HomeMy WebLinkAboutPermit Plumbing 2008-4-2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00448
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
SITE ADDRESS: 1027 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 W BENSON
Address: 940 HWY 99 N
EUGENE OR 97402
Phone Number: 541-912-0600
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 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:
ATTENTION: Oregon law r~lJlmmIt;/lMrJlOVEMENTS .
fnlln I s adopted by the IS.~ v J "
Street Improvement.~ ru e C t r Those rules are set forth t r r 7'.;' r:. Sidewalk Type:
Notification en e , _ 01- __ ' ,l' ,~.
Storm Sewer AiYfl~52-001-001 0 through ott~e9;Je~ by ; [-:IS PEFJMITIfo\MQ~p-o!!tsffl~:BQi: THE WORK
Special Instructie~o. You may Obt~lnr~~~e~h~ tE'\~~\lO:1e ;UT!!O~IZED UNDER THIS PERMIT IS NOT
. calling tr~~ f~;~r~(jcln Iltlll:V \'.IOtlllC?liOI1 JOIVII\~ENCED OR IS ABANDONED FOR
Notes. numberc;nte, '') 1-CCt0-3:'2 2J'\4). ANY 180 DAY PERIOD.
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: COM2008-00448
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
Total Value of Project
Fees Paid J
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer Each Addtll00'
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
3200800000000000207
3200800000000000207
3200800000000000207
3200800000000000207
3200800000000000207
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.
LReouired 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
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
tim uring constr ction. k
. } /
/j..-{ cr I 2- / 6 I~
. -
Date
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
COM2008-00448
COM2008-00448
COM200S-00448
CO M2008-00448
COM2008-00448
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
3200800000000000207
Date: 04/02/2008
DescriptIOn
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
DOUG WEBBER
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
LLH
67514 In Person
Payment Total:
Page I of 1
9:55:29AM
Amount Due
5000
1600
330
792
660
$83.82
Amount Paid
$83 82
$83.82
4/2/2008