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Home My WebLink AboutPermit Plumbing 2008-9-4 CITY OF SPRlj'lijtJJ:<1r:LD ' "Building/Combination Permit PERMIT NO: cOM2008-01330 ISSUED: 09/04/2008 APPLIED: 09/04/2008 EXPIRES: 03/04/2009 VALUE: SITE ADDRESS: 5552 HIGH BANKS RD 0 Sl!ringfield ~1YP.EyOF: (WORK: Plumbing Only , . Tf.:i'hl"'"t.TION: re00n wW ! tj'.;'....,1 t;;:;> <.J.... \.J ASSESSOR S PARCEL NO.. DWYER Sl5''' ",f, 02 d t db" the 0'80011 UtllltV follow rules a op e Y I' "p.' E 0" U"E' . . , , C t Tho"e rulQ ., ,", rf"". AddItIOn ~I f~'Mtl"l1 ef-pr 0 ~O w. "" Iv.. , PROJECT DESCRIPTION: Install Water<a'ii SaOltarv lnes.for'lP.arition/Apl!rnva~1_ in 0 R \jt)t!-uf) ~uv lUll VU'8I'''''''' ,....1::. "" tv,rv, Vr.,' n'l>::lll nht~in C;00l8S of the rules by " 'calling the center, (Note:,the telepnone Phone Number: number for ,the Oregon Utility Notlflcallon , Center fS 1-800-332-2344), " Status Issued 225 Fifth Strcct, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectiori Line Owner: Address: BILL DWYER 5558 THURSTON ROAD SPRINGFIELD OR 97478 Contractor Type Engineer I CONTRACTOR,INFORMATlON I Contractor License POAGE ENGINEERING & SURVEYING, INC , I BUILDING INFO~MATlON I NOTICE: .j! e,~'~''t~PIRE IF THE WORK THIS PERMllni l"i'Hlst'P'fRMIT IS NOT AUTHORIZELT~ ~tANOONEO FOR COMMENCEW,ug. \fly. , ' ANY 1 80 Opffa1i~R'tl} .: ' Energy Path: ' Sprinkled Building: ' n/a # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed,"ooms: I DEVELOPMENT IN~O~MATlON I Frontyard Setback:' Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/~ of Lot Coverage: I PUBLIC 1MPROVE~IE,~TSI Street Improvements: Storm Sewer Availablc: Special Instruction:' Residential 541-726-0187 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: REQUIRED PARKING Total: Handicapped: Compact: , Sidewalk Type: Downspoutsillrains: Notes: I ,Valuation Descd~tion ,I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa!!e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD' 'Building/Combination Permit PERMIT NO: cOM2008-01330 I~SUED: 09/04/2008 APPLIED: 09/04/2008 EXPIRES: 03/04/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~e.~ Pai~, , Fee Description + 100/0 Administrative Fee + 12% State Surcharge +,5% Technology Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl100' Water Line - 1st 50 Feet Water Line - Each Addtl1 00' Amount Paid Date Paid Receipt Number $13.80 $16.56 $6.90 $52.00 $17.00 $52.00 $17.00 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 2200800000000001332 2200800000000001332 2200800000000001332 2200800000000001332 2200800000000001332 2200800000000001332 2200800000000001332 Total Amount Paid $175.26 Plan Reviews 1 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 Re~lIIiretl Jnm.ections' Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. \ By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all information hereon is true and correct, and I further certify that any and all work performcd shall be done in accordance with the Ordinances of the City of Springficld 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 th~, Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree tn ensure that all reqnired inspections are requested at thc 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 remain on the site at all "m';;:;;:"dZ-"7 . ;,-1k Owner or Contractors Signat'2 Date Pa!!e 2 of 2 225 Fifth Street '-'I Sr.rhlgfIlld, Oregon 97477 541-726-3759 Phoue Job/Journal Number COM2008-0 1330 COM2008-01330 COM2008-0 1330 COM2008-0 1330 COM2008-0 1330 COM2008-0 1330 COM2008-0 1330 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 09/04/2008 2200800000000001332 11 :49:30AM Description Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each Addtl 100' Waier Line - 1 st 50 Feet Water Line - Each Addtl 100' + 5% Technology Fee + 12% State Surcharge, + 10% Administrative Fee Amount Due 52,00 1700 52,00 17,00 6,90 16,56 13,80 $175.26 Paid By :Item Total: Check Number Authorization Received By 'Batch Number Number How Rec~ived Amount Paid EUREKA DEVELOPMENT LLC djb In Person Payment Total: $175,26 $175,26 1024 r Page I of 1 9/4/2008