HomeMy WebLinkAboutPermit Plumbing 2005-10-24
Status
Issued
225 Fifth Street, Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
c.
._ CITY OF SPRIr\j\Jt< IJ'.,LU
Building/Combination Permit
PERMIT NO: COM2005-01484
ISSUED: 10/24/2005
APPLIED: 10/21/2005
EXPIRES: 04/24/2006
VALUE:
SITE ADDRESS: 4176 Glacier Dr
ASSESSOR'S PARCEL NO.: GLACIER VIEW SUB L
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residentlnl
PROJECT DESCRIPTION: Private site utilitie - lot 12
I CONTRACTOR INFORMATION I
' ,d ~
Contractor License\P Expiration Date
WILDISH CONSTRUCTION CO . _ _ \'^' f \olffl \0 .7l,,01
N1\I"IBUJWINi'~J!81iJ\.iAlI1i(l)N ti.'J
AnE. d""l~\.\~1 "( .orth
jO\\OWa~~~~~;(~ S'illfl~~ l~\e~~~ ~~2'001-
~og~R 952-00~1lt ll'flS'~~~lIlPthe lules by
III Y ~a\l1()Ip\l)/Jf Rilllt. h telephOlle
0090 ou, "', ~e' t e
cailillg the C~~~~ll#eiJtl\lW Notllicatloll
numberlOl t l':sgyoomG32-2344).
Cent prinkIed Building: n/a
Owner: 2 J LLC
Address: 29404 CLEAR LAKE RD
EUGENE OR 97402
Contractor Type
Sewer
" # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
" Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Phone
541-485-1700
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I ~Q~~
ft\?~~~~Hld~
ti: . l\. ~T- ~~\1.\'t~,
\\01\ ~,,^\~ ~\\~ t.~ \~\~ ~~~~~lltimrnins:
i\\\~:~~\t~\) \)~~ \~ ~~~~ '
~u ,,^,,^t.~C'C.\) 9~~'Q\).
C~\>I "'AI:) \)~
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Pal!e I of2
.
. Lll t' OF SPRIl'n.d'lJ<.LU .
Building/Combination Permit
PERMIT NO: cOM2005-01484
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
~s Paid"
; 'Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $13.20 10/24/05 2200500000000001482
+ 7% State Surcharge $9,24 10/24/05 2200500000000001482
Storm Sewer - 1st 50 Feet $45.00 10/24/05 2200500000000001482
Storm Sewer Each AddtllOO' $14.00 10/24/05 . 2200500000000001482
Water Line - 1st 50 Feet $45.00 10/24/05 2200500000000001482
Water Line - Each AddtllOO' $28,00 10/24/05 2200500000000001482
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 warking day, inspections requested after 7:00 a.m. will be made the fallowing work
day.
I I{l"~' ired T ns?ections.
fll,lillr r
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
By signature, I stnte 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 Stnte 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 during construction.
yd //~
OW'Pcontractors Signature
/~- 2r-dl~
Date
Pal!e 2 of2
1,25. F.ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
iiF~
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
J(}b/Journal Number
COM2005-0 1484
COM2005-0 1484
COM2005-0 I 484
COM2005-01484
COM2005-01484
COM2005-0 1484
. Payments:
Type of Payment
Check
,,'
,;
, \
10/2412005
RECEIPT #:
2200500000000001482
Date: 10/24/2005
Description
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
Storm Sewer - i st 50 Feet
Storm Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
2J LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1058 In Person
Payment Total:
Page I of 1
9:20:02AM
Amount Due
45.00
28.00
45.00
14.00
9.24
13.20
$154.44
Amount Paid
$154.44
$154.44