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Home My WebLink AboutPermit Plumbing 2004-9-22 " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01150 ISSUED: 09/2212004 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: 4556 ASTER ST 4558 ASSESSOR'S PARCEL NO.: 17023243 PARCEL 3 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 I 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 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: Notes: N(]l~t\E: TI-lIS PERMIT SHALL EXPIRE I~ T~E W~RK AUTHORIZED UNUtK I HI :--~...,,!..'f I~T COMMENCED OR IS ABA ~UiQtfcOODescri ANY 180 DAY PERIOD. Tvpe of Construction $ Per Sq Ft or multiplier I PUBLIC IMPROVEMENTS lOgon taw requires you. ~o ,..~ON~ re th Oregon Utility . f~\t~w ~~~g~pa :~se ~\es are set 1orth. NotifiCaQOl\'Gil9tR~~Wl~u9h OAR 952-001 \ OAR 952-001-001. 'es 01 the rules by n f'\ btalO cop' 0090. You may 0 Note: the telepho~e calling the center. (on Utility NotificatIon _""or fnr the Oreg , ~rn 1")'MLl\ "...r.~ Center is 1-ovv-v'J- Street Improvements: Storm Sewer Available: Special Instruction: Description Square Footage or Bid Amount Value Date Calculated Paf!e 1 of 2 <.r.. 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 - Ist 50 Feet Sanitary Sewer Each Addtl100' Storm Sewer - Ist 50 Feet Storm Sewer Each Addtl100' Water Line - Ist 50 Feet Water Line - Each Addtl100' Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01150 ISSUED: 09/22/2004 APPLIED: 09/16/2004 EXPIRES: 03/22/2005 VALUE: Total Value of Project L Fees Paid' Amount Paid Date Paid Receipt Number $17.70 9/22/04 1200400000000001382 $12.39 9/22/04 1200400000000001382 $45.00 9/22/04 1200400000000001382 $14.00 9/22/04 1200400000000001382 $45.00 9/22/04 1200400000000001382 $14.00 9/22/04 1200400000000001382 $45.00 9/22/04 1200400000000001382 $14.00 9/22/04 1200400000000001382 $207.09 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 Oivision, 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, tha,U~e permit card is located at the front of the property, and the approved set of plans will remain on the site at all times ~aJ'gOD:.~ j,). q /2Z-/dv Owner or Contractors Signature / Date Pa2e 2 of2 "''''225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .....Uy of Springfield Official Receipt jevelopment Services Department Public Works Department Job/Journal Number COM2004-01150 COM2004-01150 COM2004-01150 COM2004-01150 COM2004-0 1150 COM2004-01150 COM2004-01150 COM2004-01150 Payments: Type of Payment Check 9/22/2004 RECEIPT #: 1200400000000001382 Date: 09/22/2004 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtll00' + 7% State Surcharge + 10% Administrative Fee Paid By , RAKOCZY WELKER ENT Item Total: Check Number Authorization Received By Batch Number Number How Received dim 2009 In Person Payment Total: Page 1 of 1 3:14:18PM Amount Due 45.00 14.00 45.00 14.00 45.00 14.00 12.39 17;70 $207.09 Amount Paid $207.09 $207.09