t07 u3y07 u3U07 2t8t07 2t8t07 2t8107 2t8t07 Fees Paid Plan Reviews 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 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. Reouired Insnections Pase 2 of3 ".:LJ Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00137ISSUED: 0112912007 APPLIEDT 0112912007 EXPIRESz 0712912007 VALUE: 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 will 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 will remain on the site at all times Signature Date Page 3 of3 I 225 Fifth Street Spriagfielii, Oregon 97 477 541-726-3759 Phone Cit- of Springfield Official Receipt [ ;lopment Services Department Public Works Department RECEIPT#: 1200700000000000136 Date: 0210912007 1:20:36PM Job/Journal Number coM2007-00137 coM2007-00137 coM2007-00137 coM2007-00137 Description Sanitary Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 14.00 0.70 1.12 1.40 Item Total:$17.22 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check GARY HAAG In Person Payment Total: st7.22 - djb 7449 cReceintl Page I of 1 21812007 *FerxaF *Lo FIELD Building/Combination Permit PERMIT NO: COM2007 -00137ISSUED: 0112912007APPLIED: 0112912007 EXPIRESz 0712912007 VALUE: F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line SITE ADDRESS: 1473 5TH ST ASSESSOR'S PARCEL NO.: 1703264201300 PROJECT DESCRIPTION: Sewer replacement (damaged) TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential Springfield Owner: Address: Owner: Address: Contractor Type General OLSON KEN & MARILYN 87417 HALDERSON RD EUGENE OR 97402 OLSON MATTHEW AARON 87417 HALDERSON RD EUGENE OR 97402 Contractor GARY HAAG License 107505 Expiration Date 0710512008 Phone 541 746-2629 # of Units: Primary Occupancy Group: Secondary Occupancy Group; Primary Construction Type Secondary Construction Type: # of Bedrooms: Street ImproYements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 0ccupant Load:nla follow rules adopted by Notification Center. Those rules are sG fortt REQUIRED PARKING Total: Handicapped: Compact: Rqd: Coverage: IHIS PERMIT SHtbt{XEffiE:lF THE WORK AUTH 0R IZED U SDeRil}il6/BEfflClT lS [l0T COMMENCED OR IS ABANDONED FOR ANY 1B(] DAY PERIOD. PUBLIC IMPRO\ Notes: Pase I of2 Frontyard frqUB 952{01 -001 0 through SUILUTNU II\TUKYTA T TUl\ I Rqd: Side 1 Side 2 Rearyard Solar You may obtain copies of the center. (Note: the forthe Orcgon tJlility 1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S4l -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00137ISSUED: 0112912007 APPLIEDT 0112912007 EXPIRESz 0712912007 VALUE: Description Type of Construction Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Total Amount Paid Total Value of Project Date Paid u29t07 u29t07 U29t07 u29t07 Value Date Calculated Receipt Number 1200700000000000090 1200700000000000090 r 200700000000000090 r200700000000000090 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $4.50 $2.25 $3.60 $45.00 $55.35 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspections 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. Reouired Insnect 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 will 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 will remain on the site at all times durin g construction. ).,1r-,-6 Owner or Contractors Signature Pase 2 of 2 Date h- rees raro Valuation Description I D,Ga^ 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone RECEIPT #: 1200700000000000090 Date: 0112912007 2:31:l4PM Job/Journal Number coM2007-00137 coM2007-00137 coM2007-00137 coM2007-00137 Description + 8% State Surcharge + ll%o Administrative Fee Sanitary Sewer - 1st 50 Feet + 5o4 Technology Fee Amount Due 3.60 4,50 45.00 2.25 Item Total:$55.35 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash KEN OLSON dlm In Person $55.35 PaymentTotal: ffi cReceint I Page I of I 1t2912007 ASi[HfiFI[L.D Ciro of Springfield Official Receipt }" elopment Services Department Public Works Department