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Home My WebLink AboutPermit Plumbing 2007-5-18 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00692 ISSUED: 05/18/2007 APPLIED: 05/15/2007 EXPIRES: 11/18/2007 VALUE: SITE ADDRESS: 4132 Camellia St Springfield ASSESSOR'S PARCEL NO.: JACOBS PART CAMELI TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Install Sanitary and Storm Sewer lines for land parition approval Owner: TIM AND MICHELLE JACOBS Address: PO BOX 734 PLEASANT HILL OR 97455 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Residential Phone Number: 541-741-1940 I CONTRACTOR INFORMA nON I License Expiration Date Phone " -\..... '~lnn\( ~ . -" '~ . t \1- I (I- J, i BlJI-LDING I .F@ . I ~TI1l),N\ M\\ \S N01 1\1\:' L\\I'" DER 1 PER p$~P:SJ~r.i~~p UN 5 M31\NDONED HL~)t Size: r,~eightc,O{~(..u.~J. Sq Ft 1st Floor: '-'l'YWJ~~fr'utit'i( PER\OD. Sq Ft 2nd Floor: ~Wlte1-~The: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: ,'{'I\\O I DEVELOPMENT INFORMAnO~ ,t\N teC\U\\~~n \,)t\\\W ",",nON'.vl ..,J d '0'1 \"e ate axe s~~{jJRED PARKING I)ri~\~ dop\e tuxeS gc;.t}-OO Overla~ miU\es a tet. ,."ose n O~f\ ~WJ; \ # Stre\q. ~~~~en _Qo'\O\"tou.g so, \"e WJnd~capped: paved.Q)jfi\'c~..()o'\ b\a\t'\ coP\~ ne \e\e~fca~:t % of ,1;JI:li~ttke,Ql.lZtma'/ 0 ~No\e. ~, No\\\IcalO OOgO. '(U"" cen\et. U\\\\w ,,'=\\nnCA \"e ,",,0 o{ego~ I"\"I)_?~AA'. - -"'l)~~'. ~ "., I PUBLIC IMPRt\l\ffi'NfENTS I ' Sidewalk Type: Downspou ts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of 2 Status Issued 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 + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid $11.80 $5.90 $9.44 $45.00 $14.00 $45.00 $14.00 5/18/07 5/18/07 5/18107 5/18/07 5/18/07 5/18107 5/18/07 Total Amount Paid $145.14 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00692 ISSUED: 05/18/2007 APPLIED: 05/15/2007 EXPIRES: 11/18/2007 VALUE: Receipt Number 2200700000000000777 2200700000000000777 2200700000000000777 2200700000000000777 2200700000000000777 2200700000000000777 2200700000000000777 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reauired InsDec~ 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 OCCUP ANCYwill 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. \ J)~MJ~wW ~ Owne; or conttt/nature Paj!e 2 of2 , 'iJf~{)~ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone (';~T of Springfield Official Receipt .I. dopment Services Department Public Works Department Job/Journal Number COM2007-00692 COM2007-00692 COM2007-00692 COM2007 -00692 COM2007-00692 COM2007-00692 COM2007-00692 Payments: Type of Payment Check cReceinll RECEIPT #: 2200700000000000777 Date: 05/18/2007 Description Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1 st 50 Feet Storm Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By AIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 39756 In Person Payment Total: Page 1 of 1 11 :47:51 AM Amount Due 45.00 14.00 45.00 14.00 5.90 9.44 11.80 $145.14 Amount Paid $145.14 $145.14 5/18/2007