The URL can be used to link to this page

Home My WebLink AboutPermit Miscellaneous 2009-2-13 Status Iss u ed 225 Fifth Street, Springfield, OR, 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1790 S A ST ASSESSOR'S PARCEL NO.: 1703363107200 CITY OF SPRINGFIELD ~uilding/Combination Permit PERMIT NO: COM2009-00219 ISSUED: 02/13/2009 APPLlED: 02/13/2009 EXPIRES: 08/1312009 VALUE: ' Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace sanitary sewer line ~'''TI,..t:. ,,- "'I' ...:.. - MIT SHALL EXPIHt Ir 1m: ,"v.l , T~~H~~ZEO UNDER THIS-PERMIT IS NOT ~nMMENCED ORIS ABANDONED FOR , ~^IY 1RO DAY I-'thIUU. 'I CdNTMcnjR INFORMATION I I .,. Owner: Address: MILLER MICHAEL P 3330 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Contractor Type Plnmbing Contractor A. HANNAMAN # of Units: Primary Occupaucy Group: Secoudary Occupancy Group: Primary Construction Type Seconilary Constructiou Type: # of Bedrooms: FrontYard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ' Street Improvemeuts: Storm Sewer Available: Special Instruction: , Notes: Description Tvpe of Construction License 178662 Expiration Date 10/02/2009 Phone 541-653-9750 BUILDING INFORMATION I . VI~lJO ' # 0 /,rftON' Oregon law reqUIres L lffi Z : ~~W~tJ:uc'-'.r<!fPted by the Orego% ~'l~t Floor: ' 10'" ,,'" ,,"v . I re oet ,M~ T ,o~ eatl. Center Those ru es a d Floor: nUll .ct IUt '. - . interA r!l52-001-0010 through OARl\!\ ~~~ement: Raoge,T. vn!\j may obtain COpies of thl 8"lt "'arage/Carport uu~v. "\"v (Note' the te e",l ,., Ene~lrrp,\illle center. 'I'q' Not~/l;.J.'t\("<?Jther: SpriM\<r!kIMldinw., Oregon t.\~a~~344)9ccupant Load: ~__'M ,0 1-R()O.3~" I DEVELOPMENT INFO~MATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 1 PUBLIC IMPROVEMENTS' ... Sidewalk Type: DownspoutslDrains: I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726_3769Iuspection Line Fee Description + 12% State Snrcharge + 5% Technology Fee Sauitary Sewer - 1st 100 Feet Sauitary Sewer Each Addtll00' Amount Paid $11.40 $4.75 $76.00 $19.00 Total AmouutPaid $111.15 Total Value of Project Fees Paid I Date Paid: 2/13/09 2113/09 2113/09 2113/09 I Plan Reviews I CITY OF ~n~.ll~~FIELD Building/Combination Permit PERMIT NO: COM2009-00219 ISSUED: 02/13/2009 APPLIED: 02/13/2009 EXPIRES: 08/13/2009 VALUE: Receipt N umher 1200900000000000106 1200900000000000106 1200900000000000106 1200900000000000106 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. .. Re\\~]j~ed. T !,'S1,lections I Sanitary Sewer Liue: Prior to filling trench aud including required testing. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereou is true and correct, and I further certify that any and all work performed shall he done iu accordance with the Ordinances of the City of Springfield ~ndthe Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of ~ny 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, 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 during constructiont.... ~~'F/:0' . .,.{ . J'/~ /;?;..,~ j,,;/~':7 ~"/;.#h A"'> .d /' f.// Owner orTontractorsSignature Paee 2 of2 2 -/J-O"1 f Date - . Plumbing Permit Application l.i[~JM1M!SmJlB''1Irll I Permitno:C'f- 21 (' I I Date ?-//3)07 I, 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started withiu 180 days of issuance or if work is suspended for 180 days. 1_"'jI!0~"A1.1i[C3'0VERNME.Nif'~~P"R09~llif.f~i~.t,~~i!i!1 :,l~i~i(lU~JIlt~'lii~i&J~Ii!:E.~S:CI'lEbUI.!ElfS~~_~~~'{\Ifl1 I Zoning approval verified? 0 Yes 0 No 1 ilNO,,:q"&W~:!ii!t'!'!1i5!:,~~~I""'IlWi~I"'~I~<=,ost~I~Jl1otalil;l %escrl~ IO~~~~{71k~~~ .QtY;~jeaf?B ~\cost~ I Sanitation approval verified? DYes 0 No . I I"~~~;:~~:;;at;";:., 'f",9,,,~j;",, "~,,,,"'. .,..,. '''L. ,31 1m1l~ilifCti!fi!:G'ORYj{OF;j.i:r:'0N$iIlRl!J':cmiON_~~ 1 bathroomll kitchen {includes: first ifi~~~i~m;E~INk~R~;m;~~~NDi~~~m7;~~ ~{{~~~~~~Z:;;~:~;i~I;~f~int $238.00 $ I Job site address: /7 9D c!- /7'1D~ /5 .<I 5;r 1 12 bathroomsll kitchen $374.00 $ I City: ,~/J 1 StateD~ 1 ZIP: 97</771 1 Jbathroomsll kitchen $439,00 I $ 1 Each additional bathroom (over 3) $95.00 $ Subdivision: 1 Lot no.: 1 1 Each additional kitchen (over 1) $95.00 1 $ !ii1t:j(1!'1!W'Sli~OE$':C8IRmI0Nl!0)T,,\WQBK:1f:~'!;.~'I!l'i1':~'ll'!\1 1 Residential fire sprinklers (includes plan review) ~f/;"'='( ~ ,,,,,, <e-r'/aC60-c-",7'- I 1.0to 2,000 square feet I I $58,00 I $ I . I I 2,001 to 3,600 squarefeet I $116.00 I $ 1:~=:R0~~~~:WNE.8'~~~~il : ~:~~: ::~~~:~e:~::: ::::ter I: ~~:::~~ : ~ Manufactured dwellin2 or pre-Cab (circle one) 1 Address: '5 -33 cJ ~IA.1c) \'JC IJ Bt2-- 1 Connections to building sewer and I I $58 00 I $ I City: 1 State: I ZIP: 1 water supply . Commercial, industrial, and dwellings other than one- or 1 Phone: I Fax: I two-family I~ail: I Mini~mfue ~ I Each fixture This installation is being made on residential or farm property owned by me or a member of my immediate family, and is 1 Miscellaneous fees exempt from licensing requirements under OAR 918,695-0020. 1100' storm. sewer, water line Signature: I Each fix~ure, appurtenance, and piping 1~~~~C~NiIiMC;jf,oR~IN$;r{~I!I.!'AmION~,ft~~.t€z}'fL~'I;!m I Storm water retention/detention facility 1 Business name: A HA A.J,v.2:l M A ~ - Irrigation systems I Piping or privatestonn drainage Address: "?? LJ (" M < <;'? svstems exceedin. the first 100 feet I ...... J>. . -/I I ~ I I J Specialty fixtures City: 27/; /"ri '. StateD... ZIP: <; 7(/ 7'7 I Phone: .<')'f I.r,::>? ~ 7, ('V I Fax:<S7lf 7'7/ 0.' ,,? r,3 'I Reinspection (no, of hrs, x fee per hr,) }'1 \,?') '-> r Y 'iFt:..>~ uJ. Special requested inspections (no. of I hrs. x fee per hr.) I BCD license no.: "'115 tff:!> I I Each additional inspection: (I) I 1:~"-"""""""-"'''''':__''!iii~,";U0'Yii'-':: 5l\1_e{HcaJlga~:pjplf!g~i~~~_ Minimum fee I I Enter value of installation and equipment $ _' I Enter fee based on installation and equipment value. I I $58.00 I $ $19.00 '$ IIrf I $76.00 $19.00 $19.00 $19.00 $19,00 $19,00 $58.00 E-mail: $58,00 CCB license no,: /7;;-0(,2- I Pltunbing license no,: I Print name: I Signature: $58.00 $ $ I (A) Enter sub~otar of above fees (Minimum Permit Fee $58.00) I (B) Investigative fee (equal to [AD I (C) Enter 12% surcharge (.12 x [MBD I (D) Technology Fee (5% of[AD I TOTAL fees and surcharges (A through D): 440-2500-1 (11I08/COM) $ 'If" $ / '7 $ $ $ $ $ $ $ I I I $'1'21 $111,/:>1 --- $ I') '$ $ f1'1D 225 Fifth Street Spr.ingfieid, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department . Public Works Department Job/Journal Number COM2009-00219 COM2009-00219 COM2009-00219 COM2009-00219 Payments: Type of Payment CreditCard .eReceintl RECEIPT #: 1200900000000000106 Date: 02/13/2009 Description Sanitary Sewer - 1st 100 Feet Sanitary Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge Paid By ANGEL HANNAMAN Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 007015 In Person Payment Total: Page I on 2:40:21PM Amount Due 76.00 19.00 4.75 11.40 $111.15 Amount Paid $111.15 $111.15 2113/2009