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Home My WebLink AboutPermit Plumbing 2008-6-6 r Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00815 ISSUED: 06/06/2008 APPLIED: 06/06/2008 EXPIRES: 12/06/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 442 16TH ST ASSESSOR'S PARCEL NO.: 1703362409600 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: PROJECT DESCRIPTION: Install 65' sanitary line - Emergency Installation Septic Failed Residential Owner: WEIST J JORDAN & JODEE Address: PO BOX 25943 EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor ROY HAROLD HAUGLAND License 138110 Expiration Date 10/18/2009 Phone 541-343-9030 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: . % of LQt Coverage: Solar Setbacks: ATTENTION: Oregon law reqUires YOU,t,O fnllnw rllIA~ ~ooted bv the OreQon Utili Notification Center. Those ... VEMENTS in OAR 952-001-001 0 thro Street Improve~9!SJ, You may obtain caples of the rules by . r,.q!lI!1g the center. (Note: the telephone Stor~ Sewer A ~adauorWber for the Oregon Utility Notification Special InstructlOJ1 Center is 1-800-332-2344). Notes: Sidewalk Type: . 'OOll:J3d AVO 09 ~ ANV DOOI:hjjiWRr~~ SIHO 03~N3l11JlNO:> ION SIIIlNH3d SIHIH30Nn Q3ZIHOHlnV >IHOM 3HI :U 3HldX3 11\fHS lllNH3d SIHl :33I.UW..... I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal?:e 1 of2 r 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 - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin Total Amount Paid CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2008-00815 ISSUED: 06/06/2008 APPLIED: 06/06/2008 EXPIRES: 12/06/2008 VALUE: Total Value of Project Fees Paid. Amount Paid Date Paid Receipt Number 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 2200800000000000842 $6.60 $7.92 $3.30 $50.00 $265.25 $348.83 $16.00 $10.00 $990.39 $95.35 $85.49 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 6/6/08 $1,879.13 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. Reouired Insoection-.!J 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 c~ntractors 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 ti/ijryCo:"Joct;on. ---------- / _ /. D Y ( t U_I/,....- /v h '- ~n/or':- C'~ntractors Signature Date Pal?:e 2 of2 r 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-008I5 COM2008-00815 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000842 DescriptIOn Sanitary Sewer - ReImbursement Sanitary Sewer - Improvement SDC MWMC Relffibursement SDC MWMC Improvement SDC MWMC AdminIstration SDC Sanitary/Storm Admin Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee Paid By WEIST Received By lkw Check Number Batch Number Page 1 of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/06/2008 Item Totlll: AuthOrization Number How Received 06971 G In Person Payment Total: 3:01:16PM Amount Due 348 83 265 25 95.35 99039 10 00 8549 5000 1600 330 792 660 $1,879.13 Amount Paid $1,87913 $1,879.13 6/6/2008