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Home My WebLink AboutPermit Plumbing 2005-9-19 I, " _S,:t;F,I; ~iiI"~'. ..~. 'I. WiL....~ . .. '. . , ... ,.~ ....... '. ....... . I . . CITY OF SPRINGFIELD' . Building/Combination Permit PERMIT NO: COM2005-01273 . ISSUED: 09/19/2005 APPLIED: 09/19/2005 EXPIRES: 03/19/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ SITE ADDRESS: 21 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703224407600 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Connect to city sewer Owner: CLJ LLC Address: 839 ROY ALDEL LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor VOS PLUMBING INC License 41805 Expiration Date 04/04/2006 Phone 541-485-0551 :rTENTION: Oregon~UIl.wN~ ~ffIllRMA TlON , A d ted by the OreJ)on Utility # of Units: follow rules a op $.g~Wlf~\ forth Primary Occupancy ~l!li.i~ation Center. Those r ~)!'I~~<:9~\Il'e Secondary Occupancjrf1ilMP952-001-001? thro~ Y61~P,{,'i'5~Js by Primary Constructio~ You may obtam COPlewaltr 'j'op~ Secondary ConstructionOOlli1llJ the center. (Note: m~:r, eITy'~~;e # of Bedrooms: number for the Oregon Utl\\l(, lp~t\l:lon . Center is 1-800-33:S-? . d Building: nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: . Special Instruction: NOtiCE: E WORK THIS PERMIT SHAll EXPIRE IF TH Notes: AUl HORIZED UNDER THIS PERMIT IS NOT M"", ,cw'm nlCl Ie; ARANDONED FOR ANY 18CJ DAY r'trII\JIJ. I Valuation Descriotion Sidewalk Type: DownspoutslDrains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 'Page I of 2 . . CITY OF ~t'Kl1"'\.JJ< 1l!,LD ' Building/Combination Permit PERMIT NO: COM2005-01273 ISSUED: 09/19/2005 APPLIED: 09/19/2005 EXPIRES: 03/19/2006 VALUE: Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726~3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 100/0 Administrative Fee + 7% State Surcharge Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll 00' Amount Paid Date Paid Receipt Number $10.40 $7.28 $45.00 $45.00 $14.00 9/19/05 9/19/05 9/19/05 9/19/05 9/19/05 2200500000000001288 2200500000000001288 2200500000000001288 2200500000000001288 2200500000000001288 Total Amount Paid $121.68 Public Works Review 09/19/2005 Plan Reviews I APP PJO MLK Parkway Project. Agreement with owners for City to pay for permit, City SDC charges, and in-lieu ef assessment charges. 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 Reouired Insoections . Sanitary Sewer Line: Prior to filling trench and including required testing. Septic Tank Pnmped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatioo 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, 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 timesJ:;:n~~~ 6CillqIO~ 6wn0r Contractnrs SiJv,ture Date Pace 2 of 2 22'5 F,ft~ Street Springfield, Oregon 97477 541-726-3759 Phone . GPA1~,. ~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 2200500000000001288 Date: 09/19/2005 10:46:35AM INT CHGS Paid By 420-62243-850025 MLK PKWY Item Total: L:heck Number Authorization Received By Batch Number Number How Received Amount Due .45.00 14.00 45.00 7.28 10.40 $1ZI.68 Job/Journal Number COM2005'0 1273 COM2005-0 1273 COM2005-0 1273 COM2005-0 1273 COM2005-0 1273 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Sanitary or Stann Sewer Cap + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Amount Paid INT CHGS In Person Payment Total: $121.68 $1ZI.68 9/1912005 Page I of I