HomeMy WebLinkAboutPermit Plumbing 2006-11-3
Status
Issued
':ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01414
ISSUED: 11/03/2006
APPLIED: 11/03/2006
EXPIRES: 05/03/2007
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
Residential
PROJECT DESCRIPTION: Install approx 201fwater line
Owner: CLOUSE JOHN W & LYNNE M
Address: 718 S 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
GARY MCMICHAEL
License
28832
Expiration Date
09/21/2007
Phone
541- 744-9099
VB
BUILDING INFORMA nON I
l~rrf.iA~lON:ore Lot Size:
N ~i~{l ?ft8hlIf:f~'tJPtg~n law reqUires~fJ.. Ft., 1st Floor:
in eroflffit~l(!ente T by the Oreg ~lt~~\2Ind Floor:
aPer9B)3l~D1_0 r. hose rUles aro""sG1ti'4i~asement:
OOiQnge)1})jp~y b 010 through OAR e ~tli'o~~lfage/Carport
CEi/e~1g' Niii~ . 0 tain Copies f 9,sq-ec(1)ther:
m8'"~e\i~e9rBfiuft{Jtfi\f; (Note' tillPa the n0(?(gJeant Load:
, u r e n,.",,__ . fie te/t:lnh_ J
I DEVELOPMiN"T~F_~i~'J\lOtif;C~-ti~~
-~4). REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
NO.,J'aved Drive Rqd:
'<<:lfJ'Lot Coverage:
THIS PE .
~:~~~, IF THE W
ANy 180 lJtD OR ISAB PfR~jd~~~~ype:
OAYp A NOON '~NOT
fRIOO. fOIffl7pspoutS/Drains:
Total:
Handicapped:
Compact:
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
.=ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01414
ISSUED: 11/03/2006
APPLIED: 11/03/2006
EXPIRES: 05/03/2007
VALUE:
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
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$45.00
11/3/06
11/3/06
11/3/06
11/3/06
Receipt Number
2200600000000001539
2200600000000001539
2200600000000001539
2200600000000001539
Total Amount Paid
$55.35
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 ReQuired Insoections I
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 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
/~:;?~tioo. t/~:?-c>?
O~r Con't:actor; Signature Date
Pa!!e 2 of 2
225 Fifth Sireet
Spri~gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1414
COM2006-0 1414
COM2006-0 1414
COM2006-01414
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
JOHN CLOUSE
Ci;- '\f Springfield Official Receipt
D" .opment Services Department
Public Works Department
2200600000000001539
Date: 11/03/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
332
In Person
Payment Total:
Page I of I
8:53:34AM
Amount Due
2.25
3.60
4.50
45.00
$55.35
Amount Paid
$55.35
$55.35
11/3/2006