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HomeMy WebLinkAboutPermit Building 2005-2-22 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * .--CITY VI' ~rK11~GN~LD ' Building/Combination Permit PERMIT NO: COM2005-00195 ISSUED: 02/22/2005 APPLIED: 02/17/2005 EXPIRES: 08/2212005 VALUE: I I Status Issued SITE ADDRESS: 1169 Laurel Ave ASSESSOR'S PARCEL NO,: 1802064200300 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Site work water line Owner: Address: COREY DEVELOPMENT LLC 3956 MIRROR POND WAY EUGENE OR 97408 . Phone Number: 541-344-0250 Contractor Type Plumbing Contractor KlPCO INC ~__~nn '"w reQuires you to '. . ~.,... 11......... :_ _4:....}'\\I tDe Oregon U""I"~ ,1_CONrrRACTOR'mlFORMt'f<leNllet forth 1~0'\1IC""u" ~~.,,- h OAK ,352-001- , 52 001 0010 thrOu911 b in OAR 9 - - bt in copi~~Qlle ru\eE~'iliration Date 0090, You may 0 ._~ 1~lnt..5MgQe\ephone 02/03/2007 - -".-., lC.t' ',,,. ,-,;- '- . Notl1lcauUII I 'BUlLDJNGINHfi)RMWJI0N)W) IIf ""',n ,,/. "'-" oter is 1-BUu-.3W'-" . # o/t;~ories: Lot Size: 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: nla Occupant Load: Phone 541-689-9265 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I NO I ,~~. I\T SHAll EXPIRE \\.,HE W~~~ TH'O?efl~~DlSt:It\lOFR THIS PERMIT IS AL:#.SGr.~!~Js~qd: M3ANOONEO FOR C cJl(i,t~i.li))tiv~ R4ljjJ ~ 0 At'Y~ orll\i>(C1?O'vr~ge, '. REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC I,MPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: N~tcs: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!elof2 . . CITY OF ~rKll'lljt<l~L1J Building/Combination Permit PERMIT NO: COM2005-00195 ISSUED: 02/22/2005 APPLIED: 02/17/2005 EXPIRES: 08/22/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.r~ Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - Ist 50 Feet Water Line - Each AddtllOO' Amount Paid Date Paid $7,30 $5,11 $45,00 $28,00 2/22/05 2/22/05 2/22/05 2/22/05 Receipt Number 1200500000000000228 1200500000000000228 1200500000000000228 1200500000000000228 Total Amount Paid $85,41 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, in'spections requested after 7:00 a.m. will be made the following work day. ~ RP.nllir~d Tn~np."tinn~" Water Line: Prior to filling trench and including required testing, By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinan~es 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, 1 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 construction, \)to r, ), 0 \ Owner or Contractors Signature J "}\lrlr \{\\ Date Paee 2 of2 225 Fifth Street -, , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00 195 COM2005-00 195 COM2005-00 195 COM2005-00 195 Payments: Type of Payment CreditCard " , , 2/22/2005 RECEIPT #: Description Water Line - 1st 50 Feet Water Line - Each AddtllOO' + 7% State Surcharge + 10% Administrative Fee Paid By DEBRA COREY . lI!!""'"~'_'_'~Q.Q,_ "',._.'"... ".,'.,. ~.' ~,.'.~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000000228 Date: 02/22/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 041719 In Person Payment Total: Page 1 of I IO:32:32AM Amount Due 45,00 28.00 5.11 7.30 $85,41 Amount Paid $85.41 $85,41