HomeMy WebLinkAboutPermit Miscellaneous 2008-11-14
'/
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2008-01659
ISSUED: 11/14/2008
APPLIED: 11/14/2008
EXPIRES: 05/]4/2009
VALUE:
Owner: MORTON LONNIE
Address: 4660 FRANKLIN BLVD SPACE 038
EUGENE OR 97403
Owner: ATCHISON DARREN W
Address: 4660 FRANKLIN BLVD #9
EUGENE OR 97403
NOTICE:
Ti-ilC; Pi=RMIT C;I-1AII I='x'PIRi= 11= THF wnRK
:\lJTHORIZED UNDER THla t-'tKIVIII I" I~U I I
: '-"";"ENrED OR IS ABA,I~"'laIHllt;';'Jhnescrintion
< ).-11"-' _ \.J I', .1" u"llr--~' ,
:.':i 1 gO DAY PERIOD.
Tvpe of Construction
Contractor Type
Contractor
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Ty'pe:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Descriotion
I CONTRACTORINFORMATION ,
License
Expiration Date Phone
BUlL~I,NG INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
, Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
"/a
I DEVELOPMENT INFORMATION"
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
ATTENTION' 0
.,..~u_.. . - . regon law reorJirn~ 1"....';..._
IPUBLIC IMPRO~EiiENisi;~~e/JrleTol'100Y lhe,Ore,90li Utility
J 1" S8 ru AS ^ re t f
'\ III' f"\n ttoC:-U01-OOi/':'. ~I.... ...._. ~1. , S8. onh
0090. You maS,dewalk!J:ype:IR 952-001-
. Y obtam CopIes r.( th.-:J ~I !, J
callmg the cent(Downsp,outslDrain,:I,es ')\'
number for the ')" \,...... -<;;'.,I.I,!l-: l.elept1opo
C . l regoo Utiury l\1cr:llkatjoo
enter IS 1-8UG-"c"o_ ,- "4) -
. ......u... ,.._.,j~T .
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Value
Total Value of Project
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-01659
ISSYED: 11/14/2008
APPLIED: 11/14/2008
EXPIRES: 05/14/2009
VALUE:
v
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 50 Feet
Water Line - Each AddtI 100'
Amount Paid
Date Paid
$47.70
$57.24
$23.85
$52.00
$425.00
11/14/08
11114/08
11/14/08
11/14/08
11/14/08
Receipt Number
1200800000000001140
1200800000000001140
1200800000000001140
1200800000000001140
120080000000000]140
Total Amount Paid
$605.79
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 Re'1uired Insnections 1
Water Line: Prior to filling trench and including 'required testing.
Final Plumbing: When all plnmbing work is complete.
. .
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 O.CCUP ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that on'ly contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all required inspections are requested at the' proper time; that each address is readable f,'om 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'during construction. -
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Owner or Contractors Sign'ature- ,
Date
Page 5 of5
225 Fifth Street
Springfield, Oregon 97477
541 ~ 726-3759 Phone
Job/Journal Number
COM200S-0 1659
COM200S-0l659
COM200S-0 1659
COM200S-0 1659
COM200S-0] 659
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Water Line - 1 st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
TWIN TOTEM
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001140
Date: 11/14/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJC
106S
In Person
Payment Total:
Page I of I
2:38:37PM
. Amount Due
52,00
425,00
23.S5
57.24
47.70
$6U5.79
Amount Paid
$605,79
$605.79
111I4/200S
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