HomeMy WebLinkAboutPermit Plumbing 2008-11-18
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01675
ISSUED: 11/18/2008
APPLIED: 11118/2008
, EXPIRES: 05/18/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3810 CHEROKEE DR
ASSESSOR'S PARCEL NO.: 1802061101500
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: EMERGENCY SE~ER HOOK-UP
Owner: THOMAS ROBERT A & LISA K
Address: 3810 CHEROKEE DR
SPRINGFIELD OR 97478
Contractor Type
Plumbing
I CONTRACTOR INFORMATION 1
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Contractor" License
ROYAL FLUSH ENVIRONMENTAL SERVrcI53694
BUILDING INFORMATIONI
Expiration Date
12123/2009
Phone
541-895-2072
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
,; Height of Strncture
i' Type of Heat:
: Water Type:
I: Range Type:
" Energy Path:
"
I, Sprinkled Bnilding:
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I DEVELOPMENT INFORMATION 1
11
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garagelcarport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
.. --'''-'-
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, Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of'Lot Coverage:
Total:
Handicapped:
co.mp.!'ct:
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," ,.....,\j llVI"l, Ult:(Ion law, r"'-'''''-- .- ," .
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o low rules adopted b" thr ' ,.-----: "''''I'}'''"' : RE IF THE WORK
oti 'r . , J ,,- ' , . I' \. , HA L EXPI
Street Improvefi!e)ll~.atlon Center. Those rules are set fortifHI~ ~tt{Ii1111 ,biile.walk 'l:rl!~iilIT IS NOT
In ~~Ii 952-001-001 0 through OAR 952-001AUTHORIZED UNDtK 11:11~ f'~.1~~. r
Stor'." Sewer A~51labllrou may obtain.copies of Ihe rules b}COMMENCED OR :I2,O~1!~H'!!!tJW.ralIl,':\R
SpecIallnstructullll//ln9 the center. (Note: the telephone DAY PERIOD. -
, number for the Oregon Utility Notification ANY 180
Notes: Center is 1-800-332-2344).
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I Val'uation Description J
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Description
Tvpe of constrnction
-
"-$ Per Sq Ft
or m~ltiplier
Square Fo.otage
or Bid Amount
Value
Date Calculated
Paee I of 2
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Status
Issued
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CITY VI< M'KINGFIELD '
Building/Combination Permit
PERMIT NO: COM2008-01675
ISSUED: 11/18/2008
APPLIED: 11/18/2008
EXPIRES: 05/18/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Encroachment Permit
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO'
I Fees Paicl 1
I'
Amount P~id
$6.9'0
h
$8.~8
$10.43
$I39.~0
$52.6'0
"
$17.00
Date Paid
Receipt Number
11118/08
11118/08
11118/08
11118/08
-11/18/08
11/18/08
3200800000000000749
3200800000000000749
3200800000000000749
3200800000000000749
3200800000000000749
3200800000000000749
Total Amount Paid
$234.11
I': Plan Reviews "
,.
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, ihspections requested after 7:00 a.m. will be made the following
work day.
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Re{Jllir~c11nspections 1
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Sanitary Sewer Line: Prior to Iilling trench and including required testing.
Encroachment: After item(s) have been reJ~oved to inspect 'condition of public right of way.
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Final Plumbing: When all plumbing work !s complete.
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By signature, I state and agree, that I have careful,!y examined the completed application and do hereby certify that all
information hereon is true and correct, and I furt~er certily that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struci~re without permission of the Community Services Division, Building Safety.
I further certify thatoniy contractors and employees who are in compliance witb ORS 701.005 will 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 61' the property, and the approved set of plans will remain onthe site at all
times during construction. - I.
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lowner or:ht: S~'~
~ ILl B. op.,
(Date
Paee 2 of 2
#
225 Fifth Sthet
Springfield, Oregon 97477
541-726-3759 Phone
.Job/Journal Number
COM2008-0 1675
COM2008-0l675
COM2008-0 1675
COM2008-01675
COM2008-0 1675
COM2008-01675
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200800000000000749
Date: 11/18/2008
Description
Asphalt Deposit - 800.0000 @ $1,0000
Sanitary Sewer - I s( 50 Feet
Sanitary Sewer Each Addtl 100'
Encroachment Permit
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEFFREY BOWERS/ROY AL
FLUSH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
, LKW 0440lp 04401P In Person
Payment Total:
Page I of I
10:32:43AM
Amount Due
800.00
52.00
17.00
139.50
10.43
8.28
6.90
$1,034.11
Amount Paid
$1,034.11
$1,034.11
11/1812008