HomeMy WebLinkAboutPermit Plumbing 2008-11-14
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01655
, ISSUED: ' 11/14/2008
APPLIED: ' 11/14/2008
EXPIRES: 05/14/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 637 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264312100
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential'
PROJECT DESCRIPTION: Encroachnientpermit
Owner:
Address:
.,
TARRANT MONICA
637 CENTENNIAL BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Plumbing
Contractor
EMERALD EXCAVATING INC
License '
14173
Expiration Date
07/14/2010
Phone
541-345-1505
BUILDING INFORMATION I'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled ~uilding:
.. . - .,-_.,;..,...,.._...~,...<.....,._,,""~~'~""""".~"'''''' ~
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
ilia
REQUIRED PARKING
F~ontyard Set\wr~NTION: Oreqon law requires y6IY~f}ay Dist: .; . Total:
S,de 1 Setbac~lIow rules adopted by the Oregon I/.Jl\ln'l"t~rees Rqd:,', Handicapped:
S,de 2 Setba' !fbtification Center. Those rules are s~'L3J'(JlQtPnve Rqd: , Compact:
Rearyard Se h'tSl5,:n 952-001-001 0 through OAR 95~iWlf.ot Coverage: .. ' 't~P?>~
Solar Setbac )~90. You may obtain.copie~ ol.t~e~~~e~Jr(rnCf.: ~u~,' t~?I?>~;~;~"ISN01
\~';;;b';r f~~ ~h~'O;~g~';uiil'iiJ mBldi1llll1illR())VE~~~' DE?>I\'\~~OO~EO fO?>
Street Improvements:Center is 1-800-332-2"""1' ' P-G \ [,vi;:t-\CtO O~ IS ~~ewalk Type:
, . CO\lJ\\IJ\ ~ Pt?>IO~.
Storm Sewer Available: p..t-\'{ 1 'OQ 0/11 Downspouts/Drains:
Special Instruction:
I DEVELOPMENT INFOR~ATION I
Notes:
I Valuation Descriotion ,
Description
, Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
-'
Page I of2
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01655
ISSUED: 11/14/2008
APPLIED: 11/14/2008
EXPIRES: 05/14/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
, Fee,~ P~i~ ,
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Encroachment Permit
Sanitary Sewer - 1 st 50 Feet
Amount Paid
Date Paid
Receipt Number
$5.20
$6.24
$9.58
$139.50
$52.00
11/14/08
11114/08.
11/14/08
11114/08
11/14/08
2200800000000001642
. 2200800000000001642
2200800000000001642
2200800000000001642
2200800000000001642
Total Amount Paid
$212.52
I ,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?uired 1~~llecti?,~,~ 1
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Final Plumbing: ''Yhen all plumbing work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th'at all
information hereon is true and correct, and I further certify that any and all work performed shall be done in acchrdance with
the Ordinances of the City of Springfield and.the Laws of the State of Oregon pertaining to the work described hkrein, and
that NO OCCUPANCY will be made of any structure without permission of the 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 to 'ensure that all required inspections are requested at tlie 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
times during construction.
\) .~~ f;. {::~
Awner or Contractors Signature
It/flog.
o
joate
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone.
Job/Journal Number
COM2008-0 1655
COM2008-0 1655
COM2008-0l655
COM2008-0 1655
COM2008-01655
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Encroachment Permit
Sanitary Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ROGER KNEBEL
City of Springfield Official Receipt
Development Services Department
Public Works Department
'2200800000000001642
Date: 11/14/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 07120C In Person
Payment Total:
Page I of I
9:23:44AM
Amount Due
139,50
52.00
9.58
6.24
5,20
$212.52
Amount PaiCJ
$212.52
$212.52
11/14/2008