HomeMy WebLinkAboutPermit Plumbing 2008-4-2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00445
ISSUED: 04/02/2008
APPLIED: 04/01/2008
EXPIRES: 10/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Line
SITE ADDRESS: 1069 Anderson Ln
ASSESSOR'S PARCEL NO.: DOVE ESTATES SUBDI
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install 65' Sanitary Line for Subdivision Approval
Residential
Owner: VERN BENSON
Address: 940 HWY 99 N
EUGENE OR 97402
Phone Number: 688-8087
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
PACIFIC EXCAVATION
License
135018
Expiration Date
04/23/2011
Phone
541- 726- 7380
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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 SetbackAr' r= fl Paved Drive Rqd:
Rearyard Setl'iacI: N ON: Oregon law requires y@"y ~PLot Coverage:
Solar SetbacJm"oVV rules adopted by the Oregon Utility
fllutlflcatlon Center Those rules are set forth
III VAN 8b::::-UU1-UUlO through Cf:i:l~-:;'c ;':iNn> .
0080 You may obtain copies ~~FE~.. ROVEMENTS I
Street Improvertll~ntS:the center. (Note, the telephone ~H)T~CIE: Sidewalk Type:
St S nAurr~bl 8b'lf?r tM Oregon Utility NotIficatIOn :H18 PERMIT CJ.J ^ I I _bVDIRC~C THE WORK
orm ewer val a S6nter IS 1-c}~O-332-2344) ,_ '-lJOIIVillSp'ourSVDitlllliIlSt
Special Instruction: .!J T HORJZED UNDER THIS PERMIT IS NOT
, ,C MfViENCED OR IS ABANDONED FOR
I-\NY 180 DAY PERIOD.
Total:
Handicapped:
Compact:
Notes:
I Valuation Description I
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: COM2008-00445
ISSUED: 04/02/2008
APPLIED: 04/0112008
EXPIRES: 10/0212008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid J
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO'
Amount Paid Date Paid Receipt Number
$6.60 4/2/08 3200800000000000206
$7.92 4/2/08 3200800000000000206
$3.30 4/2/08 3200800000000000206
$50.00 4/2/08 3200800000000000206
$16.00 4/2/08 3200800000000000206
Total Amount Paid
$83.82
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 InsDections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
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
s~reettth~t the permit ~ard is located at the front of the property, and the approved set of plans will remain on the site at all
tImes l ring construchon1
) A'i,M-^'-. 4-/2/08
Owne~ .. cnfet..VSignatn.. Date
Pae:e 2 of 2
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00445
COM2008-00445
COM2008-00445
COM2008-00445
COM2008-00445
Payments:
Type of Payment
CredltCard
cRecelOt I
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200800000000000206
Date: 04/02/2008
DescrIptIOn
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
DOUG WEBBER
Item Total:
Check Number AuthOrIzatIOn
Received By Batch Number Number How Received
lIh 075375 In Person
Payment Total:
Page I of 1
9:51 :33AM
Amount Due
5000
1600
330
792
660
$83.82
Amount Paid
$83.82
$83.82
4/2/2008