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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 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01383 ISSUED: 10/07/2005 APPLIED: 10/05/2005 EXPIRES: 04/07/2006 VALUE: SITE ADDRESS: 5725 Mt Vernon Rd ASSESSOR'S PARCEL NO.: JASPER MEADOWS 4T Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Storm Sewer Line for Private Street Improvements Residential Owner: HAYDEN HOMES Address: PO BOX 883 SPRINGFIELD OR 97477 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: ATTENTION:uregolllaSpririlUliiIlBgildlrig: .....11....... _..1...... ......"\":'._..I...r~L..~ ':"_-:-;:,,:,-: I_U.:I:~\, Notification Centelr~b(j)irJ\u<.Cliou."'tt~uATION I in OAR 952-<J01-<JOl 0 tnrougn OAR 952-001 0090. You may obtain CO~~&IiI~tDQt~ules b. calling the center. (NottlSt'reelqii'~'R(liI: number for the Oregon iP~{ieil Dfl\i~Rl:jd~n CentAr j" 1_1''''.. -%"of,Uot.'€overage: N OTl C E: I PUBLIC IMPROVEMENTS I StreetlmproveD1~~!!: PEH~lIT SHALL EXPIRE IF THE WORK Storm Sewer Avall,iille':1RIZED UNDER THIS PERMIT IS NOT Speclallnstructi!ln;MMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Notes: Description Type of Construction Pbone Number: 541-228-1081 , CONTRACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMATION I nla Lot Size: Sq Ft ht Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspoutsffiralns: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 ~iF . e CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01383 ISSUED: 10/0712005 APPLIED: 10/0512005 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 L.FI'I'~, PiilLI Fee Description + 10% Administrative Fee + 7% State Surcharge SDC SanltarylStorm Admin Storm Drainage Impervious Area Storm Sewer - ht 50 Feet Amount Paid $4.50 $3.15 $206.0 I $4,120.19 $45.00 Date Paid 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 Receipt l'iumber 2200500000000001401 2200500000000001401 2200500000000001401 2200500000000001401 2200500000000001401 Total Amount Paid $4,378.85 Plan Reviews I Public Works Review 10/06/2005 10/06/2005 APP SB Complete Impervious surface SDCs for new private road. LDAP already issued. 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 Rl'nllirl'd Tn..oections 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 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. Owner or Contractors Signature Date Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ir~ tttIIll.ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-0 1383 COM2005-0 1383 COM2005-0 1383 COM2005-0 1383 COM2005-01383 Payments: Type of Payment CreditCard f " r 101712005 RECEIPT #: 2200500000000001401 Date: 10/07/2005 Descripdon Storm Sewer - 1st 50 Feet + 7% Slate Surcharge + 10% Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Paid By HAYDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received LLH 064056 Phone Payment Total: Page 10f! -. 2:54:07PM Amount Due 45.00 3.15 4.50 4,120.19 206.0 1 $4,378.85 Amount Paid $4,378.85 $4,378.85