HomeMy WebLinkAboutPermit Plumbing 2008-9-4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-0I331
ISSUED: 09/04/2008
, APPLIED: 09/04/2008
EXPIRES: 03/04/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5554 HIGH BANKS RD
ASSESSOR'S PARCEL NO.: DWYER SUB SL 03
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Install Wal€,.",."..K.qnitary lines for Partition Approval
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HlIC: DeD'nIT "U^~~ :vn'~ :~~~ \"~r!f.
Owner: BILL DWYER AUTHORIZED UNDER THIS PERMIT IS NOT Phone Number: 541-726-0187
Address: ,5558 THURSTON ROAD COMMENCED OR IS ABANDONED FOR
SPRINGFIELD OR 97478ANY 180 DAY PERIOD. '
.' I CONTRACTOR ,INFORMATION I
Contractor Type
Engineer
Contractor License
POAGE ENGINEERING & SURVEYING, INC
I BUILDING INFORMATION I
ATTEN110N: oregon law requires you to
follow rules atblj:llllItllly. the Oregon Utility
Notification CEIb!lgbtTdfdlt1!11c1oseare set forth
In OAR 952-0ot,lf/ilIDllIEough OAR 952-001-
0090. You ma~ilit1YJllf:Jies of the rules by
calling the CR6ltjf. t~ll: the telephone
number for t~~1\ltility Notification
Centl:J5J~l~~fu~4). n/a
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I V aluation Descri~tion I
Description
$ Per Sq Pt
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Pa!!e 1 of 2
Expiration Date Phone
541-485-4505
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq PI Basement:
Sq Pt Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
,
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CITY OF SP~INGFIELD .
Building/Combination Permit
PERMIT NO: cOM2008-01331
ISSUED: 09/04/2008
APPLIED: 09/04/2008
, EXPIRES: 03/04/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phonc
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid ,I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Fect
Sanitary Sewer Each Addt1100'
Watcr Line - 1st 50 Feet
Watcr Line - Each Addt1100'
Amount Paid
Datc Paid
Reccipt 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
9/4108
9/4/08'
2200800000000001331
2200800000000001331
2200800000000001331
2200800000000001331
2200800000000001331
220080000000000[331
2200800000000001331
Total Amount Paid
$175.26
Plan Reviews I,
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.
Re{Juiredlnsn~ctions 1
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water 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 hereby certify that all
information hcreon is truc and correct, and I furthcr certify that any and all work performed shall be done in accordancc with
the Ordinances 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 withoul permission of the Community Sel"Vices Division, Building Safety.
I further certify that only contractors and employces who are in compliance with ORS 701.005 will be used on this pl"ojecl.
I further agree to cnsure that all required inspections are requesled at the prop... time; that each address is readable from the
street, Ihat Ihe permit card is located at the front of the property, and the approved set of plans will remain on the site at all
;?j/-ro''';lM 9hp'8
\4 ( / /
Own... or Contractors Sjgliature Date
Paee 2 of 2
225 FifttJ Street
Spri'ngfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Rcccipt
Developmeut Scrvices Departmeut
Public Works Dcpartmcut
Job/Journal Number
COM2008-0 1331
COM2008-0 1331
COM2008-0 1331
COM2008-0 1331
COM2008-0 1331
COM2008-0 1331
COM2008-0 1331
, Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
2200800000000001331
Date: 09/04/2008
Description
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technologyyee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
EUREKA DEVELOPMENT LLC , djb
1024
In Person
Payment Total:
Page I of I
11 :48:44AM
Amount Due
52,00
17,00
52,00
17,00
6,90
16,56
13,80
$175.26
Amount Paid
$175,26
$175.26
9/4/2008