HomeMy WebLinkAboutPermit Plumbing 2008-11-24
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01707
ISSUED: 11/24/2008
APPLIED: 11/24/2008
EXPIRES: OS/2412009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iusprction Line
SITE ADDRESS: 193 44TH ST
ASSESSOR'S PARCEL NO.: 1702323101400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 100lfsanitary sewer
Owner: JIM & WILLIE H LAGRONE LIVING TRUST
Address: 687 RIVER AVE #2
EUGENE OR 97404
I CONTRACTOR INFORMATION'
Contractor Type
Plumbing
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION'.
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
. Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I ~EVELOPMENT INFORMATION I
REQUIRED PARKING
Total: . ou 10
. _U" ~~r~lJ)."'''S y
NTION' OregL~..Dul<ap.l'ea: n Utility
ATTE . 1 <l[:om''a'Ct(J,ego '"
follow rules adop \hcis~ rules are sel lor 1
~o~~~~~~_g~~:~;:_~:h:~~i~~ ~~~e9;~~~~b~
0090. lOU 'HU, --. N te: me 1~'OI'''-::-
calling the cenler. ( 0 Utility Nolil\c<:t10n
... ,. the Oregon , 344)
rtildllWalkDt pe'\ 1.800.332.2. .
Cen ~r s
Downspouts/Drains:
Front yard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Se.t!>.acks:'E' Ie 1HE WORK
'IlL . '\L~VD\QI' r .<,~
',IS pERMit ~~DER THIS PERN~..\ldcIMPROVEMENTSI
Street Imp~mg.~)l-J~O OR IS t\Bt\NDONE .
oMMt\~uC D
Storm SewerY\yeilall\6..Y PERla .
SpeciallnsWuctiOl;':
Notes:
I, Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01707
ISSUED: 11/24/2008
APPLIED: ' 11/24/2008
EXPIRES: OS/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~e~ Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
. Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$6.90
$8.28
$3.45
$52.00
$17.00
11/24/08
11/24/08
11/24/08
11/24/08
11/24/08
1200800000000001172
1200800000000001172
1200800000000001172
1200800000000001172
1200800000000001172
Total Amount Paid
$87.63
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 Reouired lnsnections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
By signature, I state and agree, that t'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 he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, tliat 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.
~N.k~
Ofner or Contractors Signature
i}. 2-<( -/I ,c:'
Date
Paee 2 of2
225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"i.~~~.:._..ELD~'."';"J....
~A.!::
~ ~
....- . -.","_' ,.-../ .:
City of Springfield Official Receipt
Development Services Department
Publie Works Department
.'ob/Journal Number
COM2008-0 1707
COM2008-0 1707
COM2008-0 1707
COM2008-0 1707
COM2008-0 1707
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
1200800000000001172'
Date: 11/24/2008
Description
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JAMES LAGRONE
Item Total:
Check Number Authorization
Received By Batch Number' Number How Received
djb
6913
In Person
Payment Total:
Page I of I
II :52:35AM
Amount Due
52.00
17.00
3.45
8.28
6.90
$87.63
Amount Paid
$87.63
$87.63
11/24/2008