HomeMy WebLinkAboutPermit Plumbing 2007-7-3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00987
ISSUED: 07/03/2007
APPLIED: 07/03/2007
EXPIRES: 01103/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 722 PLEASANT ST
ASSESSOR'S PARCEL NO.: 1703264208200
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replacement approx 401f sanitary sewer
Owner: Y ASUKO MONTGOMERY
Address: 722 PLEASANT ST
SPRINGFIELD OR 97477
Phone Number: 541-746-2035
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor
GARY ALAN MUSTIN
License
129990
Expiration Date
06/24/2008
Phone
541-463-7568
BUILDING INFORMATION I
VA
# 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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
Frontyard SetbackA1'rENTlON: Oregon law requf~!l_tiist:
Side 1 Setback: follow ",lei adopted by the OregStrtltHJlyees Rqd:
Side 2 Setback: Notiftcatfon Center. Thoaerules eIr~fbJiNf Rqd:
Rearyard Setbac~ OAR 952.()01.()010through OA'R{M~verage:
Solar Setbacks: 0090. You may obtain copies of the rules by
~11&,g 1M MntAr ~l\t.. th... ...I"r"'~~:-
)lUmber for the Oregon ~tprt)B!RrorllMPm)VEMENTS I
Center 18 1-80Q-3J! .........."" J.
Street Improvements:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation DescriPtion'
MOllet: WOR1'
THIS PERMIT SHAlt EXPIRE 1F THE . ~
AUTHORIZED UNDER THIS PERMIT IS NO
Squa.re Footage ~tmt'^R IS ABIM!(;)erM~JiQf{
or BId Amount COMMEN\;It;TI"U
ANY 180 DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00987
ISSUED: 07/03/2007
APPLIED: 07/03/2007
EXPIRES: 01103/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$50.00
7/3/07
7/3/07
7/3/07
7/3/07
1200700000000000860
1200700000000000860
1200700000000000860
1200700000000000860
Total Amount Paid
$61.50
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.
I Reouired Insoections I
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
times during j:onstruction.
rJ/ _.v-, ~tL.-.-?
Own~~6nt;ac~~natu~' .
--;;7
(
---
3-07
I
Date
Pa2e 2 of 2
225 Fifth Street
Spriiigfle'Id: Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000000860
Date: 07/03/2007
Job/Journal Number Description
COM2007-00987 Sanitary Sewer - 1st 50 Feet
COM2007-00987 + 5% Technology Fee
COM2007-00987 + 8% State Surcharge
COM2007-00987 + 10% Administrative Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash GARYS ROOTER djb In Person
Change GARYS ROOTER djb In Person
Payment Total:
Job/Journal Number Description
COM2007-00987 Sanitary Sewer - 1st 50 Feet
COM2007-00987 + 5% Technology Fee
COM2007-00987 + 8% State Surcharge
COM2007-00987 + 10% Administrative Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash GARYS ROOTER djb In Person
Change GARYS ROOTER djb In Person
Payment Total:
cReceintl
Page I of I
9:56:13AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$70.00
($8.50)
$61.50
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$70.00
($8.50)
$61.50
7/3/2007