HomeMy WebLinkAboutPermit Miscellaneous 2008-11-13
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-01650
ISSUED: 11/13/2008
APPLIED: 11/1312008
EXPIRES: 05/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 Inspectiou Line
SITE ADDRESS: 443 S 47th St I
ASSESSOR'S PARCEL NO.: 1702324306802
I
,
PROJECT DESCRIPTION: Site wor,k for partition approval
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New Residential
Owner: NOWAK DAVID M
Address: 5729 MAIN ST #239 I
SPRINGFIELD OR 97478
. I
Contractor Type
Genera'
Plumbing
I
.contractor<
OWNER
SEC CONSTRUCTION INC.
I CONTRACTOR INFORMATION'
. License
Expiration Date Phone
150980
04/0412010 541-747-6504
BUILDING INFORMATION'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
ATTENTI~Gr~Mi lew requlrea you to
I follow rulfftMll~iJM!l'by the Oregon Utility
: Nolificatiorl'4Jenblll'>Vhllse rules are set fortll
: In OAR 95~iI>Qoom~ OAR 9521O&t-
,nMn "'II 1ll11V e!lllli . ..... I .
" . _._.___.~"_:';I.::.-:.-:.~!_._""W.
· QaOO'lJ'l~'ifIWOORl'El.tGflt~lP
I mr.llL~ Tlr. fr.J,tILYUlI VIlli\}' I~OUliC8liOn
Center Is 1 ::aoo-332-2344).
Uverlay lJISI:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
I PUBLIC IMPROVEMENT~ 1
NOTICE: Sidewalk Type:
THIS PERMIT SHAlt EXPIRE IF THE wtm!CpoutslDrains:
AUTHORIZED UNDER THIS PERMIT IS NOT
. COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Page I of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01650
ISSUED: 11/13/2008
APPLIED: 11/13/2008
EXPIRES: 05/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp< P~i11
$13.80
$16;56
$6.90
$52.00
$17.00
$52.00
$17.00
11113/08
11/13/08
11/13/08
11/13/08
11/13/08
11/13/08
11/13/08
Receipt Number'
2200800000000001633
2200800000000001633
2200800000000001633
. 2200800000000001633
2200800000000001633
2200800000000001633
2200800000000001633
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 Line - Each Addtl 100'
Amount Paid
Date Paid
Total Amount Paid
$175.26
I Plan Reviews 1
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. .
RpnnirprlJnsnections I
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench aud including required testing.
.Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01650
ISSUED: 11/13/2008
APPLIED: 11/1312008
EXPIRES: 05/1312009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefuIly'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
st~;t the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
ti\(}i;J)Uiiu . I{/n/ov
Owner or Contractors Signature
Date
Page 3 of 3
225 Fifth Street
SpringfiellI, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1650
COM2008-0l650
COM2008-0 1650
COM2008-0 1650
COM2008-0 1650
COM2008-0 1650
COM2008-0 1650
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID NOWAK
~.
CitY of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001633
8:32:40AM
Date: 11/13/2008
Item Total:
Check Number Authorization
Receive~ By Batch Number Number How Received
Amount Due
52.00
17.00
52.00
17.00
6.90
16.56
13.80
$175.26
Amount Paid .
djb
$175.26
$175.26
686
In Person
Payment Total:
Page 1 of 1
11113/2008