HomeMy WebLinkAboutPermit Plumbing 2004-11-4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01368
ISSUED: 11/0412004
APPLIED: 11/04/2004
EXPIRES: 05/0412005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 785 Aspen Street Springfield TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO.: ASPEN PARK SUB LOT l
TYPE OF USE:
PROJECT DESCRIPTION: Septic abandonment - tank served 797 Aspen St
Alteration
Residential
Owner: KFP PROPERTIES LLC
Address: 2445 LARALEE ST SPRINGFIELD OR 97477
Phone Number: 541-520-5068
Contractor Type
Plumbing
Contractor
ROBERT D STORRS
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''\IV U UIbiJI..., _._ Cl'!\l' h='){DIRE IF THE WUlil\
I CONT~~6Rt'INiFO~~ PERMIT IS NOT
AU I HUKILt:U um.lL.. . ,. t-...\ED FOR
COMMENCED Oft,i~~h~~ND~xpiration Date
~NY 180 DAY Pt169'4ij. 11/08/2005
Phone
541-689-7574
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Driv'e Rqd:
% of Lot Coverage: ,"
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
ATTENTIpm&~~;
fOI~f~W ;~~c~~ter Those ru;~;;r-; ~~ fooortlJidewalk Type:
Notl lea I . th ugh OAR 952- f..,
in OAR 952-001-0010 ro. of the rules b,ownspouts/Drains:
v. ay obtain caples
0090. IOU m (Note. the telephone
calling the center. Utility Notification
number for the. oregoon 332-2344).
r,pnter IS 1-80 -
I Valuation Description I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa2e 1 of2
SP.R'NG':l'I:EI;..~D'
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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
+ 7% State Surcharge
Sanitary or Storm Sewer Cap
, "-Total Amount Paid
.I-
Amount Paid
$4.50
$3.15
$45.00
$52.65
Fees Paid.
I Plan Reviews I
-Date Paid
11/4/04
11/4/04
11/4/04
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01368
ISSUED: 11/04/2004
APPLIED: 11/04/2004
EXPIRES: 05/04/2005
VALUE:
Receipt Number
1200400000000001567
1200400000000001567
1200400000000001567
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.
Reouired Insoections .
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
times during construction.
~ fJ~~LZzES )k
Owner or Contractors Signature
Pal!:e 2 of2
JJtrU
LI-, O~
"" ,
Date
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1362
COM2004-0 1362
COM2004-01362
COM2004-0 1368
COM2004-01368
COM2004-01368
Payments:
Type of Payment
Check
1l/4/2004
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary or Storm Sewer Cap
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary or Storm Sewer Cap
Paid By
KFP PROPERTIES LLC
~4ij
~~ty of Springfield Official Receipt
~velopment Services Department
Public Works Department
1200400000000001567
Date: 11/04/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1199
In Person
Payment Total:
Page 1 of 1
10:01:0IAM
Amount Due
3.15
4.50
45.00
3.15
4.50
45.00
$105.30
Amount Paid
$105.30
$105.30