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Home My WebLink AboutPermit Plumbing 2008-4-2 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00447 ISSUED: 04/02/2008 APPLIED: 04/0112008 EXPIRES: 10/0212008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1099 Anderson Ln ASSESSOR'S PARCEL NO.: DOVE ESTATES SUBDI Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Install 65' Sanitary Sewer for Plat Approval Owner: Address: VERN BENSON 940 HWY 99 N EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor PACIFIC EXCA VA TION License 135018 BUILDING INFORMATION' # of U nits: ~ 7)-1'" # of Stories: Primary ~c'c~pai1CYiG.tOuP: Height of Structure ~)111 It. AI Secondar. Q)ccupancy~Group: Type of Heat: If.'t r "c~t. (~). '~e Primarv,'OCohstruction,'f.ype 00n! Water Type: ~ 9 "I (l ( ..r t '" SecondafY(eonstr,tictioIO/f~pe:. " . v'-'J Range Type: O~l, '0'1 V{...J ~ ~.. I, f ... '""'~ # of Bedrou'ms: '" If. I,C. \. '.,' ,I"J<:< Energy Path: TTV/'h 'V {.' Iqy V, (J "", , ~ J' .'Ibe" 17$ C 00/;.> 117/0 ': /(//6: t-[-ilJr 11[; l,Sprinkled Building n/a fOr, e/]l~ 411'}" t;0J-.. C' e,~ ' .I}", - ~et}t~~/; Ot~~ (tvo;~V/GS o~;'tl SI~DE~:ELOPMENT INFORMATION. '$ 7,So. Ot) ut.~ the t. If} Ill/, '-'V7, 'O-aa lily IV. e/elJfI $oS b Front yard Setback: r:?-<a</. Otlflc ~t}e ~ Overlay Dist: Side 1 Setback: <I). q!;Ot} # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of ~'!J, Coverage: Solar Setbacks: ,! )olin " ~'" '^ Residential Phone Number: 688-8087 Expiration Date 04/2312011 Phone 541-726-7380 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPRO~:~MENTS I ~" '~<-'/ /:r. Sidewalk Type: r 'l- 'ilf) <.'/) (/, IY-<// (. ~/OO Y"i0L' <.( f:'j... Downspouts/Drains: '/'/;..- () /;;: <.19 l; -1,b~ I 0rh 0' -</~ ~S A ~ /j:' V~ ~~Oo. <<'&41- tijf:' ~^'^ /1' /" ~O1),- I Valuation Description I ....., f:'Ol;v 1/10; Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pae:e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00447 ISSUED: 04/02/2008 APPLIED: 04/0112008 EXPIRES: 10/02/2008 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 1 Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtI 100' Amount Paid Date Paid $6.60 $7.92 $3.30 $50.00 $16.00 4/2/08 4/2/08 4/2/08 4/2/08 4/2/08 Receipt Number 3200800000000000205 3200800000000000205 3200800000000000205 3200800000000000205 3200800000000000205 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 Insoections 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 stre ,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 ti~dU"ngCOu;~ 1-/2 / () 9 Owner or con/actors Signature Date f Pae:e 2 of2 225 Fifth. Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00447 COM2008-00447 COM2008-00447 COM2008-00447 COM2008-00447 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 3200800000000000205 Date: 04/02/2008 DescriptIOn Samtary Sewer - 1st 50 Feet Samtary Sewer Each AddtI 100' + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee Paid By DOUG WEBER Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received lIh 044571 In Person Payment Total: Page 1 of I 9:46:49AM Amount Due 5000 1600 330 792 660 $83.82 Amount Paid $83 82 $83.82 4/2/2008