HomeMy WebLinkAboutPermit Plumbing 2008-5-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00686
ISSUED: 05/14/2008
APPLIED: 05/14/2008
EXPIRES: 11/14/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1069 L ST
ASSESSOR'S PARCEL NO.: 1703264409600
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace 501fsanitary sewer
Owner: OIEN ROBERT L JR & JANEEN J
Address: 1069 L ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
GARY ALAN MUSTIN
License
129990
Expiration Date
06/24/2008
Phone
541-463-7568
BUILDING INFORMATION'
# 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:
A. . tNT10N: Orego~Rfip~mi~~
ton wrules~gr.g _....1 II.
!' . n C Y ~dall<l/Ille'KM~LTION I
Notlficatlo 0 t ug vt\n r;JoJ~ UO 1
In OAR 952-001-001. r~. es of the rules by
0090. You may obtalr ll~~~~tW\t3lephone
calling the center. to~r;. ~itl{Pf6tWtion
number for the. ore~rtlf_ !?-'23il~qd:
Center IS 1-~~vo Lot Coverage:
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
!lITl..fnRI7I=n UNDER THIS PERMIT IS NOT
I . (.;mCED OR IS ABANDONED FOR
ValuatIOn Descr.l DAY PERIOD.
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: COM2008-00686
ISSUED: 05/14/2008
APPLIED: 05/14/2008
EXPIRES: 11/14/2008
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 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
$6.00
$2.50
$50.00
5/14/08
5/14/08
5/14/08
5/14/08
1200800000000000495
1200800000000000495
1200800000000000495
1200800000000000495
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.
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
times during construction.
VIlawllJ11l1Jttdl
Owner or Cog;.c~ors Signature
, ?) i Lj._!),?;
Date
Pae:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00686
COM2008-00686
COM2008-00686
COM2008-00686
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000495
Date: 05/14/2008
Description
SanItary Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
GARY MUSTIN
Item Total:
Check Number Authonzation
Received By Batch Number Number How Received
dJb
094103 In Person
Payment Total:
Page 1 of 1
12:02:43PM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/14/2008