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Home My WebLink AboutPermit Plumbing 2008-5-27 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00738 ISSUED: OS/27/2008 APPLIED: OS/27/2008 EXPIRES: 11/2712008 VALUE: 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon LIne SITE ADDRESS 374 16TH ST ASSESSOR'S PARCEL NO 1703362409300 SprIngfield TYPE OF WORK' PlumbIng Only TYPE OF USE RepaIr PROJECT DESCRIPTION Replace approxImately 60' samtary sewer hne ReSIdentIal Owner PAUL CYNTHIA L & DON Address 971 W 10TH AVE EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type PlumbIng Contractor License ACE EQUIPMENT & SPECIALTY SERVICE 154093 BUILDING INFORMATION I ExpiratIOn Date 0112412009 Phone 541-729-6221 # of UnIts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIon Type: # of Bedrooms # of Stones HeIght of Structure Type of Heat Water Type' Range Type. Energy Path' SprInkled BuddIng Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement. Sq Ft Garage/Carport Sq Ft Other Occupant Load nfa I DEVELOPMENT INFORMATION I Front yard Setback SIde 1 Setback SIde 2 Setback. Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd' Paved Dnve Rqd. % of Lot Coverage REQUIRED PARKING Total HandICapped. Compact AlorlC Street Improvement~!IS 'f.. 1l1/'",,- PtRIIA Storm Sewer Aval~Dle,:O IV/I.,. S SpecIal Instruct~,~n /11/1111['. /T/ZeD (j, HAll tV 'l/{Y ~ NetD 'NDtR /I'PIRt Notes. /80 D4y OR IS.4 tlils p~/f: flit 1M PtRJa,., 8.4/lJ Rll1n",,, ORk' u ....."""""b 1/'0- f/}n -. I Valuamn Descri tion I PUBLIC IMPROVEMENTS I AiTENiJO fOI/CSld~~~i!f;@gon law re Notlflc~!LQ.9~ Pted by th gUlres You to ~~~A~~~%5~~~;JI~~~~ r~/e;:~~~e~:~~r calling the ~~ Obtam cOP/~h ~AR 952'001~ nUmber for the n~r. (Note th~ t t~e rUles by "~t reoon I (V e e~iI .... I.) l-aOO-332"2fy 1 VUtltlCatlo.n .. 344). DescnptlOn Type of ConstructIOn $ Per Sq Ft or multIpher Square Footage or BId Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00738 ISSUED: OS/27/2008 APPLIED: OS/27/2008 EXPIRES: 11/27/2008 VALUE: 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees Paid I Fee DescriPtion + 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 5/27/08 5/27/08 5/27/08 5/27/08 5/27/08 2200800000000000745 2200800000000000745 2200800000000000745 2200800000000000745 2200800000000000745 Total Amount Paid $83.82 I Plan Reviews ~ 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 Samtary Sewer Lme. Prior to fillIng 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 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 Sprmgfield and the Laws of the State of Oregon pertammg to the work described 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 dUring constructIOn ~b /1, /C:: .- , - 5ft 7;t;B Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00738 COM2008-00738 COM2008-00738 COM2008-00738 COM2008-00738 Payments Type of Payment Check cRecemtl RECEIPT #: 2200800000000000745 Date: OS/27/2008 DescriptIOn Samtary Sewer - 1 st 50 Feet Samtary Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge + 10% AdmmlstratlVe Fee Paid By ACE EQUIPMENT Item Total Check Number AuthorizatIOn ReceIVed By Batch Number Number How Received IIh 5032 5032 In Person Payment Total Page 1 of 1 8 51 32AM Amount Due 5000 1600 330 792 660 $83 82 Amount Paid $83 82 $83 82 5/27/2008 ?~ ~$ Clty Job Number LOCATION OF PROPOSED WORK 37$/ /~/~ 57 ASSESORS MAP TAX LOT . .. M; OWNER. P 0"</ ?AvL PHONE ADDRESS 971 W /0 f' ? ~~ CITY ~J~ STATE ~- ZIP 9?YOL ~ .:~< ~ 'I .~ SPRliNGFIIELO (' '" 225 FIITH STREET. SPRINGFIELD, OR 97477. PH (541)726-3753 . FAX (541)726-3689 :, S A.N.. ~ 7 ..J'"'t'd"c:..- ("7"""~ .' DESCRIPTION OF WORK ?~~L ~ A-~AJ.L /A' p::'~ , , , NEW REMODEL ADDITON DEMOLISH OTHER. ~ALUE ( . CONST CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE GENERAL .r1C1~ ~Ui-:" <I..s.;,~ ~,. (/ .-:z:~ L- " , PLUMBING MECHANICAL ELECTRICAL MECHAMCAL PERMIT PLUMBING PERMIT ITEM FEE ITEM FEE Furnace FlXtures ReSIdentIal Bath(s) No Exhaust Hood Vent Fan No , Wood Stove/Insert/fIreplace UnIt SanItary Sewer Water Storm Sewer IT IT IT MechanIcal PermIt Subtotal **MmImum of $50 00 State Surcharge12% AdmmIstratIve Fee 10% MechanIcal Issuance Fee $20 00 One applIance $40 00 Two or more applIances Technology Fee %5 Plumbmg PermIt Subtotal **M1nImum of $50 00 State Surcharge 12% AdmInIstratIve Fee 10% Technology Fee %5 TOTAL MECHANICAL TOTAL PLUMBING . . Shared Dnve(T )/Bmldmg FonnsIPenmt Worksheet 1-08 doc