HomeMy WebLinkAboutPermit Plumbing 2005-11-14
I
, CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2005-01602
ISSUED: 11/1412005
APPLIED: 11/14/2005
EXPIRES: 05/14/2006
VALUE:
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 835 Willacade Ct
ASSESSOR'S PARCEL NO.: 1703341408200
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Repair storm sewer line
Owner: BAUMANN JOHN & RETT A
Address: 835 WILLACADE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
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:
nla
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
. __.,... % of Lot Coverage:
\': Oregon law requires you to
" ~,,'n:):::or: hI! thp nn:''::f'ln I 'tilit~'
. '~';~8r. . ~1:OS~lffilfD"lI!MmOOtEMENTS I
, i -CO"I 0 lhro CJ I UI-\r\ :j:JL:-UU 1-
Sidewalk Type:
/ o~lain co~ie~ o'fthe rules by ({OIlCE' .
::;c;'~~er. (NOl8:.L.:le tel~pho~e THIS . Downspouts/Drams:
.12, Jregon Utility NotificatIon f UTH~ERMIT SHAll EXPIRE IF THE WORK
0r IS i -800-332-2344). (,10 RilED UNDER THIS PERMIT IS NOT
~ MMENCED OR IS ABANDONED FOR
ANY 1 an nAY PJ:~D~.
I Valuation Description I
Total:
Handicapped:
Compact:
Front yard Setback:
Side t Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
I
I
CITY OF SPRINGFIELD'
Building/Combination Permit
Status:
Issued
PERMIT NO: COM2005-01602
ISSUED: 11/14/2005
APPLIED: 11/14/2005
EXPIRES: 05/1412006
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
+ 7% State Surcharge
Storm Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$45.00
11/14/05
11/14/05
11/14/05
3200500000000000636
3200500000000000636
3200500000000000636
Total Amount Paid
$52.65
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 he made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired Insoections .
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
By signature, 1 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
tim" d~'tng ~'t'"~ . _
)2 /~ ~ CJ 11- 1'1-0::'
, 7''' n, Cont...do" Stgnatn.. ;fiat'
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II
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1602
COM2005-0 1602
COM2005-0 1602
Payments:
Type of Payment
CreditCard
11/14/2005
RECEIPT #:
I
Description
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JOHN BAUMANN
'of Springfield Official Receipt
elopment Services Department
Public Works Department
3200500000000000636
Date: 11/1412005
9:11:35AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
lkw
7004668
331835 In Person
Payment Total:
$52.65
$52.65
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