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HomeMy WebLinkAboutPermit Miscellaneous 2009-4-7 ~~~~~g~~,t!~~".~,!,1~,~'I"i!J i, I t 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 "'I1'RINO~IS:Ull' ---iiiii,~".,-.",,,-.,.,^",,.... ",~,,:..,-.,..' ~1 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 , I , I , I II i , , , , i II ,1 , , , ; I 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 , I : I : I , 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 , I work day. . . . t , , I I, Reouired Tnsneetions I I . ' : I I : I , : I ! 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 ~ ;::::74A _ '/;r~" ~YJ ./} ('/ ' I . f ./'" - 'V \../ / 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