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Home My WebLink AboutPermit Miscellaneous 2005-2-22 . Status Issued ~ . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00]94 ISSUED: 02/22/2005 APPLIED: 02/]7/2005 EXPIRES: 08/22/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6441 Main St 6443 ASSESSOR'S PARCEL NO.: 1702344300400 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Site improvements sanitary and storm Owner: COREY DEVELOPMENT LLC Address: 3956 MIRROR POND WAY EUGENE OR 97408 Phone Number: 541-344-0250 Contractor Type Plumbing Contractor KlPCO INC 1-'.1 CONTRACrOR.INFORMAnONCI'. to , -"" ' copted by the Oregon uillity ." .'J\V fl. C~ nter Those ruIY~lJse)t forf!lxpiration Date NO:lt~C:~~~ "~1 "~, () thr"\Jar~~A 952-001- 02103/2007 'o071,,'ijviLmNGlINF'U,,""""'l'Ioi-,<'.e rUles oy calling the center. \I~L[", .ml'."~epho~e numbel Rl"1&\%i6:egan Utility Notification Lot Size: . ~pfs"1rllfltPOO2-2344). 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: nla Occupant Load: Phone 541-689-9265 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: ..OT.,..... I~ #;Sfreet Trees Rqd: K TH\SPifyedlD1-i~~'Rqd: EXPIRE IF THE WOR AUn~".W:oSCovefageTHIS PERMIT IS NOT COMMENCED OR IS ~BANDONED FOR REQUIRED PARKING Total: Handicapped: Compact: ~~'" ~.." .,,'w .t::-~..". I PUBLIC' IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsIDrains: Notes: I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . CITY OF SPRINGFU"L1J Building/Combination Permit PERMIT NO: COM2005-00]94 ISSUED: 02/22/2005 APPLIED: 02/]7/2005 EXPIRES: 08/22/2005 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 Ff'f'S PaW Fee Description + 100/0 Administrative Fee + 7% State Surcharge Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtI 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Amount Paid $16.00 $11.20 $14.00 $45.00 $28.00 $45.00 $28.00 Date Paid 2/22/05 2122/05 2122/05 2122/05 2122105 2122/05 2122/05 Receipt Number 1200500000000000227 1200500000000000227 1200500000000000227 1200500000000000227 1200500000000000227 1200500000000000227 1200500000000000227 Total Amount Paid $187.20 I Plan Reviews , 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 \~,rr~f'dionsJ Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all 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 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 times during construction. .~v, \' GAl Owner or Contractors Signature k\~\r~ Date Paee 2 of2 IW. '. 225 Fifth~treet Springfield, Oregon 97477 541-726-3759 Phone eBi ~ of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2005-00 194 COM2005-00 194 COM2005-00 194 : COM2005-00194 . COM2005-00194 COM2005-00 194 COM2005-00 194 .; Payments: 'I, Type of Payment CreditCard \, J .~' .\ 2/22/2005 RECEIPT #: 1200500000000000227 Date: 02/22/2005 Description Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By DEBRA COREY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 041719 In Person Payment Total: Page 1 of! 10:32:IOAM Amount Due 14.00 45.00 28.00 45.00 28.00 11.20 16.00 $187.20 Amount Paid $187.20 $1117.20