HomeMy WebLinkAboutPermit Plumbing 2006-1-20
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225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
January 20,2006.
Mike Blankenship
8063 Thurston Road
Springfield, Oregon 97478
Enclosed is a copy of the revised plumbing permit for the installation lot utilities at 4548
Daisy Street, Oregon.
When you or your contractor obtained your permits, we neglected to properly complete
the permit. I have added your phone number on the revised permit. I am enclosing a
copy fot you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Sincerely,
bl\; ~~
Lisa Hopper
Building Safety Supervisor
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00010
ISSUED: 01/19/2006
APPLIED: 01103/2006
EXPIRES: 07/19/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4548 Daisy St
ASSESSOR'S PARCEL NO.: ANDREWS ACRES SUB]
TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New lot utilities
Owner: MIKE BLANKENSHIP
Address: 8063 THURSTON ROAD
SPRINGFIELD OR 97478
Phone Number: 541-747-0145
I CONTRACTOR INFORMATION I
Contractor Type
Sewer
Contractor
EUGENE SAND & GRAVEL INC
BUILDING INFORMATION I
License
Expiration Date Phone
541-683-6400
# 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 I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbac~=o TIC E:
TillS PERMIT SHALL EXPIR ItUBJUlO'il\lmROVEMENTS
Street ImproWJJ\:~~IZED UNDER THIS P
St S Gt'I.MM~NCED .OR.. IS ABANDONED FOR
orm ewer'A"'~Ual)Ie:
Special InstnMti"n180 DAY PERIOD.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Type of Construction
ATTE~iM~1.!k l)p'.e:
fol/ow r"+l.....~ _ :,VI l.:i!:Jon '!3W reqUIres you to
LJ.TfJW -"'t"ilIPt~t1YIffie Ore U .
Notification Center Th 90n tlmy
in OAR 952-001-00'1 0 t~se rules are set forth
0090. You may obtain cro~9h OAR 952-001
II' Opres of the rule b'
ca 100 the r.~ntor (~'~~, II S ,
~rberforthe Ore ---','. "" 1~I~fJnone
I Valuation Description Center is 1 89000n Utility NOtification
- -332-2344). "
Square Footage
or Bid Amount
Value
Date Calculated
Notes:
Description
$ Per Sq Ft
or multiplier
Pa2e 1 of2
._$fi'RINO~IELO .IIIII!I.I!!I!!IIi)I~
~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00010
ISSUED: 01119/2006
APPLIED: 01103/2006
EXPIRES: 07/1912006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
$5.90
$4.72
$45.00
$14.00
1/19/06
1/19/06
1/19/06
1/19/06
Receipt Number
1200600000000000056
1200600000000000056
1200600000000000056
1200600000000000056
Total Amount Paid
$69.62
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 Reouired Insoections I
Sanitary Sewer 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 certify that only contractors and employees who are in compliance with ORS 701.005 wiJl 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
Pa2e 2 of2
"spJ::'a. 0 ~.'.... t....
WIL. .
.:
. _n"""'_._ _, __~_'__ .~..;. -- .
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2006-00010
ISSUED: 01/19/2006
APPLIED: 01/03/2006
EXPIRES: 07/19/2006
VALUE:
SITE ADDRESS: 4548 Daisy St
ASSESSOR'S PARCEL NO.: ANDREWS ACRES SUB]
TYPE OF
Plumbing Only
TYPE OF USE: use initials
Residential
PROJECT DESCRIPTION: New lot utilities
Owner:
Address:
MIKE BLANKENSHIP
8063 THURSTON ROAD
SPRlNGFIELD OR 97478
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au '-\\ \0 . ,-\\ 0 \. C> uO. 0\
Contractorf..o. sa\n1 a :-siP ,-\on01 '-\~ 'la\Ua &,i~~Hi'~\ ";/ Expiration Date
EUGENE SA!YP'~~l'}h\,I~e<;~ ('\ oa\c\O?~. ,("II \..~3~i:
\\1)0\ ~~G~FoliMA'iioNI
f..\\\. of.. sa .
0\ n # of Stories:
Height of
Type of Heat:
. Water Type:
Range Type:
Energy Path:
Sprinkled
\~\;.~~&
~ V~\k\
Contractor Type
Sewer
Phone
541-683-6400
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
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.
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees . ~icapped:
Paved Drive Rqd: '\\\'t. ~~ct:
% of Lot Coverage: ~~ \~ ~~ \~
"l \ 't.~\>~c,. \>~'\r\) ~\J~
IPUBLIC IMPRQ~~~~~~~ ~~~\).J'
\~ ~ \)~t~lk Type:
~~\~~~~"~~ ~nspoutslDrainS
~~~"{ \'6~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
'l\:l;
I Valuation Des~ription I
Description
Tvpe of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRING111ELD -
Building/Combination Permit
PERMIT NO: COM2006-00010
ISSUED: 01/19/2006
APPLIED: 01/03/2006
EXPIRES: 07/19/2006
VALUE:
Total Value of Project
LFees Paid I
~ Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
.. Sanitary Sewer Each Addtll00'
Amount Paid Date Paid Receipt Number.
$5.90 1/19/06 1200600000000000056
$4.72 1/19/06 1200600000000000056
$45.00 1/19/06 1200600000000000056
$14.00 1/19/06 1200600000000000056
Total Amount
$69.62
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.
Sanitary Sewer 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 certity 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 wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensu~rthat all uired inspections are requested at the proper time, that each address is readable from
the street, that the permit car ocated at the front of the property, and the app:;7d set of plans wiD remain on the site
at all tij during c _ ruc. . 0 Cj--i. .
I '
Owner or Contractors Signature Date
2 of 2
2;ZS Fifth..Street
Springfield, Oregon 97477
541-726-3759 Phone
~ji
-'~ty of Springfield Official Receipt
evelopment Services Department
Public Works Department
Job/Journal Number
COM2006-0001O
COM2006-000 1 0
COM2006-000 1 0
COM2006-000 10
Payments:
T~.'pe of Payment
Check
- .
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1/19/2006
RECEIPT #:
1200600000000000056
Date: 01/19/2006
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MIKE BLANKENSHIP
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 9954 In Person
Payment Total:
1 of 1
11:55:55AM
Amount Due
45,00
14.00
4.72
5.90
$69.62
Amount Paid
$69.62
$69.62