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Home My WebLink AboutPermit Plumbing 2005-10-7 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5729 Mt Vernon Rd ASSESSOR'S PARCEL NO.: JASPER MEADOWS 4T . CITY OF ~rlUl~tJNJ!,LD Building/Combination Permit PERMIT NO: COM2005-01384 ISSUED: 10/07/2005 APPLIED: 10/0512005 EXPIRES: 04/07/2006 VALUE: Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Storm Sewer Line for Private Street Improvements I CONTRACTOR INFORMATION I License Owner: HAYDEN HOMES Address: PO BOX 883 SPRINGFIELD OR Contractor Type Contractor BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Residential Phone Number: 541-228-1081 Expiration Date Phone nla 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 Frontyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: Oregon law red"J.mI..Iq/~PROVEMENTS I Street Impro"te.%!'!tiJles adopted by the Oregon Utility St S 'JA""II""I'tl Center Those rules are set forth arm ewer \18 aD e: . Special Insttuc'it&n'1952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by Notes: calling the center. (Note: the telepho~e number for the Oregon Utility Notification Center IS l-tsUU-;j""'- .....1 I Valuation DescriDtion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee 1 of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDralns: WOi~~ THI$ ~Mfij'~W,~~ O'Um WORt{ AUmg~IWJ DJND~\'d 'iiM15 Cl~Rl\IlIY IS NOT ~~'\1M~r!Sm t:m.13 ~:&!XlJm Fen AI\I\7~~~~ Value Date Calculated . . CITY OF ~rlUl~tJNJ!,LJJ Building/Combination Permit PERMIT NO: COM2005-01384 ISSUED: 10/07/2005 APPLIED: 10/05/2005 EXPIRES: 04/07/2006 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 ~ ". Fee Description + 1 0% Administrative Fee + 7% State Surcharge Storm Sewer - 1st 50 Feet Amount Paid Date Paid $4.50 $3.15 $45.00 1017105 1017105 1017105 Receipt Number 2200500000000001399 2200500000000001399 2200500000000001399 Total Amount Paid $52.65 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"olJir"d ~"~tions I ~ ". 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 fnrther 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 reqnired 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 dnring constrnctlon. -:;;;;Z '. ~ /o/?~") Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springf~eld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1384 COM2005-0 1384 COM2005-0 1384 Payments: Type of Payment CreditCard 'a 'n 101712005 RECEIPT #: . Description Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By HAYDEN HOMES .~ ~: ~~" 2200500000000001399 Received By LLH Check Number Batch Number Page 1 of I ~y of Springfield Official Receipt WVelopment Services Department Public Works Department Date: 10/07/2005 Item Total: Authorization Number How Received 076943 Phone Payment Total: 2:37:13PM Amount Due 45.00 3.15 4.50 $52.65 . Amount Paid $52.65 $52.65