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Home My WebLink AboutPermit Plumbing 2004-9-22 (2) ... CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-01151 ISSUED: . 09/22/2004 APPLIED: 09/1612004 EXPIRES: 03/22/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-375~'oPhOne 541-726~3676Fax 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 01104/2006 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 1st 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 Dr;ive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Impr~FttfON: Oregon taw requires Y~~ilivty '~, u;' . t d by the Oregon Storm SewW_Q~ adop ease rules are set forth Special I"NO~MI1..;Center. Th hOAR 952-001- In'-GAFf'9-S2-001-001 ? th~o~~s of the rules by Notes: 0090. You may obtalO ~oie: the telepho~e ___lIinn the center. ( 'u Tl tl~+ifil"':Itlnn . mber for the uregu11 ... 1 ' ,- nu Center is 1-800-332-21~)aluation Description I ~t9fl'E1E :Type: ~r&~ffi~~~L EXPIRE IF THE WORK. AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Description Type of Construction $ Per Sq Ft or multielier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 4!' ~~~.aU~,gfi~~~\ >'","'_",.,~, .~, If Status Issued CITY OF SPRINGFIELD' 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 Total Value of Project Fees Paid I Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L Reouired Insoections I Water Line: Prior to mling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to mling trench. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the ~$Zhe fro t of the prope~, and the apProve~;;:;;~emaiO on the stre at all , ',/ r., I v/?""J I v ~ I I OwnW or Contractort Signature Date Pae:e 2 of 2 ...... 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01175 COM2004-01175 .COM2004-01175 COM2004-01175 COM2004-01175 Payments: Type of Payment CreditCard 9/22/2004 n~ty of Springfield Official Receipt, ~velopment Services Department Public Works Department RECEIPT #: 1200400000000001380 Date: 09/22/2004 3:00:22PM Description Wood Stove/Insert Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Amount Due 30.00 15.00 10.00 3.15 4.50 $62.65 Paid By MICHAEL J EARLS Item Total: Check Number Authorization Received By Batch Number Number How Received dIm 861419 In Person Payment Total: $62.65 $62.65 Amount Paid 't~~~. Page 1 of 1