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Home My WebLink AboutPermit Plumbing 2004-10-6 ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00919 ISSUED: 10/06/2()o4 APPLIED: 07/2212004 EXPIRES: 04/06/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6810 Aster St ASSESSOR'S PARCEL NO.: 1702344402700 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: PROJECT DESCRIPTION: Install private storm sewer stub to property REQUIRED PARKING Overlay Dist:. . " Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: n law requires you, ~o ATTENTION: Qregod b the Oregon Utility \- 8 ...nnote V , s~+ f"rth I PUBLIC IMPR9~~enter. Those rU~~OAR 952-001- \n OA~01-09tg~;~64 the rules by 0090. '(ou may 0 .LMntA.: ~e ta\e'pho~e calling the cenQnwq~\\\itY~'6\lficatlon number for the. o1re~00_332-2344). Center IS - Owner: COREY DEVELOPMENT LLC Address: 3956 MIRROR POND WAY EUGENE OR 97408 I CONTRACTOR INFORMATION. Contractor Type Plumbing Contractor License KIPCO INC _ ~\ I ::,?7Ac(b$ "01\C~:.1 BUI~~~(Ui~~lIt1JKNf~IOiS t01 ,1-1\5 !~~~~~ w~f@~J~~t~~~~D' FOR ~\.n p t.~Ct.$Iniki\~o'l''Structure , CO\'J\W\ '~'{Jllit%~Heat: ~~'{ "\ BO D Water Type: Range Type: Energy Path: ' Sprinkled Building: # of Units: Primary Occupancy Group: '. Secondary Occupancy Group:- Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Paee 1 of 2 New Residential Phone Number: 541-344-0250 Expiration Date 02/02/2005 Phone 541-689-9265 n/a Lot Size: , Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Value Date Calculated Status Issued CITY OF SPRIN&.l11ELU - Building/Combination Permit PERMIT NO: COM2004-00919 ISSUED: 10/06/2004 APPLIED: 07/22/2004 EXPIRES: 04/06/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~Fees Paid J Fee Description + 10% Administrative Fee + 7% State Surcharge Storm Sewer - Ist 50 Feet Amount Paid Date Paid $4.50 $3.15 $45.00 10/6/04 10/6/04 10/6/04 Receipt Number 2200400000000001253 2200400000000001253 2200400000000001253 Total Amount Paid $52.65 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. Reouired Insnections I 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. \Y\o~ r C~~ Owner or Contractors Signature ) \\\ \ \0\ ~ Date Pal!e 2 of 2 225 Fifth Street springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00919 COM2004-00919 COM2004-00919 Payments: Type of Payment CreditCard 10/6/2004 RECEIPT #: Description . Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By DEBRA COREY r:ty of Springfield Official Receipt velopment Services Department Public Works Department 2200400000000001253 Date: 10/06/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 025792 In Person Payment Total: Page 1 of 1 2:32:10PM Amount Due 45.00 3,15 4.50 $52.65 Amount Paid $52.65 $52.65