HomeMy WebLinkAboutPermit Miscellaneous 2009-4-7
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00413
ISSUED: 04/07/2009
APPLIED: 03/27/2009
EXPIRES: 10/07/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 224 58TH ST
ASSESSOR'S PARCEL NO.: 1702334100203
SPRINGFIETYPE OF WORK: Site Work Only
TYPE OF USE: New
\
Residential
PROJECT DESCRIPTION: Site utilities - parcel 2 '
Owner: BENSON VERN W
Address: 940 HWY 99 N
. EUGENE OR 97402
I CONTRACTOR INFO~MATION I
Contractor Type
General
Contractor
BENSON DEVELOPMENT CO LLC
License
143021
Expiration Date
05/15/2010
Phone
541-688-8897
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFO~ATlON'I'es you to
f~1I0\f1 ru1ps a[Jopfed by the Oregon Utility .
N,."f' #,of Stones:r Those rules are set fort~ot SIze:
uU ICH1JI1l1 \..1\:::1 H'-' .
in OAf,l1i~~~Mf:SJ~%tHf~.)ugh OAR 952-001Sq Ft 1st Floor:.
0090. l{~:t~,eI~W!'.~jiain copies of the rules bj8q Ft 2nd Floor:
calli~a!,~5 ry:p.~~r. (Note: the telephone Sq Ft Basement: .
num~~~ng~ '!1:we.;Jregon Utility Notification Sq Ft Garage/Carport
En!',rgy,PMb:1-800-332-2344). Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENTlNFORMATlON I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTICE: K
. _" ~ ~~,;.~~7 :I!t'-'- I:VDIP!= lFTIiE WOR
I PUBLlC;l)\(1flReME\'liI_ THIS PERMIT IS NOl
COMMENCED OR IS ABA~mm'!.~ly9,~:
ANY 180 DAY PERIOD. Downspouts/Drains:
Total: .
Handicapped:
Compa~t:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2009-00413
ISSUED: 04/07/2009
APPLIED: 03/27/2009
EXPIRES: 10/07/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
I:
I
$20.52
$8.55
$76.00
$19.00
$76.00
4/7/09
4/7/09
4/7/09
4/7/09
4/7/09
1200900000000000244
1200900000000000244
1200900000000000244
1200900000000Q00244
1200900000000000244
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each AddtllOO'
Water Line - 1st 100'
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$200.07
I Plan Reviews ,I
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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
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work day. . . . t
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I, Reouired Tnsneetions I
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Water Line: Prior to filling trench and inclnding required testing.
Sanitary Sewer Line: Prior to tilling trench and including relluired testing.
I .
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all 'i
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 descrihed herein, a'na
that NO OCCUPANCY will be made of any structure without permission of the Community Services Divisi~n, Building SAfety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projeJt!
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable fromjthe
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site ataU
times during construction. '/ : i
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Owner or'-Contractors ignature Da e
Page 2 of2
225 Fifth Street
spriligrieid: Oregon 97477
541-726-3759 Phone
City of Springfield. Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00413
COM2009-00413
COM2009-00413
COM2009-00413
COM2009-00413
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
1200900000000000244
Date: 04/07/2009
Description
Water Line - I st 100'
Sanitary Sewer-1st 100 Feet
Sanitary Sewer Each AddtllOO'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
BENSON DEV CO LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
656
In Person
Payment Total:
Page 1 of 1
II :23:36AM
Amount Due
76.00
76.00
19.00
8.55
I
20.52
$200,.07
Amount Paid
$200.07
$200.07
4/7/2009