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HomeMy WebLinkAboutPermit Plumbing 2005-10-24 -. Status Issued 22~ Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . \...11 i' OF SPRINGFIELD Buil~ing/Combination Permit PERMIT NO: cOM2005-01485 ISSUED: 10/24/2005 APPLIED: 10/21/2005 EXPIRES: 04/24/2006 VALUE: SITE ADDRESS: 4188 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 14 I CONTRACTOR INFORMATION I Contractor Licens~ Expiratio~ate WILDISH CONSTRUCTION CO fo~ to. '2:l.oC>1 .f-qulre~ yuu .v BUlLDINGJNF0RMW'FION .'0 on Utility . d pteo uy ..'v reg fa'\m,uules a 0 \ s are set forth #, of stor1ie."enter, Those ru e 95,Lot'''ize: Nc"t'~?lIU ,'" hOAR (.-uu"l . ~'!f~h!-l o~~tn~ctu_J1'J throug ~'! ~~r. st Floor: In TYpe orneat: obtain COpies of the rUSq Ft 2nd Floor: 0[.'." Vn" m<11' h telephn"e. Water'Tvpe: enter (Note: t e Sg H Basement: ,-I\;"ftll ,e c. 'I't NotiiiC-S"QF[1 Range- Y.P~:th Oregon Uti I y q 't Garage/Carport Eliergrpl.'th: e. 1 800-332-2344). Sq Ft Other, Sprinkll.i 'illludiWg: - nln Occupant Load: 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 A vaUable: Special Instruction: Notes: Description Type of Construction Phone 541-485-1700 I DEVELOPMENTlNFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I NOTICE' Sidewalk Type: THIS PERMIT SHi\ll E)(PIRD~J.M~W~~ns: AUTHORIZED UNDER THIS PERMfT IS I COMMENCED OR IS i\Bi\NDONED FOR ANY 180 Di\Y PERIOD. I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount , Value Date Calculated Pa~e I 00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01485 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 Fpps Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Storm Sewer - 1st 50 Feet Amount Paid Date Paid $5.90 $4.13 $14.00 $45.00 10/24/05 10/24/05 10/24/05 10/24/05 Receipt Number 2200500000000001484 2200500000000001484 2200500000000001484 2200500000000001484 Total Amount Paid $69,03 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 R.eouirpd Tnsnedions,J 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, nnd that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify thnt 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 ofthe property, and the approved set of plans will remain on the site at nil . times during construction. (J,.,/ U/<-V1 /f' . owpontractors Signature /&- 2 '/"-<::/) Date Pal!e 2 of2 2~5,FjftJ1 Street Springfield, Oregon 97477 541-726-3759 Phone Jub/Journal Number COM2005-0 1485 COM2005-01485 COM2005-01485 COM2005-0 1485 Payments: Type of Payment Check :\, :. " 10/24/2005 . RECEIPT #: Mir..~~.~~~.~,~..~ -~,-- ~, j,. ~. . , ,."'~ ' ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001484 Date: 10/24/2005 Description Storm Sewer - 1st 50 Feet Fixture + 7% State Surcharge + 10% AdminisITative Fee Paid By 2J LLC Received By djb Page 1 of I Item Total: Check Number Authorization Batch Number Number How Received 1058 In Person Payment Total: 9:22:I4AM Amount Due 45.00 14.00 4.13 5.90 $69.03 Amount Paid $69.03 $69.03