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Home My WebLink AboutPermit Miscellaneous 2009-4-7 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: cOM2009-00414 ISSUED: 04/07/2009 ,APPLIED: 03/27/2009 EXPIRES: 10/07/2009 VALUE: SPRINGFIETYPE OF WORK: Site Work Only SITE ADDRESS: 222 58TH ST ASSESSOR'S PARCEL NO.: 1702334100204 TYPE OF USE:" New Residential PROJECT DESCRIPTION: Site utilities - parcel 3 Contractor License BENSON DEVELOPMENT CO LLC 143021 A TTEN'I' ,BlJIU::D1NGl INFORMl\l'FIRN'~.~ follow rules ado~te.9,_~~~' ~~I~~ va~;'~et f~rrh Notification Cdl'.ol'Stor~es:- 952-001- CH ""tiC 'f'So"~1 nAR in OAR 952-0 . el~'_:?H'~~~~S ucit'the rules by 0090 You maTvpe.ol eat: t I hone . p_, _. '''nIP' the e ep calling the lW:a~~7o/!eGiilitY Notification number for tRa.~ge:T.~P\':i32_2344). CentEJnel'IYPatli: Sprinkled Building: n/a Owner: BENSON VERN W Address: 940 HWY 99 N EUGENE OR 97402 Contractor Type General # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Sethacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction I CONTRACTOR INFORMATION I Expiration Date 05/15/2010 Phone 541-688-8897 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPRO~EMENTS I NOTICE: . Hflll EX?\R~i~;Y~lK v-roE\l<. THIS PERMIT ~NDER THIS J)'ii~Mjl,~~sIb91ns: flUTHORIZED IS flBflNDONED FOR COMMENCED OR ANY 180 DAY PERIOD. I Valuation Descri/ltion ,I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00414 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 Fee Description + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet Sanitary Sewer Each AddtllOO' Water Line - 1st 100' Water Line - Each AddtllOO' Amount Paid Date Paid $22.80 $9.50 $76.00 $19.00 $76.00 $19.00 4/7/09 4/7/09 4/7/09 4/7/09 4/7/09 4/7/09 Receipt Number 1200900000000000245 1200900000000000245 1200900000000000245 1200900000000000245 1200900000000000245 1200900000000000245 Total Amount Paid $222.30 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 Reonired Tn;,oections I Water Line: Prior to lilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including require~ testing. I I By signature, I state and agree, that I have carefully examined the completed application and do hereby ce~tiI'y that ~1I 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 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 street, thafthe 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. ~At~,,;~ Owner or Contractorr.-Signature ~/~/cJ 9' D:t / Paee 2 of2 City of Springfield Official Receipt Development Services Department ~ubIic Works Department 225 Fifth Street Spri,ngfieId, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00414 'COM2009-00414 COM2009-00414 COM2009-00414 COM2009-00414 COM2009-00414 Payments: Type of Payment Check cReceintl RECEIPT #: 1200900000000000245 . Date: 04/07/2009 11:24:16AM Description Water Line - 1st 100' Water Line - Each Addtl 100' Sanitary Sewer - 1 st 100 Feet Sanitary Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge Amount Due 76.00 19.00 76.00 19.00 9.50 22.80 $222.3U Paid By BENSON DEV CO LLC Item-Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb In Person Payment Total: $222.30 $222.30 656 Page I of 1 4/7/2009