HomeMy WebLinkAboutPermit Plumbing 2006-11-22
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01497
ISSUED: 11/22/2006
APPLIED: 11/22/2006
EXPIRES: OS/22/2007
VALUE:
.
Status
Issued
'*
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5987 MAIN ST
ASSESSOR'S PARCEL NO.: 1702343300800
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 50lfsanitary sewer
TYPE OF USE: Repair
Residential
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
NOTICE: % ot't~~~~'i,g~'r\E WORK
THIS PERMIT SHI\L S NOT
___ \,.",rn TWIt: PeRMIT I
~~~~~;;(JifBb\.tJM"'~Q~r
I\NY 180 OI\Y PERIOD. Sidewalk Type:
Downspouts/Drains:
Owner: JOHN CADWALADER
Address: 5987 MAIN ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
License
163938
Contractor
JOHN PHILLIP DECKER
I BUILDING INFORMATION I
- <:: 'T\Ol\\'Gr""C\!1 u:" ," --.('r UtiWy
# of Units: "'IT...~ \ _ "_:,,c}#:of,~torier:'r~. . -et tortl
Primary Occupancy Group: _ iO\,\2'J~ r.u et:(':~~~~:. ",e,ght;of'Str~c'tW< ?OO':
Se~ondary Occupa?cy Group.:lot\llc,-,t\~I1_ 01.:;':1'!yp,e:of'l!eat::\. ',,'~ - ~5 i::
Primary Construcl1on Type in OAR 9,,2 u. ' tWater;:fype:J! t \<_ ,Ulw ,
f:lV C,... . Ill'" ,- ,. no.
Secondary Construction TypeUOSC. '{OU ,n I, )~,a8~~~TYJle:J \33,?,101.-
# of Bedrooms: calling t.19 ~sn'-~~g.g~~~t~y NoultcatlOn
nurnbedort,160Sp.rinkled.Buildirig:. nla
_...,..,tr-Th 1-1:iUUW.J~'---
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee 1 of2
Phone Number: 541-746-3491
Expiration Date
03/29/2007
Phone
541726-6124
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01497
ISSUED: 11122/2006
APPLIED: 11/22/2006
EXPIRES: OS/22/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.p.., P~itl .
, r_
$4.50
$2.25
$3.60
$45.00
Date Paid
t 1/22/06
11/22/06
11/22/06
11/22/06
Receipt Number
1200600000000001676
1200600000000001676
1200600000000001676
1200600000000001676
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Total Amount Paid
$55.35
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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~iiii~
Sanitary Sewer Line: Prior to filling trench and including required testing.
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 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
.mm,"azT &./~
11- A::~._O c;
Owner or Contractors Signature
Date
Paee 2 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
. )j:~~~""'. ,!
It:'.,... :
~ ,<,-i
. ,_ _,I. )
-, -,,"' ....,~ .- " -.
C&of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/JournaJ Number
COM2006-01497
COM2006-01497
COM2006-0 1497
COM2006-01497
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1 st 50 Feet
Paid By
DANIEL CADW ALADER
1200600000000001676
Date: 11/22/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 057608 In Person
Payment Total:
Page 1 ofl
I I :59:52AM
Amount Due
2.25
3,60
4.50
45.00
$55.35
Amount Paid
$55.35
$55.35
11/22/2006