HomeMy WebLinkAboutPermit Plumbing 2008-7-8
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADJ)RESS, 1344 5TH ST
ASSESSOR'S PARCEL NO 1703263406000
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED.
APPLIED:
EXPIRES:
VALUE:
COM2008-01018
07/08/2008
07/08/2008
01/08/2009
SprIngfield TYPE OF WORK Plumbmg Only
TYPE OF USE
RepaIr
ReSIdentIal
PROJECT DESCRIPTION Replace approx 501f samtary sewer
Owner DONALD BALL
Address 1123 E ST
SPRINGFIELD OR 97477
Contractor Type
Plumbmg
Contractor
OWNER
# ofUmts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary CoustructlOn Type
Secoudary ConstructIon Type
# of Bedrooms
Frontyard Setback
SIde 1 Setback.
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer A va,lable
Specl3llnstructlOn
Notes
DescrIptIOn
Tvpe of Constructton
Phone Number 541-285-1756
I CONTRACTOR INFORMATION I
LIcense
ExpIratIon Date
Phone
-~. . .-.. ....
R-3
BUILDING INFORMA TION:tg~~ Utility
0' . I,~ ol:'S are setlorth
# of StorIes ' It ,r< "gh OAR 952-001tot SIze
HeIght ,of S,tructure_,i<oS of the rules blfq Ft 1st Floor
U'c Type ofHeaV (\'Ju\O tie telephone Sq Ft 2nd Floor
nu,nW.;lter.iEype'jr8q,Jl1lJlllity Notlflcatlo"sq Ft Basemeut
RaI1l:e,Type., 1,(Jul,)-332-2344) Sq Ft Garage/Carport
Energy Path Sq Ft Other
SprInkled BuIldmg n/a Occupant Load
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dlst Total
# Street Trees Rqd HandIcapped,
Paved DrIve Rqd' Compact.
% of l.N~i-t)liike E If THE WOR\{
THIS PERMIT ~~~~~ ~!.~ D~RMllIS NOT
I PUBLIC I~R IS ABANDONED FOR
ANY 180 DAY PERIOOIewalk Type
Downspoutsffirams
I ValuatIOn Desc~lDtlOn I
$ Per Sq Ft
or multIplIer
Square Footage
or BId Amount
Value
Date Calculated
Paee I of2
-i*' fiI
..
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01018
ISSUED: 07/08/2008
APPLIED: 07/08/2008
EXPIRES. 01/08/2009
VALUE
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees PaldJ
Fee DescrIptIOn
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
SiImtary Sewer - 1st 50 Feet
Amount PaId
Date Paid
$500
$600
$250
$50 00
7/8/08
7/8/08
7/8/08
7/8/08
ReceIpt Number
1200800000000000745
1200800000000000745
1200800000000000745
1200800000000000745
Total Amount PaId
$63 50
Plan RevIews I
To Request an IOspection call the 24 hour recording at 726-3769. All inspectIOns requested before 7'00
a.m. wIll be made the same working day, inspecttons requested after 7 00 a.m. will be made the following
work day.
I ReoUlred Tnsnections I
Samtary Sewer Lme PrIor to fillmg trench and mcludmg reqUIred testmg
By sIgnature, 1 state and agree, that I have carefully exammed the completed applIcation and do hereby certIfy that all
mformatIon hereon IS true and correct, aud I further certIfy that any and all work performed shall be done 10 accordance wIth
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY will be made of any structure WIthout permIssIOn of the Commumty ServIces DIVIsIOn, Buildmg Safety
I further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns 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 remam on the sIte at all
times durmg construction
d
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I G"'1-~.> ~
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,..- t/ r"/4/
Owner or Contractors SIgnature
Date
Page 2 of2
225 FIfth Street
Spnhgfield, Oregon 97477
541-726-3759 Phone
~
CIty of Spnngfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-01018
COM2008-01018
COM2008-01018
COM2008-01018
Paymeuts
Type of Payment
Check
cRecemtl
RECEIPT #.
1200800000000000745
Date: 07/08/2008
DescnptlOn
SanIlary Sewer, 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
PaId By
DONALD BALL
Item Total
Check Number Authorization
Received By Batch Number Number How Received
dJb
4831
In Person
Payment Total
Page I of I
2 07 41PM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
7/8/2008