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Home My WebLink AboutPermit Plumbing 2006-8-31 Status: Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-01108 ISSUED: 08/31/2006 APPLIED: 08/28/2006 EXPIRES: 02/28/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1870 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: KING HENRY'S COURT Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Water line to site Contractor KEVIN MARK COHEN , ~"" r""~' .ires \IOU LU (', ''''Phone Number.: _" ,t"", ;'~rc;c:on Udlll}/ L\......" -.J "_ ;s? rules are set forth ,"~" ~',', _J ,~h ,,",~p' QS2.001- I CONTRACTOI~J'iNF6"R~~~~~~:1 ."~;~\;S ot the rules by , (" ,t\ telephone r' "h'" cerner. \I'~ote: 1e , , ' Cc.dll!g, v I I+i\itl' NntlllcQ!lon numDer forlliicense9on E'xni~aWm Uate Cerlt31-j261-800.332'?()9t~/2006 541-606-1755 Owner: Address: G & R BUILDING CONCEPTS 1135 CAL YOUNG RD EUGENE OR 97401 Contractor Type Plumbing Phone 541-607-9208 BUILDING INFORMATION I ',',n" 1'1""":, "1)./1 ~ U 'J,' , # of Stories: Height of Structure TypeofHeat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: n/a Front yard Setback: Side 1 Setback: , Side 2 Setback: Rearyard Setback: Solar Setbacks: I HI.:J t-":"-:..t.1'111 ' ,. il J I I VllI11'-- ~r Tllr l/l./r\.-'l( , -D'EY,EL'OP'MENT I'NFORMkTION \ .'-\UTrHJ~::::''''; ~I~~=:: ~:;;~ Llt:'}',;.;u I~V COMI\jiENCED OR IS ABANDONED FOR ANY 'i 80 Q/W 9~M~hDlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: fl., I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 CITY OF SPRINGFIELD" Status: Issued Building/Combination Permit PERMIT NO: cOM2006-01108 ISSUED: 08/31/2006 APPLIED: 08/28/2006 EXPIRES: 02/28/2007 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 + 5'10 Technology Fee + 8% State Surcharge Water Line - 1st 50 Feet Water Line - Each AddtI 100' Amount Paid Date Paid Receipt Number $5.90 $2.95 $4.72 $45.00 $14.00 8/30/06 8/30/06 8/30/06 8/30/06 8/30/06 2200600000000001219 2200600000000001219 2200600000000001219 2200600000000001219 2200600000000001219 Total Amount Paid $72.57 I 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. r Reauired Insoections . Water Line: Prior to filling trench and including required testing. 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. --1d~ LJ ~1Jbr . ' - I Owner or Contractors Signature ~-7.)- 010 Date Page 2 of2 225....Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-01108 COM2006-01108 COM2006-0 II 08 COM2006-0 II 08 COM2006-01108 COM2006-01109 COM2006-01109 COM2006-0 II 09 COM2006-01109 COM2006-01109 COM2006-01110 COM2006-01110 COM2006-0 III 0 COM2006-0 III 0 Payments: Type of Payment Check cReceintl RECEIPT #: Description Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By G & R CONCEPTS, INC. _of Springfield Official Receipt elopment Services Department Public Works Department 2200600000000001219 Date: 08/30/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 2212 In Person Payment Total: Page I of I 10:40:44AM Amount Due 45,00 14,00 2.95 4,72 5,90 45,00 14,00 2,95 4.72 5,90 45,00 2,25 3,60 4,50 $200.49 Amount Paid $200.49 $200.49 8/30/2006 54 I -726-3753 Phone 541-726-3676 Fax Description Water Line - 1st 50 Feet Water Line - Each Addtl100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee . Trans Code 1005 1005 2099 1099 1098 Lase 11: LUlVllUUb-UllUlS 1870 Hayden RtA., Rd G & R BUILDING cO~PTS Reven ue Account Number Date Calculated By Calculated Original Amount 224-00000-425603 8/28/2006 224-00000-425603 8/28/2006 100-00000-425605 8/28/2006 821-00000-2 I 5004 8/28/2006 224-00000-426605 8/28/2006 C~ ... (!) II~ €:J ~-OII(97 DLM DLM DLM DLM DLM Total Due: 45.00 14,00 2.95 4.72 5.90 4:41:25PM Amount Due 45,00 14.00 2.95 4.72 5.90 $72.57 72...~ 7 I Td r,.,,-L S-S-,"!,r.. C~ -~II 0 T t97'+.c ;pU e '2&0 · -I ~ r~77+t b--- ~;(M'J iU1tt;tlt7f )-,jI1 ~(;jL- rJflIP/7S t ~/7fJ}y,