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