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Home My WebLink AboutPermit Plumbing 2007-8-28 (2) CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01280 ISSUED' 08/28/2007 APPLIED 08/28/2007 EXPIRES: 02/28/2008 VALUE' Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme SITE ADDRESS. 160 FAIRVIEW DR ASSESSOR'S PARCEL NO 1703274100101 SprIngfield TYPE OF WORK Plumbmg Only PROJECT DESCRIPTION Replace appro x 501f samtary sewer TYPE OF USE Repair ReSIdentIal Owner HOUSING AUTHORITY & URBAN Address 300 W FAIRVIEW DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Contractor License Plumbmg ATTI:.,11.~V):.IWOTER DRAIN CLEANING & R S1<92524 follow rul~s ad~Pt~d'~yi'h~FORMATlON I NolJfJcatlon Center Those rules are set forth # of UnIts In OAR 952-001-0010 through OAF! <l~'L,u~~ PrImary OccupagPjl%r;)'\W may obtain copIes of t,",,~~~ructure Secondary OccupafjllQl{l9J!1/l center. (Note' the t~cmf!leat PrImary Constru.!lllJli1li%fPr the Oregon Utility NONIId;qiiflIle Secondary ConstructIon'~r IS 1-800-332-234~nge Type # of Bedrooms Energy Path SprInkled Bulldmg nla I DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer Available Special Instruchon ExpiratIon Date 02/18/2009 Phone 541-744-7991 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load REQUIRED PARKING Total Haudlcapped Compact Sidewalk Type DownspoutslDrams . ;'ionCE: rHIS PERMIT SHALL EXPIRE IF THE WORK I JL\U I HUKILtU UNUtK I HI~ PERMIT IS NOT ValuatIon DescrtotIon COMMENCED OR IS ABANDONED FOR S ANY 180 DAY PERIOD. S Per Sq Ft quare Footage V I or multiplIer or Bid Amount a ue Notes Description TVJle of ConstructIOn Pa~e I of2 Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2007-01280 ISSUED: 08/28/2007 APPLIED: 08/28/2007 EXPIRES: 02/28/2008 VALUE: 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme Total Value of Project Fees P~lIll I Fee DescrIJltlOn + 10% AdmmlstratIve Fee + 5% Technology Fee + 8% State Surcharge Samtary Sewer - 1st 50 Feet Amount Paid Date PaId ReceIpt Number S500 S250 S400 $50 00 8/28/07 8/28/07 8/28/07 8/28/07 1200700000000001106 1200700000000001106 1200700000000001106 1200700000000001106 Total Amount Paid S61 50 I Plan Reviews , 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 workmg day, mspectlOns requested after 7 00 a,m, wtll be made the followmg work day. I ReoUlred TnsnectlOnsJ Samtary Sewer Lme PrIOr to filhng trench and mcludmg reqUIred testmg By signature, I state and agree, that I have carefully exammed the completed apphcatIon and do hereby certIfy that all mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCY will be made of any structure WIthout permISSIon of the Commumty ServIces DIVISIOn, Bulldmg Safety I further certlfy that only contractors and employees who are m comphance with ORS 701 005 Will be used on thIS project I further agree to ensure that all reqUired IDspectlODs are requested at the proper time, that each address IS readable from the street, that the permll card IS located at the frout of the property, and the approved set of plans will remalD on the sIte at all times durmg construchon . Owner or Contractors Signature Date Pa~e 2 of2 225 Fifth Street Spr:i!lgfi~, Oregon 97477 541-726-3759 Phone RECEIPT #: Job/Journal Number COM2007-0 1280 COM2007-01280 COM2007-01280 COM2007-01280 Description Sanitary Sewer - 1 st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% AdministratIve Fee Payments Type of Payment CredltCard PaId By DA VID NICHOLS ~ ~~ CIty of Sprmgfield OffiCial Receipt Development Services Department Pubhc Works Department 1200700000000001106 Date: 08/28/2007 Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 01523b In Person Payment Total .fJ cr;;.:J e P~T"):J ,?<,5 c.:r7'2. k VJ'/, P pCz.O ;$et.:J ~ ?-/ .c,) --e.. 2- ~ /0> A-e. c::> ?L-J C7Zc.~bJ LRecetotl L/-/~ kJ~ -c,'" _""..<'J ~~ -'.....;C2..-.;'J-/'" tR-LC-K d6E---0 J~~ .5~D /~ 099'0 Page I of 1 10 19 30AM Amount Due 5000 250 400 500 $6150 Amount Paid $61 50 $6150 8/28/2007