HomeMy WebLinkAboutPermit Building 2010-7-1
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00877
ISSUED: 07/01/2010
APPLIED: 07/01/2010
EXPIRES: 01/01/2011
VALUE:
Status
Issued
225 Fifth Street, SpringlieJd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeclion Line
SITE ADDRESS: 3920 E 15TH AVE
ASSESSOR'S PARCEL NO.: 1703344309800
Engene
TYPE OF WORK: Interior
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Add 4 fixtures
Owner: MOSELEY GERARD F
Address: 2873 TAYLOR ST
EUGENE OR 97405
I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor
OWNER
License
Expiration Date Phone
BUILn"ING INFORMATION I
# of Units: ATTENT! # of Stories:
Primary Occupancy GrotwFow rUI~t1~:J)regon 'afie~' h.t of Structure
Secondary Occupancy ~atio ~ adoPted by th ~IIfPHV~ to
Primary Constructiou ~lilAR 952~OOWer. Thase r I~ ~~~~ti"ty
Secondary ConstructioQ~eyou m 1-001~ thrau&i'&~f~:farth
# of Bedrooms: calling the ~y Obtam capiell'1lY~ ~~ihD01. .
nUmber far thenoter. (Nate: I1llfffikTefliffil;liI)ng: n/a
e re~. le~Qa..
S"'utlr 18 1-~~~~;INFORMATlON .
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLICIMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
N 0 . . '. ~~,','h{('~';1~~~l;'1:4~~.t;:~~:~.~.. '"
TICE: Downspouts/Driiins<, ,'.....,."'-,,,-",. .
THIS PERMIT SHALL EXPIRE lF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT'
COMMENCED OR IS ABANDONED FOR '
Notes:
I Valuation Descripti'~n I
,
Des~ription
Type of Construction
$ Per Sq .Ft
or multiplier.
Square Footage
., or Bid Amount
Value
Date Calculated
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00877
ISSUED: 07/0112010
APPLIED: 07/01/2010
EXPIRES: 01/01/2011
VALUE:
Status
Iss u ed
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Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixtu re
Amount Paid
Date Paid
Receipt Number
$9.J2;"
$3.80
$76.00
7/1110
7/1110
7/1110
2201000000000000784
2201000000000000784
2201000000000000784
Total Amount Paid
$88.92
I Plan Reviews ~
Public Works Review
07/0112010
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,10,
LKW
Owner stated house was on septic
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To Request an inspection call the 24 hour r~Fording 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 Reauired InsDect~
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work iscomplete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furthe~ c~rtify thai 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 witbout permission of the Community Services Division, Building Safety.
I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that tbe 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.
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Owner or Contractors Signature
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Paee 2 of 2
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225 Fifth Street
Springfield, Oregon 97477
541-726~3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000784
2:39:50PM
Date: 07/01/2010
Job/Journal Number
COM20 I 0-00877
COM20 1 0-00877
COM20 I 0-00877
Payments:
Type of Payment
Check
cRcceintl
Description
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
GERRY MOSELEY
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Amount Due
76.00
9.12
3.80
$88.92
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
$88.92
$88.92
3592
In Person
Payment Total:
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7/1/2010