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