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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 - cReceintl Page 1 of I 211212007 Uhecl( Number Authorrzation