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Home My WebLink AboutPermit Plumbing 2004-12-21 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01567 ISSUED: 12/21/2004 APPLIED: 12/21/2004 EXPIRES: 06/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4245 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702323300700 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Approx 30lfwater service Owner: THOMAS GOODYARD Address: 4245 CAMELLIA ST SPRINGFIELD OR 97478 Contractor Type Plumbing I CONTRACTOR INFORMATION I Contractor License READY ROOTER DRAIN CLEANING & R SW2524 BUILDING INFORMATION I Expiration Date. Phone 02/18/2005 541-744-7991 # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Ty~e VN Water Type: Secondary ConstrucfMirn~~: Range Type: # of Bedrooms: THIS PERMIT SHALL EXPIR~JfeifgyEr~~'Ii)RK AUTHORIZED UNDER THIS ~1~nJqe~3~1}~lfing: nla - - -- - - - - I 'UIVllVICt'\I' 't:u u. n Ii) U,...UI\J'!! '.j.'I..C,l,L "~j~ v v r...DE'VE:LOPMENT INFORMATION I ANY 180 DAY PERIOlj , Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Front yard 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMFJN~TION: Oregon law requires you to 101,. ~ule~PJt'\!R.W~~Jre Oregon Utility NotificatIon center. ~hose rules are set forth in OAR 952-~~UUf\sOAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification ~~i: t .~~~.Q~1). I Valuation Description' .,.. Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 CITY OF SPRINGFIELO, ' Building/Combination Permit Status Issued PERMIT NO: COM2004-01567 ISSUED: 12/21/2004 APPLIED: 12/21/2004 EXPIRES: 06/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line LFees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feet Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 12/21/04 12/21/04 12/21/04 2200400000000001539 2200400000000001539 2200400000000001539 Total Amount Paid $52.65 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 Reauired Insnections I 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 :eo~ ?f /L/L/Io V Owner or Contractors Signature Date Pa!!:e 2 of2 225 Fifth Street Spri,ngfleld, Oregon 97477 541-726-3759 Phone' Job/J,ournal Number COM2004-0 1567 COM2004-01567 COM2004-0 1567 Payments: Type of Payment CreditCard . 12/21/2004 RECEIPT #: Description + 7% State 'Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Paid By DAVID NICHOLS City of Springfield Official.Receipt relopment Services Department Public Works Department 2200400000000001539 Date: 12/21/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 099174 In Person Payment Total: Page 1 of 1 11:46:06AM Amount Due 3.15 4.50 45.00 $52.65 Amount Paid $52.65 $52.65