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HomeMy WebLinkAboutPermit Plumbing 2005-1-12 Status Issued , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01575 ISSUED: 01112/2005 APPLIED: 12/23/2004 EXPIRES: 07/12/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6463 Thurston Rd ASSESSOR'S PARCEL NO.: 1702341200700 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: 420 feet of private water line utility and common driveway storm sewer Residential Owner: WIRFS THOMAS G & DIANE M Address: PO BOX 237 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Sewer Contractor EMMANUEL EARTHWORKS INC License Expiration Date Phone 541-746-5630 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMAmIOJN,II law requires you to , :"', .)IP" adopted by the Oreaon "tility # o~Stone_S;IOi'l venter. Those rules 'L3t ~zf: r, HeJghj,.oJ-~!~~ftY'E~ -0010 through o:.ft%W. 1~ Flfuor: . Tm~gf~f8t may obtain copies oft~~f2~QFloor. Wate~c1i~n~:the center. (Note: the t~~1J 'FlEffi.gement: Ran~u?rr&e; for the Or U . . 9~PP~rage/Carport Energy Pat~ . egon ttltty N~qijt<OOter: Sprinkled Buii3Jltel: IS 1-800-;1Y\f-2344bccupant Load: I DEVELOPMENT INFORMATION 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: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ~MJ11HClE: PUBLIC IMPRO~M;EiNiS LL E:XPIKt n- I Ht vvunr\ AU I unlL .DER T~IS PERMIT IS NOT COMMENCED OR IS ~6~~~JJlfOR ANY 180 DAY PERIO[)I)ownspouts/Drains: Notes: I Valuation Description I Description Type 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: COM2004-01575 ISSUED: 01112/2005 APPLIED: 12/23/2004 EXPIRES: 07/12/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Storm Sewer - ht 50 Feet Storm Sewer Each Addtll00' Water Line - 1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid Receipt Number $17.40 $12.18 $14.00 $45.00 $14.00 $45.00 $56.00 1/12/05 1/12/05 1/12/05 1/12/05 1/12/05 1/12/05 1/12/05 1200500000000000051 1200500000000000051 1200500000000000051 1200500000000000051 1200500000000000051 1200500000000000051 1200500000000000051 Total Amount Paid $203.58 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 I Water Line: Prior to filling trench and including required testing. 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 cnnst~ ~ ~ '2- / i> ) j I' Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Sprirtgfield;Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01575 COM2004-01575 COM2004-01575 COM2004-01575 COM2004-01575 COM2004-01575 COM2004-01575 Payments: ' Type of Payment Check 1/12/2005 RECEIPT #: Description Water Line - 1st 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Fixture + 7% State Surcharge + 10% Administrative Fee Paid By COZY HOMES r.ty of Springfield Official Receipt ,velopment Services Department Public Works Department Item Total: Check Number Authorization Batch Number Number How Received 1200500000000000051 Received By djb 37300 Page 1 of 1 Date: 01/12/2005 1:59:26PM Amount Due 45.00 56.00 45.00 14.00 14.00 12.18 17.40 $203.58 Amount Paid In Person Payment Total: $203.58 $203.58