HomeMy WebLinkAboutPermit Plumbing 2006-2-15
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,Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3875 KATHRYN AVE
ASSESSOR'S PARCEL NO,: 1702304304000
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. CITY OF SPRINGFU,LlJ
Building/Combination Permit
PERMIT NO: COM2006-00188
ISSUED: 02/15/2006
APPLIED: 02/14/2006
EXPIRES: 08/15/2006
VALUE:
,
Springfield TYPE OF
Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 200lfstorm line to existing structure
Owner: JONES FAMILY TRUST
'Address: 6022 THURSTON RD
SPRINGFIELD OR 97478
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Contractor Type
Sewer
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
R-3
:., Front yard Setback:
; Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Description
'.
Tvpe of Construction
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requIreS, "
oregon laW on Utll\t'!
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I CONTRAC;:TOR\INFORMA'I1I(i)j~/JI,h he rules bV
in OM'I \:l::J"-VV ' ol:$~in cop'''s 01 ~ leohone
0090, 'Iou rr,a,/ nM-c'\Jl&.e3: th~&ir.!!!iIlJ1lDate Phone
,.."lIing tM c,e _ """oon Utility _ "
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, BUILDIN<HNFORMA;fIDNI
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# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other: ,
Occupant Load:
I DEVELOPMENTINFORMATION I l! \f~! ~O~..
"Ol'\'~' S\\,..u. ~~\~~ El\tAW~ PARKING
Overlay Di~IS Pt.p.tA\'t Ut\OEl\l\\IS ~t\toli'Ul\
# Street Tre~:t\\op.\lt.~o 01\ IS ~B~~ Handicapped: ,
Paved Drive tAt.t\C v 'i.~IOO. Compact:
% ofLot Cov (iltlIC\8\l O~\ '
IPUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
10"
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00188
ISSUED: 02/1512006
APPLIED: 02/1412006
EXPIRES: 08/1512006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Amount Paid
Date Paid
$7,30
$5,84
$45,00
$28,00
2/15/06
2/15/06
2/15/06
2/15/06
Receipt Number
1200600000000000165
1200600000000000165
1200600000000000165
1200600000000000165
Total Amount
$86,14
I Plan Reviews I
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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.
Storm Sewer Line: Prior to filling trench,
By signature, 1 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 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 : I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
, the street, th e permit card is located at the front of the property, and the approved set of plans wiD remain on the site
at all ti r' g constructio 0
__y ......3// U
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Date I
Owlre;:'or Contractors Sign~e
2 of 2
e
,
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Z15 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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lIIIIIiity of Springfield Official Receipt
.velopment Services Department.
Public Works Department
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Job/Journal Number
CQM2006-00188
CpM2006-00 188
COM2006-00 188
COM2006-00 188
Payments:
Type of Payment
Check
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2/15/2006
RECEIPT #:
1200600000000000165
Date: 02/15/2006
Description
Stonn Sewer - 1st 50 Feet
Stonn Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BRONELL JONES
Received By
djb
I of I
Item Total:
Lheck Number AuUlorization
Batch Number Number How Received
8060 In Person
Payment Total:
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11:02:l1AM
Amou nt Due
45,00
28,00
5,84
7.30
$86,14
Amount Paid
$86.14
$86.14