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Home My WebLink AboutPermit Plumbing 2005-12-22 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springlield.or.us December 22, 2005 Korean Central Covenant Church 28325 W 11th Avenue Eugene, Oregon 97402 Enclosed is a copy ofthe plumbing permit for 3360 Game Farm Road, Springfield, Oregon. When you obtained your permits, we neglected to properly validate them. I am enclosing a copy of the permit for you to keep for your records. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Sincerely, ~J\~~ Lisa Hopper Building Safety Supervisor " . . CITY OF SPRINGFIELD' Building/Combination Permit PERMITNO: COM2005-01680 ISSUED: 12/06/2005 APPLIED: 12/0212005 EXPIRES: 06/06/2006 VALUE: Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ,541-726-3769 Inspection Line SITE ADDRESS: 3360 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703221202000 Springfield TYPE OF Plumbing Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Sanitary sewer. Owner: KOREAN CENTRAL COVENANT CHUROI Address: 28325 W 11TH EUGENE OR 97402 Phone Number: 541-342-5350 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor VOS PLUMBING INC License 41805 Expiration Date 04/04/2006 Phone 541-485-0551 I BUILDING INFORMA TlONI . # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I D,,- ~ "-Lur l.lENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ,...,........-.. <I"T" "~. f~ii~;~~i~~d~~~:d'bMLlCiMPHeYEMENTSI Street Notification Center. Those rules are set fortr Sto S A in OAR 952-001-0010 through OAR 952-001 rm ewer vmJat1ey b . Special Instruction~ '. ou may 0 taln copies of the rules b. tailing the center. (Note: the telephone Notes: number for the Oregon Utility Notification NOTICE: Center is 1-800-332-2344). THIS PERMIT SHALL FXPIRFII: TI-II= WIHlk' , . .A~Ylh~"lIZED UNDER THIS PERMIT IS NOT Valuation DescnntJon'INCED OR IS ABANDONED FOR TvpeofConstruction $PerSqFt ~~;rrJW~"PERIOD. V I DateCalcuIated or multlpUer or Bid Amount a ue Sidewalk Type: DownspoutslDralns Description 1 of 3 " :ut:.~." ~. - Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line .. Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin + 10% Administrative Fee + 7% State Surcharge Storm Sewer Each Addtll00' Total Amount Public Works Review . . CITY OF SPRINGFIELD ' Building/Combination Permit PERMITNO: COM2005-01680 ISSUED: 12/06/2005 APPLIED: 12/02/2005 EXPIRES: 06/06/2006 VALUE: Total Value of Project Fp.p.~ Paid. Amount Paid Date Paid Receipt Number 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001783 1200500000000001850 1200500000000001850 1200500000000001850 $7.30 $5.11 $45.00 $743.58 $977.88 $28.00 $10.00 $1,137.26 $107.81 $148.83 $1.40 $0.98 $14.00 12/6/05 12/6/05 12/6/05 12/6/05 12/6/05 12/6/05 12/6/05 12/6/05 12/6/05 12/6/05 12/21/05 12121/05 12/21/05 $3,227.15 I Plan Reviews I 12/02/2005 12/02/2005 APP SB SDCs added, except for impervious surface which will be added with pavement permit. To Request an inspection can 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. win be made the following work day. L".Reouired~ nsnp.~tions . Sanitary Sewer Line: Prior to filling trench and Including required testing. 2 of 3 . . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01680 ISSUED: 12/06/2005 APPLIED: 12/0212005 EXPIRES: 06/06/2006 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon 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 wID 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 sure that all required inspections are requested at the proper time, that each address is readable from the street, tha e ermit card ..located at the front of the property, and the approved set of plans wID remain on the site at all timer Uri~ructiolL 2..1 DF..c.. oc:; '- v Owner or C tractors Signature Date 3 of 3 . v 2'25 Fifth Street S,pringf.ield, Oregon 97477 541-726-3759 Phone . ~ty of Springfield Official Receipt Wevelopment Services Department Public Works Department Job/Journal Nwnber COM2005-0 1680 COM2005-01680 COM2005-01680 Payments: Tjpe of Payment Check ,'. .; 'I ;4 " " 'I 4 : - '. . " " ,.J 1212112005 RECEIPT #: 1200500000000001850 Date: 12/21/2005 Description Stann Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By SS AND W INC ENGINEERS Received By dim I of I Item Total: Lbeck Number Authorization Batch Number Number How Received 15138 In Person Payment Total: 2:42:29PM Amoont Due 14.00 0.98 1.40 $16.38 Amount Paid $16.38 $16.38