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Home My WebLink AboutPermit Plumbing 2008-11-20 (2) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01675 ISSUED: 11/20/2008 APPLIED: 11/18/2008 EXPIRES: 06/01/2009 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 PROJECT DESCRIPTION: Emergency Sewer Hook Up & Septic Abandon Residential Owner: THOMAS ROBERT A & LISA K Address: 3810 CHEROKEE D~ . SPRINGFIELD OR 97478 I CONTRACTOR INFORM A TlON I Contractor Type Plumbing Contractor License ROYAL FLUSH ENVIRONMENTAL SERVICI53694 Expiration Date 12/23/2009 Phone 541-895-2072 # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: /J.J1f1*~I. I q1fNF~ you to fOlo,w ru es ad~pted by the Oregon Utility NotlfrcatUJIlf&>oJ!lJI\: Those rules are set forth in OAR 9itCi~6dlllll$t~gh OAR 952-001- 0090.. Y~aBlIam copies of the niles by Ca"tng~OWIlW.: (Note: the telephone numberR(/Iig@Ef~e.gon Utility Notification ~~ iJlaltll00-332.2344). Sprinkled Building: n/a LotSize: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT I~FORMA TlO~ I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Cove...ge: Total: Handicapped: , Compact: Street Improvements: Storm Sewer Available: Special Instruction: ~rdMPROVEMENTS !rE If TIlE WOR\( THIS PERMIT Sli/l.i~ ;~'S PERMtrt5''NtJj\'pe: AUTHORIZED UONRO'SABANDONl:!~l?outslDrains: COMMENCED , ANY 1 BO'DAY PERI~~~ _--;~_ Notes: I ,Y al~ati~n Descriotion I ~escription Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated .!,' Paee I 01'3 Status Issued 225 Fifth Street, Springfield, OR 541-726"3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 12% State Surcbarge + 5% Technology Fee Encroachment Permit Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtIIOO'. Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin + to% Administrative Fee + 12% State Surcharge + 5% Tecbnology Fee Sanitary or Storm Sewer Cap Total Amount Paid " .. , CITY OF M'K11'lGFIELD . Building/Combination Permit PERMIT NO: COM2008-01675 ISSUED: 11/20/2008 APPLIED: 11/18/2008 EXPIRES: 06/01/2009 VALUE: Total Value of Project J;'P:P:~, P~i..-l . , I" *-I Amount Paid Date Paid Receipt Number $6.90 11/18/08 3200800000000000749 $8.28 I 1/18108 3200800000000000749 $10.43 11/18/08 3200800000000000749, $139.50 11/18/08 3200800000000000749 $52.00 11/18108 3200800000000000749 $17.00 11/18/08, 3200800000000000749 $462.80 11/20/08 3200800000000000759 $608.63 11/20/08 3200800000000000759 $10.00 11/20/08 3200800000000000759 $1,009.17 11/20/08 3200800000000000759 $97.90 11120/08 3200800000000000759 $109.43 11/20/08 3200800000000000759 $5.20 1211/08 2200800000000001686 ,$6.24 1211108 2200800000000001686 $2.60 1211108 2200800000000001686 $52.00 12/1/08 2200800000000001686 $2,598.08 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. '~\,irpd In'np\'t!"~ Sanitary Sewer Line: Prior to tilling trench and including required testing. Encroachment: After item(s) have been removed to inspect condition of public right of way. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and lill. Paee 2 of 3 Status Issued CITY OF SPRINGt<u,LlJ Building/Combination Permit PERMIT NO: COM2008-01675 ISSUED: Il/20/2008 APPLIED: 11/18/2008 EXPIRES: 06/01/2009 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 tbat 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 Sp'ringtield 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, Bnilding Safety. I further certify that only contractors and employees who are in compliance witb ORS 701.005 will.be used on this project. I forther 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 locaied at tbe front of the property, and tbe approved set of plans will remain on the site at all times during construction. ~/~ Date Paee 3 of 3 City of Springfield Official Receipt Deyelopment Services Department Public Works Department 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1675 COM2008-0 1675 COM2008-0 1675 COM2008-0 1675 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200800000000001686 8:59:22AM Date: 12/01/2008 Description Sanitary or Stonn Sewer Cap + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 52,00 2.60 6,24 5.20 $66.04 Paid By JEFFREY BOWERS Item Total: Check Number Authorization Received By Batch Number Number How I~eceived DJB 07244p In Person Payment Total: $66.04 $66.04 Amount Paid Page I of I 12/1/2008 ,