HomeMy WebLinkAboutPermit Building 2004-10-22
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01306
ISSUED: 10/22/2004
APPLIED: 10/22/2004
EXPIRES: 04/22/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 808 55th St
ASSESSOR'S PARCEL NO.: 1702331201534
Springfield TYPE OF WORK: Site Work Only
Total:
Handicapped:
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I PUBLIC IMPROV~~~?'SJ 'O\\t>-\.\.:~~\'O ~~~~\} {\)\'\
~~\S ?~~~~\) \)~~~~~pe:
t>-\)\\\~~~~~~i ~t~~utS/Drains:
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TYPE OF USE:
PROJECT DESCRIPTION: John Way lot 5 - approx 951fsanitary sewer
Owner: EMERALD ISLE PARK ASSOCIATES
Address: PO BOX 717 SPRINGFIELD OR 97477
, I CONTRACTOR INFORMATION I
'fO\1 \0
Contractor ~u\~ \}\\\\i1icense
BABB CONSTRUC~~~o Qte?ot\,c:>\ \~_1
~~~;f~~J):i
# of Units: o\\f\C3'U.O'(\ ..QO,\..()()1Il!f'S~~~ 0 1e\e?no~e
Primary Occupancy Group: ~ Op..~ 9&2 &'4 o~~[\~~t~~\\\ca\\ot\
Secondary Occupancy Group: '" 0090. ~o\) ~ cet\Wf)e'h"i~~\~ I\A).
Primary Construction Type ca\X\(\9 tn9 ~e~ftQ ~fb1..2~
Secondary Construction Type: ~{(\\)et ,ot ~fWt\gi ype:
# of Bedrooms: ~ eel' Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Pal!e 1 of 2
New
Residential
Expiration Date
12/07/2004
Phone
541-688-2233
n/a
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2004-01306
ISSUED: 10/22/2004
APPLIED: 10/22/2004
EXPIRES: 04/22/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
$5.90
$4.13
$45.00
$14.00
10/22/04
10/22/04
10/22/04
10/22/04
Receipt Number
3200400000000000304
3200400000000000304
3200400000000000304
3200400000000000304
Total Amount Paid
$69.03
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
L Reouired Insoections I
Sanitary Sewer Line: Prior to filling 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 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, 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.
~ S) ~()O
OwnerU Contractors Signature
\()(~';l.t04'
,
Date
Pa2e 2 of2
225 Fifth Street
.... ...
Springfield, Oregon 97477
541-726-3759 Phone
r"ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1306
COM2004-01306
COM2004-0 1306
COM2004-01306
COM2004-01310
COM2004-0 131 0
COM2004-0131O
COM2004-0 1310
Payments:
Type of Payment
Check
10/22/2004
RECEIPT #:
3200400000000000304
Date: 10/22/2004
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SOJOURN PROPERTIES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1038 In Person
Payment Total:
Page 1 of 1
11:47:09AM
Amount Due
45.00
14.00
4,13
5,90
45,00
28.00
5.11
7.30
$154.44
Amount Paid
$154.44
$154.44