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Home My WebLink AboutPermit Plumbing 2005-10-24 I' , . . CITY OF SPRINGFIELD. ;:r; ,.L, v: " Status Issued Building/Combination Permit PERMIT NO: COM2005-0I480 ISSUED: 10/24/2005 APPLIED: 10/21/2005 EXPIRES: . 04/24/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4158 Glacier Dr ASSESSOR'S PARCEL NO.: GLACIER VIEW SUB L Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Private site utilities -lot 9 Owner: 2 J LLC Address: 29404 CLEAR LAKE RD EUGENE OR 97402 '. .~ \~: ',' Contractor Type Sewer Contractor WILDISH CONSTRUCTION CO I CONTRACTOR INFORMATION I , tAl License ~~ ~ Expiration Date IO.'l.U>l Phone 541-485-1700 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I n __~ uuB-L S!Ja!ua~ # of Sto~i~~\B8IjIION Al11!ln uo5aJO aLllf:!o~Sl2e:unu HeightofSt~~~mn all! :aION) 1a1Ua~SlJ-if1l3tstIFlbor: Type ~\j-H\'j,'flJ aLl!)O sa!do~ U!elqo ^'SIi ~'4Jti'!tlJ>r: Watei-T'lfpi:'-'6 !:litO Ll5noJLll 0 LOo- LOSq:Er~sll!J1ll\1t: RangW1Yp~~S aJe salnJ aSOLll 'Ja!UalilJ.1EtI6aj~~arport EnergY'PUlh1: uo5aJO all! ^q pa!dopeS~l"1t ~~~l Sprinl&lIlBlilIlill/lf:lbaJ Mel UilaaJO :/'Rffi.'tI1!!!l!I.1.fad: I DEVELOPMENT INFORMATION I REQUIRED PARKING ;i. . t..l , ,. i Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd:' Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: . Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS J , ""tI.,c: . , THIS PEAMlf~r;;t1~..'"nm"K AUTHORIZED~~MMrT IS NOT COMMENCED OR IS ABANDONED FOR AN't 18a GAY IiIUOQ, Notes: I Valuatian Descriotio'; r , .~ .\;~; Description , Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Water Line - Each AddtllOO' Total Amount Paid . CITY OF SrKll~l:rJ:'lJ!,LJJ Building/Combination Permit PERMIT NO: COM2005-0I480 ISSUED: 10/24/2005 APPLIED: 10/21/2005 EXPIRES: 04/24/2006 VALUE: . Total Value of Project Fl'l'S Paid I Amount Paid Date Paid Receipt Number 2200500000000001480 2200500000000001480 2200500000000001480 2200500000000001480 2200500000000001480 2200500000000001480 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, inspectians requested after 7:00 a.m. will be made the following work day. $11.80 $8.26 $14.00 $45.00 $45.00 $14.00 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 $138.06 I Plan Reviews I I Rl'ouirl'd Tn1~~ Water 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 sball 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 ofany structure without permission of the Community Services Division, Building Safety.: I further certify that only contractors and employees who are in compliance with O~S 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 during construction. <1-/ AI~ ow'7on~ractors Signature Date /0 - 2 y""- (':;) c;-- - Paee 2 of2 :~ 2,1.5 Fifth Street s'p~i~gfield, Oregon 97477 541-726-3759 Phone , ;i r ~ Job/Journal Number '1' COM2005-0 1480 ~c;PM2005-01480 c"oM2005-0 1480 COM2005-01480 "~ COM2005-0 1480 "1' ;;.COM2005-01480 "'~i ;. fa ( Payments: : Type of Payment C\leck f J ~ . ~ ., ~l : ~I V 1 I" ~~~ ."'" ~'t) "iW ~. ~ ~ I; ,. ,:1 ~ ~ e r ~ ~ Iii \~, f,', .. ~ I , :9. ,t;! 1;.), "':, ~?- ~ .. , ! 1 , ~, f , .~ ~ ~~ ,~, ~ I. I 10/24/2005 . RECEIPT #: Description Water Line - 1 st 50 Feet Storm Sewer - 1st 50 Feet Water Line - Each Addtl 100' Fixture + 7% State Surcharge + 10% Administrative Fee Paid By 2J LLC rif~ 2200500000000001480 l:heck Number Received By Batch Number djb 1058 Page 1 of 1 .ty of Springfield Official Receipt Whelopment Services Department Public Works Department Date: 10/2412005 Item Total: Authorization Number How Received In Person Payment Totnl: 9:I7:56AM Amount Due 45.00 45.00 14.00 14.00 8.26 . 11.80 ~. $138.06 Amount Paid $138.06 $138,06