HomeMy WebLinkAboutPermit Plumbing 2005-7-13
Status: Issued
225 Fifth Street, Springfiel(,I, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD -
Building/Combination Permit
. PERMIT NO: COM2005-00905
ISSUED: 07/13/2005
APPLIED: 07/13/2005
" EXPIRES: 01/13/2006
VALUE:
SITE ADDRESS: 3994 VITUS LN APT 1
ASSESSOR'S PARCEL NO.: 1702300000500
Springfield TYPE OF
Plumbing Only
TYPE OF USE: Repair
PROJECTDESCRIPTION: Replace approx 1501fwater line from meter into courtyard
Residential
Owner: OLMA REYNOSO'
Address: 4251 FRANKLIN BLVD
EUGENE OR 97403
Phone Number: 541-746-1301
I CONTRACTOR INFORMATION I
Contractor Tvpe
Plumbing
Contractor
DOUGLAS LEE JONES
License'
104606
Expiration Date
02li 7/2007
Phone
541-747-1254
I BUILDING INFORMATION.
, # of Units: # of Stories: ,
Primary Occupancy GroupATTENTION: Oregon~ires you to
Secondary Occupancy follow rules adopted bY~ceq!)M~n Utility
Yrimary Construction TYNotification Center. ThoWeWllEMHfe set forth
Secondary Construction in bAR952-001-001 0 t1.1Mo~ft tr~:952-001- .
# of Bedrooms: 0090. You may obtain 1~~!~'of~!~:rules b
II' ~S1 riD Ie ' y
, ca Ing the center. {N e: I e elephone
numoer TOr tn~~&NJfI~RMATION
Center E ff} II}. I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
, Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay nist: '
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
~i'-" .
"\ .
Notes:
I I ~
IPUBLIC IMPROVEMENTS I
NOnCE: Sidewalk :rype: ' ,
THIS PERMIT SHALL EXPIRE IF THE WO%~wnspouts/Drains
AUTHORIZED UNDE'R THIS PERMIT IS NOT '", ,,' I ,
COMMENCED ORIS ABANDONED FOR '," '".,'
ANY 180 DAY'PERIOD.
, Street
Storm Sewer Available:
Special Instr:u~tio~: '
, I Valuation Description I
Type of Construction
$PerSqFt
or multiplier '
i' ,
Descrip~ion
Square Footage
or Bid Amount
Value
Date ~alculated
, iof2
,,'
_G~R""_ELD ~
1IIrL~.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITYOFSPRING111ELD'
Building/Combination Permit
PERMIT NO: COM2005-00905
ISSUED: 07/13/2005
APPLIED: 07/13/2005
EXPIRES: 01/13/2006
VALUE:
Total Value of Project
[.,Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid Date Paid Receipt Number
$5.90 7/13/05 1200500000000000994
$4.13 7/13/05 1200500000000000994
$45.00 7/13/05 1200500000000000994
$14.00 7/13/05 1200500000000000994
Total Amount
$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.
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 wiD 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
the street, that e
at all time ri c
re that all equired inspections are requested at the proper time, that each address is readable from
it car located at the front of the property, and the approved rfPlans will remain on the site
~/-- 7/13~5-
Date/
,
ow,~ or ContraC~ignature
2 of 2
225 Fifth~treet "
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
;velopment Services Department
Public Works Department
RECEIPT #:
1200500000000000994
Date: 07/13/2005
1:58:22PM
Job/Journal Number
COM2005-00905
COM2005-00905
COM2005-00905
COM2005-00905
" Description
Water Line - 1st 50 Feet
Water Line ~ Each Addt1100'
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Check
Paid By
o REYNOSO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1509 In Person
Payment Total:
Amount Due
45.00
14.00
4.13
5.90
$69.03
Amount Paid
$69.03
$69.03
','
7/13/2005
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