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Home My WebLink AboutPermit Building 2005-7-18 (2) Building/Combination Permit PERMIT NO: COM2005-00869 ISSUED: 07/18/2005 APPLIED: 07/08/2005 EXPIRES: 01/18/2006 VALUE: , . . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectlon Line SITE ADDRESS: 2833 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703224105700 Springfield TYPE OF CITY OF SPRINGFu..L1J Site Work Only TYPE OF USE: New PROJECT DESCRIPTION: Storm line install and sdc's for paving for partition approval Owner: RALPH CLINE Address: 1150 wmsrLERS LN ROSEBURG OR 97470 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor EMERY & SONS CONSTRUCTION INC License 312 _ I'BUlLDING INFORMA nONI S; ,\'0 \":> ' # of Units: ~<<.- '\ ~'\ <;;;S#ofStories: Primary Occupancy Gronp: <<.-f!. s 'X~ ~<<.-\) Height of Secondary Occupancy ~\-\- '\~ ~\)CJ Type of Heat: P'rimary constr~~!,n,rYi>';-",\)<<.-<(.. ,?-"Of' Water Type: Secondary Co,~truc~~'n \) '\), {::>:\). Range Type: # of BedroOl)is: ^,S 'X'<.: R-.J.-~ x..\) \jC(-.<<.-~\.) Energy Path: ~\o ,'f. 0.<--\.) -y.\j ~ 'X Sprinkled r,;ol.,O.,,~~~ l!fJ' .,\\ .."l<~ n~ :...<.e ,v "n~ . ,,\j~ ,\'0" I DEVELOPMEN~OORMA:iJ0~'1~~ ~ ~,. 'I}'- ~e~ ~" ~"'- e~O 'O~ ,>S O~ e ,>S 0~0 rl'.'e~'J'"e ,,'0 ,~ ,,'<:' . O~ yv ,..... ~"" 0' e" ~ _~\O~#,~)~~ r-.,O.,,\e'i> ~e,e~o~\v'l>' 0- e~:~":.v .\J'~_<,,, .'1}' ~ ~ ,~Pl!Y"'l !rrtv~,\Rq~<,\.e' .~~~ ~~. \>' ~ootl ~0%-'!PJ:,os€ovei!lge:0\.' .'I,.~ \0 ~\v'l>' '!J<:'(; ~'1>~ r:-,e\' e~O\~:::,'O'),; ~o _ ,,<0 . _,\ . r!3 ()\ ^C'I '.l.! '.l.: .~,- ~,. "3. 1~U:BLI~Ml'~O\,<,EMENTSI v- 'S)v ve' ~~<S" Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Residential Phone Number: 541-464-6088 Expiration Date 11/2412007 Phone 503-769-7751 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Storm Sewer Available: Special Instruction: DownspoutsIDrains Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction 1 of 3 Value Date Calculated '1' . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00869 ISSUED: 0711812005 APPLIED: 07/0812005 EXPIRES: 01118/2006 VALUE: Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each AddU 100' Amount Paid Date Paid $11.50 $8.05 $28.00 $137.42 $2,748.31 $45.00 $42.00 7/18/05 7/18/05 7/18/05 7/18/05 7/18/05 7/18/05 7/18/05 Receipt Number 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 1200500000000001025 Total Amount $3,020.28 I Plan Reviews I LDAP Review 07/18/2005 07/1812005 APP BRC Contacted the applicant (Ralph Cline) and notified him that the permit was ready. SDCs for Impervioius surface added. LDAP required. County Facility permit needed to connect to Game Farm Rd. Public Works Review 07/08/2005 07/08/2005 WE SB 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. Storm Sewer Line: Prior to filling trench. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. 2 of 3 . . CITY Ul' M'KlNGFIELD . Status: Issued .. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00869 ISSUED: 07/18/2005 APPLIED: 07/0812005 EXPIRES: 01/18/2006 VALUE: 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 wiD 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 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 wiD remain on the site at all times during constructiolL ~~.hV-,~.. ~(]_ 7 /;J/:l."~~- . - ,~ Owner or Contractors Signature Date 3 of 3 . 225 Fifth Street Springfield, Oregon 97477 ,; 541-726-3759 Phone , . SP.~R!!!~.~.~.______ '... Ilk', , l. . -- - -.. , . , ~ ~., i ....." .. ..<.. . " Job/Journal Number COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 COM2005-00869 Payments: Type of Payment CreditCard .'1 ;, , " " 7/18/2005 RECEIPT #: 1200500000000001025 Description Storm Sewer - 1 st 50 Feet Storm Drainage Impervious Area SDC Sanitary/Storm Admin Storm Sewer Each AddU 100' Fixture + 7% State Surcharge + 10% Administrative Fee ,A:ity of Springfield Official Receipt _evelopment Services Department Public Works Department Date: 07/18/2005 Item Total: LnecK NumDer Authorization Received By Batch Number Number How Received jmp 059819 In Person Payment Total: Paid By RALPH G. CLINE I of I 2:04:30PM Amount Due 45.00 2,748.31 137.42 42.00 28.00 8.05 11.50 $3,020.28 Amount Paid $3,020.28 $3,020.28