HomeMy WebLinkAboutPermit Plumbing 2005-2-15
-;
Status
Issued
,-- CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00126
ISSUED: 02/15/2005
APPLIED: 02/0112005
EXPIRES: 08/15/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6967 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353306000
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Private utilities for lot subdivision
Owner: V ANDERPLOEG DAVID
Address: 36846 PARSONS CREEK RD
SPRINGFIELD OR 97478
Contractor Type
Plumbing
Contractor
GREEN SUNS INC
I CONTRACTOR INFORMATION I
OU \0
\NLJ~~iis~~; \.):ID~'b~ation Date Phone
" ' r, r~r'~~ ~~ ~('J66~:~iP. se~ ~~JI9/2006 541-933-1020
BUILDING INFORMA:FI@N' Op.,.~ 95~es '0'1
. ,J '~~\ c.e{\W" 0 \'{\~o , (\ 0\ \'{\e ~u {\6
\ #:\of(S(o'ries:~y\ .00'\ '{\ co?\eS '(\e \e\e?'0E~bWze:
\:'.)~)~gtnJ~f'S\f;.~ctUM'\ \~o\e" :'\'1 ~o\\\\~ Ft 1st Floor:
\(\T~~rOf>FI~a~:ce{\\e~. go{\ \.)\\\\ 2,';)1\1\). Sq Ft 2nd Floor:
c-wt.h~(l..Y~: \'{\e O~e '000-';)';)2-' Sq Ft Basement:
RaCfi~'ll~pt?~ \et \S '\- Sq Ft GaragelCarport
En\)rgy PaHi~{\ Sq Ft Other:
Sprinkled Building: nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Gt\\(landicapped:
Paved Drive Rqd: W ,\\'t, \N .Compact:
% ~Lot'€.'i)Vera~e~t\\ \.. 't,i\~\"'t, CO~\, \S ~G \
~~ t ~v ~\, 'SIlt"'\- \\\S ~\-D Ot\
'"1"\JIC, ~'t,,, _.... \ \ND't,t\ , _ . ,,'r\(\~'t,D r
I PUBLIC '~PR0.ft'~~~JiS f("\~~~"-
f'\j\\lIW'....' v 't'tD V
\.J \.1 '\ COG D~l Sidewalk Type:
I\Nl
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00126
ISSUED: 02/15/2005
APPLIED: 02/0112005
EXPIRES: 08/15/2005
VALUE:
225 Fifth Street~Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Water Line -1st 50 Feet
'Water Line - Each Addtll00'
Amount Paid Date Paid Receipt Number
$20.50 2/15/05 1200500000000000201
$14.35 2/15/05 1200500000000000201
$14.00 2/15/05 1200500000000000201
$45.00 2/15/05 1200500000000000201
$45.00 2/15/05 . 1200500000000000201
$45.00 2/15/05 1200500000000000201
$56.00 2/15/05 1200500000000000201
Total Amount Paid
$239.85
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. .
LReQuired Insnections I
Wafer Line:. Prior to filling trench and including required testing. ,
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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 com~liance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested 't the proper time, that each address is readable from the
2)52;'21:ot of the prop"~, d the approvoo set o~~o: ~:r~=iO 0.0 ~e ,;re at aU
Owner or Contractors Signature
Date
Pa!!e 2 of 2
225 Fifth Street
SprjngfieM, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00 126
COM2005-00 126
COM2005-00126
COM2005-00 126
COM2005-00126
COM2005-00126
COM2005-00126
Payments:
Type of Payment
Check
2/15/2005
RECEIPT #:
Description
Storm Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Sanitary Sewer - 1st 50 Feet
Fixture
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JULIE VANDERPLOEG
('ity of Springfield Official Receipt
lelopment Services Department
Public Works Department
1200500000000000201
Date: 02/15/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2058
In Person
Payment Total:
Page 1 of 1
2:25:49PM
Amount Due
45,00
45,00
56,00
45,00
14,00
14.35
20.50
$239.85
Amount Paid
$239.85
$239.85