HomeMy WebLinkAboutPermit Plumbing 2007-02-12Building/Combination Permit
PERMIT NO: COM2007-00190Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
SITEADDRESS: 5877THST
ASSESSOR'S PARCEL NO.: FOUMAL PART 587 7T
Springfield
PROJECT DESCRIPTION: Install sanitary sewer for future partition
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02n2t2007
02112/2007
08t12t2007
TYPE OF WORK: Plumbing Only
TYPE OF USE: New Residential
Owner:
Address:
Contractor Type
Plumbing
LAURA FOUMAL
1750 WASHINGTON ST
EUGENE OR 97401
PhoneNumber: 541-485-4004
Contractor
MARK N SEBRING
License
33315
Expiration Date
07t27t2008
Phone
541-998-2611
CONTRACTOR INFORMATION
Valuation
# 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 Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure:
Type of Heat:
Water
Range
Energy
Overlay
# Street Trees
Paved Drive Rqd:
o/o 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:
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
]
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Pase I of2
Value Date Calculated
IrulrJl-rll\(J I\It I(1Yr4!!!!|1l l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
SPRIN FIELD
Building/Combination Permit
PERMIT NO: COM2007-00190ISSUED: 0211212007
APPLIEDT 0211212007EXPIRES: 0811212007
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 8%o State Surcharge
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
2n2t07
2n2t07
2t12t07
2n2t07
2n2t07
Receipt Number
2200700000000000187
2200700000000000187
2200700000000000187
2200700000000000187
2200700000000000187
$s.90
$2.9s
s4.72
$45.00
$14.00
s72.57
Fees Paid
Plan Reviews
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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
red Insnections
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.
)\
a s
Owner or Contractors
Pase 2 of 2
225 Fifth Street
Springfield., 0regon 97 477
541-726-3759 Phone
Citv of Springfield Official Receipt
I ;lopment Services Department
Public Works Department
RECEIPT #: 2200700000000000187 Date: 0211212007 2:52:4tPM
Job/Journal Number
coM2007-00190
coM2007-00190
coM2007-00190
coM2007-00190
coM2007-00190
Description
Sanitary Sewer - I st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 87o State Surcharge
+ 10% Administrative Fee
Amount Due
45.00
14.00
2.95
4.72
5.90
Item Total s72.57
Payments:
Type ofPayment Paid By Received By Batch Number Number How Received Amount Paid
Check SEBRTNG CONSTRUCTION djb 2845 In Person
Payment Total:
$72.s7
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cReceintl Page 1 of I 211212007
Uhecl( Number Authorrzation