HomeMy WebLinkAboutPermit Encroachment 2008-4-1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00373
ISSUED: 04/01/2008
APPLIED: 03/18/2008
EXPIRES: 10/01/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1250 Rainbow Dr
ASSESSOR'S PARCEL NO.: 1703273402602
Springfield TYPE OF WORK: Miscellaneous
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Encroachment permit to connect to sanitary sewer
Residential
Owner: RAINBOW VILLAGE INC
Address: 1250 RAINBOW DRIVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
TRENCHLESS PIPE SERVICES, INC
License
155663
Expiration Date
OS/28/2009
Phone
741-1744
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:
Street Imp~oTlef::
Storm seWlH~ltl~wr
Special Ins r,'1f iOAl. IT SHALL EXPIRE IF THE WORK
u u~IZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
A TTF. iSraewaI19lI(~r.f(r
fo;:, I,:, i'I;'es ~)ri '':'f: f1 ~aw requires you to
NO,'il(,,!P9wASPJrufS?FJIr!i!i1~i:Je Oregon Ut'l'
, .I'. n Genter Th I fty
In OAf1852-001_001 0 those rules are set forth
0090, You may obt' rough OAR 952-001_
ca.llmg the centeral(NcoPles of the rules by
number fm th", I"'\..~ ate: the telenhrH"f'
I I Center is -1~8v, I vl/llfy Notification
Valuation Description 00-332-2344).
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00373
ISSUED: 04/01/2008
APPLIED: 03/18/2008
EXPIRES: 10/01/2008
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 I
Fee Description
+ 5% Technology Fee
Encroachment Permit
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$6.75
$135.00
$5.00
$6.00
$2.50
$16.00
$34.00
3/18/08
3/18/08
4/1/08
4/1/08
4/1/08
4/1/08
4/1/08
2200800000000000332
2200800000000000332
1200800000000000291
1200800000000000291
1200800000000000291
1200800000000000291
1200800000000000291
Total Amount Paid
$205.25
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.
L Reouired Insoections ,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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 descnbed berein, 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 wbo 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, tbat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
rimes during cons I ct~h
Owner or Contractors SignaturU
Date
Pae:e 2 of 2
225 Fifth Street
~ ..
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00373
COM2008-00373
COM2008-00373
COM2008-00373
COM2008-00373
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000291
Date: 04/01/2008
DeScriptIOn
Fixture
MInimum/AdJustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number AuthorizatIOn
PaId By ReceIved By Batch Number Number How Received
TRENCHLESS PIPE SERVICE nJm 15441 In Person
Payment Total:
Page 1 of I
9:50:02AM
Amount Due
1600
3400
250
600
500
$63.50
Amount Paid
$63 50
$63.50
4/1 /2008