HomeMy WebLinkAboutPermit Plumbing 2008-7-7
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Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00997
ISSUED 07/0712008
APPLIED 07/07/2008
EXPIRES 0110712009
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 862 S 70TH ST
ASSESSOR'S PARCEL NO 1802022304100
SprIugfield TYPE OF WORK SIte Work Only
TYPE OF USE New
ResldeutIaI
PROJECT DESCRIPTION Install dramage pIpe
Owner JACQUELINE CASANOVA
Address 862 S 70TH ST
SPRINGFIELD OR 97478
Phoue Number 541-747-9588
I CONTRACTOR INFORMATION I
Contractor Type
Plumbmg
Contractor
OWNER
LIcense
Expiration Date Phone
BUILDING INFORMATION I
# of UUltS
PrImary Occupancy Group
Secondary Occupancy Group
PrImdry ConstructIOn Type
Secondary ConstructIou Type
# of Bedrooms'
VB
# of StorIes
HeIght of Strllcture
Type of Heat
Water Type
Range Type
Energy Path
SprInkled Bulldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Froutyard Setback
Side I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd-
% of Lot Coverage
Total
Haudlcapped
Compact
NO I PUBLIC IMPROVE~T~._
Ii "IC~ IJN' Orflfl9.!J.,{ro
Street Improv Ji~~ ~: follow rules adSj.,%'lI'1i \1l!iIulres you to
~n C.li.A6 Notification C I Y t e Orl3}lon Vt,
Storm Sew~ ~~l wills. -, - In OAR 952- en~6w1i~t~iJitfelWl; S'lly
speCIalln~JVc1fl!l'[N. '<tD (j, "/i-4ll €t 0090 You ~~1~0~10throu9h OAR95~~~~~
y '80 DetD O%DtlT lff,'PllTt I;: calling the c~nte~al(~~Ples of the rules by
Notes '4y PtR IS -48.A 'IS Ptp 'lit I.. nUmber for the OregonO ~lJ/:~e telephone
lOa ::!A(rl' 'l'A-1,'''' vvn?'1 r.~_ ,. " - - y NOJI~-
"Villi. . ,.., . - . vvv-""".J;J44).
. f ~~R6n Descrmtton I
DeSCrIptIOn
Type of ConstructIOn
$ Per Sq Ft
or multIpher
Square Footage
or BId Amount
Value
Date Calculated
Page I of2
Status
Issued
225 Filth StI eet, SprIugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fee DescriptIOn
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Storm Sewer - 1st 50 Feet
Storm Sewer Edch AddtllOO'
Amount Paid
$660
$792
$330
$50 00
$1600
Total Amount PaId
$83 82
Total Value of Project
Fees PaId I
Date PaId
717108
717108
717108
717108
717108
I Plan RevIews ~
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00997
ISSUED. 07/07/2008
APPLIED. 07/07/2008
EXPIRES: 01107/2009
VALUE:
Receipt Number
3200800000000000465
3200800000000000465
3200800000000000465
3200800000000000465
3200800000000000465
To Request an mspectIOn call the 24 hour recordmg at 726-3769. All mspectIons requested before 7:00
a m wIll be made the same workmg day, mspections requested after 7 00 a.m wIll be made the followmg
work day.
I Rellll1red T nsnections ,
Storm Sewer Lme PrIor to fillIng trench
By signature, I state and dgree, that I have carefully exammed the completed applIcation and do hereby certify that all
mfol matlon hereon IS true aud correct, and I further certIfy that any and all work performed shall be done m accordance WIth
tile Ordmdnces 01 the CIty of Sprmglield and the Laws of the State of Oregou pertammg to the work descrIbed herem, aud
that NO OCCUPANCY wIll be made of any structure Without pel mISsIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
1 further certify that only contractors and employees who are 10 complIance WIth ORS 701 005 wIll be used on thIS project
I further agree to ensure that dll reqUired mspectlOns are requested at the proper time, that each dddress IS readdble from the
street, that the permIt card IS located at the front of the property, aud the approved set of plans wIll remam on the SIte at all
times dunng constructIOn
~.A'/A' ~/71IH<.LL
owneyr Cout/~ctors Slg~ature
Pa2e 2 of 2
7- 7 ~t);?
Date
225 FIfth Street
Sprmgfield, Oregon 97477
,
541-726-3759 Phone
Job/Journal Number
COM2008-00997
COM2008-00997
COM2008-00997
COM2008-00997
COM2008-00997
Payments
Type of Payment
CredltCard
cReLemtl
RECEIPT #.
Descnptlon
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstralIve Fee
Paid By
JACQUELINE CASANOVA
':~Il'NqFl",-,? ~
c, *A !
_Eli
CIty of Spnngfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
3200800000000000465
Date: 07/07/2008
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
LKW 016777 In Person
Payment Total
Page 1 of 1
1045 54AM
Amount Due
5000
1600
330
792
660
$83 82
Amount Paid
$83 82
$83 82
71712008