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HomeMy WebLinkAboutPermit Plumbing 2007-01-02Status 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: COM2007-00008ISSUED: 0110212007APPLIED: 0110212007 EXPIRESz 0710212007 VALUE: SITE ADDRESS: 295 S 18TH ST ASSESSOR'SPARCELNO.: 1703360000504 PROJECT DESCRIPTION: Replace Storm Line Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Phone Number: 541-726-3761 License Expiration Date Phone Public Owner: Address: CITY OF SPRINGFIELD 225 sTH ST SPRINGFIELD OR 97477 Contractor Type Contractor CONTRACTOR I # 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 Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: WORK IS NOT Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: nla ERM IT SHALL EX COMMEN CED OR IS ABAN AY PERIOD PIRE IF lHE AUTHORI $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription ANIlrBr0rP Construction Page 1 of2 Value Date Calculated t UILL,ING lNtl2r(rvrA t ruN,J t l-[1vl1,LUrlVrLl\ I tl\r (rr(IvlA r rwl\ | Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2007-00008ISSUED: 0110212007APPLIED: 0710212007EXPIRES: 0710212007 VALUE: Fee Description + llYo Administrative Fee + 57o Technology Fee + 87o State Surcharge Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Total Amount Paid Amount Paid Total Value of Project Date Paid u2t07 U2/07 U2/07 U2t07 U2t07 Receipt Number 1200700000000000001 1200700000000000001 1200700000000000001 1200700000000000001 1200700000000000001 $8.70 $4.35 $6.96 $45.00 $42.00 $107.01 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. Storm Sewer Line: Prior to filling trench. Reouired Insnect 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 Owner or Contractors Pase 2 of 2 Date Fees rar(l I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci-' of Springlield Official Receipt D ;lopment Services Department Public Works Department RECEIPT #: 1200700000000000001 Date: 0110212007 e:31:42AM Job/Journal Number coM2007-00008 coM2007-00008 coM2007-00008 coM2007-00008 coM2007-00008 Description Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10Yo Administrative Fee Amount Due 4s.00 42.00 4.35 6.96 8.70 Item Total:StoTrof Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid INT CHGS 425-62241-8600l2MAINTSTRM njm INT CHG lisa h. In Person Payment Total: $ 107.01 -ffimr cReceintl Page I of 1 1t212007