HomeMy WebLinkAboutPermit Plumbing 2008-7-31
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Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 635 FAIRVIEW DR
ASSESSOR'S PARCEL NO 1703274202200
CITY OF ~rKll~'-'l'lELD
Building/Combination Permit
PERMIT NO: COM2008-01145
ISSUED' 07/31/2008
APPLIED. 07/31/2008
EXPIRES 02/20/2009
VALUE: $ 1,200.00
Spnngfield TYPE OF WORK Smgle FamIly ReSIdence
PROJECT DESCRIPTION Dryrot, plnmbmg and electncal repaIrs
Owner MARGE SIMONS
Address 498 N 63RD ST
SPRINGFIELD OR 97478
TYPE OF USE RepaIr
ReSIdentIal
Phone Numher 541-747-3563
I CONTRACTORINFORMATlON I
Contractor Type
General
Electncal
Plumbmg
Contractor
OWNER
OWNER
OWNER
BUILDING INFOR~ATlON.I
# of UDlts
Pnmary Occupanc) Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled BnIldmg
R-3
VB
License
ExpiratIOn Date Phone
nla
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
I DEVELOPMENT INFO~MATlON I
Frontyard Sethack
SIde I Setbdck
SIde 2 Sethack
Rearyard Setback
Soldr Setbdck.
OverldY Dost
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
A....._. __
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIOn
- .. '....., ~ "................-
fol/ow rules I.P,UBLIC~IMPRQV'EMEJNm'ib1
Notification Center Th - -"~,, 0'""LY
In OAR 952-001-0010 those rules are set forth
0090 You ma ob rough OAR 952-001_
cal/lng the c~nte~al(~~t~let~ of the rules by
number for the Oregon Uti lit: ~el:rhone
Center IS 1-800-332-234~: Icatlon
Notes
Pa2e I of3
REQUIRED PARKING
Total
HandIcapped'
Compact
SldewWb'tit'E:
Down'ffi~s~m1; SHALL EXPIRE IF THE. VORK
AUTHORIZED UNDER THIS PERMIT I~ I NOT
COMMENCED OR IS ABANDONED Fe R
ANY 180 DAY PERIOD.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01145
ISSUED: 07/3112008
APPLIED. 07/3112008
EXPIRES 02/20/2009
VALUE $ 1,200.00
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
,
I Valuation DescriotlOn I
Estimate
Tvpe of Constructoon
Estimate
$ Per Sq Ft
or multoplIer
$100
Square Footage
or Bid Amouut
1,20000
Value
Date Calculated
DescrIotlOn
Total Value of ProJect
$1,200 00
$1,20000
07/31/2008
L.Fpp< P'WLJ
Fee DescnptlOn Amount Paid Date Paid Receipt Number
+ 10% Admlmstrdtove Fee $22 80 7/31/08 2200800000000001177
+ 12% State Surchdrge $27 36 7131/08 2200800000000001177
+ 5% Technology Fee $11 40 7/31/08 2200800000000001177
Add, Alter, Extend Clrc $48 00 7/31/08 2200800000000001177
Add, Alter, Extend Clrc Ea Add $1600 7/31/08 2200800000000001177
BUlldmg Permit $50 00 7/31/08 2200800000000001177
FIXture $64 00 7/31/08 2200800000000001177
Samtary Sewer - 1st 50 Feet $50 00 7/31/08 2200800000000001177
+ 10% Admmlstratove Fee $520 8/20108 2200800000000001267
+ 12% State Surchdrge $624 8/20108 2200800000000001267
+ 5% Techuology Fee $260 8/20/08 2200800000000001267
Water Lme - 1st 50 Feet $52 00 8/20108 2200800000000001267
Total Amount PaId $355 60
Plan RevIews I
To Request an mspectlOn call the 24 hour recordmg 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 followmg
work day
Ueolllre1.lnsneChons I
Footmg After treuches are excavated
Foundatoon After forms are erected but pnor to concrete placement
Frammg Inspectoon Pnor to cover and dfter all rough 10 mspectlOns have been approved
Rough Plumbmg Pnor to cover aud mcludmg reqUired testmg
Samtd') Sewer Lme Pnor to fillIng trench and mcludmg reqUired testmg
Fmal Plumbmg When all plumbmg work IS complete
Paee 2 of 3
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Status
Iss u ed
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01l45
ISSUED. 07/31/2008
APPLIED: 07/31/2008
EXPIRES: 02/20/2009
VALUE: $ 1,20000
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Rough Electric Prior to Cover
Fmal Electric When all electrical work IS complete
Fmal Bulldmg After all required mspectoons hdve been requested and approved and the bUIld 109 IS complete
Water Lme Prior to filhng trench and mcJudmg required testong
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatoon and do hereby certIfy that all
mformatoon hereon IS true and correct, and I further leI tlfy that any dnd dll work perfO! med shall be done 10 dccordance WIth
the Ordmances of the CIty of Sprmgfield 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 CommuDlty ServIces DIVIsIOn, Bulldmg Safety
I further certofy that only contractors and employees who are 10 comphdnce WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUired mspectlOns are requested at the proper tome, 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 dunng construction ,
o.tf!e.11f.~~AY4 )
R - ;?/J - tfY~
Ddte
Pdge3 of 3
225 FIfth Street-
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01145
COM2008-0 1145
COM2008-0 1145
COM2008-01145
Paymenls
Type of Payment
Check
cRecelOll
RECEIPT #:
Description
Water Lme - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
MARGE SIMONS
.PRINO",IlLO'~
IIiL
,-- - -. ~
CIty of Springfield Officml ReceIpt
Development ServIces Department
PublIc Works Department
2200800000000001267
Date: 08/20/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm
3215
In Person
Payment Total
Page I of I
14041PM
Amount Due
5200
260
624
520
$66 04
Amount Paid
$66 04
$66 04
812012008