HomeMy WebLinkAboutPermit Plumbing 2008-6-2 (2)
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
SITE ADDRESS: 308 19TH ST
ASSESSOR'S PARCEL NO.: 1703361313902
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 100lfsanitary sewer
Owner: DA VID LARSON
Address: 4085 EDDY STONE PL
EUGENE OR 97404
Phone Number: 541-687-1749
I
ATTEN1IUI\l: urtdYVIl ; 'v , , '
I CONTRACTOR INF.- - fllt@~ltdoptecl \.,y tl \C, ',( ",. ' "
.. - .. :>n'er 111 }SRll11.," 'I".' '
o ((Callari \.II;; .l . 0 t\~ro'~lgh OAK ,h,~'VI) [
Contractor in O~iC~ii~lP01 OE~mt~tI~1J ~~~~ fulEhoge
GARYS ROOTER & PLUMBING SERVIcft~~9.4't<4~...~~~~tr 1t~~~20~ teleph<S~1'-935-6350
I BUILDING INFORM . :..:1!;<J.~\'~ 'f~r the Oregon Utility NotIrlCi:l.LIUII
~center is 1-800-332-2344).
# of Units: # of Stories: Lot Size:
Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor:
Secondary OccupancYf\YnW . Type of Heat: Sq Ft 2nd Floor:
Primary ConstructionITWel",E. VB Water Type: Sq Ft Basement:
Secondary Constructid~~ERMIT SHAll EXPIR&HglfdWWORK Sq Ft Garage/Carport
# of Bedrooms: AUTHORIZED UNDER THIS~~lf~:NOT Sq Ft Other:
COMMENCED OR IS ABANS~~mvilding. n/a Occupant Load:
A.\'H IOU (JAY t'tti1rbEVELOPMENTINFORMATION I
_ _ ,t..,......... \11"\1 l .t.^
Contractor Type
Plumbing
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriotioJ
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2:e 1 of 2
Status
Iss u ed
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.
Fee Description
+ 10% Administrative Fee $6.60
+ 12% State Surcharge $7.92
+ 5% Technology Fee $3.30
+ 5% Technology Fee $6.75
Encroachment PerqtttJnCE' $135.00
Sanitary Sewer - lst~~ ~tt~~ . $50.00
Sanitary Sewer Eac d~(Idtf-toMIT SHALL E~lQf! IF THE WORK
A LH~~IZED UNDER THIS PERMIT IS NOT
Total Af~~~~jOC~DpR IS A~~flONED FOR
" .00 (;1"\) n:KIUU
. I Plan Reviews I
06/02/2008 10
Amount Paid
D~~ctrION: Oregonll~w,ipjcNl;,,",L ~iOU to
fq;~rules adopted b!ib)rn{ti861Po'M-6~lo~~0
N~fifj~8\tion Center. ThO!iO~-8800~r6~(j2b~lsbo
in&2%1. ~952-001-001 ~ th2<21(1 0810~6'<roOQOOOOR:~-
OO-Of ou may obtam COt' e~ (JI IIIC 1 L,'v':' 1J
lJ't1:'M 221 08000000,000008 7
692, ~g the center. (~22~080boooo'00000807
OUfn er for the OregOlI V""'I' ,',,, " ".....v.1
oWl Center IS 1_8oct-~fbIl82.Q.QP,~Q00000800
612/08 2200800000000000800
Public Works Review
06/02/2008
NJM
Took in an encroachment permit
and routed to Maintenance. BC
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 Insoection!.l
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.
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00766
CO M2008-007 66
Payments:
Type of Payment
CredltCard
"D~,....a.......tl
RECEIPT #:
DescriptIOn
Encroachment Penmt
+ 5% Technology Fee
PaId By
DA VID LARSON
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000807
Date: 06/02/2008
Item Total:
Check Number AuthOrizatIOn
ReceIved By Batch Number Number How Received
BRC 058965 In Person
Payment Total:
Page 1 of 1
2:22:31PM
Amount Due
13500
675
$141.75
Amount Paid
$141 75
$141.75
6/2/2008