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HomeMy WebLinkAboutPermit Building 2007-8-23 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01257 ISSUED: 08/23/2007 APPLIED: 08/23/2007 EXPIRES: 02/23/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2296 DEBRA DR ASSESSOR'S PARCEL NO.: 1703261102000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New curbcut and driveway, replacing existing water service. Residential Owner: LARSEN L YNN DAVID & MARY D Address: 2296 DEBRA DR SPRINGFIELD OR 97477 Contractor Type Plumbing I CONTRACTOR I~n~on law requires you to foUow rul~ adopted by the Oregon Utility Contractor Notiflcatldri9Wft@r. Th~I~4ff3Mttorthphone ALLEN ANDREA FLESHER In O~R 9~-o010 thro~o~W!~;~O~; I BUILDING INF~~~~~Il(N~~~th~r t'~i~~horye- bet for the Oregon Utility Notlflcalj~n # of Stories: num Center is 1-800-8028lM4). Height of Structure: Sq Ft 1st Floor: 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: R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB 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' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: ~~~I~:~MW~Am..oe~rt\-e'F THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ^ MV 1 Rn nAY PERIOD. I Valuation Description' Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01257 ISSUED: 08/23/2007 APPLIED: 08/23/2007 EXPIRES: 02/23/2008 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-l Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Curbcut Permit Water Line - 1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid Receipt Number $6.60 $7.55 $5.28 $85.00 $50.00 $16.00 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 1200700000000001082 1200700000000001082 1200700000000001082 1200700000000001082 1200700000000001082 1200700000000001082 Total Amount Paid $170.43 I Plan Reviews, 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 Insoections . Curbcut - Standard: After forms are erected but prior to placement of concrete. 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 aU 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 ~Uring construction. '-- \,~ h L, / 61' Owner 0.. ontractors Signature Date U I - Pa2e 2 of2 22SYifth -Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01257 COM2007-01257 COM2007-01257 COM2007-01257 COM2007-01257 COM2007-01257 Payments: Type of Payment Check cReceint 1 RECEIPT #: Description Curbcut Permit Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By TIRRILL BROTHERS CONSTR City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001082 Date: 08/23/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1358 In Person Payment Total: Page I of I 2:26:52PM Amount Due 85.00 50.00 16.00 7.55 5.28 6.60 $] 70.43 Amount Paid $170.43 $]70.43 8/23/2007