HomeMy WebLinkAboutPermit Plumbing 2008-2-5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00163
ISSUED: 02/05/2008
APPLIED: 02/05/2008
EXPIRES: 08/05/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1366 M ST
ASSESSOR'S PARCEL NO,: 1703253301900
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace approx 50ft of sewer line.
Owner: MIDDLETON JOANNE 0
Address: 1366 M ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
JOHN PHILLIP DECKER
License
163938
Expiration Date
03/2912009
Phone
541726-6124
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
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:
Sprinkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Impro~VW~8-009- ~ S! JS1USO
Stor~!"E!~O~I!fl~~a1iNHre:U06aJO 841 JO, Jsqwnu
Sp' r~l~li8iN :a10N) 'J81uao 841 6U!II"E!O
~ 841 JO saldoo U!"E!lqo li"E!w nOA '0600 NOTICE:
Not~QO-GS61:1VO 46noJ41 0~00-WO-GS61:1VO UI THIS PERMIT SHALL EXPIRE IF THE WORK
4)~~I~~a~I~~~ ~;I~~l~~~~1,,;~a1~~~~~~~~.!;!i~~~ AIITHORIZED UNDER THIS PERMIT IS NOT
01 noli sSJ!nbsJ M131 u06sJO :NOI1N31 'tI, . liUIVllVJtl 0 OR IS ABAI'JUUl\ItU tUI1
valuatIOn De Y PERIOD,
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Total Amount Paid
Total Value of Project
Fees PaidJ
Amount Paid
Date Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00163
ISSUED: 02/05/2008
APPLIED: 02/05/2008
EXPIRES: 08/05/2008
VALUE:
Receipt Number
2200800000000000153
2200800000000000153
2200800000000000153
2200800000000000153
To Request an inspection call the 24 hour recording at 726-3769. All in~pections 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.
$5.00
$6.00
$2.50
$50.00
2/5/08
2/5/08
2/5/08
2/5/08
Sanitary Sewer Line: Prior to filling trench and including required testing.
$63.50
I Plan Reviews I
I Reouired Insoections ,
By signature, I state and agree, that I have carefully 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
tim~7['t'~
o""r or Contractors Signature
Pal!e 2 of 2
0-:2- O~-(:)&
Date
225 Fifth Street
SP.ringfie.ld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 163
COM2008-00 163
COM2008-00163
COM2008-00 163
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000153
Date: 02/05/2008
Description
Samtary Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
FLOWERS DRAIN AND
EXCAVATING
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
6465
In Person
nJm
Payment Total:
Page 1 of 1
9:45:42AM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
2/5/2008