HomeMy WebLinkAboutPermit Plumbing 2008-6-19
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00899
ISSUED: 06/19/2008
APPLIED: 06/18/2008
EXPIRES' 12/19/2008
VALUE'
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 475 OAKDALE AVE
ASSESSOR'S PARCEL NO 1703224202600
SPRINGFIETYPE OF WORK SIte Work Only
TYPE OF VSE New
PROJECT DESCRIPTION Install saOltary hnes for parllll?n approval
ReSldenllal
Owner EVANS MICHAEL P
Address 1071 HARLOW RD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
EVGENE SAND & GRAVEL
LIcense
44524
ExpiratIOn Date
02123/2009
Phone
541-683-6400
BUILDING INFORMATION I
# of VOlts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary Construcllon Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled BUlldmg
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 DEVELOPllucl' I ",~uRMA T10N I
REQUIRED PARKING
Front yard Sethack
Side I Setbdck
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
ATTENTION' Oregon law requlresl~C IMPROVEMENTS I
Street I.mJlo.~e(b'Jllll..adopted by the Oregon UM~y Sidewalk Type
f.j'oiilicat,on 'Center Those rules are set forth NOTICE:
Storm ~!l'I':e,/\'M!iOO.aNel-0010through OAR 952-001- THIS PERMlfSVl~'t'l?~n: THE WOR
SpecI3Wi!l'buctlOn nay obtain copies ofthe rules by AUTHORIZED UNDER THIS K
calling the center (Note the telephone PERMIT IS NOT
Notes number for the Orcoon Utility Notlflcalion COMMENCED OR IS ABANDONED FOR
Cente, IS 1-800.332-2344) f ~ry i gO DAY PERIOD
I ValuatIOn DescrmtlOn I
DescnptlOn
Tvpe of ConstructIOn
$ Per Sq Ft
or mulllpher
Square Footage
or BId Amount
Value
Date Calculated
Paee I of 2
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00899
ISSUED: 06/19/2008
APPLIED: 06/18/2008
EXPIRES, 12/19/2008
VALUE
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 InspectIOn Lme
Tntal Value of ProJect
Fees Paul I
Fee DeSCriptIOn
+ 10% AdmmlStrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
SaOltary Sewer - 1st 50 Feet
SaOltary Sewer Each AddtI 100'
Amount PaId
Date PaId
Receipt Number
$660
$792
$330
$50 00
$1600
6/19/08
6/19/08
6/19/08
6/19/08
6/19/08
2200800000000000934
2200800000000000934
2200800000000000934
2200800000000000934
2200800000000000934
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 ReIluired I nSl'ectlOns I
SaOltary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg
By SIgnature, I state and agree, that I have carefully exammed the completed apphcallon and do hereby certify that all
mformatlOn hereon IS true and correct, and I further cerllfy that any and all work performed shall be 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 OCCVP ANCY will be made of any structure without permISSIon of the CnmmuOlty Services DIVISIOn, BuIldmg Safety
I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 WIll he used on thIS project
I further agree to ensure that dll requIred mspecllons 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 prnperty, and the approved set of pldns WIll remam on the SIte at all
times durmg construchon
--t N\ ;~J'-<"..d g R ~~
~-l9 -03
Owner or Contractors Signature
Date
Paee 2 of2
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WiL". -
225 FIfth Street
Sprmgfield;Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00899
COM2008-00899
COM2008-00899
COM2008-00899
COM2008-00899
Payments
Type of Payment
Check
cRecemt 1
CIty of SprIngfield Officml Receipt
Development ServIces Department
PublIc Works Department
RECEIPT #,
2200800000000000934
Date, 06/19/2008
102440AM
Descnptlon
SaDltary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Amount Due
5000
1600
330
792
660
$83 82
Paid By
LAND PLANNING
CONSULTANTS
Item Total
t:heck Number AuthOrizatIOn
Received By Batch Number Number How Received
Amount Paid
Ilh
11800
In Person
$83 82
Payment Total
$83 82
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6/1 9/2008