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Home My WebLink AboutPermit Plumbing 2006-8-31 Status: Issued 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: COM2006-01109 ISSUED: 08/31/2006 APPLIED: 08/28/2006 EXPIRES: 02/28/2007 VALUE: SITE ADDRESS: 1880 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: KING HENRY'S COURT Springfield TYPE OF WORK: Single Family Residence Residential PROJECT DESCRIPTION: Owner: Address: G & R BUILDING CONCEPTS 1135 CAL YOUNG RD EUGENE OR 97401 TYPE OF USE: New /--\ . \!. ('r'c~.,Phone Nnm,he.r.", ,,&1.-h06-1755 . ". '...j ";u."" I L'L~t!i1t:;5 yau-rcr :~,' '.:''' t:~s Orscan Utility .I 'u' , ~,". -~,:r. ',':J=e ru~cs are set forth '- . ;-L.,'U,-,u t~-;:'cL;~h C-~)'\R 952-001'- I CONTRACTOR INFORMATI0N ~C':j~c.iiJ,~C::;i':;s of liie rU:8s by , '"'"'rc.-,4......,... (:\":'001"-- t'~. , , , "~'>',, :;;,. "Yv. : l8 ,c:conone Contractor ii' Licensc;e C>E~njr~tjpJ) ilhl~~cat~one KEVIN MARK COHEN 131326::81" is 1.e,OlO.w!HV~IlO,fi:t.). 541-607-9208 BUILDING INFORMATION. Contractor Type Plumbing Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla , _Occ~ml"t Load: / J 1 1;_ I F \ I -j C ! I,t \) I \ I \ I DEVELOPMENT IN FORMAT,ION , '.1: ;,c ?Ec\:,:\\T \,j.:'.:J \ : , ",i" \~; ,:;"\UOil\EiJ tlR!EQUIRED pARKING # 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: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: .~ % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I , ,,!'':, Total: Handicapped: I Cotftpact: Sidewalk Type: Downspouts/Drains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01109 ISSUED: 08/31/2006 APPLIED: 08/28/2006 EXPIRES: 02/28/2007 VALUE: Status: Issued 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% Technology Fee + 8% State Surcharge Water Line - 1st 50 Feet Water Line - Each Addtll00' 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 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 Reauired Insoections . Drywell: Engineered DQ'well is Required. Provide the City with a copy of the DEQ application to keep on file. .--1J? ,t1 /J'U.i.....L:1 /~I )l, -~ (-Cir. \,./ I 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 ofthe 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. '-If7p p~ LA J~AZ ownet o-r Contractors Signatu~e I 25,,~ ('--6y Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . V~W~fWlW.,Q 0"" qf Springfield Official Receipt I .opment Services Department Public Works Department Job/Journal Number COM2006-01108 COM2006-0 II 08 COM2006-0 II 08 COM2006-0 II 08 COM2006-01108 COM2006-0 II 09 COM2006-0 II 09 COM2006-0 II 09 COM2006-0 II 09 COM2006-0 II 09 COM2006-0 III 0 COM2006-01110 COM2006-0 III 0 COM2006-01110 Payments: Type of Payment Check c Receint I 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 I 00' + 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. 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 1 2:29:48PM 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 8/31/2006