HomeMy WebLinkAboutPermit Plumbing 2008-5-12
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00670
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
SITE ADDRESS. 1704 H ST
ASSESSOR'S PARCEL NO. WOOTEN SUB SL 01
SPRINGFIETYPE OF WORK Site Work Only
PROJECT DESCRIPTION samtary sewer
TYPE OF USE New
Residential
Owner MICHAEL B WOOTEN
Address 72A CENTENNIAL LOOP ST 130
EUGENE OR 97401-2457
Contractor Type
PlumblOg
Sewer
I CONTRACTOR INFORMATION I
Contractor License
OWNER
ASPEN INVESTMENT ENTERPRISES INC 181009
BUILDING INFORMATION I
# of Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIon Type
Secondary ConstructIon Type'
# of Bedrooms.
Frontyard Setback
Side 1 Setback.
Side 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements'
Storm Sewer A vallable
SpeCial InstructIOn'
Notes'
# of Stones'
Height of Structure
Type of Heat
Water Type'
A Range Type'
I J I:NT/ON: or~~~flmUlres you to
follow rules ado
Notlf/catlon C t ij etp8Jdaiij~n Utility n/a
I .. . .. ener ose n 11p.~ ::Ira cot OMt,
OO~Oy~f~~TNfflmwAtItION I
II' ~~ ..." ,j 1<;; I UIO;;:::; uy
ca In9 the center (Note the telephone
number for the ~fJill)lJIU~ Notification
Center /s fJ ~~6:r.ceeS~d.
Paved Dnve Rqd'
% of Lot Coverage
I PUBLIC IMPROVEMENTS'
Phone Number 541-687-1099
Expiration Date Phone
03/13/2010 541-654-1644
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.
Sidewalk Type
Downspouts/Drams
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00670
ISSUED: 05/12/2008
APPLIED: 05/1212008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation Description I
DescnptIon
Type of Construction
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee DescnptIon
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each Addtl100'
Amount Paid
Date Paid
Receipt Number
$660
$792
$330
$50 00
$1600
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
2200800000000000653
2200800000000000653
2200800000000000653
2200800000000000653
2200800000000000653
Total Amount Paid
$83 82
I Plan Reviews I
To Request an inspection call the 24 hour recordmg 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 followmg
work day.
I Reouired InsoectlOns I
Samtary Sewer Lme' Pnor to fillmg trench and mcludmg reqUired testmg
By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certify that all
mformatlOn 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 Sprmgfield 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, BUlldmg 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 mspectIons 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
/J7!~
A
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- -.
$"'- I 2.. - 0 J>
, ,
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Str~et
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00670
COM2008-00670
COM2008-00670
COM2008-00670
COM2008-00670
Payments
Type of Payment
Check
cRecelOt 1
RECEIPT #:
2200800000000000653
Date: 05/12/2008
Descnptlon
SanItary Sewer - 1 st 50 Feet
SanItary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MICHAEL WOOTEN
Item Total
Check Number AuthonzatlOn
Received By Batch Number Number How ReceIved
dJb
10048
In Person
Payment Total
Page 1 of 1
2 55 53PM
Amount Due
5000
1600
330
792
660
$83 82
Amount Paid
$83 82
$83 82
5/12/2008