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Home My WebLink AboutPermit Building 2004-12-21 Status Issued CITY OF SPRINGFI~LD Building/Combination Permit PERMIT NO: COM2004-01565 ISSUED: 12/21/2004 APPLIED: 12/20/2004 EXPIRES:" 06/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspe(:tionLine. .. . SITE ADDRESS: 5947 Aster St 5949 ASSESSOR'S PARCEL.NO.: ASTER MEADOWS SUB Springfield TYPE OF WORK: .t~~)~ TYPE OF USE: New Residential PROJECT DESCRIPTION: Extend sanitary sewer and water lines to lot Owner: LARRY ALBERTS Address: 397 S 72ND ST SPRINGFIELD OR 97478 Phone Number: 541-747-0755 I CONTRACTOR INFORMATION' Contractor Type Plumbing Sewer Contractor SHAD CHASAN SURRETT T C EARTHWO~~~mrg THI~ ---, 'loT ')". ~ L J: ~"Il '.' 'L' Ht WUKt\ Ii)Bl!HIJDIN6IINFt)RM~nON I . , . AU1 MurtlLCU UI~uLn",,~,~lllVIIT IS NOT . COMMEWJQfSJo~fes\S ABANDONED FOR Lot Size: ANY 18(f1~igl1t19E~'ooture' Sq Ft lsfFlo'or: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range"Type: Sq Ft Garage/Carport Energy Path: , Sq Ft Other: Sprinkled Building: n/a Occupant Load: License 158295 Expiration Date 01/14/2006 Phone 541-741-3553 541-543-3786 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION Ir ulresYOUto , ATTE~lIUN; Vl"~\,I" t~"h eriregon Utilit'jlliQUlRED PARKING . :: 'Il\es adopted, by t e f dh ovl " 'Y>(St. ter. Those rutes are set Olt~tal:. # i~Cl\ t~P~~'~0010 through OAR 952-0(}1andlcapped: p~ID~r.~,~ obtain 'copies of the rules Q)Jmpact: % OOBat l&l\J~~: {Note" the telephone' calling the centoer. n Utility Notification -J--"' for thPi. reao . .1~~{- - "'''. '"'' i 800-3;;S'-~,)"""J. IPUBLICIMPROV&~ - . '.' f Sfd~walk Type: Downspouts/Drahis: Street Improvements: , , I ,I ',. ,. Storm Sewer Available: . . . '...' Special Instruction: ". Notes: I Valuation Description' I' Description, Type of Construction $ Per Sq Ft or multiplier' Square Footage or Bid Amount Value Date Calculated . Pa2:e 1 of 2 ._$P'.?.lJN.. Gf.".'.~U)..iii. '.~'-. ';,,:.. '.' . W;L...A I : ' I . .~-t~ /1Ir[ . r , ..:- I . . - .:1 ..' Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01565 ISSUED: 12/21/2004 APPLIED: 12120/2004 EXPIRES: 06/21/2005 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 I '. Fee Description + ] 0% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Water Line - 1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid $11.80 $8.26 $45.00 $14.00 $45,00 $14,00 12/21/04 12/21/04 12/21/04 12/21/04 12/21/04 12/21/04 Receipt Number 1200400000000001772 1200400000000001772 1200400000000001772 1200400000000001772 1200400000000001772 1200400000000001772 Total Amount Paid $138.06 I Plan Reviews, 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 Sanitary Sewer Line: Prior to filling trench and including required testing. 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 of the property, and the approved set of plans will remain on the site at all times during cnnst'~ /TJ _ (' ~ e /2--Z-2=-00 Owner or Co~to~s Signature Date Pa2e 2 of2 225 Fifth Street , , Springfield, Oregon 97477 ,541-;726-3759 Phone ,. Job/Journal Number COM2004-0 1565 COM2004-0 1565 COM2004-0 1565 COM2004-0 1565 COM2004-0 1565 COM2004-0 1565 Payments: Type of Payment Check 12/21/2004 RECEIPT #: ~....~RI~Q~..F,IEl:. ~.ii1.;.. ., ill I ;j ". l .: ' ....'., " . - " ..; , , .~_....._, ..... .~,..-..,___.._ '.... ",if ,} ('ity of Springfield .official Receipt i'elopment Se"rvices Department Public Works Department 1200400000000001772 Date: 12/21/2004 9:34:22AM Description Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each AddtI 100' Water Line -1st 50 Feet Water Line - Each AddtI 100' + 7% State Surcharge + 10% Administrative Fee Paid By LARRY ALBERTS Amount Due 45.00 14.00 4-5.00 ]4.00 8.26 ] 1.80 $1218.06 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1899 In Person Payment Total: Amount Paid $U8.06 $1::18.06 Page ] of 1 "