HomeMy WebLinkAboutPermit Plumbing 2006-3-6
.~,.. Status
Issued
:h_ CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00254
ISSUED: 03/06/2006
APPLIED: 03/02/2006
EXPIRES: 09/06/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5129 C ST
') ASSESSOR'S PARCEL NO.: 1702333201100
I PROJECT ~ESCRIPTION: Site work for partition
Springfield TYPE OF WORK: Right of Way Permit
TYPE OF USE: New
Residential
Owner:
.- Address:
BRANDT-DRURY J M
PO BOX 1473
SPRINGFIELD OR 97477
..
I CONTRACTOR INFORMATION'
Contractor Type
General
Contractor qC~llttquire~1:pjIt3tion Date Phone
BLUE POOL CONSTRUon~'N~N: Ore1~~'Q~9,1 nrpnon uP.~l95/2006 541-913-8039
I BU~-D~G;'INOOIiM^Ti<iiN;' rules are set fort~
~ .. R 952-001-0010 through OAR 95~-0~~,
l~ C\~t~ies: a obtain copies of the ~Otf~iZe:
~~~ ~ffu8't'tfl~r. (Note: the tele~S!FHst Floor:
T~I~~Ht~~ the Oregon Utility NotlfSq.iFtr2nd Floor:
Wlife"Fl:t%.~ is 1-800-332"2344). Sq Ft Basement:
Range Ty~ nter . Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
. Secondary Occupancy Group:
" Primary Construction Type
"
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION.
'.,. Frontyard 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:
Notes:
I PUBLIC IMPROVEMENTS I t 'NOR"'-
l\01\C~'. 1; SHr:--\..\.. tsUi~\l~1S ~01
1H\S Pt~~~D u~DtRr;~\~~t!Olf~~:
t\U1HO CEO OR \S M~
CONlNlE~O Ot\'l PER\OO.
t\~'l ~ 8
Street Improvements:
Storm Sewer Available:
,~ Special Instruction:
"
-'
l
I Valuation DescriPtion'
.. Description .
l..,t
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
, Pal!e 1 of 2
~~'-~ _c....~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00254
ISSUED: 03/06/2006
APPLIED: 03/02/2006
EXPIRES: 09/06/2006
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
+ 8% State Surcharge
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - Ist 50 Feet
Storm Sewer Each Addtll00'
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid Date Paid Receipt Number
$17.70 3/6/06 2~00600000000000267
$14.16 3/6/06 2200600000000000267
$45.00 3/6/06 2200600000000000267
$14.00 3/6/06 2200600000000000267
$45.00 3/6/06 2200600000000000267
$14.00 3/6/06 2200600000000000267
$45.00 3/6/06 2200600000000000267
$14.00 3/6/06 2200600000000000267
Total Amount Paid
$208.86
I Plan Reviews'
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.
LReouired Insoections .
Water 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.
By signature, I state and agree, that I have c~refully examined the completed application and do hereby certify that a~l
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 construction.
~~/_..
/!?2Vt.-, ~ / _____ ~
o~r/contractors Si~
Date
Pa~e 2 of2
2,Z5 Fifth Street
Springfield, Oregon 97477
541-7~6-375"9 Phone
,
'.,
'i:
Job/Journal Number
COM2006-00254
COM2006-00254
COM2006-00254
COM2006-00254
C;OM2006-00254
COM2006-00254
COM2006-00254
COM2006-00254
~~yments:
type of Payment
deditCard
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17
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3/6/2006
,..,ity of Springfield Official Receipt -
.Jevelopment Services Department
Public Works Department
RECEIPT #:
2200600000000000267
Date: 03/06/2006
1:52:13PM
Description
Sanitary Sewer -,1st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
45.00
14.00
45.00
14.00
45.00 '
14.00
14.16
17.70 ' :
$208.86
Paid By
MICHAEL BRANDT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 026851 In Person
Payment Total:
$208.86
$208.86
Amount Paid '
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