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