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