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Home My WebLink AboutPermit Plumbing 2004-6-16 ---,. Status Issued , CITY OF S~RINGFIELD . Building/Combination Permit PERMIT NO: COM2004-00690 ISSUED: 06/16/2004 APPLIED: 06/11/2004 EXPIRES: 12/16/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 766 S 47th PI Springfield TYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: ROCKY RD SUB LOT 8 TYPE OF USE: New Residential PROJECT DESCRIPTION: 175' Storm Sewer, 1 Catch Basin Owner: PACIFIC WEST ENGINEERING, INC Address: 3610 GOOD PASTURE LOOP EUGENE OR 97401 Phone Number: 541-344-2215 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone 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: SQ~~ed Building: . ,,\,,\ . . x.1i.~E~~kpM~NT INFORMATION I , \, ~i--~\~ \>\:.~~\\) y'\j~ Front yard Setback;.~. 'O'f.-tr-.\; ~ \'(..\'0 ~\j~~ Overlay Dist: , Side 1 SetbaCk\),\\~ \:.~~~ ~~~Y.:. c.. tr-.~tr-.~ 0 # Street Trees Rqd: Side 2 Setbac~ ~~ \> ~t~\) \)~ \~ '1\) Paved Drive Rqd: Rearyard setb1~;'f.-\j~~\,\:.\) ~y"~\\j . % of Lot Coverage: Solar Setbacks: ~r.\j~~9.\) ~~ , ' . '. "tr-.~' . I PUBLIC IMPROVEMENTS I \~)G\U~\)9~u.:~~ . ~~!:\l'\ ~ M\\ ~\)\~ _nt\ Street Improvements: Z~1,;t'v\ ~k.I"~' O~'()bV~\ " '\\f\ft l'\':J..\\).(\ ~ .).e~ l.aU) ~ '-\'CIO...\ Storm Sewer A vailable: ~\O~~. '.a~"'nN.\Qi(il~of.~ ~~)O~ Special Instruction: UO"'~~~a\a\ ~~~e\dO~~Q$)O'~(f.) UO!, 11'0\\0\ aUO au.\r f)~).~ .).a~ se'f" _, cl Notes: ~ Sa\($. ~O ~~ eSOu,)" 9\o.O?: O~~ J.I ~n"'~9fO i \~ Se~ ...,,"~ 9 ;c:.~).O ~ ...1:. \€- ffa).U ~ ~ U'" I Valuation Desc~~'Q9l $ Per Sq Ft Square Footage or multiplier or Bid Amount Lot Size: SqFt Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Total: Handicapped: Compact: Description Type of Construction Vidue Date Calculated Total Value o.f Project Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00690 ISSUED: 06/16/2004 APPLIED: 06/11/2004 EXPIRES: 12/16/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid Receipt Number $7.30 $5.11 $14.00 $45.00 $14.00 6/16/04 6/16/04 6/16/04 6/16/04 6/16/04 2200400000000000782 2200400000000000782 2200400000000000782 2200400000000000782 2200400000000000782 . Total Amount Paid $85.41 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. L Reouired Insoections I Storm Sewer Line: Prior to filling trench. Special: See Plan Review and/or Inspector Notes. 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:2Z'/~~ h~(A -o~ - - ~ ..~. or-E:ontractors Signature GtK;JJ~ Date Pae:e 2 of 2 225, Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00688 ' COM2004-00688 COM2004-00688 COM2004-00688 COM2004-00689 COM2004-00689 COM2004-00689 COM2004-00689 COM2004-00689 COM2004-00689 COM2004-00689 COM2004-00690 COM2004-00690 COM2004-00690 COM2004-00690 COM2004-00690 COM2004-0069I COM2004-0069I COM2004-00691 COM2004-00691 COM2004-00692 COM2004-00692 COM2004-00692 COM2004-00692 Payments: Type of Payment Paid By Check 6/16/2004 RECEIPT #: Description Storm Sewer - 1 st 50 Feet Storm Sewer Each Addti 100' + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addti 100' Storm Sewer - 1 st 50 Feet Storm Sewer Each AddtilOO' Fixture + 7% State Surcharge + 10% Administrative Fee Fixture Storm Sewer -1st 50 Feet Storm Sewer Each AddtilOO' + 7% State Surcharge + 10% Administrative Fee Fixture Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Storm Sewer - 1st 50 Feet Storm Sewer Each Addti 100' +7% State Surcharge + 10% Administrative Fee PA VID NICHOLS r:t,yof Springfield Official Receipt /elopment Services Department Public Works Department 2200400000000000782 Date: 06/16/2004 8:55:16AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 45.00 14.00 4.13 5.90 45.00 14.00 45.00 14.00 28.00 10.22 14.60 14.00 45.00 14.00 5.11 7.30 14.00 45.00 4.13 5.90 45.00 14.00 4.13 5.90 $463.32 Amount Paid djb 1462 In Person Payment Total: $463.32 $463.32 : .' . .' 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