HomeMy WebLinkAboutPermit Building 2008-9-3
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225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01328
ISSUED: 09/03/2008
APPLIED: 09/03/2008
EXPIRES: 03/03/2009
VALUE:
Status
Issued
SITE ADDRESS: 4735 UNION TER
ASSESSOR'S PARCEL NO.: 1802051201900
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Water Line and Sanitary Sewer
Owner: SYRIOS LUKE
Address': 1247 VILLARD ST
EUGENE OR 97403
I CONTRACTOR INFORMATION ,I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Se~ondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:.
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport .
Sq Ft Other:
Occupant Load: ,
nla
I DEVEL~PMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
!t~aryard Setback:
'Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEME,NTS,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
ATTENTION: Oregon law requires you to
foHow rules adopted by the Oregon Utility
t1nT11"r:- - Notlflc~lf)n rrntor Thnc.-o l'..I~C' .....,... .......ll..~...L
THIS PERMIT SHALL EXPIRj I: I Ht "''' ,-.. .. I In OAR 952-001-0010 through OAR 952-00i~
UTHORIZEO UNDER THIS f111l!lliaI:ioMClJescrmtlOn Q090., You may obtain copies of the rules by
A ANDONFD FUH ' callmg the center, (Note: the telephone
CO~ENCED OR IS ,AB 'S'l'er Sq Ft Squa.re Footagf,lumber for ~M)regon UtIY;'{l~lW/fAAe\fI
ANY 1mi'l5Afrt~l9~ or multiplier nr Bid Amount Center IS 1-800-332-2344).
Descrintion
Paee I 01'2
SIl!AINGF!IELOJ
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01328
ISSUED: 09/03/2008
APPLIED: 09/03/2008
EXPIRES: 03/03/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll 00'
Water Line - 1st 50 Feet
Water Linc - E:lch Addt1100'
Amount Paid
Date Paid
,
Receipt Number
$13,80
$16.56
$6,90
$52.00
$17.00
$52.00
$17.00
913108
913108
913108
913108
913108
913108
913108
1200800000000000939
1200800000000000939
1200800000000000939
1200800000000000939
1200800000000000939
1200800000000000939
1200800000000000939
Total Amount Paid
$175.26
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 working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Relluired Inso~ctio,ns I
Water Line: Prior to filling trench and inclnding required testing.
S:lnitary Sewer Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I havc carefully examined the completed application and do hereby certify that all
information hereon is true and co....ect, and I further certify that any and all work performed shall be done in accord:lnce with
the Ordin:lnces 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 he nsed on this project.
I further agree to ensure that:lll required inspections are requested at the proper time, th:lt each address is re:ldable from the
street, th:lt the permit card is located :It the front of the property, and the approved set of plans will remain on the site at all
times during construction.
--
ex J~ 10 g-'
Date I i
- \,
Owner or Contr-.
ignature
Paee 2 of 2
225 Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
iJ:::_D,
IIIIL
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Job/Journal Number
COM2008-0 1328
COM2008-0 1328
COM2008-0 1328
COM2008-0 1328
COM2008-0 1328
COM2008-0 1328
COM2008-0 1328
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000939
Date: 09/03/2008
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - I Sl 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 500 I In Person
Payment Total:
Paid By
WILLIAM L SYRIOS
-.
Page 1 of 1
3:22:58PM
Amount Due
52.00
17,00
52,00
17.00
6.90
16,56
13,80
$175.26
Amount Paid
$175,26
$175.26
91312008