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HomeMy WebLinkAboutPermit Plumbing 2004-11-4 -~ CITY OF SPRINlJ,J1'lELD Building/Combination Permit PERMIT NO: COM2004-01362 ISSUED: 11/04/2004 APPLIED: 11/03/2004 EXPIRES: 05/04/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 735 ASPEN ST ASSESSOR'S PARCEL NO.: 1703342101600 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 801f sanitary sewer + 801f water line Owner: Address: KFP PROPERTIES LLC 2445 LARALEE ST SPRINGFIELD OR 97477 ~f1\TICfE: ~l-l'1rir:R.MlT ~!1ALL EXPIKt It. I Ht VVUl"'l\ I CONTRACT ,~' . Q~rll~JN:1 THIS PERMIT IS NOT COMMENC~D OR IS ABANDQNED FOR LH~ensfu 'ExpIration Date ANY 180 D~69~~KI D. 11/08/2005 Phone Number: 541-520-5068 Contractor Type Plumbing Contractor ROBERT D STORRS Phone 541-689-7574 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # 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: Vlhr n/a I DEVELOPMENT INFORMATION I Front yard 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fully Improved ATTENTION: Oreg~~(fllPe8 you to Curbside 5' Yes follow rules adoptelJbt\y.t~QwjAOJJ~ility Curb and Gutter Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by f'~lIinn thp ~p.nter. (Note: the telephone numoer TOr e Oregon Utility NotltlcaUon Valuation Descri f r is 1-800-332-2344). Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pae:e 1 of3 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 + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin Water Line - 1st 50 Feet Water Line - Each Addtll00' Total Amount Paid ~ Amount Paid Date Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01362 ISSUED: 11/04/2004 APPLIED: 11/03/2004 EXPIRES: 05/04/2005 VALUE: Receipt Number 1200400000000001567 2200400000000001368 1200400000000001567 2200400000000001368 1200400000000001567 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 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. $4.50 $11.80 $3.15 $8.26 $45.00 $45.00 $438.72 $576.96 $14.00 $10.00 $-857.12 $865.31 $82.03 $55.80 $45.00 $14.00 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 Sanitary Sewer Line: Prior to filling trench and including required testing. Water Line: Prior to filling trench and including required testing. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. $1,362.41 I Plan Reviews I Pa2e 2 of3 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: COM2004-01362 ISSUED: 11/04/2004 APPLIED: 11/03/2004 EXPIRES: 05/04/2005 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 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. ~~AA-~ k!FP &~~Z5 UL Owner or Contractors Signature Pae:e 3 of3 ,iJfh} t.f: &fj- Date 225 Fifth Street " .' .. Sprmgfield, Oregon 97477 541-726-3759 Phone rity of Springfield Official Receipt t'elopment Services Department Public Works Department RECEIPT #: 1200400000000001567 Date: 11/04/2004 10:01:01AM Job/Journal Number COM2004-0 1362 COM2004-01362 COM2004-0 1362 COM2004-0 1368 COM2004-0 1368 COM2004-01368 Description + 7% State Surcharge + 10% Administrative Fee Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee Sanitary or Storm Sewer Cap Payments: Type of Payment ' Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 45.00 3.15 4.50 45.00 $105.30 Amount Paid Check KFP PROPERTIES LLC djb 1199 In Person Payment Total: $105.30 ' $105.30 11/4/2004 Page 1 of 1 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01362 ISSUED: 11/04/2004 APPLIED: 11/03/2004 EXPIRES: 05/04/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 735 ASPEN ST ASSESSOR'S PARCEL NO.: 1703342101600 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 80lf sanitary sewer + 80lf water line Owner: KFP PROPERTIES LLC Address: 2445 LARALEE ST SPRINGFIELD OR 97477 Phone Number: 541-520-5068 I CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor ROBERT D STORRS License 76940 Expiration Date 11/08/2005 Phone 541-689-7574 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type ' Secondary Construction Type: " # of Bedrooms: R-3 # 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: V1hr n/a REQUIRED PARKING Total: HandiCapped: Compact: ;' t i I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes .' Sidewalk typ~~~:". Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ('m^M~fllrl=n n~ I~ ARANnOf\IFn FOR 'I V I t' D' . t. Jt'JY 180 DAY PERIOD. a ua IOn escnp IOn __,__. Curbside 5' Curb and Gutter Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage' or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 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 Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin Water Line -1st 50 Feet Water Line - Each Addtll00' Total Amount Paid [.Fees Paid I Amount Paid $11.80 $8.26 $45.00 $438.72 $576.96 $14.00 $10.00 $-857.12 $865.31 $82.03 $55.80 $45.00 $14,00 $1,309.76 I Plan Reviews I Date Paid 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01362 ISSUED: 11/04/2004 APPLIED: 11/03/2004 EXPIRES: 05/04/2005 VALUE: Receipt Number 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 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 Sanitary Sewer Line: Prior to filling trench and including required testing. 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 <I /CFP P'&'#E,eJ/E5 LI.f:- Owner or Contractors Signature Pa2e 2 of2 Vou 4 ) &t/ ( Date 225 Fifth Street Springfit;.ld~ Or~gon 97477 541-726-3759 Phone ' Job/Journal Number COM2004-0 1362 COM2004~0 1362 COM2004-0 1362 COM2004-0 1362 COM2004-0 1362 COM2004-01362 COM2004-01362 COM2004-0 1362 COM2004-0 1362 COM2004-0 1362 COM2004-0 1362 COM2004-0 1362 COM2004-01362 COM2004-01363 COM2004-01363 COM2004-0 1363 COM2004-01363 COM2004-01363 COM2004-01363 COM2004-0 1363 COM2004-0 1363 COM2004-01363 COM2004-0 1363 COM2004-0 1363 Payments: Type of Payment Check 11/4/2004 C'ity of Springfield Official Receip~ velopment Services Department Public Works Department RECEIPT #: 2200400000000001368 Date: 11/04/2004 8:47:45AM Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 7% State ,Surcharge + 10% Administrative Fee Sanitary Sewer - Reimburs~ment Sanitary Sewer - Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin : Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee SDC MWMC Reimbursement , , SDC lyfWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin , SDC MWMC'lmprovement Amount Due 45.00 14.00 45.00 14.00 8.26 11.80 576.96 438;72 82.03 865.3 I (857.12) 10.00, 55.80 312.52 237.64 45.00 14.00 4.13 5.90 82.03 865.3 I 10.00 55.65 (394.60) $2,547.34 Paid By KFP PROPERTIES LLC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1198 In Person Payment Total: $2,547.34 $2,547.34 Amount Paid Page I of 1