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HomeMy WebLinkAboutPermit Plumbing 2008-11-12 Status Issued CITY V'" ~rRlNGFIELD' Building/Combination Permit PERMIT NO:' COM2008-0I64I ISSUED: II/I2/2008 APPLIED: 11/12/2008 EXPIRES: 05/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1431 EST ASSESSOR'S PARCEL NO.: 1703362303700 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace sanitary sewer Iineapprox 751f and replumb 5 fixtures . . ., Residential Owner: Address: DAVE PAULI 4461 SE 22ND DR GRESHAM OR 97080 Phone Number: 503-407-4032 Contractor Type Plumbing Contractor A I PLUMBING I CONTRACTOR INFORMATION' License . Expiration Date Phone 541-815-1927 BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: RangeType: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING .........., Overlay Dist: Total: # Str~et Trees Rqd: '. Handi\~ped: Paved Drive ~NTION: Oregon law requlr~.y~nl\li % of Lot CO'fOO'!lW:rules adopted by the Oregon t; I th Notification Center. Those ruleOsAaRre9s:2_g~1_ I.. :.'.:-: ~~~- nf\1l"\n1nthrnlJph . U I PUBLIC IMPRO~.'Nfu$irnay obtain copies oltne rUl66 J . fa center (Note: the telephone call1ll~ " -s.m:,...-lD}i~llj Notification number for thlJV1"9""": 44\. Center "olv~~~IIl~: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImprftrJTrt;1i. Stor~ sewefHlgaji~1J1/T Specla' Insl'W~RIZE SHALL EXPIRE COMM D UNDER TH IF THE WORK Notes: ANY 1 ENCED OR IS AS IS PERMIT IS NOT 80 DAy,p~DI~. ANDONFn ~nt;> , I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I ofl _,GiIi!'A~~S;:I!,1,!:~~' I:" ' Status Issued CITY OF SPRINtJ'J:<lELD" Building/Combination Permit PERMIT NO: COM2008-01641 ISSUED: 11/12/2008 APPLIED: II/12/2008 EXPIRES: 05/12/2009 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pairll Fe~ Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Encroachment Permit Fixture Saniiary Sewer - 1st 50 Feet Sanitary Sewer Each AddtllOO' Amount Paid Date Paid Receipt Number $15.40 $18.48 $7.70 $14.68 $139.50 $85.00 $52.00 $17.00 11/12/08 11/12108 11/12/08 11112/08 11/12108 11/12/08 . 11/12/08 11/12/08 1200800000000001125 1200800000000001125 1200800000000001125 1200800000000001125 1200800000000001125 1200800000000001125 1200800000000001125 1200800000000001125 Total Amount Paid $349.76 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.in. will be made the following work day. ' Rer!,I.j~~,~ In~recti?~~. Sanitary Sewer Line: Prior to filling trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU 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 win 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 win be used on this project. I further agree to ensure that all required inspections are requested at the 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 win remain on the site at all times during construction. _ ' ~~~r~'.~~' ~\)J) \ \- \?- ()~ o~~,@tractors Signature Date Page 2 of2 City of Springfield Official Receipt Development Services Department' Public Works Department 225 Fifth Street S~~ingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1641 COM2008-0 1641 COM2008-0 1641 COM2008-0 1641 COM2008-0 1641 COM2008-0 1641 COM2008-0 1641 COM2008-0 1641 Payments: Type of Payment Cash cReceintl RECEIPT #: 1200800000000001125 Date: 11/12/2008 9:49:35AM Description Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each Addtl ] 00' Fixture + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Encroachment Permit + 5% Technology Fee Amount Due 52.00 17.00 85,00 7,70 18.48 15.40 13950 14.68 $349.76 Paid By CORNERSTONE GENERAL CONTRAqlNG Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid Ikw In Person $349,76 1014 Payment Total: $349.76 Page I of I 11/12/2008