HomeMy WebLinkAboutPermit Building 2007-7-31
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01109
ISSUED: 07/31/2007
APPLIED: 07/26/2007
EXPIRES: 01/31/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 688 S 42nd St 690
ASSESSOR'S PARCEL NO.: 1802052200300
Sprin'gfield
TYPE OF WORK: Site Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Sanitary and water line for partition approval
Owner: RAKOCZY /WELKER ENTERPRISES
Address: PO BOX 375
CRESWELL OR 97426
Contractor Type
Plumbing
Contractor
OWNER
I CONTRACTOR INFORMATION I
License . Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Notes:
Storm Sewer A vailIftl'fENTlON: Oregon law requires you to Downspouts/Drains:
Special Instructiodollow rules adopted by the Oregon Utility NOTICE:
Notification Center. Those rules are set forth _"
in OAR 952-D01-0010through OAR 952-001. . HIS PERMIT SHAll EXPIRE IF THE WORK
0090. You may obtain copi~s ofthe rules by . \ ! THOR/ZED UNDER THIS PERMIT I~ NOT
calling me cemtlr. \IIlUl" .'."'" '''''';1.''''''.'" HvllVIl:NGED OR IS ABANDONED FOR
number for the. Oregon lbtiUtNIti9tWffiltfmcription I Y 180 DAY PERIOD
Center IS 1-800-"3M441. - .
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Type of Construction
Value
Date Calculated
Description
Pal!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01109
ISSUED: 07/31/2007
APPLIED: 07/26/2007
EXPIRES: 01/31/2008
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'
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$13.20
$6.60
$10.56
$50.00
$16.00
$50.00
$16.00
7/31/07
7/31/07
7/31/07
7/31/07
7/31/07
7/31/07
7/31/07
1200700000000000978
1200700000000000978
1200700000000000978
1200700000000000978
1200700000000000978
1200700000000000978
1200700000000000978
Total Amount Paid
$162.36
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 Reouired InSDections I
Water Line: Prior to filling trench and including required testing.
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 dut, ~o;r7ni --1' ,
.-,r~ V ~ -, ,; '3>( ~1
Owner or Contractors Signature
Date
Pal!:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726.-3159 ~hone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01109
COM2007-01109
COM2007-01109
COM2007-01109
COM2007-01109
COM2007-01109
COM2007-01109
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
1200700000000000978
Date: 07/31/2007
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtll 00'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RW HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
03235b In Person
Payment Total:
Page I of I
10:55:48AM
Amount Due
50.00
16.00
50.00
16.00
6.60
10.56
13.20
$162.36
Amount Paid
$162.36
$162.36
7/3] /2007