HomeMy WebLinkAboutPermit Plumbing 2006-10-24Building/Combination Permit
PERMIT NO:coM2006-01369
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3153 Phone
541-?26-3676 Fax
541-7 26-37 69 Inspection Line
ISSUED:
APPLIED:
EXPIRES:
VALUE:
10/24l2006
10/24l2006
04t2412001
SITE ADDRESS: 963 6TH ST Springfield TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO.: 1703351204600
TYPE OF USE; Repair Residential
PROJECT DESCRIPTION: Replacement Sanitary Sewer LineA[o encroachment permit needed per Kim Badley
Owner:
A,ddress:
CLAUSEN LINDA H
963 N 6TH ST
SPRINGFIELD OR 97477
Contractor Type Contractor License Expiration Date Phone
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street [qpfffiqrRDt$.,.;;.,,sr., i rcir,v te,]lltfes yOU tU
StormfS{ftf Ar.a,filhBpir pte d by th e O re g o n' Ut i I ity
sped$otH*mlim#enter' Those rules are set forti
in OAR 952-01)i -0010 through OAR 952-001
Not@090. You rnay obtain copies of the rllles u\
f.el hone
numberfor the Oregon Util ty
Center is 1 -800-332-2344)
Type of Construction
H0TlGfidewark
rvpe:
rurs prPffrffw[tPE?p?iir rr THE woRK
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
AUTHORIZED UNDER T]
COMMENCED OR IS AB
REQUIRED PARKING
Total:
Handicapped:
Compact:
Hrs P,Fq44rT rs ukT
AXDqI$FD FoR s1
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description
Page 1 of2
Value Date Calculated
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01369ISSUED: 1012412006
APPLIEDz 1012412006
EXPIRES: 0412412007
VALUE:
Amount Paid
Total Value of Project
Date PaidFee Description
+ l0o/" Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100r
Total Amount Paid
$5.90
$2.95
s4.72
$45.00
$14.00
10t24t06
10t24t06
10t24t06
10t24t06
t0t24t06
Receipt Number
120060000000000156r
1200600000000001561
1200600000000001561
120060000000000156r
1200600000000001561
$72.s7
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 workday.
Sanitary Sewer Line: prior to filling trench and incruding required testing.
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance withthe ordinances of the Cify of Springfield and the Laws of ihe state of oregon pertaining to the work described herein, andthat No occuPANCY will be made of any structure without permission or tt. cr--uinity 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 inspeciions are requested at the proper time, that each address is readable from thestreet' that the permit card is located at the front of the proplrty, and ttre app.oneo sei of ptans will remain on the site at alltimes during construction.
Owner or Contractors
Io
Date
ZLl 0
JP.^-J--
Sign
Q*N-
Paee 2 of 2
lr/</ o 1.
r ees ralo I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;'' of Springfield Official Receipt
L llopment Services Department
Public Works Department
RECEIPT#: 120060000000000156r Date: 1012412006 l:4e:lePM
Job/Journal Number
coM2006-01369
coM2006-01369
coM2006-01369
coM2006-01369
coM2006-01369
Description
Sanitary Sewer - I st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
45.00
14.00
2.9s
4.72
5.90
Item Total s72.57
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard TRENCHLESS BOOKKEEPING
LLC
lkw 415650 In Person
Payment Total:
$72.57
s72.57
cReceint I Page I of I
t0/2412006
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