HomeMy WebLinkAboutPermit Plumbing 2008-5-12
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00669
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1710 H ST
ASSESSOR'S PARCEL NO WOOTEN SUB SL 02
SPRINGFIETYPE OF WORK' Site Work Only
TYPE OF USE' New
ReSidential
PROJECT DESCRIPTION' Samtary, storm and water hne
Owner MICHAEL B WOOTEN
Address 72A CENTENNIAL LOOP ST 130
EUGENE OR 97401-2457
Phone Number: 541-687-1099
I CONTRACTOR INFORMATION'
Contractor Type
Plumbmg
Sewer
Contractor License
OWNER
ASPEN INVESTMENT ENTERPRISES INC 181009
BUILDING INFORMATION I
Expiration Date Phone
03/13/2010 541-654-1644
# of UOltS
Pnmary Occupancy Group.
Secondary Occupancy Group
Pnmary Construction Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones Lot Size:
Height of Structure Sq Ft 1st Floor
Type of Heat. Sq Ft 2nd Floor:
Water Typ~~TTENTION Oregon law futtfJrr~eV8lFM'
Range TYQJ~"ow rules adopted by th~qjl~&M~fif~rport
Energy P~t'b~~c~atlon Center. Those r5~Kh"W~effdrth
spnnkled~'YOu 52-001-0Od.G\ througft<@M95~_wtt_
u mav nht';lIn "^r"~~ -f ..- I -
I DEVELOPMENT,.t&ViW~.Tf~I.. (Note. th~ t~;;';;;;;e uy
C ~on Utility NotlfMiQh\IRED PARKING
enter IS 1-800-332-2344)
Overlay Dlst . Total
# Street Trees Rqd Handicapped
Paved Dnve Rqd Compact
% of Lot Coverage
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
Special InstructIOn.
Sidewalk Type
Downspouts/Drams
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Pae:e 1 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00669
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn Description I
DescnptlOn
Tvpe of Construction
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee DescnptIon
+ 10% AdmlmstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each Addtl 100'
Storm Sewer - 1st 50 Feet
Water Lme - 1st 50 Feet
Amount Paid Date Paid Receipt Number
$1660 5/12/08 2200800000000000652
$19 92 5/12/08 2200800000000000652
$830 5/12/08 2200800000000000652
$50 00 5/12/08 2200800000000000652
$1600 5/12/08 2200800000000000652
$50 00 5/12108 2200800000000000652
$50 00 5/12/08 2200800000000000652
Total Amount Paid
$21082
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~eouire~nsnections .
Samtary Sewer Lme Pnor to fillIng trench and mcJudmg reqUIred testmg
Storm Sewer Lme Pnor to fillIng trench.
Water Lme Pnor to fillIng trench and mcludmg reqUIred testmg
Pa2;e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00669
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
By signature, I state and agree, that I have carefully exammed the completed applIcation and do hereby certify that all
mformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance with
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure without permiSSIOn of the Commumty Services DIvIsion, BuIldmg Safety
I further certify that only contractors and employees who are m complIance with ORS 701 005 wIll be used on thiS project
I further agree to ensure that all reqUired mspectlOns are requested at the proper time, that each address IS readable from the
street, that the permit card IS located at the front of the property, and the approved set of plans wIll remam on the site at all
times durmg construction
/nfu-: A~ )~_~
.$-/2. -cJ f
,
Owner or Contractors Signature
Date
Pa2e 3 of3
225 Fifth Street
.
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development ServJces Department
Public Works Department
Job/Journal Number
COM2008-00669
COM2008-00669
COM2008-00669
COM2008-00669
COM2008-00669
COM2008-00669
COM2008-00669
Payments
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000652
Date: 05/12/2008
DescriptIOn
SanItary Sewer - 1 st 50 Feet
SanItary Sewer Each Addtl 100'
Water Lme - 1st 50 Feet
Storm Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
MICHAEL WOOTEN
Item Total
Check Number AuthOrizatIOn
ReceIved By Batch Number Number How ReceIVed
dJb
10048
In Person
Payment Total
Page 1 of 1
2 55 09PM
Amount Due
5000
1600
5000
5000
830
1992
1660
$21082
Amount Paid
$210 82
$210 82
5/12/2008