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Home My WebLink AboutPermit Plumbing 2004-6-16 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00689 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: 0 758 S 47th PI ASSESSOR'S PARCEL NO.: ROCKY RD SUB LOT 5 Springfield TYPE OF WORK:, PlumbiQg Only TYPE OF USE: New PROJECT DESCRIPTION: 140' Storm Sewer Line, 130' Sanitary Sewer Line, 2 Catch Basins Residential Owner: PACIFIC WEST ENGINEERING, INC Address: 3610 GOOD PASTURE LOOP EUGENE OR 97401 Phone Number: 541-344-2215 I CONTRACTOR INFORMATION' Contractor Type' Contractor License Expiration Date Phone I 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 Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' o \)~'t-. Frontyard Setback: \\\~ ~ ~1lay Dist: Side 1 Setback: ~(~ ~\ ;~treet Trees Rqd: Side 2 Setback: (,;,f$~ ~~~ ~ <(~aved Drive Rqd: Rearyard Setback:. ' ~~\,\, \~S~\~~~~ % of Lot Coverage: Solar SetbackS~\~~' ~\ c;) ~~~~ ~~~\' '~C) ...~ ~ \~ ,c.. ,! ...\~S ~\)~1..~~\) \)~~~\)\). I PUBLIC IMPROVEMENTS I 0 ~#"J (Ii()..~\~ Street Improvetn~\~~~~ \)~.~ . 0 surefa~~ 'O~~.~~ ~ ~~)I.. \~ ~~9_..~ (:00.. ~O ~ Storm Sewer Aval~~:, :tct.'u_ w:.l\~~~~ ~o Special Instruction: ~1; ,~(\ ~ .J'A~ rJSu..-:~::c,~~ .\'f'I-: ~). .0'\0\.... ~\'V. dS~ If) v -'~ ~ Notes: ~~o~'\ 0~ ~~o~~a't '~A ."~' \\O~ ,..u00~,t..\0 \f)~ ..t;,0~1~~^'~O ,,?J 0~ = ~v ~- ~.,~~ Valuation Descri f-i) 0~~~0~~ _~ ofO bf,/J ~ $ Per Sq Ft Sq~l.~qt~tP~ V I or multiplier or Bid~&~t a ue~, REQUIRED PARKING Total: Handicapped: Compact: Description Type of Construction Date Calculated Total Value of Project Pae:e 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Sanitary Sewer - Ist 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - Ist 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid $14.60 $10.22 $28.00 $45.00 $14.00 $45.00 $14.00 6/16/04 6/16/04 6/16/04 6/16/04 6/16/04 6/16/04 6/16/04 Total Amount Paid $170.82 I Plan Reviews I CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00689 ISSUED: 06/16/2004 APPLIED: 06/11/2004 EXPIRES: .12/16/2004 VALUE: Receipt Number 2200400000000000782 2200400000000000782 2200400000000000782 2200400000000000782 2200400000000000782 2200400000000000782 2200400000000000782 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. LReouired Insoections I Storm Sewer Line: Prior to filling trench. Sanitary Sewer Line: Prior to filling trench and including required testing. 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 during constru . n. ~ Own... v. ~v..l. ....lors Signature GQst0~ Pae:e 2 of 2 C ~(6' r-Q &/ Date 225 Fifth Street .. , Springfield, Oregon 97477 541-726-3759 Phone Y~;~~,"""'" .',',. ~,'._~,;-,_.'O~_ ! ~.~..o_,.J r:..y of Springfield Official Receipt velopment Services Department Public Works Department 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 COM2004-00691 COM2004-00691 COM2004-0069I COM2004-00692 COM2004-00692 COM2004-00692 COM2004-00692 Payments: Type of Payment Check 6/16/2004 RECEIPT #: 2200400000000000782 Date: 06/16/2004 Description Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl100' Storm Sewer- 1st 50 Feet Storm Sewer Each Addtl 100' Fixture + 7% State Surcharge + 10% Administrative Fee Fixture Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 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 AddtllOO' + 7% State Surcharge + 10% Administrative Fee Paid By DAVID NICHOLS Item Total: Check Number Authorization Received By Batch Number Number ~ow Received djb 1462 In Person , Payment Total: . 00.\ ',-. .: . . ........1:.. <t I,i. 4,Y~" Page I of I 8:55:16AM 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 $463.32 $463.32