HomeMy WebLinkAboutPermit Building 2005-12-13
Building/Combination Permit
PERMIT NO: COM2005-01724
ISSUED: 12/13/2005
APPLIED: 12/1312005
EXPIRES: 0812712006
VALUE:
.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1464 PLEASANT ST
ASSESSOR'S PARCEL NO.: 1703253206800
-CITY OF SPRINGFIELD
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Sidewalk Repair and water line replacement
'. Owner:
Address:
AKER CARRIE LAINE ~:.. OrCC1on law requires you to
1464 PLEASANT ST . :.,'ciOPI~d by the Oregon Utility
SPRINGFIELD OR 9747?1:~' Center, Those rule~ a~e _s:~ f~,:t.h
L.. \..1,-',1 \ ~5~-UU1-UU IV l11lUU'd11 '.JI'" ........:- -:.
OOJJ, You mh\CON'l1RA:GfORllNFORMATION I
calling the center, \'"u,,,, 1I1'" '''''~~''~':-
Contraf,t.!!!iber for the Oregon Utility NotlftcOilieense
VOS PLUMBIN~JN0 is 1-800,332,2344). 41805
I BUILDING INFORMATION I
Contractor Type
Plumhing
# 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: n/a...."
r~'J;'J1:'C"T ... 'rue: WUnl'
U~ uHf,'" __-'.-\1.' C""r" ;1. ' ~O,
1 ,~J(I)llnmN'I",}"\'}"JdI:\.~
AU1HORii~U U~I~M[/\~l 'ABAMOON~
COMME~lin.. . '0,
A~'{ 180 &d-){e 'Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Sethack:
Side I Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Residential
Expiration Date
04/04/2006
Phone
S41-485-055 I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Setback 5'
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa!!e I of2
Value
Date Calculated
.
.
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01724
ISSUED: 12/13/2005
APPLIED: 12/13/2005
EXPIRES: 08/2712006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
S41-726-3769 Inspection Line
Total Value of Project
~ F"". tlWLI
" Fee Description
Sidewalk Repair Permit
+ 10% Administrative Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Amount Paid
Date Paid
$10.00
$4.50
$3.60
$45.00
12/13/05
2128/06
2/28/06
2/28/06
Receipt Number
2200500000000001698
2200600000000000248
2200600000000000248
2200600000000000248
Total Amount Paid
$63.10
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.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Water Line: Prior to filling trencb 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
tth::g:nsA:/} r1ld-tJ D V
Owner or Contractors Signature
Date
Pa!!e 2 of2
2~5 Fiftl1 Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1724
COM2005-0 1724
COM2005-0 1724
Payments:
Type of Payment
CreditCard
l
'r
:t
r
"
2/2812006
.
RECEIPT #:
Description
Water Line - 1st 50 Feel
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CARRIE AKER
.~~~!~~q~~..., --,~.._._, I,',
Wir'" I
~ , '", ~ l:
, !.
- .' ,:
lIIIIIIIIiikity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
2200600000000000248
Date: 02/28/2006
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
djb 175967 In Person
Payment Total:
Page 1 of I
8:S8:SSAM
Amount Due
45,00
3,60
4,50
$53.10
Amount Paid
$53.10
$53.10