HomeMy WebLinkAboutPermit Plumbing 2008-10-23
_,t:~l~;~).~g!i!!~~g!r
1l
,
/
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01567
ISSUED: ,10/23/2008
APPLIED: 10/23/2008
EXPIRES: 04/23/2009
VALUE:
Status Issued il
225 Fifth Street, Springfield, OR
,",
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection dne
. ~ I
SITE ADDRESS: 163t 1 ST
ASSESSOR'S PARCEL NO,: 1703362104900
Springfield TYPE OF WORK: Plumbing Only
"
,
PROJECT DESCR1PTIO~: 'Replace approx 401fsanitary sewer
I,
,
TYPE OF USE: Repair
Residential
Owner:
Address:
II
LARAYNE M STANTON
1637 I ST II "
SPRINGFIELD OR 97477
"
[I
"
Phone Number: 541-747-2180
Contractor Type
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
, ,
GARYS ROOTER & PLUMBING SERVICE L 174640
Expiration Date
02/28/2011
Phone
541-935-6350
VB
I , BfI!Jj,Dl~C!OI!i":R{))R~ulres you to
,UII,U~ ,Ules aaapled"!iYiii80regon Utility
~otitr6fJStlll-~nler, Those rules are set fc1rlH Size:
In CHfI,gJIi:MJllt1rOOblildhrough OAR 952.0~'1.Ft 1st Floor:
009J;)'p.ollflJl<elltfilbtain copies of the rufes~Ft 2nd Floor:
C'WM~~r.@:Ilter. (Note: the telephoneq Ft Basement:
nu~lJiY.jJw., Oregon Utility Notificatiam Ft Garage/Carport
Ene~\l!illi!S 1-800-332-2344). Sq Ft Other:
Sprinkled Bnilding: . n/a Occupant Load:
# of Units:
Primary Occnpancy Group:,
Secondary Occupancy Gr~,up:
Primary Construction Typ,~
Secondary Construction Type:
# of Bedrooms: 11 '
R-3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback: '
Rearyard Setback:
Solar Setbacks:
if
I
[,
I'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.. ,
/
Street Improvements:
Storm Sewer Available:
Special Instruction:
I ~UBLI~wPrEMENTS I
THIS PERMIT SHALL EXpm{eIf'~RK
AUTHORIZED UNDER THIS>Ii\E~1itlfu9<<l;rs:
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
-~~!':I~!'r!:!!!Yi!1
~~ '" ,~_.,'.
:n. .
Status
Issued
225 Fifth Street, Springfield, OR
541-,726-3753 Phone ,I
541-726-3676 Fax
541-726-37691nspection L:ine
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge Ii
+ 5% Technology Fee l'
Sanitary'Sewer. 1st 50 F~et
"
Total Amount Paid
!I
'1;'
,1
Amount Paid
$5,20
$6,24
$2,60
$52,00
$66,04
Total Value of Project
F~,~,~ P~~d I
Date Paid
I Plan Reviews J
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01567
ISSUED: 10/23/2008 '
APPLIED: 10/23/2008
EXPIRES: 04/23/2009
VALUE:
Receipt Number
10/23/08
10/23/08
10/23/08
10/23/08
1200800000000001081
1200800000000001081
1200800000000001081
1200800000000001081
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
"
a.m, will be made the same working day, inspections requested after 7:00 a,m. will be made the following
work day.
Ref!.uir~d Inspections'
Sanitary Sewer Line: Prior to filling trench and includ~~lg required testing.
,r
By signature, I state and ahee. that I have carefully examined the completed application and do hereby certify that all
information hereon is truel'and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City II of Springfield '\IId the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are ill compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections ~re requested at the proper til)le, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
timeSdur~O:a6
. 2 ,..-c'/ r
Owner.or ~actors Signature
Page2 of 2
/0/")3/0($
/
Date
225 Fifth Street
Springfield, Oregon 974'07
541-726-3759 Phone
Job/Journal Number
COM2008-0 1567
COM2008-0 1567
COM2008-0 1567
COM2008-0 1567
, Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Descrip~ion
Sanitary Sewer - 1 st 50 Feet
+ 5%::rechnology Fee
_ + 12% State Surcharg"
+ 1 0% Administrative:Fee
Ir
P.id By
GARY MUSTIN
l'
ii,
"
" .
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001081
Date: 10/23/2008
Item Total:
<":hcck Number Authorization
Received By Batch Number Number How Received
djb
090758 In Person
Payment Total:
Page I of 1
II :24:49AM
Amount"Due
52.00
,2,60
6.24
5.20
$66,04
Amount Paid
$66,04
$66,04
10/2312008