HomeMy WebLinkAboutPermit Plumbing 2008-6-19
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Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00902
ISSUED 06/19/2008
APPLIED 06/19/2008
EXPIRES: 12/19/2008
VALUE:
SITE ADDRESS 385 17TH ST
ASSESSOR'S PARCEL NO 1703362403800
Sprmgfield TYPE OF WORK Plnmbmg Only
TYPE OF VSE
Repair
ReSIdential
PROJECT DESCRIPTION SaUltary Sewer Replacement
Owner' SHERRILL SANDRA
Address 385 17TH ST
SPRINGFIELD OR 97477
Contractor Type
Plumbmg
Contractor
OWNER
# of VUlts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
Frontyard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer AvaIlable
Special InstructIon
Notes
DeSCrIptIOn
Tvpe of ConstructIOn
Pbone Number 541-744-3931
I CONTRACTOR INFORMATION I
LIcense
ExpiratIOn Date Phone
BUILDING INFORMATION I
# of Stones
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnokled BuIldmg
n/a
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total
Handicapped
Compact
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
I PV~.I~frI.MJ'ROVEMENTS I
l\wJ~.~~.
THIS PERMIT SHALL EXPIRHpIY1'I~,\I\J(yR~
AUTHORIZED UI~1(ffi:Nftl~tli'~b1p.luWblams
COI\1MENCED Ofb:\SvU\a.~~j;Hi'3HiL' r- J1<.
ANY 1 SO DAY Pfl~~Ifl(j}ltlon Centcr 1-, '
In OAR 952-00 1-C ~ 1 r
(lORO You mav obla ' c
I ' ~~i;lllll the center t -1
ValuatIon DescnllttDnb r for the Cr2~o
Center IS 1-8ul> :Ov _ 2~,
Square Footage
or Bid Amount
n I' ~, "1
$PerSq Ft
or multiplIer
Date Calculated
Value
Page I of2
Status
Issued
CITY OF SPRING1<lJ!.LD .
Building/Combination Permit
PERMIT NO: COM2008-00902
ISSUED: 06/19/2008
APPLIED: 06/19/2008
EXPIRES 12/19/2008
VALUE
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Paul I
Fee DeSCriptIOn
+ 10% Admllllstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each AddtllOO'
Amount Paid
Date Paid
Receipt Numbel
$660
$792
$330
$50 00
$1600
6/19/08
6/19/08
6/19/08
6/19/08
6/19/08
2200800000000000938
2200800000000000938
2200800000000000938
2200800000000000938
2200800000000000938
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 Ins'1ec.tl~ns I
Samtary Sewer Lme Pnor 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 he done m accordance With
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnhed herem, and
that NO OCCVPANCY 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 bc used on this prOject
I further agree to ensure that all reqUIred mspectlOns are requested at the proper time, that each address IS readable from the
street, that tbe permit card IS located at the front of the property, and the approved set of plans wIll remam on the SIte at all
~ constructIon
- ,,/~ ~~
. ~I ContracW;:~;e
6/~~V
( (
Date
Page 2 of2
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
.~
Wit-- -
City of Springfield OfficIal ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-00902
COM2008-00902
COM2008-00902
COM2008-00902
COM2008-00902
Payments
rype of Payment
Check
cRecelOtl
RECEIPT #.
2200800000000000938
Date 06/19/2008
Description
SaOltary Sewer - 1 st 50 Feet
SaOltary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIStrative Fee
Paid By
SANDRA SHERRIL
Item Total
Check Number AuthOrizatIOn
Rccclved By Batch Number Number How Received
lIh
3238
In Person
Payment Total
Page 1 of J
11 19 OIAM
Amount Due
5000
1600
330
792
660
$83 82
Amount Paid
$83 82
$83 82
6/19/2008