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Home My WebLink AboutPermit Plumbing 2006-9-12 _~elUN(llE!I~; I I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3971 JASPER RD ASSESSOR'S PARCEL NO.: 1802061413200 . .CITY OF~rKll'llJl'IELD Building/Combination Permit PERMIT NO: COM2006-01168 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03/12/2007 VALUE: Springfield TYPE OF WORK: Plnmbing Only TYPE OF USE: New PROJECT DESCRIPTION: Sanitary sewer connect and septic abandon Residential Owner: MIKE BLANKENSHIP CORPORATION Address: 8063 THURSTON RD SPRINGFIELD OR 97478 Contractor Type Plumbing Contractor OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I CONTRACTOR INFORMATION_lires you to ,,"L..""~'" -'-v~ h"theOre on Utility follow rules adopted Eicense g Expiration Date Phone Notification Center. Tnose rUles ar6 ~~. .v.... _ _' ._,^ .~__.._h ('\~l'l Q'i?-001- BuiLi:jiNGiNiioRMA~T.I(')N'les of the rules by c~llina. the center. (Note: the telepho.n.e #,,~r Sl:\'~~~ir the Oregon Utility NotlfHI'iot.Slze: He(gilt of.SJ~~~I%"1-8oo-332-2344). Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEI\-.L" '1>_1 l'Qu.."'.... RK Fullv Improved THIS PERMIT ~i1,'i~~I~)1fyll~E IF THE WO Curbside 5' ZED .o..^r- .,., .. "IOn CD "IT IS nD'r'\T II P . Storm Sewer Available: Yes AUTHORI ,_ ,ownspouts. ralOs:' _ . rywe - rovlde Special Instruction: COMMENCED OR IS ABANDONED Fn'r.ywell Engineering . ... ANY 180 nAY PFRIOD. Notes: QUick SDC Worksheet for David. Storm dralOage to eXlstlOg operallonal drywell. House annexed wi GoldenEagle Subdivision.JLP Street Improvements: Description Tvpe of Construction . I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' SDC Sanitary/Storm Admin Total Amount Paid Puhlic Works Review . .CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01168 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03/12/2007 VALUE: Total Value of Project Fpr~ Amount Paid Date Paid Receipt Number $10.40 $5.20 $8.32 $45.00 $45.00 $534.34 $702.72 $14.00 $61.85 9/12106 9/12/06 9/12/06 9/12/06 9/12/06 9/12/06 9/12/06 9/12/06 9/12/06 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 1200600000000001399 $1,426.83 I Plan Reviews I 09/12/2006 09/12/2006 Quick SDC Worksheet for David. Storm drainage to existing operational drywell. House annexed w/ GoldenEagle Suhdivision.JLP APP JLP To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the foll,!wing work day. 'Rp~ Sanitary Sewer Line: Prior to filling trench and including required testing. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. Paee 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-0II68 ISSUED: 09/12/2006 APPLIED: 09/12/2006 EXPIRES: 03/12/2007 VALUE: 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 ard i located at the front of the property, and the approved set of plans will remain on the site at all times during constru on. Owner or Contractors Signature Paee 3 of 3 '7 liZ/It-. Date 225 Fiftlr Street Springfield, Oregon 97477 541-726-3759 Phone . -j:Q~;~ WiL . .. Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 COM2006-0 1168 RECEIPT #: 1200600000000001399 Date: 09/12/2006 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Sanitary or Storm Sewer Cap + 8% State Surcharge + 10% Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin + 5% Technology Fee Payments: Type of Payment' Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Check cReceinll MIKE BLANKENSHIP CORP djb In Person Payment Total: 10424 Page I of I 9:2S:19AM Amount Due 45.00 14.00 45,00 8.32 10AO 702,72 534.34 61.85 5.20 $1,426.83 Amount Paid $1,426,83 $1,426.83 9/12/2006