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Home My WebLink AboutPermit Plumbing 2004-08-20FS Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01007ISSUED: 0812012004APPLIED: 08/1312004 EXPIRESz 0212012005 VALUE: SITE ADDRESS: 1416 8th St ASSESSOR'SPARCELNO.: 1703264307000 PROJE(IT DESCRIPTION: Storm sewer for new parcel Owner: BRANDT-DRURy J M Address: PO BOX 1473 SPRINGFIELD OR 97477 Contractor OWNER Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential License Expiration Date Phone CONTRACTOR INFORMATION - M Contractor Type Plumbing # of Units: Primarl Occupancy Group: Seconda ry Occupancy Group: Primarl' Construction Type Seconda ry Construction Type: # of Bedrooms: Frontyard Setback: Side I Sctback: Side 2 Sctback: Rearyar'<l Setback: Solar Sctbacks: Street Irnprovements: Storm Sover Available: Special Instruction: Notes: AR {u\es Building:nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: $ Per Sq Ft or multiplier Square Footage or Bid Amount REQUIRED PARI(NG Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Descrirrtion Type of Construction Total Value of Project Value Date Calculated . .:LO L Valuation Description I Building/Combination Permit Status Issued 225 Fillh Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 2 6 -37 69 Inspection Line PERMIT NO: COM2004-01007ISSUED: 0812012004APPLIED: 08/1312004 EXPIRESz 0212012005 VALUE: tr'ees Paid Fee Dcscription * l0ol, . \ rl rninistrative Fee * 77o Stlte Surcharge Storm Sover - lst 50 Feet Stornr Ssver Each Addtl 100' Total Amount Paid Amount Paid $s.90 $4.13 $4s.00 $14.00 $69.03 Date Paid 8t20t04 8t20t04 8t20t04 8t20t04 Receipt Number 1200400000000001238 1200400000000001238 1200400000000001238 1200400000000001238 Plan Reviews To Rcr;uest an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will bc rrrade the same working day, inspections requested after 7:00 a.m. will be made the following work day. Slorm Sewer Line: Prior to filling trench. Reouired Insnect By sigrrirture, I state and agree, that I have carefully examined the completed application and do hereby certify that all inform:rt ion hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ortlirrrrnces of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO ( )CCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I furthcr ccrtify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtho' :rgree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, l h rr t 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 drrring Datet' Pase2 of2 u 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone SPTIXGFITLD city of Springfield Official Receipt jvelopment Services Department Public Works Department RECEIPT#: 120040000000000r238 Date: 0812012004 9:21:54AM Job/Journal Number coM2004-0r005 coM2004-01005 coM2004-01005 coM2004-01005 coM2004-01006 coM2004-01006 coM2004-0r006 coM2004-0r006 coM2004-01007 coM2004-01007 coM2004-01007 coM2004-0r007 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7Yo State Surcharge + l0o/o Administrative Fee Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + '1o/o State Surcharge + l0% Administrative Fee Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + 7o/o Stzte Surcharge + 10o/" Administrative Fee Amount Due 45.00 14.00 4.13 s.90 45.00 14.00 4.13 5.90 45.00 14.00 4.13 5.90 Item Total:$207.09 Payments: Type of Paynrcnt Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard JM BRANDT DRURY djb 277846 In Person $207.09 Payment Total: -57676f 8t20/2004 Page I of I