HomeMy WebLinkAboutPermit Building 2010-4-19
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1273 33RD ST
ASSESSOR'S PARCEL NO.: 1702303407701
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00481
ISSUED: 04/19/2010
APPLIED: 04/19/2010
EXPIRES: 10/19/2010
VALUE:
Springlield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 401f sanitary sewer
TYPE OF USE: Repair
Residential
Owner:, RICHARDSON PETE RAY
Address: PO BOX AA
SPRINGFIELD OR 97477
Contractor Type
Plnmbing
Contractor
OWNER
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Typ'e
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallnstruetion:
Notes:
Description
Type of Constrnetion
I CONTRACTOR INFORMATION ~
License
Expiration Date Phone
BUILDING INFORMATION ~
R-3
Lot Size:
Sq Ft I st Floor:
SqFt 2nd Floor:
Sq Ft Basement:
VB
I PUBLIC IMPROVEMENTS ~
Sidewalk Type:
DownspoutslOrains:
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, . RMIT Stl~lt ,oll ,S NOT .:.
ValuatIOn Descri tWh ZED UNDER THIS PERi'll fOR.Jr,'
R\ OR IS ABANDONED \~ '.
S'W.MWI~.~ PERIODValne. '... ~Daie Calculated
orA1N~ "tOO'U"" .
$ Per Sq Ft
or multiplier
Page 1 of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-0048]
ISSUED: 04/]9/20]0
APPLIED: 04/] 9/20] 0
EXPIRES: 10/]9/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
: Total Valne of Project
I Fees Paid ~
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Amonnt Paid
Date Paid
Receipt Nnmber
Total Amonnt Paid
$9.12
$3.80
$76.00,t::
$88.92 i' '
I Plan Reviews ~
4/19/10
4/19/10
4/19/10
1201000000000000363
1201000000000000363
1201000000000000363
, c,
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.
Reouired Insoections .
Sanitary Sewer Line: Prior to filling trench a~'d inclnding reqnired testing.
By signature, 1 state and agree, that 1 have carefnlly examined the completed application and do herehy certify that all
informatiou hereon is trne and correct, and I fnrther 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 descrihed herein, and
that NO OCCUPANCY will he made of any strnctnre without permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employeeslYho ~re,in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensure that all required inspections'are reqnested at the proper time, that each address is readahle 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 con tion.
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Page 2 01'2
225 Fifth Stre.et
Springfield', Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000363
Date: 04/19/2010
3:24:22PM
Job/Journal Number
COM20 I 0-00481
COM20 I 0-00481
COM20 I 0-00481
Payments:
Type of Payment
Cash
Change
Description
Sanitary Sewer - I st 100 Feet
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
PETE RICHARDSON
PETE RICHARDSON
Amount Due
76.00
9.12
3.80
$88.92
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
Amount Paid
in Person
In Person
Payment Total:
$8902
($0.10)
$88.92
Job/Journal Number
COM20 I 0-00481
COM2010-00481
COM20 I 0-00481
Payments:
Type of Payment
Cash
Change
cReceiot!
Description
Sanitary Sewer - I st 100 Feet
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
PETE RiCHARDSON
PETE RICHARDSON
R~fe.ived By
'djb
djb
Check Number
~ Batch Number
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Page I of I
Item Total:
Authorization
Number How Received
In Person
In Person
Payment Total:
Amount Due
76.00
9.12
3.80
$88.92
. Amount Paid
$89.02
($0.10)
$88.92
4/19/20 I 0