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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 mOJ .I.'~. ~I "h ' 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. .. ~" 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