HomeMy WebLinkAboutPermit Plumbing 2008-5-20
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00699
ISSUED: 05/16/2008
APPLIED: 05/16/2008
EXPIRES: 11/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1645 I ST
ASSESSOR'S PARCEL NO.: 1703362105000
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace sanitary sewer
Owner: RITA VIVIENNE LITIN REV TRUST
Address: 700 FAIR OAKS DR
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUILDING INFORMATION I
Expiration Date
02/28/2011
Phone
541-935-6350
VB
# 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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION.
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:
MOllet: E)(P\FE \FI PJ:iJBEIE '~rvPROVEMENT~.lTENTION. Oregon law requires you to
Street ImDt'Y-W3Ji.efiBN\\i 5rH\ll 1\-\\5 pER\\!I\ \ \0 ..~ tallow n~f(i~~gnr-TWJ?Y the Oregon Utility
. \ Q\7ED UNDER ONtO FOn Notification Center. 1-hose rules are set forth
Storm sew~-M.~atlletD OR \5 ABANO in OAR 9~OO$pJJJlt{/l)liajg~h OAR 952-001-
Special Inst~qf~~AEN y PER\OD. 0090. You may obtain caples of the rules by
ANY 180 D~ calling the center. (Note' the telephone
Notes: number for the Oregon Utility Notification
Center is 1-800-332-2344).
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 50 Feet
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00699
ISSUED: 05/16/2008
APPLIED: 05/16/2008
EXPIRES: 11/2012008
VALUE:
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
Receipt Number
2200800000000000683
2200800000000000683
2200800000000000683
2200800000000000683
2200800000000000683
1200800000000000537
1200800000000000537
1200800000000000537
1200800000000000537
$6.60
$7.92
$3.30
$50.00
$16.00
". $5.00
$6.00
$2.50
$50.00
5/16/08
5/16/08
5/16/08
5/16/08
5/16/08
5120/08
5120/08
5120/08
5120/08
$147.32
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 Insoections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water 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.
~::!~~ ~~~t::n
'-- 5a/ I nrt
I -
I
Date
Pa2;e 2 of2
225 Fifth Street
SprIngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00699
COM2008-00699
COM2008-00699
COM2008-00699
Payments:
Type of Payment
Cash
cRecemtl
RECEIPT #:
DescriptIOn
Water Lme - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrahve Fee
Paid By
GARY'S ROOTER &
PLUMBING
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000537
Date: OS/20/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm
In Person
Payment Total:
Page I of I
2:51:16PM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/20/2008