HomeMy WebLinkAboutPermit Plumbing 2008-6-3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00781
ISSUED: 06/03/2008
APPLIED: 06/03/2008
EXPIRES: 12/03/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 282 19TH ST
ASSESSOR'S PARCEL NO,: 1703361314000
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace 801fsanitary sewer
Owner: KATHLEEN SUMMERLIN
Address: 282 19TH ST
SPRINGFIELD OR 97477
Phone Number: 541-
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
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:-
Sprinkled Building
Lot Size:
Sq Ft Ist 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:
ATTENTION ftT QlR'lQA TION
follow ru1es adopted by e re 0 t f rth
Notification Center. ~lfrt1lJ~~ff 9S;2-g01-
In OAR 952-o01-001~Y'mu n Rnd!..
0090. You may Obtai! !~ 'bnf1~~ by
calling the center. t 1.~~l%fitltone
number for the Oreg Ih mny<tfo'1tf_lon
Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
. UOTtC~~ II EXP1Rt ltl(-\~ .\"IOOY.
Valuation Descri tion IS PERME\TO 5UHN~ER THIS PERM\T \5 MOT
THORIZ OMED FOR
Square ~eP.~NCEO OR IS ABAMD
or Bid i~"?80 DA'{ PER'I{JW; 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
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addt1100'
Amount Paid
Date Paid
$6,60
$7,92
$3,30
$50,00
$16,00
6/3/08
6/3/08
6/3/08
6/3/08
6/3/08
Total Amount Paid
$83.82
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00781
ISSUED: 06/03/2008
APPLIED: 06/03/2008
EXPIRES: 12/03/2008
VALUE:
Receipt Number
1200800000000000583
1200800000000000583
1200800000000000583
1200800000000000583
1200800000000000583
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.
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,
v'J1 ----- / ~k(~
Owner or ~tractor~ature ~
I Reauired InsoectionlJ
Sanitary Sewer Line: Prior to filling trench and including required testing,
Pae:e 2 of 2
1-
..--
(f)~
-~
->
\J
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00781
COM2008-00781
COM2008-00781
COM2008-00781
COM2008-00781
Payments:
Type of Payment
CredItCard
cRecemtl
RECEIPT #:
1200800000000000583
Date: 06/03/2008
Description
Samtary Sewer - 1 st 50 Feet
Samtary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
PaId By
GARYSROOTERPLUMB
Item Total:
Check Number AuthOrization
Received By Batch Number Number How Received
dJb 302193 In Person
Payment Total:
Page 1 of 1
11:16:15AM
Amount Due
5000
1600
330
792
660
$83,82
Amount Paid
$83 82
$83,82
6/3/2008