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Home My WebLink AboutPermit Plumbing 2004-6-4 / CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00656 ISSUED: 06/04/2004 APPLIED: 06/0412004 EXPIRES: 12/04/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1361 MODOC ST ASSESSOR'S PARCEL NO.: 1703362202100 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: New storm sump with catch basin and addtl drain line footage Owner: REESE MARK D Address: 1361 MODOC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor ERIC SCHEIDT CONSTRUCTION INC License 70178 I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Nf. Water Type: Secondary Construction Type~ 011 C . Ran~~ 'D,Pe: # of Bedrooms: THIS PERMIT SHALEriti~t;6tif: THE WORK , AUTHORIZED UNDE$pim~i&'B!iiMliligS NOT n/a GO!.Hi1UWCQ On 10 .\ll.AJjQONCO rOI1 ANY 180 D~MENTINFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential Expiration Date 11/24/2005 Phone 541-741-7299 . Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: ,...1 II:Pflumio.lMBR0~1 yo~ ~o tollow IUI~;;> C1UUI-'~vU lJl .1.", 3''''l::l n Utlh!y Notification Center. Those rules are set IHf\ftValk Type: in OAR 952-001-0010 through OAR 952-j)Qw.nspoutslDrains: 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification r,:mt~r ic:: 1-Rn~-2344). I Valuation Description I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft or, multiplier Square Footage or Bid Amount Total Value of Project Page 1 of2 Value Date Calculated _$PAI~.OF.11U.O iiI. ............- ....... WiL' . '. -. _.._, ._~_.___~.""...~.....,...."".........w,. . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00656 ISSUED: 06/04/2004 APPLIED: 06/04/2004 EXPIRES: 12/04/2004 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 Amount Paid Date Paid $8.70 $6.09 $42.00 $45.00 6/4/04 6/4/04 6/4/04 6/4/04 Receipt Number 1200400000000000850 1200400000000000850 1200400000000000850 1200400000000000850 Total Amount Paid $101.79 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 Insoections , 1 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 3 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 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. .6a/_Jk f -q-tJ'1 Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street SpringfiHd, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00656 COM2004-00656 COM2004-00656 COM2004-00656 RECEIPT #: Description Fixture Storm Sewer - 1 st 50 Feet + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard ERIC SCHEIDT 6/4/2004 ~4ii .....ity of Springfield Official Receipt Jevelopment Services Department Public Works Department 1200400000000000850 Date: 06/04/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000402 004332 In Person Payment Total: Page 1 of 1 9:52:04AM Amount Due 42.00 45.00 6.09 8.70 $101.79 Amount Paid $101.79 $101.79