HomeMy WebLinkAboutPermit Plumbing 2007-12-6
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY VI' :St'Kll~GFIELD c
Building/Combination Permit
PERMIT NO: COM2007-01357
ISSUED: 09/06/2007
APPLIED: 09/0612007
EXPIRES: 05/1912008
VALUE:
SITE ADDRESS: 461 S 47th St
ASSESSOR'S PARCEL NO.: 1702324306700
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Addition
PROJECT DESCRIPTION: Water Line approx 180' line. Storm and sanitary added.
Owner: NOWAK DAVID M & CHRISTINA N
Address: 465 S 47TH ST
SPRINGFIELD OR 97478
Contractor Type
Plumbing
Sewer
I CONTRACTOR INFORMATION I
Contractor
OWNER
SEC CONSTRUCTION
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
150980
BUILDING Ir::FORMA TlON I
# of Stories:
. Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
f~~TE:NTla!?/i;!,~~ed Building: n/a
Not!f~xfi':.('Jp~iJi:~IP~
~~~A 'fr952'OO-I':~lti }hose rU/~1:g0" Utility
Ca/ji" ou mof}\'e . Qugh oAft Set forth
n 9 the C&llt fliI\q(jf 952-001
Umber for tha.Jt WlR4be the rules b .
Centep~f /,JJ~elepho"e t'
'2-234ttlflcafiort
~.
I PUBLIC IMPROVEMENTS I
Residential
Expiration Date Phone
04/04/2008 541-747-6504
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
OccupantLoad:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I of 3
_SPAIN. AIii.1 ~ i\iiii <<. . ... .'
~~
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Status
Issued
CITY OF SPRINGFIELD <
Building/Combination Permit
PERMIT NO: COM2007-01357
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 05/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V aluation Descrintio~ I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Ff'pli', tiW
Fee Descriotion
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addtl100'
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$6.60
$3.30
$5.28
$50.00
$16.00
$10.00
$5.00
$8.00
$50.00
$50.00
9/6/07
9/6/07
9/6/07
9/6/07
9/6/07
1216/07
12/6/07
1216/07
1216/07
12/6/07
2200700000000001402
2200700000000001402
2200700000000001402
2200700000000001402
2200700000000001402
2200700000000001783
2200700000000001783
220070000000000]783
2200700000000001783
2200700000000001783
Total Amount Paid
$204.18
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 Rpnllirp.(~lf~('tion~
Water Line: Prior to filling trench and includiug required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Pa2e 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-0I357
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 05/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefnlly 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
ti~gCotrt~ I
^);wV , I~ \-z,- otl ~ifJ
Owner or Contractors Signature
Date
Pa2e 3 of 3
225 Fifth Street
Springiicld;Oregon 97477 .
541-726-3759 Phone
Job/Journal Number
COM2007-01357
COM2007-0 1357
COM2007-01357
COM2007-01357
COM2007-01357
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Storm Sewer - 1st 50 Feet
Sanitary Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ J 0% Administrative Fee
Paid By
DAVID NOWAK
~~'~.~~.Li.- .....""'.' '..:
JIlII:R~ Ii ·
.~,_. '"
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001783
Date: 12/06/2007
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
djb 605 In Person
Payment Total:
Page I of I
10:24:47AM
Amount Due
50.00
50.00
5.00
8.00
10.00
$123.00
Amount Paid
$123.00
$123.00
12/6/2007