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Home My WebLink AboutPermit Plumbing 2008-7-16 .-SPAINQPI&.O "'11"-., ~ III . . Status Issued 225 FIlth Street, SprlDgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe CITY OF SPRIr~L.J:<IELD ' Building/Combination Permit PERMIT NO' COM2008-01063 ISSUED, 07/16/2008 APPLIED, 07/16/2008 EXPIRES: 01116/2009 VALUE' SITE ADDRESS 562 KELLY BLVD ASSESSOR'S PARCEL NO 1703341401000 SprlDgl1eld TYPE OF WORK PlumblDg Only PROJECT DESCRIPTION Approx 150lf sa",tary sewer I eplacement TYPE OF USE Owner Address JOYCE WATTS 564 KELL Y BLVD SPRINGFIELD OR 97477 Contractor Type General I CONTRACTOR INFORMATION I Contractor ROY HAUGLAND License # ofU",ts Pnmary Occupancy Group: Secondary Occupancy Group PnmJry ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Front yard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer Available SpecIal InstructIOn Notes BUILDING INFORMATION' # of Stones R-3 HeIght of Structure Type of Heat VB Water Type to &lllgc;\NJlJllilUlleS yOU ,- ; '.1,,''1 OiBE 1J\aJt{;llegon Utility 'es adop,u'ti'lJI}' ".\"..~setfort.h 'v . '" S-..<dedltlun ll. . nla ,,,,,,,'\on Centert':':~_"nh 0 "'52-00.... In OAR 9~~i;!1'!~~Bl'J~N, %~5;"ON 0090 YO~~~ ,J. tll[ ...,~. I calling the cen~\~~~'UillltY NotlbcaUon numbel fOI the oV%!ro'$&2344). centell~ ~treet Trees Rqd Paved Dnve Rqd. % of Lot Coverage I PUBLIC IMPROVEMENTS I RepaIr ResIdentIal Phone Number 541- EXpiratIOn Date Phone 343-9030 Lot SIZe Sq Ft Ist Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact SIdewalk Type DOwnSI!.l(tslDrafns N OT\ CE~ ~PIR! \f l\\! WOl'l THIS PERMIT S\'l~~~ THIS PERMIT \S NOt AUTHO~\;~r U~c I~ ~BANOONEO FOR ~~~~'a~~D~fJ}\\Wf~n I $ Pel Sq Ft or multIpher Sq uare Footage or BId Amount DeSCrIptIOn Type of ConstructIon Paee I of 2 Value Date Calculated -w.i~ Status Iss u ed CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2008-01063 ISSUED 07/16/2008 APPLIED' 07/16/2008 EXPIRES' 01/16/2009 VALUE: 225 F.fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe Total Valne of Project Fees Paltl I 1.11111 Fee DescnptlOn + 10% AdmlDlstratlVe Fee + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Encroachment Perm.t Samtary Sewer - 1st 50 Feet Samtary Sewer Each Addtll00' Amount Paid Date Paid Receipt Numher $660 $792 $330 $675 $13500 $50 00 $1600 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 7/16/08 1200800000000000781 1200800000000000781 1200800000000000781 1200800000000000781 1200800000000000781 1200800000000000781 1200800000000000781 Total Amount Paid $225 57 I Plan ReVIews I To Request an mspectIOn call the 24 hour recording at 726-3769. All mspectIOns requested before 7 00 a.m wtll be made the same workmg day, mspections requested after 7 00 a,m, wIll be made the following work day I Relluired rnsnectio~s I Samtary Sewer Lme Pnor to tilhng trench and mcludmg req Ulred testmg By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerhfy that all .ntormatlOn hereon IS true and correct, and I further cerllfy that any and all work performed shall be done .n accordance WIth the Ordmances of the City of Sprmgfield and the Laws ofthe State of Oregon pertammg to the work descnbed herem, and that NO occur ANCY will be made of any structure Without permissIOn of the Commumty Services DIVISIOn, BUlldmg Safety I further cerllfy that only contractors and employees who dre 10 comphallce wltll ORS 701 005 will be used on thiS project I further dgree to ensure that all reqUIred mspectlOns are lCquested at the proper hme, that each address IS readable from the street, that the permit car IS locdted at the front of the property, and the approved set of plans will remam on the SIte at all lImes~structlO ~ 7-/;;-d[( ~ .. OwnJ:. or co/tracd{}s,gnayfre Date Page 2 of2 225 FIfth Street Spnng(ield, Oregon 97477 54]-726-3759 Phone CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-01063 COM2008-0 J 063 COM2008-0 1 063 COM2008-0 J 063 COM2008-0 1 063 COM2008-0 1 063 COM2008-0 1 063 Payments Type of Payment Check cReccmtl RECEIPT # ]20080000000000078] Date: 07/16/2008 Descnptlon Sdmtary Sewer - 1st 50 Feet Samtary Sewer Each Addtl 100' + 5% Technology Fee + J 2% State Surcharge + 10% Admmlstratlve Fee Encroachment PermIt + 5% Technology Fee Asphalt DeposIt - 800 0000 @ $1 0000 PaId By HAUGLAND AND SONS CONSTRUCTION Item TotAl Check Number Authorlzatwn Received By Batch Number Number How Received 5703 In Person tss Payment Total Page I of I 8 24 53AM Amount Due 5000 1600 330 792 660 13500 675 800 00 $1,025 57 Amount Paid $1,02557 $1,025 57 7/16/2008