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Home My WebLink AboutPermit Plumbing 2004-6-16 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00688 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: 4731 Rocky Rd Springfield TYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: ROCKY RD SUB LOT 3 TYPE OF USE: New Residential PROJECT DESCRIPTION: 13~rStorm Sewer Line 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 lSUILUING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Con~~ruction 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 ;'n, I D~r~~~ENT INFORMATION I \~\ ~\S Frontyard Setback: ~\~<<. -::.v~~ ~rlay Dist: Side 1 Setback: ~\,\, "<. A;\:~S <? f0~<';'::V # Street Trees Rqd: Side 2 Setback: ("~. ~ S'<' Sj'X-~ ~'I(-..~\j Paved Drive Rqd: Rearyard Setb~\.9 -::.v~*\ \) \0~ \S ~ % of Lot Coverage: Solar Setbac~, \\S <? a...\\...~ ('\ \)~ o..\\)\) 0 "\'r\ \,('II\" 'f'~v ""~~ , ~\ !..~':.~-' ~ ' ~ \j\)*\'\ CO\) \) StreetImprovemen~~~ Storm Sewer Available: Special Instruction: REQUIRED PARKING Notes: Total: Handicapped: Compact: ~~ 90.\P~\) ~~ )O\~ ~~ ;J:.&\ . ,",If\, ~ ~u'\.Jf'(\ I PUBLIC IMPROVEMENT~-tr't~ \)oro~~~\U~;; ~O}..'t:\'<lO u\ t~. ",\~)r(\ r&~ ~ ~ f-.1 ~'t~ro l)~~0~ ~-e~\\~0~ e~ ~\6.0l)~~\.O~~~ \)o~-e tt-O\\O\ \).0. ~6.e~ 0 ~Own.~ljil9fHfjfs,:~~ ~ \~ eUO e~ ~ ~~u" ~\.. ~~' ~-e~ . ~?y fbef') ~O ~ ~ efbO 90\60 .~O\V ~ "0. ..,~& '" fb'<"'~ . \'\. "'0. c:..e)O . rP'u e);;' e...... uOv .~ 0\ \efb or(0)O e) tt--e\ \.~ .?~ ..p'd txF' o~,;>>..,. I Valuation DescriPtioIPf . , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00688 ISSUED: 06/16/2004 APPLIED: 06/1112004 EXPIRES: 12/1612004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line LFees Paidj Fee Description + 10% Administrative Fee + 7% State Surcharge Storm Sewer - Ist 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid Receipt Number $5.90 , $4.13 $45.00 $14.00 6/16/04 6/16/04 6/16/04 6/16/04 2200400000000000782 2200400000000000782 2200400000000000782 2200400000000000782 Total Amount Paid $69.03 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 Insnections . Storm Sewer Line: Prior to fIlling trench. 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~pringfield 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 co ction. c -(,6 - 04- .9w1rer or (.OllllCluu..; Signature GU;;:/u~ Date Pae:e 2 of2 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 COM2004-0069I COM2004-0069I COM2004-00692 COM2004-00692 COM2004-00692 COM2004-00692 Payments: Type of Payment Check 6/16/2004 RECEIPT #: :.:-:a",,' ,. WfL........ r:tv of Springfield Official Receipt lelopment Services Department Public Works Department 2200400000000000782 Date: 06/16/2004 Description Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' + 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 Surcharge + 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 Paid By DAVID NICHOLS Received By djb Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 1462 In Person Payment Total: 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