HomeMy WebLinkAboutPermit Plumbing 2004-08-20r&r_0
Buildin g/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2004-01006ISSUED: 0812012004APPLIED: 08/1312004
EXPIRESz 0212012005
VALUE:
SITE ADDRESS: 1402 8th St
ASSESS0R'S PARCEL NO.: 1703264307000
PROJEII f DESCRIPTION: Storm Sewer to new parcel
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
Owner: BRANDT-DRURy J M
Address: PO BOX 1473 SPRINGFIELD OR 97477
Contractor Type
Plumbins
Contractor
owtiER
License Expiration Date Phone\o
CONTRACTOR INFORMATION
# of Units:
Primary {)ccupancy
Secondarl'
Primary
Secondarv
# of Bedrooms:
\(\{o${\s
Frontyarrl Setback:
Side I Sctback:
Side 2 Scttrack:
Rearyartl Setback:
Solar Sctbacks:
Street Inrprovements:
Storm Sciver Available:
Special Irrstruction:
Notes:
Path:
Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
1'
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
nla
$ Per Sq Ft
or multiplier
\s
Square Footage
or Bid AmountDescription Type of Construction
Total Value of Project
Value Date Calculated
;.,x
DJ t$o
Valuation Description I
os
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
54I-726-3753 Phone
511-726-3676Fax
541-726-.\7 69 Inspection Line
PERMIT NO: COM2004-01006ISSUED: 0812012004APPLIED: 08/1312004EXPIRES:. 0212012005
VALUE:
Fcc Description
+ 10"/o.\ rlrninistrative Fee
+ 77o Stlte Surcharge
Storm St'rver - 1st 50 Feet
Storm Sr,rver Each Addtl 100'
Total Amount Paid
Amount Paid
$s.90
$4.r3
$45.00
$14.00
$69.03
Date Paid
8120t04
8120t04
8t20t04
8t20t04
Receipt Number
1200400000000001238
1200400000000001238
1200400000000001238
1200400000000001238
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be rrrade the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Slorm Sewer Line: Prior to filling trench.
Reouired 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 Ordinrnces 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 ccrtify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furthcr :rgrce to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, th u t 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 du ri ng construction.
rs Signature Date
Pase2 of?
I
Fees l-errl I
9/z/r
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
rlity of Springfield Official Receipt
rvelopment Services Department
Public Works Department
RECEIPT #: 1200400000000001238 Date: 0812012004 9:21:54AM
Job/Journal Number
coM2004-01005
coM2004-01005
coM2004-01005
coM2004-01005
coM2004-01006
coM2004-01006
coM2004-01006
coM2004-01006
coM2004-01007
coM2004-0 r 007
coM2004-01007
coM2004-01007
Description
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
+ 7%o State Surcharge
+ l0% Administrative Fee
Storm Sewer - I st 50 Feet
Storm Sewer Each Addtl 100'
+ 7o/o State Surcharge
+ l0oh Administrative Fee
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
+ 7Yo State Surcharge
+ l0o/o Administrative Fee
Amount Due
45.00
14.00
4.13
5.90
45.00
14.00
4.13
5.90
4s.00
14.00
4.13
5.90
Item Total:$207.09
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard JM BRANDT DRURY djb 271846 In Person
Payment Total:
$207.09
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8/20/2004 Page I of I
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