HomeMy WebLinkAboutPermit Plumbing 2007-12-6
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01786
ISSUED: 12/06/2007
APPLIED: 12/06/2007
EXPIRES: 06/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1835 H ST
ASSESSOR'S PARCEL NO.: 1703362110600
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 301f sanitary sewer
TYPE OF USE: Repair
Residential
Owner: PHYLLIS PARKS
Address: 920 MARQUET WAY
EUGENE OR 97401
Contractor Type
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Constructio~ TYP'ATTENTlcrf'P: Oregon la M'Hi5;e: au to
Secondary ConstructIOn Tr~r6w rules adopted by B'6r B~ Utility
# of Bedrooms: Notification Center. Thos YoJ~ ~~ilUprth
in OAR 952-o01-0010thr l\i~!llM~ n/a
uU;~iin"~rh~'~~Q.\FIti~ii~l!MA T.ION I
nUmOef for the Oregon Utility NoUlIoatIon
Center 181~~lst:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
Description
I PUBLIC IMPROVEMENTS I
Phone Number: 541-
Expiration Date
02/28/2011
Phone
541-935-6350
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
'" WO~~ Downspouts/Drains:
NO'T\CE~ ~I~E \f,-\\I; ot
i\-l\S PERMIl S\-\~i~ i\-llS PERMli IS N
AU1\-10RIIEO UNO IS ABANOONEO fOR
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\.IV'" ,r~ -. i:il\V''>.
ANY 180 ~~aruation Descrip,tion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee I of 2
Value
Date Calculated
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-0I786
ISSUED: 12/0612007
APPLIED: 12/06/2007
EXPIRES: 06/06/2008
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Snrcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$50.00
12/6/07
1216/07
12/6/07
1216/07
2200700000000001785
2200700000000001785
2200700000000001785
2200700000000001785
Total Amount Paid.
$61.50
I Plan Reviews I
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 Reouirl'lllnspections I
Sanitary Sewer Line: Prior to tilling trench and including required testing.
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 Springtield 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.
_ _-pez
Owner or Contractors Signature
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Date
Paee 2 of2
225 ,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01786
COM2007-0 1786
COM2007-01786
COM2007-01786
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2007-01786
COM2007-0 1786
COM2007-0 1786
COM2007-01786
Payments:
Type of Payment
Cash
Change
cReceintl
RECEIPT #:
Description '
San ilary Sewer - I st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GARYS ROOTER
GARYS ROOTER
Description
Sanitary Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GARYS ROOTER
GARYS ROOTER
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001785
Date: 12/06/2007
. Item Total:
Check Number Authorization
Received By . Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
Item Total:
L'heck N umber Authorization
Received By Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
Page I of I
10:44:24AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$70.00
($8.50)
$61.50
Amount Due
50.00 .
2.50
4.00
5.00
$61.50
Amount Paid
$70.00
($8.50)
$61.50
12/6/2007