HomeMy WebLinkAboutPermit Plumbing 2006-4-14
-.
.-CITY OF ~"'Km'-'t<IELD'
Building/Combination Permit
PERMIT NO: COM2006-00448
ISSUED: 04/14/2006
APPLIED: 04/14/2006
EXPIRES: 10/14/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 370 Monntaingate Dr
ASSESSOR'S PARCEL NO.: 1702343401300
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Water service only.
Owner: REGAL CUSTOM HOMES INC
Address: PO BOX 489
ELMIRA OR 97437
Phone Nnmber: 541-935-8825
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r{'CON:rRACTOR INFORMATION I
'\'<.' ~ ,~ R--
Contractor ~ ~ ~~ '-(r::::> License Expiration Date
DONALI)~~&WI~.~<:> 33076 ",,-0__\ 06/10/2007
i>' ~ '\'<"-~'\)-I BUILDING INFORMATION I?"'~ ..sv~,o~"~"
S~ ~<<; ~ ()?' 0,0 ",'0 Ct):S 'O~
# of Units: 1;,"> # ':,"'" 'i(- f? ~<:>' # of Stories: ,/" 0"''; 'li>"'~ cS' ,)Lol,.size:
Primary Occnpanc~'Gr:;tp:0 :\) r::::> ()'<..~ Height of Strncture~ >s-" ,~?'" 0'- e" SqIFt:t'st Floor:
Secondary Occu'p~ncy"Grotip.:~ :\ '\ Type of Heat: ~'00'~ '<$\ ,,<0" <~ 2;- ",,' ;,~SqFi 2nd Floor:
.J'^" . ~'" ( ~ .. ,,\' ~v IOU 0 ~,,- c.., ~"
Primary Constructie~;T~R~\'~ " Water Ty~~:;) it' '\~ ~o ',_/ ,"," "Sq,Ft Basement:
Secondary Construcholb'fype: Range Type: '1>t,o <:}, ,,~" '~)'" 0- ~,~, .Sq'Ft GaragelCarport
# of Bedrooms: \J i!- EnergfP'atli: "'~ j.)~ ,:f :' ,~" , 'Sq Ft Other:
~ ,..~ ,,,, (, ., ~,. ~ ,...... .y'
Sl!rinkled'Buililing: () ,', nla ,'J Occupant Load:
\)-." .(",~~ _"v ('I:..... :;:" ~ '.J
Phone
541-688-1931
Contractor Type
Plumbing
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT,INFORMATlON I
... ^ '-" S)- - ,"-'\ ~
.,"'......G'S ,"~' '_> J
Overlay Dist:'" ,-" G
,::;
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
.
. CITY OF SPRIN'->t<lf-LD'
Building/Combination Permit
PERMIT NO: COM2006-00448
ISSUED: 04/14/2006
APPLIED: 04/14/2006
EXPIRES: 10/14/2006
VALUE:
A.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fp.p.~ P3WJ
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Amount Paid
Date Paid
$4.50
$3.60
$45.00
4/14/06
4/14/06
4/14/06
Receipt Number
2200600000000000467
2200600000000000467
2200600000000000467
Total Amount Paid
$53.10
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.
IRp.nlJ~
Water Line: Prior to filling trench and including required testing.
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 certifv that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
J-fuilher agree tllJ sure that all required inspections are requested at the proper time, that each address is readable from the
I /' street, that the it card is loc ~ed at the front of the property, and the apprOV7es t O7,P ans will remain on the site at all
( times durin n tr tion.
\.
\.., \ - CA.. 4. l'i Db
O~ or Contract';;:s Signature Date
Paee 2 of2
425 Fifth Street
~pringfield, Oregon 97477
~<$1-726-3759 Phone
.~~
Caof Springfield Official Receipt
_lopment Services Department
Public Works Department
Job/Journal Number
COM2006-00448
COM2006-00448
COM2006-00448
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Water Line - 1st 50 Feet
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PAUL WITT
2200600000000000467
Date: 04/14/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 070149 In Person
Payment Total:
Page 1 of 1
10:29:30AM
Amount Due
45,00
3,60
4,50
$53.10
Amount Paid
$53,10
$53.10
4114/2006