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