HomeMy WebLinkAboutPermit Plumbing 2008-9-4
Sta tus
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01329
ISSUED: 09/04/2008
APPLIED: 09/04/2008
EXPIRES: 03/04/2009
VALUE:
225 Fifth Strcet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5550 HIGH BANKS RD
ASSESSOR'S pARCEL NO.: DWYER SUB SL 01
Springfield TVPE OF WORK: Plnmbing Only
TYPE OF USE: Addition
PROJECT DESCRIPTION: Install Water and Sanitary Lines for Partition Approval
Residential
Owner: BILL DWYER
Address: 5558 THURSTON ROAD
SPRINGFIELD OR 97478
Phone Number: 541-726-0187
I CONTRACTOR INFORMATION I
Contractor Type Contractor License
Engineer , POAGE ENGINEERING & SU~~~~~U~NC
Ceo i..ilO'llklO l~G'1N1IDImM T10N ,
'"'O"{\ ~. \1 s"'t<.l\.'-iH'H\W : 1
# of Units: 1\'1\'3 \'~\'.W\~\) \}~O~\'. 1\-\~lI..I_Q,r:G\'.
Primary Occupancy Gr<p.l.l}1\'10\'.\Z:C~O O\'. \'0 t<.'3'1leight of Structurc
Secondary Occupancy Gt{9mW\~~ p;'{ Pt.\'.\OO. Type of Heat:
Primary Construction TyR.~'l ~ 80 D Water Type: I
Secondary Construction Type: Range Type:
# of Bedrooms: ' Energy Path:
Sprinkled Bnilding: n/a
Expiration Date Phone'
541-485-4505
Lot Size: .
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
.1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
"Total:
....-......,'#;.,Ha'ndicapped:
Compact:
Notes:
, ,/OU\O
:/'\'~ "'/"'1
I PUBLIC IMPROVEMENTS. ",. OlegOll ~~~~; OlegOll!l;\\ol\"
. ~,.,.\:...(..O 91mQ\e~Ule!lll.~952.o0'"
10\\0'11 t,:,I~!I~l\\8\~~n thloUgn Oftne lilIeS '0'1
!:\ice.t\O Qu!>/Dfl..s.9, ,,,nOlle .
,",0 I ~ 952- , :0 a111 cI:>\'7\"e \e,e,..: !.ion
\1I oPi 'IoU mll.'i 0 tel. t",oto~\i\'I ",0\\\lCe;
OO:'il\1I9 \ne ~~~ 0IegO~~'2..i344).
",,'"'el \01 0, I'" \.eO
nU,,'" I",.,",e ...
I Valuation Descriotion ,
'Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
\,
Pa!!e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Total Amount Paid
Amount Paid
$10.40
$12.48
$5.20
$52.00
$52.00
$132.08
Total Value of Project
~e~~. P~,i~J
Date Paid
9/4/08
9/4/08
9/4/08
9/4/08
9/4/08
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01329
ISSUED: 09/04/2008
APPLIED: 09/04/2008
EXPIRES: 03/04/2009
VALUE:
Receipt Number
2200800000000001333
2200800000000001333
2200800000000001333
2200800000000001333
2200800000000001333
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.
I R""I,'red Insl'ectillns I
, U.....il I I.' ". /.,..
Water Line: Prior to filling, trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
By signature,! state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and [ further certify that any and all work performed shan be done in accordance with
the Ordiuances 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 Scrvices Division, Building Safety.
I further certify that ouly 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 theproper 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 an
times during construction. .
ow"2~",~~
Pa!!e 2 of 2
9h~8
,,/
Date
(
225 Fifth Street
Spriugfield, Or.egon 97477
541-726-3759 Phoue
Job/Journal Number
COM2008-0 1329
COM2008-0 1329
COM2008-01329
COM2008-0 1329
COM2008-01329
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sanitary Sewer - 15t 50 Feet
Water Line - 15t 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
8~.A4.,'.~o.~;iI.. '
, " *-,,:
" - ._~ .... ~.. ',C' .-
City of Springfield Official Receipt
Developmeut Services Department
Public Works Department
2200800000000001333
Date: 09/04/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
EUREKA DEVELOPMENT LLC djb
In Person
Payment Total:
1024
Page 1 of I
11 :50:29AM
Amount Due
52,00
52,00
5.20
12.48
10.40
$132.08
Amount Paid
$132,08
$132.08
9/4/2008