The URL can be used to link to this page

Home My WebLink AboutPermit Miscellaneous 2009-4-7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00415 ISSUED: 04/07/2009 APPLIED: 03/2712009 EXPIRES: 10/07/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line S]TE ADDRESS: 210 58TH ST ASSESSOR'S PARCEL NO.: 1702334100300. Springfield TYPE OF WORK: Site Work Only PROJECT DESCRIPTION: Site utilities for partition approval- 3 lots TYPE OF USE: New Residential Owner: BENSON VERN W Address: 940 HWY 99 N . EUGENE OR 97402 I CONTRACTOR INFORMATION I . Contractor Type General License 143021 Contractor BENSON DEVELOPMENT CO LLC I BU]LDlNG I~F?RMATlONI # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: . t ATTENTICit'''lfl'rJf.)<! law regUlres you 0 1 Ilow rule- ~'!i0,,1'~d'\!;~~mft>regon Utility o Type of Heat: 1 th Notilicationw~nt'" ,n\lse rules are set or . OAR 952 n{WIi(~~J'%rough OAR 952-001- ~090 You ~~~!b"bTX!!lei;opieS 01 the rules by i. thE't%gtefatpJote: the telephone cal'bng 1 Sp,rlin\{led tJ~\'lding,y Notilicaiil~l num er or 1I e VI~~ ~'~ '-~..- '.....r>,-n..- ''"' l-n''''-.HH_......, .,. , DEVELOPMENT ]NF'<:iRMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I . Expiration Date 05/15/20 I 0 Phone 541-688-8897 Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: Rft"WI\'l-I'C'WDAA: THIS PERM\T ~~~~~ ;.x~S PERMIT IS NOT AUTHORIZED OR IS ABANDONED FOR COMMENCED ...... : .-.r 1f.'1 n"Dlnn I Valuati~~ ,?escriotion I Notes: Description $Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page I of 2 Value Date Calculated . _~liIliN~fiiIE\lo.Il!,"." 1,"'"",1 '1;" ..' q,. !!:~ Status Issued CITY OF ~n(lJ~GFIELD . Building/Combination Permit PERMIT NO: cOM2009-004I5 ISSUED: 04/07/2009 APPLIED: 03/27/2009 EXPIRES: 10/07/2009 VALUE: 225 Fifth Street, Springtield, 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 AddtlIOO' Amount Paid Date Paid Receipt Number $29.64 $12.35 $228.00 $19.00 4/7/09 4/7/09 4/7/09 4/7/09 1200900000000000246 1200900000000000246 1200900000000000246 1200900000000000246 Total Amount Paid $288.99 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. ReQuired Insnections I Sanitary Sewer'Line: Prior to lilIing trench and including required testing. By signature, I state and agree, that I have carefully 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 nsed on this project. I further agree to ensure that all required inspections are reqnested at the proper time, that each address is readable from 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. /} . ~At;;::?/6 Owner or Contrac!ors Signature ~/7 /:,'} 9 Dlt'e / Paee 2 of2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00415 COM2009-00415 COM2009-00415 COM2009-00415 Payments: Type of Payment Check cReceintl RECEIPT #: 1200900000000000246 Date: 04/0712009 II :25:IIAM Description Sanitary Sewe, - I st 100 Feet Sanitary Sewer Each AddtJ 100' + 5% Technology Fee + 12% State Surcharge Amount Due 228.00 19.00 12.35 29.64 $288.99 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: $288.99 $288.99 656 Page 1 of I 4/7/2009