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Home My WebLink AboutPermit Plumbing 2006-11-28 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01414 ISSUED: 11/03/2006 APPLIED: 11/03/2006 EXPIRES: 05/28/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5693 Mt Vernon Rd ASSESSOR'S PARCEL NO.: 1802041401200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Install approx 201fwater line and connect existing house to sewer Residential Owner: CLOUSE JOHN W & LYNNE M Address: 718 S 68TH PL SPRINGFIELD OR 97478 Phone Number: 541-746-8765 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor GARY MCMICHAEL License 28832 Expiration Date 09/21/2007 Phone 541-744-9099 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: J ~ A~pe: Sq Ft GaragelCarport O~'W!!rf,*lJn 00 Sq Ft Other: Jtb'o..sp~?J.~u1dl~tts ~}j]d ~/a Occupant Load: Iyt "Ill, ~ ~/I. 'j I/~ vn (l;o I DEVELo;1~f~1~/jf)kt ~Nt>' .!, , I/;I/f.n~l/, 'I1!O() REQUIRED PARKING S JIItV}jl OIlJOt>' ."1. d SIII.[ '3/J.O/IJ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: '. FuIlyImpfoved "., - - - Yes .t. , . J' t. I PUBLIC IMPROVEMENTS I ".' ' 'sidewalk Type: " 'J " < 'Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Quick review done from owners information at fro~t !:0.uflte'r4or Dayid B. JLP 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 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Water Line - 1st 50 Feet + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Total Amount Paid Public Works Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01414 ISSUED: 11/03/2006 APPLIED: 11/03/2006 EXPIRES: OS/28/2007 VALUE: Total Value of Project ~ Amount Paid Date Paid Receipt Number $4.50 $2.25 $3.60 $45.00 $4.50 $2.25 $3.60 $45.00 $336.44 $442.45 $38.94 11/3/06 11/3/06 11/3/06 11/3/06 11/28/06 11/28/06 11/28/06 11/28/06 11/28/06 11/28/06 11/28/06 2200600000000001539 2200600000000001539 2200600000000001539 2200600000000001539 2200600000000001625 2200600000000001625 2200600000000001625 2200600000000001625 2200600000000001625 2200600000000001625 2200600000000001625 $928.53 I Plan Reviews I 11/28/2006 12/2812006 APP JLP Quick review done from owners information at front counter..for David B. JLP 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. ~eouireCUnsnections I Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Pa!!e 2 of 3 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: COM2006-01414 ISSUED: 11/03/2006 APPLIED: 11/03/2006 EXPIRES: 05/28/2007 VALUE: 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 st~ucture 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 s~reet, tha.!.9J.~_pe. it ~ard is located at !lw.Jront of the property, and the approved set of plans will remain on the site at all times dUrIng con ructIon. /" (~G~ O~~tra&~)fS SIgnature Pa!!e 3 of 3 1(-:L<6 ~ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C'. . of Springfield Official Receipt L elopment Services Department Public Works Department Job/Journal Number COM2006-01414 COM2006-01414 COM2006-0 1414 CO M2006-0 1414 COM2006-01414 COM2006-01414 COM2006-01414 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000001625 Date: 11/28/2006 Description + 8% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC SanitarylStorm Admin + 5% Technology Fee Paid By JOHN CLOUSE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 075083 In Person Payment Total: Page I of I 1l:54:42AM Amount Due 3.60 4.50 45.00 442.45 336.44 38.94 2.25 $873.18 Amount Paid $873.18 $873.18 11/28/2006