HomeMy WebLinkAboutPermit Plumbing 2005-2-15
-.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6955 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353306000
'*
.;.... CITY OF SPRII'\j~nI!.LD
Building/Combination Permit
PERMIT NO: COM2005-00123
ISSUED: 02/15/2005
APPLIED: 0210112005
EXPIRES: 08/15/2005
VALUE:
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Private utilities for lot subdivision
Owner: VANDERPLOEG DAVID
Address: 36846 PARSONS CREEK RD
SPRINGFIELD OR 97478
Contractor Type
Plumbing
Contractor
GREENSUNS INC
# ofUnils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
. es \IOU to
laW reQUlr , . .
.. M'. ",,,non _ . _~n IItl\ltv
, . .'W ._'~n\"dbVl""'~'-~ setlortf\
I CONTRACTOR INFORMATION'\I)se rules a~ 952-001-
Not1"Cdl'U" -. '_0010 through ~~,,~ rules bV
'In OAR 952-Ceicensen colExpirationn"te Phone
rr'1\/ I)U~UI \.- ~ .olenllU~
0090. '(au 31~~M,,,, (Note: t'I'21~~{~!\0y,ion 541-933-1020
BUILDING INFORMiTIONI Oregon ~~~:Z344).
..-" center is 1-800-
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
. _ "I\n.\-
Paved DrIve Rqd: c. ,Compact:,
% of Lot Coverage: 't.":i'I\\'t." '~0 IS 'Il\J
\~~J~\':';~~"\\\ S\'\~\.o -\~IS ~~~:~\) rGI'-
I PUBLIC IMPROVEMENrS'It.D \J;~ \S i'-\Ji\IW-
"u' ..(.~Ct.D . nIP\)
CG~\\\\\... D!\"S!dewall< Type:
I\~'{ '\ \)C\ DownspoutslDrains:
I Vahl3~ion Descriotion I
S Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 100/0 Administrative Fee
+ 7% State Surcharge
Curbcut Permit
Curbcut Repair
Encroachment Permit
Fixture
PW Disc - 2nd Permit (Street)
PW Disc - 3rd Permit (Street)
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Total Amount Paid
Public Works Review
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00123
ISSUED: 02/15/2005
APPLIED: 02/0112005
EXPIRES: 08/15/2005
VALUE:
Total Value of Project
Fpp<, PIilLI
Amount Paid
Date Paid
Receipt Number
1200500000000000198
1200500000000000198
1200500000000000198
1200500000000000198
1200500000000000198
1200500000000000198
1200500000000000198
1200500000000000198
1200500000000000198
1200500000000000198
$11.50
$8.05
$80.00
$30.00
$130.00
$42.00
$-30.00
$-30.00
$45.00
$28.00
2/15/05
2/15/05
2/15/05
2/15/05
2/15/05
2115/05
2115/05
2115/05
2115/05
2115/05
$314.55
I Plan Reviews I
0211512005
02115/2005
DON SB
Added Encroachment, Curbcut and
Curbcut closure. SWBB
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.
l1;'pno~
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Page 2 00
.
. CITY OF ~rKlI~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-00123
ISSUED: 02/15/2005
APPLIED: 02/01/2005
EXPIRES: 08/15/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding 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 loca2ed a the front of the property, and the approved set of plans will remain on the site at all
"'" "rl"ro~ 10J~ / Z-, <~~
ow'" .;e;,,"<!..lii...,:;; . '7 Dd.
Page 3 of3
225 Fifth Street
Springfieltl, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00123
COM2005-00123
COM2005-00 123
COM2005-00 123
COM2005-00 123
COM2005-00123
COM2005-00123
COM2005-00123
COM2005-00123
COM2005-00 123
Payments:
Type of Payment
Check
, I
I
, ,
2/15/2005
.
RECEIPT #:
i5t4:
SIitY of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000198
Description
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Curbcut Repair
Encroachment Permit
Curbcut Permit
PW Disc - 2nd Permit (Street)
PW Disc - 3rd Permit (Street)
Paid By
JULIE VANDERPLOEG
Date: 02/1512005
Item Total:
Check Number Authorization
Received By Batch Numher Number How Received
djb 2058 In Person
Payment Total:
Page 1 of1
2:24:40PM
Amount Due
42.00
45.00
28.00
8.05
11.50
30.00
130.00
80.00
(30.00)
(30.00)
$314.55
Amount Paid
$314.55
$314.55