HomeMy WebLinkAboutPermit Plumbing 2004-08-20Building/C ombination Permit
Status Issued
225 Fiftlr Street, Springfield, OR
5ll-726-.r 753 Phone
511-726.r(,76 Fax
51 I -72 6-.1 7(r9 Inspection Line
PERMIT NO: COM2004-01005ISSUED: 0812012004APPLIED: 08/1312004
EXPIRESz 0212012005
VALUE:
SITE ,-\l)!)I{ESS: 1408 8TH ST
ASSIiSS( )l{'S PARCEL NO.: 1703264307000
l'li.0,ll.{ I DESCRIPTION: Sanitary Sewer - relocate for land partition
Springfield TYPE OF WORI(: Single Family Residence
TYPE OF USE: Alteration Residential
License Expiration Date Phone
Orvncr:
Addrcss
Contrat'lor Type
l'lunrhirr I
BRANDT-DRURY J M
PO BOX 1473 SPRINGFIELD OR 97477
Contractor
owNER
CONTRACTOR INFORMATION
# of Units:
Primarr o
Scconclir rr
I'rimarr (l
Secondu rv
{rcupancy Group:
Occupancy Group:
onstruction Type o(
Construction
# of Bctlrooms:
Iirontyl r',I Setback:
Side I St't back:
Side 2 St'lback:
Rcaryarrl Setback:
Solar Setlrtcks:
Street I rrr provements:
Storm St'rr er Available:
Special I rr struction:
Notes:
s''l
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
o
E
$ Per Sq Ft
or multiplier
nla
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
tot
Square Footage
or Bid Amount
Total Value of Project
PUBLIC IMPROVEMENTS
Dcscrip r i,'n Type of Construction
Page
Value Date Calculated
NTI
$\
Building/Combination Permit
Status Issued
225 Filih Street, Springfield, OR
541-726-3753 Phone
541-726-1676Fax
541-7 26 -3 7 69 Inspection Line
PERMIT NO: COM2004-01005ISSUED: 0812012004APPLIED: 08/1312004EXPIRES: 0212012005
VALUE:
Fees Paid
Iice Dcsr" iption
+ l0ol, \,lministrative Fee
* 7%r Slrrte Surcharge
Sanitarr Sewer - 1st 50 Feet
Sanit:rn Sewer Each Addtl 100'
Total Amount Paid
Amount Paid
$s.90
$4.13
$45.00
$14.00
$69.03
Date Paid
8t20t04
8t20t04
8t20t04
8t20t04
Receipt Number
r200400000000001238
r200400000000001238
1200400000000001238
1200400000000001238
Plan Reviews
ll'o Rcr.'est an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
u ill bt' ,'rade the same working day, inspections requested after 7:00 a.m. will be made the following work
clay.
:.rirritary Sewer Line: Prior to filling trench and including required testing.
Reouired Insnect
By sigrrrrr rrre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infornrrrti,rn hercon is true and correct, and I further certify that any and all work performed shall be done in accordance with
tlre Orrl;,r rrnces of the City of Springfietd and the Laws of the State of Oregon pertaining to the work described herein, and
that N( ) ' )CCU PANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I [urtht,: .ertif1' that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furttrcr' rgree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, I rr ;: t the llermit card is located at the front of the property, and the approved set of plans will remain on the site at aII
times tlrrr-i nstruction.
fu/r
ol'Date
Pase2 of2
I -#L
225 Fifft Street
Springfield, Oregon 97 477
541-726-3759 Phone
rrity of Springfield Oflicial Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001238 Date: 0812012004 9:21:54AM
Job/Journal Number
coM2004-01005
coM2004-0100s
coM2004-01005
coM2004-0100s
coM2004-01006
coM2004-01006
coM2004-01006
coM2004-01006
coM2004-01007
coM2004-01007
coM2004-01007
coM2004-01007
Description
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
+ 7%o State Surcharge
+ l0% Administrative Fee
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
+7o StateSurcharge
+ l0% Administrative Fee
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
+ 7o/o State Surcharge
+ l0Yo Administrative Fee
Amount Due
45.00
14.00
4.13
5.90
45.00
14.00
4.13
5.90
45.00
14.00
4.13
s.90
Item Total:$207.09
Payments:
Type of Paynrent Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard JM BRANDT DRURY djb 277846 In Person
Payment Total:
$207.09
-stmm
812012004 Page 1 of I