HomeMy WebLinkAboutPermit Plumbing 2007-04-03Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -0047 6ISSUED: 0410312007APPLIED: 04/0312007EXPIRES: 10/0312007
VALUE:
SITE ADDRESS: 505 34TH ST
ASSESSOR'S PARCELNO.: 1702312410700
PROJECT DESCRIPTION
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New
Plumbing improvements for partition approval parcel 2
Residential
0wner:
Address:
Contractor Type
General
Contractor
OWNER
NEIGHBORHOOD ECONOMIC DEVELOPMENT C
783 GRANT
EUGENE OR 97402
License Expiration Date Phone
# 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:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
# of Stories:
Height of Structure:
Type of Heat:
Lot Size:
Sq Ft
Occupant Load:
Water Tym'r \
Range T$tbi'..
Energy Pftt+b
rt
Sprinkled
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
$ Per Sq Ft
or multiplier
Sidewalk Type:
Square Footage
or Bid AmountDescription Type of Construction
Pase 1 of3
Value Date Calculated
l, u I Lt,rr\ u rN r uKlv!,q_!_l!2-N_l
.t.?
a
Valuation Description I
OF
Building/Combination Permit
PERMIT NO: COM2007 -00476ISSUED: 0410312007
APPLIED: 04/0312007
EXPIRES: l0/0312007
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Fee Description
+ l0o/" Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Sanitary or Storm Sewer Cap
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
1200700000000000357
12007000000000003s7
1200700000000000357
1200700000000000357
1200700000000000357
1200700000000000357
1200700000000000357
r200700000000000357
1 200700000000000357
r2007000000000003s7
$22.20
$11.10
$17.76
$4s.00
$45.00
$14.00
$45.00
$r4.00
$45.00
$r4.00
4t3t07
4t3t07
4t3t07
4t3t07
4/3t07
4t3t07
4/3t07
4t3107
4t3t07
4t3107
$273.06
Fees Peid
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.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Sanitary Sewer Cap: Capped within five (5) feet of the properfy line and capped with an approved material as
required by the code.
Paee 2 of3
;
Reouired lnsnectrons I
Status 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 -0047 6ISSUED: 0410312007APPLIEDz 0410312007EXPIRES: 10/0312007
VALUE:
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.
4-3-a+
or Contractors Signature Date
Page 3 of3
-T
225 Fifth Street
Sprir.!field, Oregon 97 477
541-726-3759 Phone
C'n of Springfield Official Receipt
- .,elopment Services Department
Public Works Department
RECEIPT #: 1200700000000000357 Date: 0410312007 t:51:27PM
Job/Journal Number
coM2007-00476
coM2007-00476
coM2007-00476
coM2007-00476
coM2007-00476
coM2007-00476
coM2007-00476
coM2007-00476
coM2007-00476
coM2007-00476
Description
Sanitary Sewer - I st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - I st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Sanitary or Storm Sewer Cap
+ 5% Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
45.00
14.00
4s.00
14.00
45.00
14.00
45.00
I l.l0
t7.76
22.20
Item Total $273.06
Payments:
Type of Payment Paid By Received By
CheckNumber Authorization
Batch Number Number How Received Amount Paid
Check RAINBOW VALLEY djb 6015 In Person
Payment Total:
s273.06
-S273"0-f
cReceiot I Pase I of I 41312007
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