HomeMy WebLinkAboutPermit Plumbing 2006-08-29Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
LD
Building/Combination Permit
PERMIT NO: COM2006-0lll2ISSUED: 0812912006APPLIEDz 0812912006EXPIRES: 0212812007
VALUE:
SITE ADDRESS: 629 34TH ST Springfield TYPE OF WORK: Site Work Only
ASSESSOR'S PARCEL NO.: 1702312401400
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Sanitary sewer modifications for partition of parcel 2
Owner:
Address:
Contractor Type
Plumbing
Contractor
LARRY A KUEHNER
Expiration Date
07n2t2008
Residential
Phone
541-995-6250
TROY FORE
629 N 34TH ST
SPRINGFIELD OR 97478
Phone Number: 541-747-0925
License
67905
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Fronfyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type;
Range Type:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
VN
RIZED
nla
center,
the Cr,
ter is 1
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coveiage:
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
)
t
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMBNTS
Description Type of Construction
Pase I of2
Value Date Calculated
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ERMII SHA LL EXPIRE IF THE WORK
\UTHO ER lHIS PERIHIS P MIT IS NOT
ENCED OR ABANDONED FOR
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 I nspection Line
CITY F
Building/Combination Permit
PERMIT NO: COM2006-0lll2ISSUED: 0812912006APPLIEDz 0812912006
EXPIREST 0212812007
VALUE:
Fee Description
+ l0"h Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Sanitary or Storm Sewer Cap
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
8t29t06
8t29t06
8t29t06
8t29t06
8t29t06
8t29t06
Receipt Number
220060000000000121 I
220060000000000121 I
220060000000000121 I
220060000000000121 I
220060000000000121 I
2200600000000001211
$r0.40
$5.20
$8.32
$4s.00
$45.00
$14.00
$127.92
Fees Paid
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
nsnections
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
Paee 2 of 2
Date
tr-L7* o b
si{xure
225 FLth Strtet
Springfield, Oregon 97 477
541-726-3759 Phone
( of Springfield Official Receipt
l-rwelopment Services Department
Public Works Department
RECEIPT#: 220060000000000121r Date: 0812912006 9:03:52AM
Job/Journal Number
coM2006-01I l2
coM2006-0t I t2
coM2006-0r r l2
coM2006-01l l2
coM2006-01 l l2
coM2006-01I l2
Description
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Sanitary or Storm Sewer Cap
+ 5% Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
45.00
14.00
45.00
5.20
8.32
10.40
Item Total:s127.92
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check TROY FORE djb 7846 In Person $127.92
Paymenttotal: ffi
c Receint I Page I of I 8/29t2006