HomeMy WebLinkAboutPermit Plumbing 2007-12-19
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01875
ISSUED 12/19/2007
APPLIED: 12/19/2007
EXPIRES' 06/19/2008
VALUE-
225 F.fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 (nspecllOn Lme
SITE ADDRESS 1834 L ST
ASSESSOR'S PARCEL NO 1703253402700
Springfield TYPE OF WORK Plumbmg Only
TYPE OF USE
Repair
Residential
PROJECT DESCRIPTION Replace approx 201C saOllary sewer
Owner YIKE GARY L & CAROLYN A
Address 1161 SPYGLASS DR
EUGENE OR 97401
Contractor Type
Plumbmg
ATT;~' -
fOJID\r-CONTfW~RMATlON I
Notlt.catl~;~ aUopf'ed by the oi . .~ J w to
Contractor In OAR 9Yf;.~enter Those rules ~AAMll!lty
DRAIN RAlrfElRCRQf;l, _1~~Wdl1t~ QAVR~b!~rth
n~~~l"IHlIr;m~x~~ e;'bY
.6 IV, II IE' Oregon Utility' N .r.ITlne
enWlOfS3lt>6oo-332'2 Of.lfrcatlon
R-3 He.ght ofStruclur~J.
Type of Heat
Water Type
Range Type
Energy P Jth
Sprmkled Bulldmg
Expiration Date
06/1412008
Phone
541-338-8848
# of UOItS
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConslrucllOn Type
# of Bedrooms
VB
Lot Size
Sq Fllsl Floor
Sq Ft 2nd Floor
Sq FI Basement
Sq Ft Garage/CJrport
Sq Ft Other
Occup.mt LOJd
nla
I DEVELOPMENT INFORM A TlON I
REQUIRED PARKING
TotJI
HandIcapped
Compacl
Fronlyard Setback
S.de 1 Setback
Side 2 Setback
Rearyard Setback
Sola. Sethacks
Overlay D.st '
NOTle~~reet Trees Rqd
THIS PE1f9Ierlve Rqd
AUTHOFf/ZED o~~AlJr:fil(plRE IF THE WORK
CO,MMI=M""~41::~:rM'T'~ AIM'
AWu~ u NED FOR .
S.dewJlk Type
Downspouts/Drams
Street Improvements
Storm Sewer AvallJble
Special InstructIOn
Notes
I ValuatIOn DescrJotIon I
DeSCrIptIOn
Type of Construction
$ Per Sq Ft
or multJpher
Square FootJge
or Bid Amount
Valne
Date Calculaled
P J2e 1 of 2
-~~
CITY 01' ~r Klj~\..1' IJ!.LlJ '
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED,
EXPIRES.
VALUE,
COM2007-01875
12/19/2007
12/19/2007
06/19/2008
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn LlDe
Toldl Valne of Project
Fees PaId I
Fee DescnptlOn
+ 100/0 Adrmmstratl\c Fee
+ 5% Technology Fee
+ 8% Stale Snrcharge
Sanllary Sewer - 1st 50 Feel
Amount Paid
Date Paid
Receipt Numbel
$500
$250
$400
$50 00
12/19/07
12119/07
12119/07
12/19/07
2200700000000001862
2200700000000001862
2200700000000001862
2200700000000001862
Tolal Amount Paid
$6150
I Plan ReViews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769, All mspections requested before 7 00
a m will be made the same workmg day, mspectlOns requested after 7:00 a,m, Will be made the followmg
work day,
I ReOll I-eel Insnechons I
11111111nl
SaDltary Sewer LlDe Pnor to filhng trench and IDcludlDg requIred tesllDg
By signature, I state and agree, that 1 have cdrefully examlDed the completed apphcatlOn and do hereby cerlIfy Ihal all
mformatlOn hereon IS true and correct, and I further certIfy tholt any dod all work pel fOI med shall be done III dccordance with
the OrdlDances of the City of Spnngfield and the Laws of the State 01 Oregon perldlDmg to Ihe work descnbed herelD, and
thai NO OCCUPANCY Will be made of any structure Without permIssIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
1 furthel cel lIfy that only conlractors and employees who are ID comphance With ORS 701 005 WIll be used on thiS project
1 further agree 10 ensure that all required IDspecllOns are requested althe proper lIme, that each dddress IS readable from the
street, thatlhe permll card IS located dt the front of the pi operty, and the dpproved sel of plans will remalD on the slle al all
Ilm72S d construct*lOn ~ ) Z //=4'7
.--1- "d_~~. ""le //7' C/
"- -
Owner or Conlractors Signature Date
Paee 2 of2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~
aIi:-- -
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1875
COM2007-0 1875
COM2007.01875
COM2007-0 J 875
Payments
Type of Payment
CredllCard
cReccmtl
RECEIPT #:
2200700000000001862
Date- 12/19/2007
DescnptlOn
Sanitary Sewer - I Sl 50 Feel
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
PaId By
DRAIN RAIDeR
Item fotal
Check Number AuthOrizatIOn
ReceIVed By Batch Number Number How Received
dJb 775775 In Person
Paymenl Tolal
Page J of I
1035 13AM
Amount Due
5000
250
400
500
$6150
Amount Paid
$6150
$6150
12119/2007