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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 LUl\ r. r(AL r t,K rt\_r !1](1]/rAl:!!A_l I' U l|Jl-rrl\ U rN r rJr(1Yr,q!!Vl\_l in OI 009c ca nur 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