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HomeMy WebLinkAboutPermit Plumbing 2007-6-29 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-00912 ISSUED: 06/29/2007 APPLIED: 06/20/2007 EXPIRES: 12/29/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 285 S 71ST ST ASSESSOR'S PARCEL NO.: 1702353405800 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Sanitary, Storm and Encroachment Permit for Sanitary and Storm Connections for partition approval. Owner: CASH BURL C & PENELOPE I Address: 285 S 71ST ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION. Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Street Improvements: Fronty"'M~iJ<.: Overlay Dist: Side 1 ~tfPtRMIT SHAll EXPIRE IF THE WOftKtreet Trees Rqd: S;d. 2 .:~ UNDER T. HIS PERMIT IS NO,f'ed Drive Rqd: Rearya SfCED OR IS ABANDONED FOR ~o of Lot Coverage: Solar S . AV pl=Alnn 1 PUBLIC IMPROVEMENTS I Sidewalk Type: ATT~ON:_O~~O~ IB'N requires you.~o folloYl-tWr~~~lJ.ythe Oregon Utility Notification Center. Thole Riles are set forth In OAR 952-Q01-oo10thrOUgh OAR 852-001- 0090. You may obtain copIeI of the rut. by ".Amra IJls center. ~: the telephone number for the oregon UDIRy nuulMIIMi",u I Valuation Description I Center Is 1-800-332-2344). Total: Handicapped: Compact: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 5% Technology Fee Encroachment Permit + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00912 ISSUED: 06/29/2007 APPLIED: 06120/2007 EXPIRES: 12/29/2007 VALUE: Total Value of Project ~Fees Paid' Amount Paid Date Paid Receipt Number $6.50 6/20/07 3200700000000000415 $130.00 6/20/07 3200700000000000415 $13.20 6/29/07 1200700000000000847 $6.60 6/29/07 1200700000000000847 $10.56 6/29/07 1200700000000000847 $45.00 6/29/07 1200700000000000847 $14.00 6/29/07 1200700000000000847 $45.00 6/29/07 1200700000000000847 $28.00 6/29/07 1200700000000000847 $298.86 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. 1 Reouired Insoections I Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 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 times during construction. ,../ ) ~:.:-'" (~.<,.,.-- d47 Owner or Contractors Signature 6 '-.2 (i - L.''''-I Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -00912 COM2007-00912 COM2007-00912 COM2007-00912 COM2007-00912 COM2007-00912 COM2007-00912 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000000847 Date: 06/29/2007 Description Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By PENELOPE CASH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1360 In Person Payment Total: Page I of I 2:11:40PM Amount Due 45.00 14.00 45.00 28.00 6.60 10.56 13.20 $162.36 Amount Paid $162.36 $162.36 6/29/2007