HomeMy WebLinkAboutPermit Plumbing 2010-1-7
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01842
ISSUED: 01/07/2010
APPLIED: 12/29/2009
EXPIRES: 07/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-1769 Inspection Line
SITE ADDRESS: 2566 GRAND VISTA DR
ASSESSOR'S PARCEL NO.: 1703243101000
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Sanitary sewer line & cap (pump and till)
Owner: PRODEN MICHAEL J
Address: 2566 GRANDVISTA DR
SPRINGFIELD OR 97477
Phone Number: 541-726-8833
Contractor Type
Plumbing
ATTENTION: uregan law require" yuu iU
foll"'\~tlJ'!I~R IlVROOMA[lIDj\/I'.ity
Notil'icanof: L,,\ 11,,1. f, ru\V, mv .lrJ J'" ~rth
Contractor in OAR 952-001-0010 through q.\~001.ExPiration Date
OREGON W A ~~~~,~~ ~~~t_a'l.~~f..',e;3i~~;:"bY 03/1012011
nuln~"'fllN:CQJ'(F.ORMWIN(!)N,.icatiOn
v i1ifr ~ L ", If/if i .
'enter 15 l-buu-J"'O<-O<""~/'
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-342-1718
VB
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
. nla
Frontyard Setback:
Side 1 Setback:,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
11.11"\""1"'1""',
1.....1.......-.
TH IS fl d"EMEWDRMEl1''fn~~~I.WM.
AUTHORIZED UND'ER THIS PERMii r~mUt
COMMENCEDQ.~rlliY,tQist:mONED FOR .
. ANY 180 DAy~-~m~1[f.rees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PU~LIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstructiori:
Sidewalk Type:
DownspoutslDrains:
,
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of 2
.',
t'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Total Value of Project
I ' f~es Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary or Storm Sewer Cap
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer - Improvement
Sanita'ry Sewer. Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
Amonnt Paid
Date Paid
$16.08
$6.70
$58.00
$76.00
$462.97
$608.86 '..; "
$10,00
$1,044.54
$101.97
$111.42
117110
117/10
117/10
117/10
117110
117/10
117/1 0
117110
117110
117110
Total Amount Paid
$2,496.54
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-0I842
. ISSUED: 01/0712010 '
APPLIED: 12/2912009
EXPIRES: 07/07/2010
VALUE:
Receipt Number
2201000000000000011.
2201000000000000011
2201000000000000011
2201000000000000011
2201000000000000011
2201000000000000011
2201000000000000011
2201000000000000011
2201000000000000011
2201000000000000011
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.
ReolJ;,'erl InsnectiOl's I
.. III i\ IIW
Sanitary Se;ver Line: Prior to filling trench and inclnding required testing.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code. , '
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatiun 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strnctnre withont permission of Ihe Commnnity Services Division, Building Safety.
I further certify that only contractors and eriJployees 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
times during construction.
~--d ~/('~A'~-=
Ow"e(or Contractors Signature '/ ~ '
Paee 2 of2
Date
/~//)
225 Fifth Street
Sprin.gffeld, Oregon 97477
. 541-726-3759 Phone
Sl):O'~D.
Wk.
Job/Journal Number
COM2009-0 1842
COM2009-0 1842
COM2009-01842
COM2009-0 1842
COM2009-0 1842
COM2009-0 1842
COM2009-0 1842
COM2009-0 1842
COM2009-0 1842
COM2009-0 1842
Payments:
Type of PaY":lcnt
Check
cReceintl
RECEIPT #:
2201000000000000011
Description
Sanitary Sewer - 1st 100 Feet
Sanitary or Stonn Sewer Cap
+ 5% Technology Fee
+ 12% State Surch~rge
, Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylStonn Admin
City of Springfield Official Receipt
Development Services Department
Publie Works Department
Date: 01/07/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
OREGON WATER SERVICES
CJC
Page 1 of 1
, 8443
In Person
Payment Total:
I :54:54PM
Amount Due
76,00
58,00
6,70
16,08
608.86
462,97
101.97
1,044,54
10,00
111.42
$2,496.54
Amount Paid'
$2,496,54
$2,496.54
11712010