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HomeMy WebLinkAboutPermit Building 2010-4-20 CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2010-00485 ISSUED: 04/20/2010 APPLIED: 04/20/2010 EXPIRES: 10/20/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1747 J ST ASSESSOR'S PARCEL NO.: 1703362101300 Springlield TYPE OF WORK: Plumbing Only TYPE OF USE: New Public _ PROJECT DESCRIPTION: Water line and Encroachment Permit Owner: PINO JARED S Address: 1747 J ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor OWNER I CONTRACTOR INFORMATION . License Expiration Date Phone #,,~, ",6.. "~ BUILDING INFORMATION ~ # 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dis!: ' # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: '(Pv8c-c8f:-OOB-( S! J81U80 I PUBLIC IMPROVEMENnlr.~del~1 a~; ':aION) 'JalUaO 8416U!I(9:) flY ,OllnJ a~\.,\o ~,~kdfO wl1lQO AllW nOA '0600 - ~OO-cS6 gIj84'IJnoJih' O(OO-(OO-Z96l.fVO UJ . 41Jolla8 a[JilWij~lf\mll.lrallljllao UO!lIlO!I!ION '\liIpn llOOaJO a~) Aq paldoPll salnJ MOIIOl 01 nOA saJ!nbaJ MlOl u05aJO :NOIIN3lilf Storm Sewer Av}ipijl!@f: ",",~' ..:; ,~': ' Speciallnstructi?,'15 PERMIT SHALL EXPIRE IF nlltwoRK JTHORIZED UNDER THIS PERMIT IS NOT 'tvlMENCED OR IS ABANDONED FOR Notes: I uu un I Valuation Description ~ -. -. ._- .--.. ::-;~~"'" Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Encroachment Permit Water Line - 1st 100' Amount Paid $9.12 $10.78 $139.50 $76.00 Total Amount Paid $235.40 !.....~ Total Value of Project Fees Paid , Date Paid 4/20/10 4/20/10 4/20/10 4/20/10 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00485 ISSUED: 04/20/2010 APPLIED: 04/20/2010 EXPIRES: 10/20/2010 VALUE: Receipt Number 2201000000000000378 2201000000000000378 2201000000000000378 2201000000000000378 To Request an inspection call the 24 hour re'cprdin.g' at 726-3769. All inspections 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. . Reouired InsDections ~ Water Line: Prior to filling trench and including required testing. Encroachment: After item(s) have been removed to inspect condition of public right of way. 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 th ermit card is located at the front f the property, and the approved set of plans will remain on the site at all times durin c nstruction j Owner or Contractors Signatur/ . " ~ fi"1 ;' ,~ . y~ Pa2e 2 of 2 Date ~ /20 / / (j I { ! '\ --~--j ~ I ''CY I '\II < I ~ i S;, I' --' ! ! ! r~ " ------- , _oj , , - , i i ! i---::= , I ,.------ I -t\ ~ o 'VJ~\ 4J-\,J (.-- -';., ,.---"- " :5 -\) ('-:'" '-' l'-~: G1 \............... -. ---,",,,. ,r-, t"... ': ;;"\,J1 ("'- '<_ I /,,- ~~ -..\ \ ,-_,_',,__1 -, ,-.j....... \~:~> , - - " -".::._-; -~- D\ \ ~ ~ ~ ~ ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .J7;~ WiL. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000378 Date: 04/20/2010 1:22:18PM Job/Journal Number C0M2010-00485 COM201O-00485 C0M2010-00485 COM2010-00485 Payments: Type of Payment CreditCard cReceintl Description Water Line - 1st 100' + 12% State Surcharge Encroachment Permit + 5% Technology Fee Paid By NICOLE TULEY Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 76.00 9.12 139.50 10.78 $235.40 Amount Paid Ikw 810839 In Person Payment Total: $235.40 $235.40 Page I of I 4/20/2010