HomeMy WebLinkAboutPermit Plumbing 2008-4-25
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00584
ISSUED: 04/25/2008
APPLIED: 04/25/2008
EXPIRES: 10/25/2008
VALUE:
Springfield TYPE OF WORK: Plumbing Only
SITE ADDRESS: 485 21ST ST
ASSESSOR'S PARCEL NO.: 1703361304600
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 50lfsanitary sewer
Owner: BANK OF NEW YORK
Address: 400 COUNTRYWIDE WAY SV-35
SIMI V ALLEY CA 93065
I CONTRACTOR INFORMATION'
Expiration Date
02/2812011
Phone
541-935-6350
Contractor Type
Plumbing
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback: '
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
# of Stories:
R-3 Height of Structure
A'T'TENTlo;x)~e of Heat:
l~o'N rules'~ ~~taw re
ygMcatlon C ~ RF4oq,~th. gUlres yOu to
:O~AR 952-o~~IAgtn,~ ,{Lj(~;egon Utility,
~. YOU ma B ~4lt$ltt}Wt] are set fotWf
C8.1/1,,- ~~. tsiP "'g_ . .' . ~R Ql:;'t'\",..
num~f!~~~1;,~~~~
n at is 1 VI' Utility N ":/Ione
-800-332_23 ot/f/cation
Overlay DISl": 44).
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
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 IMPROVEMENTS'
Sidewalk Type:
!lOT/eE-
I H/S p .
AUT. cRMIT Su
C HOR/ZED rlAiL EXp
1.,~~MfA1f'f' UNDfR.,., v!RE IF .,.~,.. "
. oU -.. /S" . "0 I-'ERM/ .\:. vVUR/(
Valuation DescrP ~ IODABANDONED T /S NOT
· FOR
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Downspouts/Drains:
Date Calculated
Value
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00584
ISSUED: 04/25/2008
APPLIED: 04/25/2008
EXPIRES: 10/25/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Amount Paid Date Paid Receipt Number
$5.00 4/25/08 1200800000000000399
$6.00 4/25/08 1200800000000000399
$2.50 4/25/08 1200800000000000399
$50.00 4/25/08 1200800000000000399
Total Amount Paid
$63.50
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 ,
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
times during constr . n
I
y~~~
~.,~ -~
Owner or Contractors Sig
Date
Pa2e 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
COM2008-00584
COM2008-00584
COM2008-00584
COM2008-00584
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000399
Date: 04/25/2008
DescnptIon
Samtary Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admlnlstratlve Fee
PaId By
GARYS ROOTER
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How ReceIved
dJb
1779
In Person
Payment Total:
Page I of 1
9:34:17AM
Amount Due
5000
250
600
500
$63.50
Amount PaId
$63 50
$63.50
4/25/2008