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Home My WebLink AboutPermit Plumbing 2008-4-1 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00436 ISSUED: 04/0112008 APPLIED: 04/0112008 EXPIRES: 10/0112008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1627 S ST 1629 ASSESSOR'S PARCEL NO,: 1703252402400 SPRINGFIETYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Sanitary and Water Lines for new partition Residential Owner: SULLIV AN KELLY V Address: 3674 OXBOW WAY EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Plumbing Sewer Contractor OWNER OWNER 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' ATn=NTlI::\f", A fo,S!?e~al~ ~ype:~gtm fflw req I N " v , ~'. f,C'!3fJ~{jd b u res you to :' 0ID'own~po!!t~Wfli:in$; y the Oregon Utility Ir! n r, -,~~ ' "" I "fi~@ rules '-. 1,-" -u(11 r. '( are set fa th OCS~1 Y , eN owO 11,' ttnough OAR r Cfp. _"~'I'::l/ {j)jt&ih COpies ofth 952-001_ , . 10 L~'n"~Jr (I e rules by Plf111r--l. I~,; "11' ')'" \lote: the telephone C ,,) l rer:JOn Utilit N " , 1". !(",r Ig 1 ~~OO:':I3:? Y otlflcatlon \J ...-2344). Street Improvements: Storm Sewer Available: Special Ins,.t1!:c1i:t:0E: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Pa2;e 1 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00436 ISSUED: 04/01/2008 APPLIED: 04/01/2008 EXPIRES: 10/01/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriPtion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ 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 Amount Paid Date Paid Receipt Number $18,20 4/1/08 2200800000000000378 $21.84 4/1/08 2200800000000000378 $9.10 4/1/08 2200800000000000378 $50.00 4/1/08 2200800000000000378 $32,00 4/1/08 2200800000000000378 $100.00 4/1/08 2200800000000000378 Total Amount Paid $231.14 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, ~eouiredJnsnections I Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing, Pa!:!e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2008-00436 ISSUED: 04/0112008 APPLIED: 04/0112008 EXPIRES: 10/0112008 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 card is located at the front of the property, and the approved set of plans will remain on the site at all 7ij;fist'~ rf~r Owner or Contractors Signature Page 3 of 3 Date ~...... .. 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 . ( .- pemnt#.(~b-:-434 !~-6S('TdJ) ; ~ Address:\\g\~\ \J\n?~\\o6S I \\o2~\1~ '- I J 's~~H\ Issued by: Date:4-l-~..J I I Statement: Information Notice to Property Owners About Construction Responsibilities , Note: Oregon Law, ORS 701.055(4) requzres residential construction permzt applicants who are not licensed wzth the Constructzon Contractors Board to sign the following statement before a buildzng permit can be zssued. This statement is required for residential buildmg, electrzcal, mechamcal and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement wzll be filed with the permzt. 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, ,\ n OR? ./>~ t1I~B. I will be my own ge al co~ctor, \ In hrre 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 / oBstruction Responsibilities on the reverse side ofthis form. ~;;bIC " '~ liir ItA (Signal1Jr6 of permit applicant) (Date) (White copy to zssuing agency permit file, pznk copy to applicant.) I . ~ , PropertLowner.doc 06-01-04 u,_ _u - _m ----~&-~tf:,~q~-= tJvut'-1c?Oo/~--5W-7.rF-Jt;--Sa; _ - -- ---- ----- --------/~<(L- -$---~"'!''-~-~L- ------ --. Iq ~ - - ~f/U.,4-1--ac{) art... 11 ~ U11t - /J/r1LJ4 IGkCNv'r.-~-- ~ ~ \ 02-" LUiJer'l 17; ;J /' a _ RIM EL- ~.2C'I 11 ~~ (\ " t'\ /'d.z.t.WIi: ~~tAkL.f~!~:~F .L-v;:.J ~r~'- ~ ;~ 'h . _) " gl!OP -_\"r L 'EOP d d (S) as,:;, =-r ,,- ." '.. f~'1 'L~s~ "bn-", "- t;x:kSrp)t-.s ~p rk ~...JK::.. 7' WIDE ~~-) ~ EXISTING SANITARY 9I!WeR MANHOLE P~5S~~EJ1 . \$JI I (ID PROP09EO SANITARY S&lfR MANI-IOLE PARCEL ,,<r ->tW20- EXISTING X' w.lTfR MAIN f , I L-!::l.U \ "M:J~ ~ ~ -fX.-XW2O- EXIST/NG)ClI w.lTER SERVla t r 7 T;W'#'-vAO -P_XH20- PR,,;,.,....:oED x' HATm SERVICE A 0 (.. ~ -xes- EX/ST/NG)(' a.t.NITARY 5DtlER MAIN . ; \.. ... t- --" nil .r' ( j ~ EXISTING X' SANITARY 51!N1!R SERVlU I 80' - " -P...xS!$- PR,,;......~ X' ~TARY ~ SI!RVIG!: ~ I~~ PARCEL 2 'C'Q.) UTILITY FOL.E -0 GUY POLE AHCf.IOR MI""'I''''. ,,&- _poPVOfltlTY EAS~ I -\\93 "'! l't( ~ \. \J) a !: t-PD4- ~ . ~ :"'~IOOC'-F- f'o.;. ~ lO,ooa - + Nfl I 'lO' + I ~ - PD4~RCEL 3 ..-'\ ~.EP4 , ~'); t\ ~ . t1~ J~ \ \9l);. ~PD4 08~~ ~ m ;""04- " - 20' <S) ~ )l~ ...i ~ I"'" f' eM. a ,..~- i~ ~ 45&,2& cu.~ i, PeR CITY DAn..1 'I S UJ.tt frdL ;UF~L<;", g_ {Ii yj/J~ ~;Jt.- ~ c.9.ti- ~ 10,00' P II {'- 6l:I2fl I, fgC'~J~~~ORl'1 ~iNIQ PU.N (~df :tj.' 2. fkb ~"'""i'~}~t ~L. Am) w'i'~ ~~ND S, THERE ARE NO EXISTING OR ~.R""~~E!T ~I. T 'AT~ ~~, M~Cf' IfTW STREET AHD S STREET. 4, AU. !)(IST/toG DRY UTILITIES (C-"SLE. Pl-lONt!, PClWfR. ETC,) ARt! Sf.JC:iWN ON !UEeT I (~/ST/NG CONOlTlGtol5)" 5. fkk tt-~,.~..~ ~J AN& wITHiN ~~~ND ~~ ~ /1>>1 'I . - 90,00' ~ ~ '1''::: B ~ I o! ~ 'iIhI ~ ~ 1- ! ~ if: 100' . SQFT n.a. * .. CJTR ~ St ~ + NAT!R SPIClCET Sc:lUARE F!ET FJ..C>>oU.INE I!1.EVATION PUMP MAIL sox ~ RISER EXISTING w.lTER VALVE EXISTING HATI!R METIER EXISTING FIR! HYDRANT THIS UNE NOT TO 5CAL.E ~ . r() ~ .r %l ~ \() ~J .J ...... ~/ PRE :.t' PART , t1 BILL SEI14 T/7= CITY C LANE '\.... T,L 225 Fifth Street Springfield, Oregon f)l7477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00436 COM2008-00436 COM2008-00436 COM2008-00436 COM2008-00436 COM2008-00436 Payments: Type of Payment Check cRecemtl RECEIPT #: 2200800000000000378 Date: 04/01/2008 DescnptlOn 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 IMPROV Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed 2965 In Person Payment Total: Ilh Page 1 of 1 8:32:52AM Amount Due 5000 3200 100 00 9 10 21 84 1820 $231.14 Amount Paid $23 1 14 $231.14 4/1/2008