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Home My WebLink AboutPermit Plumbing 2004-11-4 (2) SPRINGFIHLD ., , GITY OF SPRINGFIELD t: Building/Combination Permit Status Issued PERMIT NO: COM2004-01363 225 Fifth Street,Springfield,OR ISSUED: 11/04/2004 541-726-3753 Phone SCANNED APPLIED: 11/03/2004 541-726-3676 Fax EXPIRES: 05/04/2005 541-726-3769 Inspection Line VALUE: SITE ADDRESS: 797 Aspen Street Springfield TYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: ASPEN PARK SUB LOT! TYPE OF USE: New Residential PROJECT DESCRIPTION: 105If sanitary sewer Owner: KFP PROPERTIES LLC Phone Number: 541-520-5068 Address: 2445 LARALEE ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ` • Contractor Type Contractor License Expiration Date Phone Plumbing ROBERT D STORRS 76940 11/08/2005 541-689-7574 BUILDING INFORMATION #of Units: #of Stories: - Lot Size: Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type VN Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport #of Bedrooms: Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: DEVELOPMENT INFORMATION ATTENTION: Oregon is requires you to REQUIRED PARKING Frontyard Setbat4IYOW rules adopted by the Oreg rrtla t9ist: Total: Side 1 SetbackNotlfieation Center. Those rules at 'iefOJNfes Rqd: Handicapped: Side 2 Setbackin OAR 952-001-0010 through OARaYS!.USe Rqd: Compact: Rearyard Setbffiil190.You may obtain copies of th°6 14 l&Oto9overage: Solar Setbacks: calling the center. (Note:the telephone n-naLc. (U1 d!a6leyun LA" ' r Center is 1-80033 .I ,. ovEMENTs Street Improvements: Fully Improved Sidewalk Type:. Curbside 5' Storm Sewer Available: Yes Downspouts/Drains: Curb and Gutter Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: AUTHORIZED UNDER THIS PERMIT IS NOT • •"nwcrut,cu Vn IJ HISAI000INitu I UH Valuation DescriptiA180 DAY PERIOD. Description Type of Construction $Per Sq Ft Square Footage Value Date Calculated or multiplier or Bid Amount Total Value of Project Page 1 of 2 SPRINGFIELD • CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01363 225 Fifth Street,Springfield,OR ISSUED: 11/04/2004 541-726-3753 Phone APPLIED: 11/03/2004 541-726-3676 Fax EXPIRES: 05/04/2005 541-726-3769 Inspection Line VALUE: Fees Paid Fee Description Amount Paid Date Paid Receipt Number • + 10%Administrative Fee $5.90 11/4/04 2200400000000001368 +7%State Surcharge $4.13 11/4/04 2200400000000001368 Sanitary Sewer- 1st 50 Feet $45.00 11/4/04 2200400000000001368 Sanitary Sewer-Improvement $237.64 11/4/04 2200400000000001368 Sanitary Sewer-Reimbursement $312.52 11/4/04 2200400000000001368 Sanitary Sewer Each Addtl 100' $14.00 11/4/04 2200400000000001368 SDC MWMC Administration $10.00 11/4/04 2200400000000001368 SDC MWMC Improvement $-394.60 11/4/04 2200400000000001368 SDC MWMC Improvement $865.31 11/4/04 2200400000000001368 SDC MWMC Reimbursement $82.03 11/4/04 2200400000000001368 SDC Sanitary/Storm Admin $55.65 11/4/04 2200400000000001368 Total Amount Paid $1,237.58 Plan Reviews III 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. ReauiredInsnections Sanitary Sewer 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 con ruction. ? CT LCl tua®n /c PP r /° izfs /P(_ ,C)o-t) '/, O Owner or Contractors Signature Date Page 2 of 2 SI nINOFICLD 225 Fifth Street qty of Springfield Official Receipt Springfield, Oregon 97477 - 'A <- elopment Services Department 541-726-3759 Phone Public Works Department RECEIPT#: 2200400000000001368 Date: 11/04/2004 8:47:45AM Job/Journal Number Description Amount Due COM2004-01362 Sanitary Sewer- 1st 50 Feet 45.00 COM2004-01362 Sanitary Sewer Each Addtl 100' 14.00 COM2004-01362 Water Line- 1st 50 Feet 45.00 COM2004-01362 Water Line-Each Addtl 100' 14.00 COM2004-01362 +7%State Surcharge 8.26 COM2004-01362 + 10%Administrative Fee 11.80 COM2004-01362 Sanitary Sewer-Reimbursement 576.96 COM2004-01362 Sanitary Sewer-Improvement 438.72 COM2004-01362 SDC MWMC Reimbursement 82.03 COM2004-01362 SDC MWMC Improvement 865.31 COM2004-01362 SDC MWMC Improvement (857.12) COM2004-01362 SDC MWMC Administration • 10.00 COM2004-01362 SDC Sanitary/Storm Admin 55.80 COM2004-01363 Sanitary Sewer- Reimbursement 312.52 COM2004-01363 Sanitary Sewer- Improvement 237.64 COM2004-01363 Sanitary Sewer- 1st 50 Feet 45.00 COM2004-01363 Sanitary Sewer Each Addtl 100' 14.00 COM2004-01363 +7%State Surcharge 4.13 COM2004-01363 + 10%Administrative Fee 5.90 COM2004-01363 SDC MWMC Reimbursement 82.03 COM2004-01363 SDC MWMC Improvement 865.31 COM2004-01363 SDC MWMC Administration 10.00 COM2004-01363 SDC Sanitary/Storm Admin 55.65 COM2004-01363 SDC MWMC Improvement (394.60) Item Total: $2,547.34 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check KFP PROPERTIES LLC djb 1198 In Person $2,547.34 Payment Total: $2,547.34 11/4/2004 Page I of 1