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Home My WebLink AboutPermit Plumbing 2004-9-22 ~; f I i ; ..c CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-01151 ISSUED: 09/22/2004 APPLIED: 09/16/2004 EXPIRES: 03/22/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4548 ASTER ST 4550 ASSESSOR'S PARCEL NO.: 17023243 PARCEL 2 SPRINGFIE TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Utilities for lot partition Owner: RAKOCZY WELKER ENTERPRISES INC Address: PO BOX 395 CRESWELL OR 97426 Phone Number: 541-513-2228 I CONTRACTOR INFORMATION. Contractor Type Plumbing Sewer Contractor RS PLUMBING CONTRACTING T C EARTHWORKS LLC I BUILDING INFORMATION. License 103816 Expiration Date 01/04/2006 Phone 541-461-4714 541-543-3786 # 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 Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. Frontyard 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: I PUBLIC IMPROVEMENTS I Sidewalk Type: . ATTENTIQN: Oregon taw reqUires you. ~o Storm Sewer Available: follow rul<<S'lrBBl1U~M~Il;mOregon Utility Special Instruction: Th I are set forth ""CE: HE WORK :.' 'Notification Center. ose ru es ~O, . \1 SHALL EXPIRE IF 1 NOT ' I OAR 952-001-0010 through OAR 952-001- Notes'THIS PERzMED UNDER THIS PERMIT ISR ~090 You may obtain copies of the rules by \~TunR\ w' ~l~nt-\I:n FO . l (~I-"~' +ho tolophnnp. . NCED UK I\) I"'\unl to IlIIny Ult; \,tvll "'.. \1___ ,,' CAONMy ~BEO DAY PE.RIOD. I Valuation Descriptiod"l mber for the Oregon Utility Notification I -, . Center is 1-800-332-2344). $ Per Sq Ft Square Footage or multiplier or Bid Amount Street Improvements: Description Type of Construction Value Date Calculated 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 Fixture Sanitary Sewer - Ist 50 Feet Sanitary Sewer Each Addtl100' Storm Sewer - Ist 50 Feet Storm Sewer Each Addtl1 00' Water Line -Ist 50 Feet Water Line - Each Addtl100' Total Amount Paid CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01151 ISSUED: 09/22/2004 APPLIED: 09/16/2004 EXPIRES: 03/22/2005 VALUE: Tota! Value of Project L Fees Paid I Amount Paid Date Paid Receipt Number $19.10 9/22/04 1200400000000001381 $13.37 9/22/04 1200400000000001381 $14.00 9/22/04 1200400000000001381 $45.00 9/22/04 1200400000000001381 $14.00 9/22/04 1200400000000001381 $45.00 9/22/04 1200400000000001381 $14.00 9/22/04 1200400000000001381 $45.00 9/22/04 1200400000000001381 $14.00 9/22/04 1200400000000001381 $223.47 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 Insoections I Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 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 l;~ruction. /' q /2-Z/D'f Owner or contra..o!:!::::>. Dnte Paee 2 of2 ."-225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01151 COM2004-0 1151 COM2004-0 1151 COM2004-01151 COM2004-01151 COM2004-01151 COM2004-01151 COM2004-01151 COM2004-0 1151 Payments: Type of Payment Check 9/22/2004 F"'Uy of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200400000000001381 Date: 09/22/2004 3:09:11PM Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Fixture Storm Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Amount Due 45.00 14.00 45.00 14.00 14.00 45.00 14.00 13.37 19.10 $223.47 Paid By RAKOCZY WELKER ENT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid dlmn 2009 In Person Payment Total: $223.47 $223;47 Page 1 of 1