HomeMy WebLinkAboutPermit Miscellaneous 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: 6959 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353306000
~
. CITY OF SrK.ll'lut'lJ!,LJJ
Building/Combination Permit
PERMIT NO: COM2005-00124
ISSUED: 02115/2005
APPLIED: 02/01/2005
EXPIRES: 08/1512005
VALUE:
Springfield TYPE OF WORK: Plumhing 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
# of Units:
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 Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
I CONTRACTOR INFORMATION I
License
31366
Expiration Date
12/19/2006
Phone
541-933-1020
BUILDING INFORMA nON I
~ - .l/aw requir
. .', ,dopt db es you to
# of Stories:iJll Center e y the ore~.9~I~m~
Height.of Structure 0 . Those rules ~n F! .1.t ~Ioor:
'~~"-UUI- 010th "~~fTu
TyjJe.9~H~~U ma . rough OA~~~9f8 loor:
Wat'tfa1iY,!'S:the y obtam copies of th%'t,t;~l~~_inent:
Ra'l~rTYtie:f center. (Note: the te/~8~ <;,w.{igelCarport
Energy'Palh.:or.th~ Oregon Utility No~"FtAAher:
Sprinkled Biill'dillg!S l-aOO-3l!!2-2344l?'ic'll/Rnlt Load:
, DEVELOPMENTINFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
DownspoutslDrains:\(
,,'" "I;' 'i.I'IRE \~ \ lit: "v. .
~~IS\PtRi'J\ll S\-I,i\\~\\-I\S I'\:R\\\\1 IS ~~OI
i\\.l'\\-I.~~~~r~~f\U6~ IS i\\)"NOONEO ~O
. . .......- ""\,\\Vu.
I Valul\tiontDe's~H'bilt~ ,.
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee10f2
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~s PaM I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtJ 100'
Water Line - 1st 50 Feet
Water Line - Each AddtJ 100'
Amount Paid
Date Paid
$13.20
$9.24
$14.00
$45.00
$14.00
$45.00
$14.00
2/15/05
2/15/05
2/15/05
2/15105
2/15/05
2115/05
2/15/05
Total Amount Paid
$154.44
I Plan Reviews I
. CITY OF ~rKJ1~ldilJ'.,L1J
Building/Combination Permit
PERMIT NO: COM2005-00124
ISSUED: 02/15/2005
APPLIED: 02/0112005
EXPIRES: 08/15/2005
VALUE:
Receipt Number
1200500000000000199
1200500000000000199
1200500000000000199
1200500000000000199
1200500000000000199
1200500000000000199
1200500000000000199
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.
l....ifnuirPy1, ~
Storm Sewer Line: Prior to filling trench.
Water Line: Prior to fIlling trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When an plumbing work is complete.
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 an 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 ' required inspections are requested at the proper time, that each address is readable from the
I street, that the permit card is ocated at the~f the :lftr, and the approved set of plans will remain on the site at all
;:::J~a/ 2-"-0<;
I ~ner or Contractors Signature I Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
54t-726-3759 Phone
Job/Journal Number
COM2005-00124
COM2005-00124
COM2005-00124
, COM2005-00124
COM2005-00124
COM2005-00124
COM2005-00124
Payments:
Type of Payment
Check
2/1512005
.
RECEIPT #:
Description
Fixture
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - i st 50 Feet
Storm Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JULIE VANDERPLOEG
iiral
SI&Y of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000199
Date: 02/15/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2058
In Person
Payment Total:
Page I of!
2:25:03PM
Amount Due
14.00
45.00
14.00
45.00
14.00
9.24
13.20
$ I 54.44
Amount Paid
$154.44
$154.44