HomeMy WebLinkAboutPermit Building 2003-4-16
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00268
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
SITE ADDRESS: 672 Aspen St
ASSESSOR'S PARCEL NO.: 1703342300400
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install underground utilities - water, sanitary sewer, storm sewer
Owner: RUHOFF HOMEBUlLDERS INC
Address: 3993 MIRROR POND WAY EUGENE OR 97408
Contractor Type
General
Owner
I CONTRACTOR INFORMATION I
License
130797
Contractor
RUHOFF HOMEBUlLDERS INC
RUHOFF HOMEBUlLDERS INC
I BUILDING INFORMATION I
# 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:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
I DEVELOP~~NFORMATION I
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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:
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I Valuation Description I
Type of Construction
$ Per Sq Ft
Square Foota!!e
Pa!!e 1 of 2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Water Line - Ist 50 Feet
Water Line - Each Addtll00'
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00268
ISSUED: 04/16/2003
APPLIED: 04/15/2003
EXPIRES: 10/16/2003
VALUE:
Total Value of Project
I Fees Paid I
Amount Paid Date Pai Receipt Number
$17.70 4/16/03 2200200000000000749
$12.39 4/16/03 2200200000000000749
$45.00 4/16/03 2200200000000000749
$14.00 4/16/03 2200200000000000749
$45.00 4/16/03 2200200000000000749
$14.00 4/16/03 2200200000000000749
$45.00 4/16/03 2200200000000000749
$14.00 4/16/03 2200200000000000749
$207.09
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 I
1 Water Line: Prior to filling trench and including required testing.
2 Sanitary Sewer Line: Prior to filling trench and including required testing.
3 Storm Sewer Line: Prior to filling trench.
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.
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Owner or Contractors Signature
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Date
Pa!!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00268
COM2003-00268
COM2003-00268
COM2003-00268
COM2003-00268
COM2003-00268
COM2003-00268
COM2003-00268
Payments:
Type of Payment
Check
Paid By
Receipt #: 2200200000000000749
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'
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
RUHOFF HOME BUILDERS
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Page 1 of 1
4/16/2003
10: 13:46AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
45.00
14.00
45.00
14.00
45.00
14.00
12.39
17.70
Line Item Total:
$207.09
How Received
Amount Paid
In Person
207.09
$207.09
Payment Total:
..
cReceipt.rpt