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Home My WebLink AboutPermit Plumbing 2006-6-2 . . CITY OF ~rK11-oJ(d<1~L1J Building/Combination Permit PERMIT NO: COM2006-00662 ISSUED: 06/02/2006 APPLIED: 05/3112006 EXPIRES: 12/02/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5295 HIGH BANKS RD ASSESSOR'S PARCEL NO,: 1702283400703 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New PROJECT DESCRIPTION: Storm and sewer improvements for Highbanks subdivision Residential Owner: CUMMINS INVESTMENT LLC Address: 31221 OSPREY RD LEBANON OR 97355 Phone Number: 541-401-5272 Contractor Type Plumbing Contractor KIPCO INC I CONTRACTOR INFORMATION. T~ ) AT eN IIUI\I: UIt:8uIIIGVW ,......'1.....-- 1- .' follow rules adopted by the OrEi2en'~~;lt~hExPiration Date Notification Center. Those rule::57!!.7.Q:.e~ ~~. 02103/2007 . OA~~c"'"" ..................."'...-----. 10 I' DlJILlJIl,';.INFORMATlON,I'ules by 0090. .-- "-, call'ing t"e ~~!1tp.r. (Note: the telephone "dS~n~ 'f' t' ber f.-'" 'h" 1 ""oon Utility Noti Ica Ion num ne/gllt of Structure ) CT9WdfHe~W;;;;<:-2344 . Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-689-9265 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: WOR\<. "01\Cfp.a~~d e.'iiXt~'l.<1!?\P.t. It 1\-\t. IS !'l01 1\-\\S Pt.WoiTLot fbtRr~~,6 pt.RMI1 t>.U1\-\OR\I~~~ U~Q Ie. Mlfl,NDONt.D FOR ~'~Vdj]15"iMj>~Q~ENTS I r"'" ' Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 . . CITY OF SPRINul'lJ<.LU Building/Combination Permit PERMIT NO: COM2006-00662 ISSUED: 06/02/2006 APPLIED: 05/31/2006 EXPIRES: 12/02/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fp.p.s P...idJ Fee Description + 10% Administrative Fee + 8% State Surcharge Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl100' Storm Sewer - 1st 50 Feet Amount Paid Date Paid $14.60 $11,68 $14,00 $45.00 $42.00 $45.00 6/2/06 6/2/06 6/2106 6/2106 6/2106 6/2106 Receipt Number 1200600000000000779 . 1200600000000000779 1200600000000000779 1200600000000000779 1200600000000000779 1200600000000000779 , Total Amount Paid $172.28 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 Rp./lu,Lrp.d rnsnp.~tions I Sanitary Sewer Line: Prior to filling trench and including required testing, Storm Sewer Line: Prior to filling trench. 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 times jng J=on, b /Z /0 ~ O : C ' S' 0 wner or on tractors 'gnature ate Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 54F726-3759 Phone . .~'.~...... WiLIiiiiinPI." I I """.. ~ . - ~. ., .. ~ of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2006-00662 COM2006-00662 COM2006-00662 COM2006-00662 COM2006-00662 COM2006-00662 Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000000779 Date: 06/02/2006 8:38:57AM Description Fixture' Sanitary Sewer - I st50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet + 8% State Surcharge + 10% Administrative Fee Amount Due 14.00 45.00 42.00 45.00 11.68 14.60 Paid By LB OLSON AND ASSOCIATES Item Total: <":heck Number Authorization Received By Batch Number Number How Received Amount Paid ::,.,.....6 djb 10680 In Person Payment Total: $172.28 $172.28 Page I ef I 6/2/2006