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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