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Home My WebLink AboutPermit Plumbing 2005-10-24 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax , 541-726-3769 Inspection Line . .' CITY OF SPRI1~t.-t<1J'.,LU Building/Combination Permit PERMIT NO: COM2005-01486 ISSUED: 10/24/2005 APPLIED: 10/21/2005 EXPIRES: 04/24/2006 VALUE: , SITE ADDRESS: 4182 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 13 I CONTRA.... V" ,NFORMATION I Contractor Licen~ WILDlSH CONSTRUCTION CO (PS6 hI I FBUlfj,*I~G'"'';rPRi\iAiiof;~'~~~i1;~y follow I UICi) o....v\""w.... -/.. - NotiIicatior#r,;fJSllifiel:hose rules are set forth in OAR 95ateigiJf-'c\f1SHGEillj0eh OAR 952-001- 0090. You 11yp~ of:mli'tf-oples of the rules by calling tiWateroif.ypc!Note: the telephone number ~Il'ge;rype~on Utility Notification ~~00'~PMb~0-332-2344) . Sprinkled Building: Owner: Address: 2 J LLC 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: Frontyard Setback: Side I Setback, Side 2 Setback: Rearyard Setback: Solar Setbacks: , Street Improvements: Storm Sewer A vailabJe: Special Instruction: Notes: Description E"DW xplratJon ate to .1.'2.<0' Phone 541-485-1700 nla 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 Total: Handicapped: Compact: Overlay D1st: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I ~ijM'f!..fiVPROVEMEl':i1;~E If THE. WORK. THIS PERI~\" UNDER 1\-115 PE~~ffl~e: ~~~~~~~~D OR IS ABANOO~~~~utslDrains: ANY 180 OA'( PERIOD. I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Vnlue Date Cnlculated Pal!e 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit ~ Status Issued PERMIT NO: COM2005-01486 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 Total Value of Project Fees PaWJ Fee Description + 100/0 Administrative Fee + 7% State Surcharge Storm Sewer - 1st 50 Feet Storm Sewer Ench AddU 100' Water Line - 1st 50 Feet Water Line - Each AddtllOO' Amount Paid Date Paid $14.60 $10.22 $45,00 $14.00 $45.00 $42.00 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 Receipt Number 2200500000000001483 2200500000000001483 2200500000000001483 2200500000000001483 2200500000000001483 2200500000000001483 Total Amount Paid $170.82 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 Reouiretf T nsnections I 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 nnd 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 pertnining 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. (),M~ II ~ w~' r' O~ r Contractors Signature //)- 2. V-cf:;- Date Page 2 of2 2~'5.Fift~ Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1486 COM2005-0 1486 COM2005-0 1486 COM2005-01486 COM2005-01486 COM2005-0 1486 Payments: Type of Payment Check :I ;1 ;. :r 10/24/2005 . RECEIPT #: 8!'~>~t!Q~,~"'_'___,_'_ r 1*:"- , ..~-.- , \ ". i . , <:.~. ' --~ ..J;!ty of Springfield Official Receipt .velopment Services Department . Public Works Department 2200500000000001483 Date: 10/24/2005 Descriptlnn Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each AddtllOO' + 7% State Surcharge + 10% AdminisITative Fee Paid By 2J LLC Received By djb Page 1 of 1 Item Total: Cbeck Number Authorization Batch Number Number How Received 1058 In Person Payment Total: 9:21:33AM Amount Due 45.00 14.00 45.00 42.00 10.22 14.60 $170.82 Amount Paid $170.82 $170,82