HomeMy WebLinkAboutPermit Plumbing 2007-9-28
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01118
ISSUED: 09/28/2007
APPLIED: 07/27/2007
EXPIRES: 04/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4080 NORTH ST SPRINGFIE TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO,: WHITE PART NORTH S
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Abandon septic and hook to sanitary
Owner: TERRY WHITE
Address: 696 COUNTRY CLUB RD
EUGENE OR 97401
I CONTRACTOR INFORMATION'
Contractor Type
Plumbing
Contractor License
ROYAL FLUSH ENVIRONMENTAL SERVIC153694
BUILDING INFORMATION'
Expiration Date
12/2312007
Phone
541-895-2072
VB
# 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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: .
R-3
n/a
I DEVELOPMENT INFORMA nON I
Frontyard 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:
J PUBLIC IMPROVEMENTS I
ATTI=NJION' Oregon law req \. W J - L \ I
Street ImprOfiiltm't'S'1 . dopted by the Oregon Utility Sidewalk Type:
follow ru es a
Storm SeweN~Nfiijatil:m Center. Those rules are set forth Downspouts/Drains:.
Special Inst~R<(fjAiii 952-001-001 0 through OAR 952-001- "'OllCE"
0090 You may obtain copies of the rules by l't" L EXPIRE IF THE WORK
Notes: caliing the center. (Note:.t.he tel~pho~e THIS PERMIT SHNAD~R THIS PERMIT IS NOT
number for the. Oregon ~~~I~.,~~tlflcatlon AUTHO~I~E.? U c ~ Qll.f\l110NED FOR
"'."'., ,. I E.. uc ul fUMIVlcll".O Or. I, .
I V aJuation Description !ANY 180 DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
. or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01118
ISSUED: 09/28/2007
APPLIED: 07/27/2007
EXPIRES: 04/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $10,00 9/28/07 1200700000000001252
+ 5% Technology Fee $5,00 9/28/07 1200700000000001252
+ 8% State Surcharge $8,00 9/28/07 1200700000000001252
Sanitary or Storm Sewer Cap $50,00 9128/07 1200700000000001252
Sanitary Sewer - 1st 50 Feet $50,00 9/28/07 1200700000000001252
Sanitary Sewer - Improvement $265,25 9/28/07 1200700000000001252
Sanitary Sewer - Reimbursement $384,83 9128/07 1200700000000001252
SDC MWMC Administration $10.00 9/28/07 1200700000000001252
SDC MWMC Improvement $961.52 9/28/07 1200700000000001252
SDC MWMC Reimbursement $91.61 9/28/07 1200700000000001252
SDC Sanitary/Storm Admin $83.86 9/28/07 1200700000000001252
Total Amount Paid $1,920.07
I Plan Reviews I
Public Works Review
07/3012007
07/30/2007
APP BRC
Applied SDC for new fixtures. BC
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.
UeouireCUnSDections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Septic Tank Pumped: After septic tank has been pumped and filled, Please provide the inspector with receipt and
verification from company performing pump and fill.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code,
Pal!e 2 of 3
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: COM2007-01118
ISSUED: 09/28/2007
APPLIED: 07/27/2007
EXPIRES: 04/28/2008
VALUE:
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 dU'/2: &)"
Owner or cofac~~nature
Pal!e 3 of 3
9 .2CJ -OJ
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01118
COM2007-0l118
COM2007-0ll18
COM2007-0 1118
COM2007-0 1118
COM2007-0ll18
COM2007-01l18
COM2007-0 1118
COM2007-0lll8
COM2007-0lll8
COM2007-0lll8
Payments:
Type of Payment
CreditCard
cReceintJ
RECEIPT #:
1200700000000001252
Date: 09/28/2007
Description
Sanitary Sewer - 1st 50 Feet
Sanitary or Storm Sewer Cap
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
Paid By
JEFFREY G. BOWERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 01555A In Person
Payment Total:
Page I of I
3:16:40PM
Amount Due
50.00
50.00
5.00
8.00
10.00
384.83
265.25
91.61
961.52
10.00
83.86
$1,920,07
Amount Paid
$1,920.07
$1,920,07
9/28/2007