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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