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Home My WebLink AboutPermit Plumbing 2008-2-14 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00223 ISSUED: 02/14/2008 APPLIED: 02/13/2008 EXPIRES: 08/1412008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phonl~ 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 871 S 43RD ST ASSESSOR'S PARCEL NO.: JANICE JACKSON PAR SPRINGFIETYPE OF WORK: Restaurant TYPE OF USE: PROJECT DESCRIPTION: Redirect utilities to residence for land partition Residential Owner: JANICE JACKSON Address: 875 S 43RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor TYPI~ Plumbing Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructnon 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' 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. Street Improvements: Sidewalk Type: ATTENTID~.aPJW~i.,~t!ulres you to follow rules adopted by the Oregon Utility NotifIcation Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- MnTIr.E' 0090, You may obtain caples of the rules by THIS PEHMIT SHALL EXPIRE 11- iW 'J'J'~~~- 'fillY U1t:1l;t:llllt:H. \1~O{e; l,ne tel~~none ORIZED UNDER THIS PERI lidllfion Descriptioii' ber for the. Oregon Utility NotIfIcatIon AUTH I ANDONE FOR Center IS 1-800-332-2344), . . COMMENCED OR IS AS . ~ Per Sq Ft Square Footage DescnPtJ~y 18ilLYA'rVEmOlY.ctJon or multiplier or Bid Amount Value Date Calculated Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2008-00223 ISSUED: 02/14/2008 APPLIED: 02/13/2008 EXPIRES: 08/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid ~ Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Water Line - 1st 50 Feet Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $50.00 2/14/08 2/14/08 2/14/08 2/14/08 1200800000000000133 1200800000000000133 1200800000000000133 1200800000000000133 Total Amount Paid $63.50 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 Reouired lnsoections I Water Line: Prior to filling trench and includmg required testing. Electric Service: Approval required prior to utility company energizing service. 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 times during construction. c ~( ~~~ owO er or Contractors rJnature 2.- -I CI -OP Date Pa2e 2 of2 225 Fifth Street Spt:ingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00223 COM2008-00223 COM2008-00223 COM2008-00223 Payments: Type of Payment Check cRecemtl RECEIPT #: DescriptIOn Water Lme - 1st 50 Feet + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By HARRIS E JACKSON City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000133 Date: 02/14/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 3666 In Person Payment Total: Page 1 of 1 8:22:17AM Amount Due 5000 250 600 500 $63.50 Amount Paid $63 50 $63.50 2/14/2008