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HomeMy WebLinkAboutPermit Plumbing 2004-6-16 Status 225 Fifth Street, Springfield, OR ' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00691 ISSUED: 06/16/2004 APPLIED: 06/11/2004 EXPIRES: 12/16/2004 VALUE: SITE ADDRESS: 4762 Rocky Rd Springfield TYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: ROCKY RD SUB LOT 9 TYPE OF USE: New Residential PROJECT DESCRIPTION: ' 8' 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' 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: 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 Notes: I DEVELO~~NT INFORMATION I u'r- 't~ ('\ , :/ ~\'I;'~ S ~\; , Front yard Setback: r:x\~'" '\ ~*\'l:)Vr\'\l.ay Dist: Side 1 Setback: \.. "'~ S x>~ x,~ '$'tteet Trees Rqd: Side 2 Setbac"': ~. CO\\~~ ~ ,y...'\ ~'V\j~ Paved Drive Rqd: Rearyard Setb.!\~\~ ",~*v.. 'V>~'V~ S ~<Q~ % of Lot Coverage: Solar Setbacks~ ,\\CO x> o..\1."'\) \j~ '\ ('\,\). ~ '1;' .. \f\P r('" ,ro.\'v "l ' rl' \" ~v' ,<,vrQJ ~. , ~~ C'\**"'~C'\ \)~ I PUBLIC IMPROVEMENTS I \ 1$\ '}0\\J '}o\ ~00..~~~ <:,\.1 \ <Q\J , . O~'1 0~ t~\\ Of;) Street Improvements;~'\ ' , . .-9~1J~~-:J:j ot~~'Y.Wl.t-.'Oe ~\ r", 91~~u ~ ~ '~0\\j ~,,\\V ~~O Storm Sewer Available:.:' "~fV,\~~'0\0~ID_~U~,~~\).,o~ Special Instruction: o~-eO\\\).Q 0\ eu." ~o.O'J u.~ ",Of:! \~ \).O~-e ~O\\O~ ~ 0\)O,^00~u.\ \p ~~"'o'}~,() .~e~ ~ S0\~ ~v.'4' , S0\fI~ ~~O ~ ~ 9'O0~~ 0\009 .~O~~ ~o.. _ .-1GtO, ~'" s0\'" J" (..0.. '9 .f'C>.~O . I V aluation D~~t~oWJ, ~~0~r~-e\ v . 0\\ ' $ Per Sq Ft ~4~a~e Footage ' or multiplier or Bid Amount REQUIRED PARKING Total: Handicapped: Compact: Description Type of Construction Value Date Calculated Total Value of Project Pafe t.of2 -~;~ ~. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00691 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 LFees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Storm Sewer - 1st 50 Feet Amount Paid Date Paid Receipt Number $5.90 $4.13 $14.00 $45.00 6/16/04 6/16/04 6/16/04 6/16/04 2200400000000000782 2200400000000000782 2200400000000000782 ,2200400000000000782 Total Amount Paid $69.03 Plan Reviews, 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 during construction. ~~ ~Ld _/~ v -6v...." u. Contractors Signature G..K t0J€::/d2 ( -- /6 r 011-- Date Pal!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 COM2004-00691 COM2004-00691 COM2004-0069I COM2004-00692 COM2004-00692 COM2004-00692 COM2004-00692 (':tv of Springfield Official Receipt elopment Services Department Public Works Department, RECEIPT #: 2200400000000000782 Date: 06/16/2004 8:55:16AM 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 Addtl 100' 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 Surchaq~e + 10% Administrative Fee Fixture Storm Sewer - 1st 50 Feet + 7% State Surcharge , + 10% Administrative Fee Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee 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 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1462 In Person ,Payment Total: Payments: Type of Payment Paid By Check DAVID NICHOLS 6/16/2004 Amount Paid $463.32 $463.32 I' Page 1 of 1