HomeMy WebLinkAboutPermit Building 2008-1-10
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-00040
ISSUED. 01/10/2008
APPLIED. 01110/2008
EXPIRES' 07/10/2008
VALUE.
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlUe
SITE ADDRESS 1955 CARTER LN
ASSESSOR'S PARCEL NO 1703253216100
Spnngfield TYPE OF WORK SlUgle Family ResIdence
TYPE OF USE
Repair
ResIdential
PROJECT DESCRIPTION Replace approx 45 ft SaUltary Sewer
Owner BACKER MATTHEW & JENNIFER
Address 811 S 72ND PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
PlumblUg
Contractor
BAXTER PLUMBING & ROOTER LLC
License
169028
Expiration Date
03/13/2008
Phone
541-935-6696
BUILDING INFORMATION I
#ofUUlts
Pnmary Occupancy Group
Secondary Occupancy GI oup
Pnmary ConstructIOn Type
Secondary ConstrnctlOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled ButldlUg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst Total
# Street TI ees Rqd HandIcapped
Paved Dllve Rqd Compact
% of Lot Coverag.ATTENTION Oregon law requires you to
foilow mlps adopted by the Oregon Utility
f\lntlk?tlfln Cpn/er Those rules are set forth
I PUBLIC IMPROVEMENTS I' 952-001-0010 through OAR 952-001.
: - You may obtain copies of the rules by
calling th5ld~f\Illlk 1~e the telephone
number 10f..the Ortl.9.gfhl,!l!~ty NotIhcallon
Celil%'{l'$If-S0'(t332!~).
Street Improvements
Storm Sewer Avatlable
SpecIal InstructIOn
Notes
NOTICE: IRE IF THE WORK
THIS PER~I~ ~~~~ ~~~ PF~MIT IS NOT
AU I nUf\ILLU Vi._ ' OrqHi f())1
CO:\~MENCED OR IS OABANO '"Valuation DescrtotlOn I
j,:; { 1 SO DAY PERIO
DescriptIOn
Type of Construction
$ Per Sq Ft
or multlpher
Square Footage
or BId Amount
Value
Date Calculated
Paee I 01 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-00040
ISSUED. 01/10/2008
APPLIED: 01/10/2008
EXPIRES: 07/10/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Paid I
Fee DescriptIOn
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
SaUltary Sewer - 1st 50 Feet
Amount Paid
Date P3Id
ReceIpt Number
$500
$600
$250
$50 00
1110/08
1110/08
1110/08
1110/08
1200800000000000024
1200800000000000024
1200800000000000024
1200800000000000024
Total Amount PaId
$63 50
, Plan ReViews I
To Request an mspectlon call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00
a m will be made the same workmg day, mspectlOns requested after 7'00 a m, will be made the following
work day
I RenlllrerllnsnectJon,s'
SaUltary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg
By slguature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all
mformatlon 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 Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure wIthout permISSIon of the CommuUlty Services DIVISIOn, BUJldmg Safety
I further certIfy 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 mspectlOns are I equested 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 remam on the site at all
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Pa2e 2 of2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~~~:.1ij
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City of Sprmgfield Official Receipt
Development Services Department
Pubhc Works Department
Job/Journal Number
COM2008-00040
COM2008-00040
COM2008-00040
COM2008-00040
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #,
1200800000000000024
Date 01/10/2008
DescriptIOn
Sanitary Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlUlstratlve Fee
Paid By
BAXl ER PLUMBING
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dim
010165 In Person
Payment Total
Page I of I
II 30 20AM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
111012008
.JL},~
"'f.!!!! CIty Job Number
Q LOCATION OF PROPOSED WORK
ASSESORS MAP
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Vf~l ADDRESS
rrlJi CITY
4r.J}
~ ~ESCRlPTION OF WORK
\ ~'~ NEW REMODEL
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,01 CONTRAcrOR'S NAME
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SPRINGFIELD'
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225 FIrm STREET. SPRINGFIELD, OR 97477. PH (541)726-3753 . FAX (541)726-3689
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PHONE
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ZIP
'17(;77
Sf ATE
ADDITON
J^-<..f J0lU.-J'YI~?f
DEMOLISH OTHER.
VALUE
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ADDRESS
CONST
CONTRAcr~~ :/
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yO!), /f;( Ji I f/M4 y~
PHONE
5<C/0C,/jr:,
Ore 97<11'1
EXPIRES
GENERAL
PLUMBING ~:l.i-uJ ;J)uwzJr-.( .
MECHANICAL 0
ELECTRICAL
MECHANICAL PERMIT
PLUMBING PERMIT
ITEM
FEE
ITEM
FEE
Furnace
FIXtures
Exhaust Hood
Vent Fan No
Wood Stove/Insert/Fireplace Vmt
ResldentJal Bath(s) No
Samtary Sewer IT
Water IT
\L)
~
Storm Sewer IT
Mechamcal PermIt Subtotal
"Mlmmum of $50 00
State Surchargel2%
AdtmmsiratJve Fee 10%
Mechamcal Issuance Fee
$20 00 One appliance
$40 00 Two or more apphances
Technology Fee %5
Plumbing Permit Subtotal
"Mlmmum of $50 00
State Surcharge 12%
AdmlnlsiratJve Fee 10%
Tcchnology Fee %5
TOTAL MECHANICAL
tf:-Z J- ()
TOTAL PLUMBING
.
.
Shared Dnve(T )lButldmg FormslPermIt Worksheet )"(}8 doc