HomeMy WebLinkAboutPermit Plumbing 2008-6-2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 308 19TH ST
ASSESSOR'S PARCEL NO.: 1703361313902
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00766
ISSUED: 06/02/2008
APPLIED: 06/02/2008
EXPIRES: 12/0212008
VALUE:
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 100Ifsanitary sewer
Owner: DA VID LARSON
Address: 4085 EDDYSTONE PL
EUGENE OR 97404
Contractor Tvpe
Plumbing
TYPE OF USE: Repair
Residential
Phone Number: 541-687-1749
I CONTRACTOR INFORMATION.
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUILDING INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Expiration Date
02/2812011
Phone
541-935-6350
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Stories:
R-3 Height of Structure
rJ:y~~~~fttw requlres you to
vJf\TTENT:O~~aBpil~m}' the Oregon Utility
follow ru e~ 'PfIItsse rules are set forth
NotifIcatIOn ~~l\ttl'oUgh OAR 952-001-
In OAR 952~_Snr~i:h~f the rule%~
0090. You IITelY l"~~'" thotolp[\ho(l9
C1J).Wiloo~~~~'f
nU~~'rYs~ ~JDu-,;)",-....,...4~.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOTICE: DownsE.O.uts/Dr&~HE WORK
THIS PERMIT SHAll ExP1RE It 1
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
D ,\\,..peu'.'!:'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Pa!!e 1 of 2
Value
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00766
ISSUED: 06/02/2008
APPLIED: 06/02/2008
EXPIRES: 12/02/2008
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
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$6.60
$7.92
$3.30
$50.00
$16.00
6/2/08
6/2/08
6/2/08
6/2/08
6/2/08
2200800000000000800
2200800000000000800
2200800000000000800
2200800000000000800
2200800000000000800
Total Amount Paid
$83.82
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 Insnection.1J
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 ens e that all required inspections are requested at the proper time, that each address is readable from the
street, that t e per it c~is located at the front of the property, and the approved set of plans will remain on the site at all
tim" do,; g '00 '70' ~ ~ _ 2 _ ()()
Ow~r or ~mtract~rs Signature Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00766
COM2008-00766
COM2008-00766
COM2008-00766
COM2008-00766
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000800
Date: 06/02/2008
DeSCriptIOn
Sallltary Sewer - 1st 50 Feet
Sallltary Sewer Each AddtI 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admllllstrahve Fee
PaId By
LARSON AND LARSON LLC
Item Total:
Check Number Authorization
ReceIved By Batch Number Number How ReceIved
dJb
1837
In Person
Payment Total:
Page I of I
10:12:58AM
Amount Due
5000
1600
330
792
660
$83.82
Amount Paid
$83 82
$83.82
6/2/2008