The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2004-9-9 . .- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01l20 ISSUED: 09/09/2004 APPLIED: 09/09/2004 EXPIRES: 03/09/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1 Mountain Gate ASSESSOR'S PARCEL NO.: 0000000000000 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Storm & Sanitary extension lines located in pbase 1 & 2 for individual lots. Plan on file. Will need as builts. Owner: LEEL YN INC & WILEY MT. INC Address: PO BOX 518 CRESWELL OR 97426 Pbone Number: 541-895-8788 I CONTRACTOR INFORMATION I Contractor ",,0 EUGENE SAND & GRA VEWN{;~i~1 \ .,. -" -,,, IBUiLDING<INFORMATION I . o~W ~~- 0":J'c-'~.'?jJ:s.ec, .. # of UOItS: o<!lf$ 0 'Q'\ <3 <II>~r ~'li"J,,'<!i: ",0<;:' Primary Occupancy Group: O~. f:p~\0 ,,\,~.pO;;~oIfel'gll!'('jf~!t\uct~re'i\ Secondary Occupancy G~OU . ..f/f.> 'bl ",\0~' ~<;:) >is'~i1! ~f&ie'tl:~\U Primary Construction T ~~ OIl ~$:)r;j iP~ '~~P1~~' Secondary Construction P"'.:A\O f:l~~..-.\ o'Q"~. ~ill~Jipe: # of Bedrooms: ~~'8 o'>{\""c0~~,~~ath:. . ~ 0 .....~ ~ '$'0 ~\inkled BUlldmg: -....0.. ._t .\Ill (,' ~ Qt.Dit'VELOPMENT INFORMATION I Contractor Type Sewer License Expiration Date Phone 541-683-6400 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: RE~UIRED PARKING ~~AA '\~~ ~~'dicapped: R-~ ~ ~'\,~~pact: ~.:~:~':o ~~~~~~ ,\\>.\.\." '\~.~~~ I PUBLIC IMPROVI?",;;,~~t -;)~~'V"'f::, ~'Q' \\~S \;~l-f~'VS)~~Type: ~'\)"\, ~~~~<;) 'V~ownspoutslDrains: ,,~ ~ \~ ~~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 lii~ . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-01l20 ISSUED: 09/09/2004 APPLIED: 09/0912004 EXPIRES: 03/09/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F~~s P~id I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll 00' Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' Amount Paid Date Paid Receipt Number $118.20 $82.74 $42.00 $45.00 $560.00 $45.00 $490.00 9/9/04 9/9/04 9/9/04 9/9/04 9/9/04 9/9/04 9/9/04 1200400000000001329 1200400000000001329 1200400000000001329 1200400000000001329 1200400000000001329 1200400000000001329 1200400000000001329 Total Amount Paid $1,382.94 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. I R~OI~ Sanitary Sewer 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 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, tbat 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. l1n/a.l~o~ 1-9--OY Own~r or Contractors Signa6 Date Paee 2 of2 . .~: Wi:., ' .y of Springfield Official Receipt .velopment Services Department Public Works Department 225 Fifth Street , Sprinllfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01120 COM2004-01120 COM2004-01120 COM2004-01120 COM2004-01120 COM2004-01120 COM2004-01120 Payments: Type of Payment Check 9/9/2004 RECEIPT #: 1200400000000001329 Date: 09/09/2004 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Fixture + 7% State Surcharge + 10% Administrative Fee Paid By MOUNTAINGATE DEV LLC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1006 In Person Payment Total: Page I of I 1:12:4IPM Amount Due 45.00 560.00 45.00 490.00 42.00 82.74 118,20 $1,382.94 Amount Paid $1,382.94 $1,382.94