HomeMy WebLinkAboutPermit Plumbing 2008-9-4
SITE ADDRESS: 5556 HIGH BANKS RD
ASSESSOR'S PARCEL NO.: DWYER SUB SL 04
NOTICE: TYPE OF USE: Addition
PROJECT DESCRIPTION: Install Water aY~lflJtIfltWJW-TnWAtr~lil~pr"~it1 WORK
!II ITHORI7Fn 11~lnFR THIS PFRMIT IS NOT
COMMENCED OR IS ABANDONED FOR Phone Numbcr: 541-726-0187
MY 1 SO DAY PERiOD,
Contractor License
POAGE ENGINEERING & SURVEYING, INC
B6mgfN~F0RM\\riwN'I1uires you to
,BI,J,11 W!~ <iJJ,J,~'J ~ j!WOregon Utility
NoWil"f3S'iIl?i~nter. Those rules are sel f9!m Size:
in %IM\~?'jl~n;Q,qJPethrough OAR 952-0s:~. t 1st Floor:
009fl~D'tO.J.' W8tYtpotam copies of the rUle~B*t 2nd Floor:
C t ,e cEinter. (Note: the telephon q .
n f$~~ iJt%e Oregon Utility Noti/lcati R Ft Basement.
Iillln~t .X\'Si is 1-800-332-2344). q Ft Garage/Carport
Energy Piii1i: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Owner:
Address:
BILL DWYER
5558 THURSTON ROAD
SPRINGFIELD OR 97478
Contractor Type
Engineer
# of Units: '
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewcr Available:,
Special Instruction:
Notes:
Description
TVpc of Construction
CITY OF SPRINGFIELD
, Building/Combination Permit
PERMIT NO: cOM2008-01332
ISSUED: 09/04/2008
APPLIED: 09/04/2008
EXPIRES: 03/04/2009
VALUE:
Springlield TYPE OF WORK: Plumbing Only
Residential
I CONTRACTORINFORMATION I
Expiration Date
Phone
541-485-4505
I DEVELOPMENT I!'IFORMATlON I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%'of Lot Coverage:
I PUBLIC IMPROVEMENTSi
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-0I332
ISSUED: 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
Fees Pair! I
.' ,
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Water Line - 1st 50 Feet
Water Line - Each AddU 100'
Amount Paid
Date Paid
Receipt Number
$15.50
$18.60
$7.75
$52.00
$17.00'
$52.00
$34.00
9/4/08
9/4/08
9/4/08
9/4/08
9/4/08
9/4/08
9/4/08
2200800000000001330
i200800000000001330
2200800000000001330
2200800000000001330
2200800000000001330
2200800000000001330
2200800000000001330
Total Amonnt Paid
$196.85
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.'
I Re(]lIirer!lnsn~c.!,i?n:s I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to filling trench and incluqing required testing.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all '
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance 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 without permission of th'e'Co~munity 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 to ensnre that all required inspections are requested at the proper time, that each address is readable from the
street, thaI the permit card is located at the front of the propcrty, and the approved set of plans will remain on the site at all
timesduring::;tioL _,- 9h~13
~/ , It, c? --
oL'o;c~ontractors Signature ' Date I' /
Pa!!e 2 of 2
}~5 Fifth Street
Springfield, Oregou 97477
541-726-3759 Phonc
Job/Journal Number
COM2008-01332
COM2008-01332
COM2008-01332
COM2008-0 1332
COM2008-0 1332
COM2008-0 1332
COM2008-0 1332
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+'10% Administrative Fee
Paid By
EUREKA DEVELOPMENT LLC
City of Springfield Official Receipt
De'velopment Services Department
Public Works Department
2200800000000001330
Date: 09/04/2008
Item Total:
Check Number Authorization
Received By' Batch Number Number How Received
djb
1024
In Person
Payment Total:
Page I of I
11 :47:57 AM
Amount Due
52,00
17,00
52,00
34,00
7,75
18,60
15,50
$196.85
Amount Paid
$196,85
$196.85
9/4/2008