HomeMy WebLinkAboutPermit Plumbing 2005-10-24
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01482
ISSUED: 10/24/2005
APPLIED: 10/21/2005
EXPIRES: 04/24/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4164 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 10
Owner: 2 J LLC
Address: 29404 CLEAR LAKE RD
EUGENE OR 97402
Contractor Type
Sewer
Contractor
WILDISH CONSTRUCTION CO
I CONTRACTOR INFORMATION I
License...y:. Expiration D~e
\g':ff> lO:r}JO'\
Phone
541-485-1700
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
. Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
.I~ C'~-"C'~-OOB-~ S! Ja\ua:)
# ~I'~O ~~r u BaJO a4\ JOI Jaqwnu Lot Size:
UO!l'etrelgtlt f-S~c~u.r~ a\Ua~ a4\ BUI\l'e:J Sq Ft 1st Floor:
....J"..{lb.,.~ "'ONI J v .
euot..y"" ['lteat: kew no,\, '06C~ Ft 2nd Floor:
"q salIWjjterlPy~"e:dOO u!e\q~ ,96 t1\fO ~q Ft Basement:
_~OO-C:~~fcrYP'l,"'OJ4\ CWO ~OO c: II (,~'1 Ft Garage/Carport
lWOI\<.Energy.;l!iiihi3S041 "Ja\Ua:) UOI\'eO.l.\ S~ Ft Other:
AlIII\~l!XiiikIe.!! BliUdiirg:'3\dope S7lJl,J MO\lOOccupant Load:
,. ~ ~,-_.......,"nR~If"'\~I\I()IIN':lLl\:1
\".".~ .~.. ~.-'::;";-; - ;
I DEVELOPMENT INFORMATION i
REQUIRED PARKING
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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A vaUabIe:
Special Instruction:
Sidewalk Type:
NOlICE: XPlRCl~J~OR~
1HIS PERMI1 SH~i~ ;HIS PERMlrr~W,
AU1HORIIED UONR IS ABANDONE.D rOil.
COMMENCED
HI\l1 Rn DAY PtRIOO.
I Valuation Descriotion I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of2
.
. Ll1 f OF SPRINGFIELD
Building/Combination Permit'
PERMIT NO: COM2005-0I482
ISSUED: 10/24/2005
APPLIED: 10/21/2005
EXPIRES: 04/24/2006
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
Fees PaW
513.20
59.24
$45.00
$14.00
$45.00
$28.00
10/24/05
10/24/05
10/24/05
10/24/05
10/24/05
10/24/05
Receipt Number
2200500000000001481
2200500000000001481
2200500000000001481
2200500000000001481
2200500000000001481
2200500000000001481
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
Amount Paid
Date Paid
Total Amount Paid
$154.44
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 Reouired Tnsnedinn'i,j
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 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 nil
times during construction.
Ckr //~
or cont-raeto:S Signature
/Z1- ,2 Y-O)
Date
Paee 2 of2
225 Fifth Street
~priJ'\gi1eld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1482
COM2005-0 1482
COM2005-0 I 482
COM2005-0 1482
COM2005-01482
COM2005-01482
Payments:
, Type of Payment
Check
..
"
. "
"
~: ,
"
.'
.'
.
"
10/24/2005
"
.
RECEIPT #:
Description
Water Line - 1 st 50 Feet
Water Line - Each AddtllOO'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% AdniinisITative Fee
Paid By
2J LLC
8:':Q~~
r'-':....~~" ~ 1
~ .,
~.~J
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001481
Date: 10/24/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1058 In Person
Payment Total:
Page 1 of I
9:18:59AM
Amount Due
45,00
28,00
45,00
14.00
9.24
13.20
$ I 54,44
Amount Paid
$154.44
$154.44