HomeMy WebLinkAboutPermit Building 2003-4-16
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 684 Aspen Sf-
ASSESSOR'S PARCEL NO.: 1703342300300
CITY OF SPRINGFI~LD
Building/Combination Permit
PERMIT NO: COM2003-00269
ISSUED: 04/16/2003
APPLIED: 04/15/2003
EXPIRES: 10/1612003
VALUE:
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install underground utilities - water, sanitary sewer, storm sewer
Owner: RUHOFF HOMEBUILDERS INC
Address: 3993 MIRROR POND WAY EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
General
Owner
Contractor
RUHOFF HOMEBUILDERS INC
RUHOFF HOMEBUILDERS INC
BUILDING INFORMATION'
# of Buildings:
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:
License
130797
SETBACKS
I DEVELOPMENT INFORMATION'
~y~ay Dist:
as ~'S~~ Irees Rqd:
0o..~\f;. o~lM~:.\<\~Y~ Rqd:
~ ~ ~e~ ro0 C'\O"
o{\ W> ~Q 0 S ~~o~"Ot ~erage:
,<"'N:p~0~00 'O~ c.,0 ~~~ O~~ 0 ~~~~e
....\.\\~ o...R "f- 16; e~r ~\"'~'
~<(,\... ~0S ~~0~' t\O~f;. ~WBLI~~\7J!:MENTS I
~ ~\>: e0 . CI . "\.' P
Street Improve~~~ i'O{\ ~o\'~\oa.\{\ ...\o\flr .~\\'i ~br'"
~ .~\c?J. 67: ~ 0 ~ ~. ~\'\ rz,'b1ilC
Storm Sewer A v~o'iJI~~ ~ ~~?J. c0{\\0 'e~O{\ ~'b?:
Special Instructio",~O O.'lO ~e ~eO~ ,~~~'
f"\OC!J \~~~ "O~ ~ \~ "
V Coa.\ ~ \ ~e~
Notes: ~'O0 (je{\\;
{\\>:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I Valuation Description I
Description
Type of Construction
Square Footaee
$ Per Sq Ft
Paee 1 of2
Residential
Phone Number: 541-334-6550
Expiration Date
07/13/2004
Phone
541-334-6550
541-334-6550
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type: . ~~Q \)~\. ~~ .
Downspouts/Dl'~ijj~-;~ QjlJ~-;~ ~\.~~
~C6~ C;\ \1 "Qjl\'CO 0 C;\\-\\. .
'COj t\j~~~~C;\\-\\' 'C~:\-\C; \.\~~i~\\.O~
-. \ c\ \.\~ 'J ').'r\\oi-"3.
~J\' -;\-\~ -..I' -
~'COt{\
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00269
ISSUED: 04/16/2003
APPLIED: 04/15/2003
EXPIRES: 10/16/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid Date Pai Receipt Number
$21.90 4/16/03 2200200000000000750
$15.33 4/16/03 2200200000000000750
$14.00 4/16/03 2200200000000000750
$45.00 4/16/03 2200200000000000750
$28.00 4/16/03 2200200000000000750
$45.00 4/16/03 2200200000000000750
$14.00 4/16/03 2200200000000000750
$45.00 4/16/03 2200200000000000750
$28.00 4/16/03 2200200000000000750
Total Amount Paid
$256.23
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.
I Reouired Insoections .
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
2 Storm Sewer Line: Prior to filling trench.
3 Water 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
r----- ,
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.fll~ ~!3
Owner or Contractors Signature
Date
\
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00269
COM2003-00269
COM2003-00269
COM2003-00269
COM2003-00269
COM2003-00269
COM2003-00269
COM2003-00269
COM2003-00269
Payments:
Type of Payment
Check
Paid By
Receipt #: 2200200000000000750
Date: 04/16/2003
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Fixture
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
RUHOFF HOMEBUILDERS
djb
Page I of I
4/16/2003 '
10:14:07AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
45.00
28.00
45.00
28.00
45.00
14.00
14.00
15.33
21.90
Line Item Total:
$256.23
How Received
Amount Paid
In Person
256.23
$256.23
Payment Total:
cReccipl.rpt