HomeMy WebLinkAboutPermit Plumbing 2008-11-20
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01675
ISSUED: 11/20/2008
APPLIED: 11/18/2008
EXPIRES: OS/20/2009
VALUE:
225 Fifth Street, Springfield, 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 SEWER HOOK-UP
Owner: ' THOMAS ROBERT A & LISA K
Address: 3810 CHEROKEE DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON .
Contractor Type
Plumbing
Contractor License
ROYAL FLUSH ENVIRONMENTAL SERVIcI53694
BUILDING INFORMATION'
Expiration Date
12/2312009
Phone
541-895'2072
# 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 Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport '
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback:
, Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
"
ATTENTION: Oregon law requir~~6tJ,1O IMPROVEMENTS' '001
Street Impfolfettt<fiillics adopted by the OreQol Utf"'(tt l:/@Wa.vno'WiWllt SI~30d Alto De ( ANIt
Notlfication Center. Those rules are se or ION S~~'IAI::j' a 03JN3lf'Jlf'JOJ
Storm Se'RrlTh'l~~~1l301-001 0 through OAR 952-001- )/8 <<'0 ~flMJai\ji.ONn 03Z18
Special In'l5li~tt.i"l\iu may obtain copies of the rules by OM 1 ~81dX3 llltHS llV'J830Hlnlt
calling the center. (Note: the teler:hone . d SIHl
Notes: number for the Oregon Utility Notification .3:JIlON
Center is 1-800-332-2344).
.,-
,(.
I Valuation Descrintion I
oi.,
"
.'
Description
Type of Construction
$ Per Sq Ft
or multiplier
~..
'.;;" Sfuare Footage
". or Bid Amount
Value
Date Calculated
Paee I of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01675
ISSUED: 11/20/2008
APPLIED: 11/18/2008
EXPIRES: OS/20/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726c3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp'fI~11ilU
Fee Description
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Encroachment Permit
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddU 100'
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDc MWMc Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
,SDC SanitarylStorm Admin
Amount Paid
Date Paid
Receipt Number
$6.90
$8.28
$10.43
$139.50
, $52.00
$17.00
$462.80
$608.63
$10.00
$1,009.17
$97.90
$109.43
11/18/08
lI/I8/08
11/18/08
11/18/08
11/18108
11/18/08
11/20/08
11/20/08
I 1120/08
lI/20/08
lI/20/08
lI/20/08
3200800000000000749
3200800000000000749
3200800000000000749
3200800000000000749
3200800000000000749
3200800000000000749
3200800000000000759
3200800000000000759
3200800000000000759
3200800000000000759
3200800000000000759
3200800000000000759
Total Amount Paid
$2,532.04
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 reques'ted after 7:00 a.m. will be made the following
work day.
I Rpo!l.irp1 In~oections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Encroachment:, After item(s) have been removed to inspect condition of public right of way.
Final Plumbing: When all plumbing work is complete.
Paee 201' 3
, _~~@l,l~~i~,~k
I
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01675
ISSUED: 1l!20/2008
APPLIED: 11/18/2008
EXPIRES: OS/20/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
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 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 reqnired 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 will remain on the site at all
times d~?rstruC;: . ~ 1'/ / '107 /(J' C-
n,~Y;:::J X c.;t~,7 / cY I. 0
%er or Contractors Signature )bate
Paee 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0] 675
COM2008-0 1675
COM2008-01675
COM2008-01675
COM2008-0 1675
COM2008-0] 675
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
3200800000000000759
Date: 11/20/2008
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDc MWMC Administration
SDC SanitarylStonn Admin
Paid By
THOMAS, LISA
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
lkw
0] 132Z In Person
Payment Total:
Page I of]
2:00:33PM
Amount Due
608.63
462.80
97.90
],009.]7
10,00
109.43
$2,297.93
Amount Paid
. $2,297.93
$2,297.93
11/20/2008