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Home My WebLink AboutPermit Plumbing 2008-4-1 ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00434 ISSUED: 04/01/2008 APPLIED: 04/01/2008 EXPIRES: 10101/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1633 S ST 1635 ASSESSOR'S PARCEL NO.: 1703252402400 SPRINGFIETYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Sanitary and Stom Line for new partition Owner: SULLIV AN KELLY V Address: 3674 OXBOW WAY EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone 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 1/ !; (TENT/Ol\,. C'I ,.. Street Improvem,~nts~r.re:D E II: THE WOR!' toPo'" Si(f'eWaIl(r1~ptfllaw requires you t L1~j b JIlJ'If,. II EXPIR r I v\/'wes adopted bv th 0 Storm Sewer Available1ERMI1 SHA THIS PERMIT IS NOT rl'-liliu~tJi)(iw:n$P.OutS/Dr.amS;e/aregon UtIlity \111.... ' NOER . ..~. '/JOse ru es Special Instructio<<nHORIZEO U ANOONED FOR ,:I,i , ,:. \ D~2"J01'001 0 through at' e set forth f MENCED OR IS AB .' ~ ".Ii may obtain caples of R 952-001- Notes: COMy '180 DAY PERIOD, ,I:' I,On!:"f (Note' the /h,e rules by AN I". I ,,, ) e ephone . -, . '- 1""0'1 iJt I " ~'-. I "V l\1~..,::;_", , ,-". ~ .;; Hi00-332-2344)-, ~~"...., I I Valuation Description I Description Tvpe of ConstructIOn $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of 2 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 Sanitary Sewer Each Addtll00' Water Line - 1st 50 Feet Total Amount Paid Total Value of Project Fees Paid' Amount Paid Date Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00434 ISSUED: 04/0112008 APPLIED: 04/0112008 EXPIRES: 10/0112008 VALUE: Receipt Number 2200800000000000379 2200800000000000379 2200800000000000379 2200800000000000379 2200800000000000379 2200800000000000379 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. $23,20 $27,84 $11,60 $100.00 $32.00 $100.00 4/1/08 4/1/08 4/1/08 4/1/08 4/1/08 4/1/08 Sanitary Sewer Line: Prior to filling trench and including required testing, Water Line: Prior to filling trench and including required testing. $294.64 I Plan Reviews I I Reouired Insoections I 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 iij2n'tll:t:- Owner or Contractors Signature Pa2e 2 of2 e// ~r I ( Date ~ ". ">'! . ( .- Pemnt#.(~b-43L\ 14--6S{.q-~ Addre,J~ \ I \Ao-i3,\\ooS ! ~~}l~~ ISSUedbY:~ Date:4-l-CJ?;J Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Statement: .Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constrnction permzt applzcants who are not licensed with the Constrnction Contractors Board to sign the followzng statement before a budding permit can be zssued. This statement is required for reszdential building, electrzcal, mechanical and plumbing permzts. Licensed architect and engineer applicants, exempt from lzcenszng under ORS 701.010(7), need not submit thzs statement. This statement wzll befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: o 1. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion, 3A, My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed wIth the Construction Contractors Board, 'lB. I will be my~: ge ? al co tractor. If! hire subcon actors, I will hire only subcontractors licensed with the Construction Contractors Board, If! change, my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor, \ I hereby certify that the above information is correct and that I have read and do understand the Information Notice to, Property Owners abo / onstruction Responsibilities on the reverse side of this form. ~/(; . ~ #'1" ~ (Signature of permit applicant) ( (Date) (Whzte copy to zssuing agency permit file, pznk copy to applzcant.) PropertLowner.doc 06-01-04 ~L ~~.qJ- ~t.1cZOo/~- S7#-7~~,gC. ~ j?1 ~ t.kJ1t- /lI~ h-cN.9't~-- I' . 20' A <S) &ss i I' ~I( , ~ 'ff ~ =-r--'-'%" .. - - eM ~ ~ i ..~...... . ~~ ~ 45&,2& co..~ Si, PeR CITY DATUM I r !9 UJk!etL IUF~L<;', - - g - {II ;Jvc &;11:, ~ C!.t-l ~ 10,00' (4:I2r -, .' ,,- - _ ~-r ~ a.; o! ~ ~ ~, I, fr/!.T~~~~, DRAiNAGE pt.M (~eW 4).~ 2, ~ f'R,.;l"...,,~..w.. ~L. N1P ~?~~~~ND S, THfRl! ARE NO EXISTING OR WR' I I~~E~ ~I~ T AT THE ~ I ~Of' "TN &TRaT ANI) S STReET, 4, All EX/ST/NQ DRY VfILlTIES (Q,B'-E, flI.IONE, PClWlER, n-c.) Afil~ 5I-lc>>olN ON 5UfET' I (EXISTING CONDIT/GtoI5), 5, fkh tr'p,ri'~Ja'!.. ~'ND AN6 W/n:liN !AiiM!NTir."~ J ~ IIIhf 1- ..~. ! dd PARCEL " f!il~r \\S)~?~ ?W-^~\ AO CO ..:y" '-. ~ ~ s ...., " - 90,00' ~~~, ~- - P~,.....:.ED P 7' HIDE 11,.;.......... ~5S --LlTlLlTY EASEM I ~I PD4~RCEL 3 r"'\ .f.D4 ~ /l \ \..p l\....\. o t1' I~ \9- t.- o. ~ ~\ ~D4 ~8~~./ ~ :- 04- - fB 100' . SQFT FL!L. "* .. DTfil w ~ .it ~ . ~ 1& 11 oS S-'t',<-i:-k7 ..('fru:a-f~{). CiZ- \O~~ tdte0'lf7; 1... ~S ~ f'a' ~\:.MP ~'" """TeR 5PIClCET 8cWARE FEET FLC>>U.INE ~LEVATlON PIJHP MAIL ecoc ~fillSER EXISTING WATeR VALVE EXI5T/NQ WAiER I .c:;,,.:J,": EXISTING FIRE HYDRANT THIS UNe t<<7T TO sc:.AL.E ~ . tf) ~ /:] -~ ~ ~J r .J Co~ uvr /1>>1 ~ 5!!Mf.I ~ /' f/ _ RIM a.- ~,2flI ~~.. '&17V~ \~:: =:13 f . ~ ~ -_In--t~ / 'EaP <s>---ess-- j " II I ~ "tb ~ J~1~S~ prR f;xXSr~t-.s ~/'rk 7:.'t'u;:::::. @ EXISTING SNJ/TARY UHeR MANUOf..E @ ,....,....,.....:OEO SANITARY sa.#ER MANUOLE -)(W20- EXISTING X' WATER MAIN -fX..XW2O- EXISTING X" WATER 9!RVlU -P_XH20- PR......,....o.ED x' HA1"2R HRVICE -XS6- EXISTING X' -SANITARY S&lER MAIN ~ !XIST/NG >c' SANITARY' SewER 5eRVIU -P...xss- PR.........::.oeo X' ~TARY seweR SI!RVlG~ CU-> UTILITY POLl: -CI GUY POLE ANQ.lOR '- ~( PRE ;Y PART , ~ BILL SEl14 TI7= CITY C LANE ....... T,L 225 Fifth Street " Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00434 COM2008-00434 COM2008-00434 COM2008-00434 COM2008-00434 COM2008-00434 Payments: Type of Payment Check cRecemtl RECEIPT #: 2200800000000000379 Date: 04/0112008 DescriptIOn SanItary Sewer - 1 st 50 Feet SanItary Sewer Each Addtl 100' Water Lme - 1st 50 Feet + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By DUNWRIGHT HOME IMPR Item Total: Check Number AuthOrization Received By Batch Number Number How Received llh 2965 In Person Payment Total: Page 1 of 1 8:33:56AM Amount Due ]0000 3200 ] 00 00 1160 2784 2320 $294.64 Amount Paid $29464 $294.64 4/1/2008