HomeMy WebLinkAboutPermit Plumbing 2004-10-6
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CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00916
ISSUED: 10/06/2004
APPLIED: 07/22/2004
. EXP.IRES: 04/06/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6804 Aster St
ASSESSOR'S PARCEL NO.: 1702344402400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE:
PROJECT DESCRIPTION: Install private storm sewer stub to property
New
Residential
Owner: COREY DEVELOPMENT LLC
Address: 3956 MIRROR POND WAY EUGENE OR 97408
Phone Number: 541-344-0250
Contractor Type
Sewer
Contractor
KIPCO INC
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
541-689-9265
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.~tJ ,,,>,,-
I BUlLDr-wl\NFO~ATlON I
'j...?\\\'C ' ~\ p ,
# of Units: t~:. ~~\..\.. t: \~Of's~E\e.s\-\j\\
Primary Occupancy GIIl\t\D1~ t.\\~\\ S ~~"0t.~ \~~~tg'iji"MStructure
Secondary Occupancy GI'~~? ~1t.\) ~ \'2> ~\)lfype of Heat:
Primary Construction Ty\.~\\\\j~ ~~t.\) \j\\ ~\\j\).Water Type:
Secondary Construction 1Y.-P6\'-!\~t; \)~'{?t; Range Type:
# of Bedrooms: \j ~'{ \ CO~ 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
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: \0
% of Lot Coverage: ~u\tas ~~~\\\\\'I
'a.~ fa ('\00 v {\~
1'\1P.QOO .'nA Ote~ ~ cA\ \0 I
I p~~J€ri~~*u~~;~ 95~~V~'1
\0\\~\N ~\00 ceO\1::i c)'\ 0 \ntO .~s c$i\Th~~'Ru~pe:
~o'l\\\ca 952-O()'\ -() "',\a\t\ co~\ . \",e \e\e? .inn .
. Op..~ {(\a'l Ou ~o\e.. D~~mDrams:
,0 ()90. ,<au ce{\wt. 00\,)\\\\\'1 44).
o a\\\09 \ne \ne Ote9 r,y?J?J2-2'3
c :oet ,at . s '\ .eO
t\u{'(\ CeO\et ~
Total:
Handicapped:
Compact:
Front yard Setback:
. Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paj!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00916
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
L Fees Paitl
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Storm Sewer - 1st 50 Feet
Amount Paid
Date Paid
$4.50
$3.15
$45.00
10/6/04
10/6/04
10/6/04
Receipt Number
2200400000000001250
2200400000000001250
2200400000000001250
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 InsDectionsl
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.
'\}O~R'_ ~ C~_~
Owner or Cootraetors Sigoature. \
\\J\\o\~
Date
Pal!e 2 of 2
225 Fifth Street
wJ . ~;.
Springfield, elregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00916
COM2004-00916
COM2004-00916
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
~ity of Springfield Official Receipt
-ievelopment Services Department
Public Works Department
2200400000000001250
Date: 10/06/2004
2:29:10PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 025792 In Person
Payment Total:
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65
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