HomeMy WebLinkAboutPermit Plumbing 2007-12-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01356
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 03/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 463 S 47th St
ASSESSOR'S PARCEL NO.: 1702324306700
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Encroachment Permit for connection of private sewer to the pnblic sanitary line.
Install sanitary sewer approx 50' and water line approx 90' line
Owner: NOWAK DA VID M & CHRISTINA N
Address: 465 S 47TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Plnmbing
Sewer
Contractor
OWNER
SEC CONSTRUCTION
License
Expiration Date Phone
150980
04/04/2008 541-747-6504
BUILDING INFORMA nON I
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
ATTENTIOSPQl)kleAAMWin2: . . nla
fol/ow rill........ _ _. ....~ j reqUlre~ "nil f._
NOti;jcDIlJ.~'M'fi.L{Ii\\~h{iiVI\\'I'I<9N11
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' w~-vv ,-uulO thr h - --., ",.It
0090. You m~mta' oug OAR 952-001.
calling the b!i p'Y'1:filtPles .of the rules by
nUmber for tf\ ~~'ff21'1{ql);tel~l?hone
Cent{raj~-lf~~ t"~ NotIfication
% of or~' l!:~). .
Lot Size:
Sq Ft I st Floor: .
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHAll
AUTHORIZED UNDER :~~i~ THE WORK
g~~~~NgX$ ~E~:~tBANDONE~~b~ NOT
Pa2e I of 3
-~.-w iii.. -~
LM..!R. ..
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Constrnction
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
Encroachment Permit
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Total Amouut Paid
Public Works Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01356
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 03/06/2008
VALUE:
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp. P~iri J
Amount Paid
Date Paid
Receipt Number
$5.00
$6.60
$2.50
$3.30
$6.75
$4.00
$5.28
$135.00
$50.00
$50.00
$16.00
$8.20
$4.10
$6.56
$16.00
$50.00
$16.00
3200700000000000603
2200700000000001401
3200700000000000603
2200700000000001401
1200700000000001165
3200700000000000603
2200700000000001401
1200700000000001165
3200700000000000603
2200700000000001401
2200700000000001401
2200700000000001782
2200700000000001782
2200700000000001782
2200700000000001782
2200700000000001782
2200700000000001782
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
1216/07
12/6/07
1216/07
12/6107
12/6/07
12/6/07
$385.29
I Plan Reviews ,
09/06/2007
09/06/2007
10
EW
Take in encroachment permit
application and route to
Maintenance Division for review
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day,
~..nppti~
Sanitary Sewer Line: Prior to filling trencb and including required testiug.
Water Line: Prior to filling trench and including required testing.
Pa2e 2 of3
Status
Iss u ed
CITY OF SPRINtjl'u.LD
Building/Combination Permit
PERMIT NO: COM2007-01356
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 03/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne 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 descrihed 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 pmper time, that each address is readable from the
street, tbat the permit card is located at the front of the property, and the approved set of plans will remain 011 the site at all
t~urin7ionstrucfi
~/J.~) /I/fr'_d-- \1-- &- V 7
Owner or Contractors Signature
Date
Paee 3 of 3
225 J:ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1356
COM2007-01356
COM2007-01356
COM2007-01356
COM2007-01356
COM2007-01356
Payments:
Type of Payment
Check
cReceintJ
RECEIPT #:
Description
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
Fixture
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID NOWAK
City of Springfield Official Receipt
Development Services Department
Public Works Department -
2200700000000001782
Date: 12/06/2007
,-
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
605
In Person
Payment Total:
Page 1 .of 1
10:23:5IAM
Amount Due
50.00
16.00
16.00
4.10
6.56
8.20
$] 00.86
Amount Paid
$100.86
$100.86
12/612007