The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2005-2-22 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00212 ISSUED: 02/22/2005 APPLIED: 02/22/2005 EXPIRES: 08/22/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1240 Q ST 'ASSESSOR'S PARCEL NO.: 1703261403302 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Water iine 25lf TYPE OF USE: Repair Residential Owner: SWAN STEPHANIE Address: 1240 Q ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor RAKOCZY WELKER ENTERPRISES INC License 56636 Expiration Date OS/22/2006 Phone 541-895-8606 # of Units: Primary Occupancy Group: . Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I BUILDING INFORMATION J to T ON: Oregon law leyu es YO~T A TTE~ 0 ~'St~ffpted by the Oregon U \ \~tot Size: tOI.\~wl.w1 ere~!limr.uq1llW\';e rules are set to .q Ft 1st Floor: ~Ot\tIC WJ\ ~~1 0 thrOugh OAR 952-00 q Ft 2nd Floor: In OAR fiijY~~tain copies ot the rules bS'q Ft Basement: 0090. ~'d.gpl fi [ (Note: the telephone Sq Ft Garage/Carport calliEie\!gfy rnr ~Gn Utility NotificatiOlliq Ft Other: numSp\fifOO~n,\rl{d . -332-234* Occupant Load: r~ntAr 's 1. I DEVELOPMENT INFORMATION I REQUIRED PARKING Vlhr Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: t.lnT\r.E.: -'ll"'lnr: 1I:: TI-\f: WORK I r-~~PIe\l~p~.Ji.ij:i~J~i1i'~II'PERMI1 IS NO \ AU I HunlLL .- NOOt'hcf.) rOR COMMENCEO OR IS A8A '-\1:J",VaI'k Type: , ANY 1 eo OAY PERIOO. Downspouts/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 Pae:e 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00212 ISSUED: 02/22/2005 ,APPLIED: 02/22/2005 EXPIRES: 08/22/2005 VALUE: , 225 Fi~th Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project .1 Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feet Amount Paid Date Paid $4.50 $3.15 $45.00 2/22/05 2/22/05 2/22/05 Receipt Number 1200500000000000235 1200500000000000235 1200500000000000235 . Total Amount Paid $52.65 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 Insnections 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 tlmes:2,:r~ I.~ -2-' C-b i 05 Owner or C'ontractors Signature Date Pa2e 2 of2 225 Fifth Street Sprin.,gfield; Oregon 97477 541-726-3759 Phone ,Job/Journal Number COM2005-00212 COM2005-00212 COM2005-00212 Payments: Type of Payment CreditCard 2/22/2005 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Paid By PAUL RAKOCZY City of Springfield Official Receipt velopment Services Department Public Works Department 1200500000000000235 Date: 02/22/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 022118 In Person Payment Total: Page 1 of 1 2:22:19PM Amount Due 3.15 4.50 45.00 $52.65 Amount Paid $52.65 $52.65