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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 ~.....; n~u-c-.- 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 , _s,P.!'...,r:I!~'.,Q..",F,:,.I,ll:!-D,'''ii,ofIJ.',:....'. ", 1IfI::.:.j L i~, 1 I; ,... f, . ,. . .: , ? . .: ""'--'~' ,-...........,_....,.......,...,.. '" 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