HomeMy WebLinkAboutPermit Plumbing 2005-4-20
.
Status
Issued
. ul)'OF~nur~'GFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00449
ISSUED: 04/20/2005
APPLIED: 04/20/2005
EXPIRES: 10/20/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. . SITE ADDRESS: 110 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353204300
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Commercial
.. PROJECT DESCRIPTION: Repiace approx 501fwater line
Owner: KURILO PROPERTIES LLC
Address: PO BOX 10053
EUGENE OR 97440
Phone Number: 541-914-2882
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
VOS PLUMBING INC
License
41805
Expiration Date
04/04/2006
Phone
541-485-0551
I BUILDING INFORMATION'
# of Units:
. Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
ATTlWI!J(JIti( 9regtlilldaw requIres you tQ;;q Ft 1st Floor:
followl!l!Ga!f W8pted by the Oregon Utilil'gq Ft 2nd Fioor:
Notific~<<<<Rrer. Those rules are set fos~ Ft Basement:
In OA~~1l'l3010 through OAR 952-oo;q. Ft GaragelCarport
0090.IVIJ\5l1t\Et\%tain copies of the rules ISn Ft Other:
cal~g~eeJfflD~i'{llJote: thetetepho~ccupant Load:
:1:.3i:1<EJ::e::;~""'J """"."~u"_"w,,
IDE VE.'LUPJ>>J<;. . 1;IQNi
.
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overiay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Totai:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
NO TI C E: Sidewalk Type:
THIS PERMIT SHALL EXPIRE IF TDownspo~s/Drains:
AUTHORIZED UNDER THIS PERMitls'Nb'r
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
I Valuation Descrintion I
Description
TVpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pagelof2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00449
ISSUED: 04/20/2005
APPLIED: 04/20/2005
EXPIRES: 10/20/2005
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.p.s 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
4/20/05
4/20/05
4/20/05
2200500000000000452
2200500000000000452
2200500000000000452
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.
~rp.d Insn~
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
timesdua;n. 7d .y ~ O/P S-
Owner or afutractors Signature
Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541426~3759 Phone
Job/Journal Number
COM2005-00449
COM2005-00449
COM2005-00449
Payments:
Type of Payment
Check
"
.'
,
t
4/20/2005
.
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
VOS PLUMBING
G!'~'R!!'!~,~m..~J__'_" .l.
~.
i ;
-, ~; ..~ r
__..__. Ii,' ,
..J;lty of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200500000000000452
Date: 04/20/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 26726 In Person
Payment Total:
Page 1 of 1
9:36:14AM
Amount Due
3.15
4.50
45.00
$52.65
Amount PaId
$52.65
$52.65