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Home My WebLink AboutPermit Miscellaneous 2005-2-15 . Status Issued . CITY OF SPRINul'u..LIJ Building/Combination Permit PERMIT NO: COM2005-00125 ISSUED: 02/15/2005 APPLIED: 02/0112005 EXPIRES: 08/1512005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6963 MAIN ST ASSESSOR'S PARCEL NO.: 1702353306000 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 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor GREENSUNS INC License 6'"'-' :,,~:1'3ii,...,,\'J I BUILDING INFOIiM~TIeN le\ ,o(\~_ .1' v,_J A 'O~ ,. 'as ". - nS~'OO -<10'" ~,<?_u a II)' ~?-"" '0'1 ^'_~'-:\-\' # of:Storles:,oS "Or ",\as \ \'-'- ~e'-..... '( \' ,\\~\\ .......e I"" , ~ II) Heighf'of Str-acture 0\ \1, :nO\\e \0,,0 - ~ V .~,\J' <'lIeS e\ell '\\ _,-,ca.\IOTyp.e-of.Heat: CO,.. ."e ~ "'ICa-\IO L\.\ (.r..~v ,-"..'!'3.\\\ e' \\\ ....\ i\.\ ~oo~?- 9.Wat'ifJT.ype: ~o~ . '~I\'l ,~o -n r",nO' "",PI. \.i\1 n^"". I" () ,,,,,ang"c.,ype: 9,0\\ 2-Z,"'" 'I 009 ~\I\~t-~/:alti!e_'OoO-',)~ ca. .....:/jprlhkle~(BUnding: nla nu'" r,e\'" Expiration Date 12/19/2006 Phone 541-933-1020 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENTINFORMATION I REQUIRED PARKING Frontyard Setback: SIde I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: \,\\\,-.:r.. _ It- ,'fo.t..r ,)J\ I PUBLIC IMPROVEMENTS 15_'f.,.?1~~,,,\\~:~ ~\J\\ ~\\.. " ",~,.. n ,i\," ~","-'C- ~~ \ 1'\.\\,,:,\\ 'U"!.\j\.'" ",g!,~~Walk Type: ,\\\'0 u\\?:J\.\j \j \)\\ \S(~'VI,>ownspoutslDrains: \'.'0,\" <.I'{;c,\: a\.""" \)\;.\~\. Dr'" c, ~ 'I'D'" \'.~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paeelof2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00125 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 Total Value of Project Fp.p.sP:aW Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Storm Sewer - 1st 50 Feet Storm Sewer Each AddtlIOO' Water Line - 1st 50 Feet Water Line - Each AddtllOO' Amount Paid Date Paid $14.60 $10.22 $14.00 $45.00 $14.00 $45.00 $28.00 2/15/05 2/15/05 2/15/05 2/15/05 2/15105 2/15/05 2/15/05 Receipt Nnmber 1200500000000000200 1200500000000000200 1200500000000000200 1200500000000000200 1200500000000000200 1200500000000000200 1200500000000000200 Total Amount Paid $170.82 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. 1 ~1~911irp.d In~np."'iO\&I Rough Plumbing: Prior to cover and Including required testing. Water Line: Prior to filling trench and including required testing. 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, and that NO OCCUPANCY will be made ofany 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 r~quested at the proper time, that each address is readable from the I street, that the permit card is located at the front 7 o the p operty, and the approved set of plans will remain on the site at all ~ dU~in\l)tru~ioi / ~ij/71- Z-I\--Or --Owner or cont~:'s<signature Date Paee 2 orz 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~ iIW' of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2005-00125 COM2005-00125 COM2005-00 125 COM2005-00 125 COM2005-00 125 COM2005-00 125 COM2005-00 125 Payments: Type of Payment Check 2/15/2005 RECEIPT #: Description Fixture Water Line - 1st 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By roUE VANDERPLOEG 1200500000000000200 Date: 02/15/2005 Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb 2058 In Person Payment Total: Page I of I 2:25:25PM Amount Due 14.00 45.00 28.00 45.00 14.00 10.22 14.60 $170.82 Amount Paid $170.82 $17U.llZ