Loading...
HomeMy WebLinkAboutPermit Plumbing 2013-6-18 SPRINGFIELD 225 Fifth St { CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811SPR2013-01309 www.springfieldar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/18/2013 EXPIRES: 12/14/2013 STATUS DATE: 06/18/2013 APPLIED: 06/18/2013 SITE ADDRESS: 6735 OPACA CT,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702341403703 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Connect to sanitary sewer,tank abandonment OWNER: SCHULTZ JEROME T Phone Number: ADDRESS: 6735 OPACA CRT SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor READY ROOTER DRAIN CLEANING 8 REPAIR SERVICE I CCB 92524 02/18/2015 541-744-7991 INSPECTIONS REQUIRED • Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 7170 Septic Tank Abandonment 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 or 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. 4 01,01/tice Own er or Contractor Si. ature fJ Date (( follow rules ATTENTION: Oregon law requires you to NOTICE: Notification Cennter, Those rules are set forth THIS PERMIT SHALL EXPIRE 1F THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 00 0. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR 9 e center. (Note: the telephal number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344), Springfield Building Permit 6/18/2013 1:22:53PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD hiFtom TRANSACTION RECEIPT 225nggelSOR 97477 OREGON 541-726-3753 811-SPR2013-01309 www.spnngfeld-or.gov 6735 OPACA CT pernitcenter©spdngfeld-or.gov • RECEIPT NO: 2013001257 RECORD NO: 811-SPR2013-01309 DATE:06/18/2013 DESCRIPTION WTtai 7-SnZalraWgin AP's AGCOUNT.CODE/TRANS CODE tt.r: ';-_ :-AMOUNTDUE;Nr- Encroachment 201-00000-428060 1143 280.00 SDC Credit: Reimbursement Cost-Local Wastewater 442-62252-650117 • 1183 -1,916.20 SDC:Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.61 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 745.89 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 ' 1,392.04 SDC: Reimbursement Cost- Local Wastewater • 442-00000-448024 1183 1,528.24 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 113.71 Sanitary sewer 224-00000-425603 1005 83.50 Sewer cap/septic tank demolition 224-00000-425603 1005 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.62 Technology fee(5%of permit total) 100-00000-425605 2099 22.18 TOTAL DUE: 2,556.37 krAYMENTd1YPE^1+..`' ,;nPAYOinfaii e7icwi`Is ra . COMMENTS AMOUNDRAID Credit Card Jerome Schulz Sanitary Sewer connection 2,556.37 018264 TOTAL PAID: 2,556.37 • •