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Home My WebLink AboutPermit Plumbing 2010-7-26 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00983 ISSUED: 07/26/2010 APPLIED: 07/26/2010 EXPIRES: 01/26/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3773 CHEROKEE DR ASSESSOR'S PARCEL NO.: 1802061204100 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Septic abandon and connect to sewer Owner: FAUST GEORGE E & PATRICIA A Address: 3773 CHEROKEE DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor OWNER License Expiration Date Phone BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # 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: R-3 n/a I DEVELOPMENT INFORMATION ~ . I'" REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: I w requfr"ell'ybllttO:overage: Solar Set hacks: ATfENTION: orefeo; b~ the or;igon Utility , Notification ce1ntg~1 0 t~r J&jOAR 952-00 - ieB 0 Street Improveme '90. You may obtain COp. h telephone . h center. (Note. t e "f n Storm Sewer A vailablllalhng t 8 Oregon Utility Nollflca \0 Special Instruction: number fortth8'B 1 B00-332-2344). Cener - MENTS Sidewalk Type: DownspoutslDrains: Description Tvpe of Construction '., ~ ': ,,"{<Oil.::d~~:;;~~:~l;.;~:,,",":' NOTICE: ,n', ",,- ", THIS PERMIT SHflLL EXPIRE IFMTHITE,WS ONRO~': T THIS PER ',' I '. '".... r.OMMENCED OR IS ABAND Valu~tJ,on DescnptJon IANY 180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount :"J. ; -',' Notes: Value Date Calculated Paee 1 of 3 ,~,I , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Snrcharge + 5% Technology Fee Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 100 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Public Works Review ,., " ; c;. '" .1 I" ~ ;: .' " j" ';';, l~ ! ',: ('1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00983 ISSUED: 07/26/2010 APPLIED: 07/26/2010 EXPIRES: 01126/2011 VALUE: Total V'ah;'; of Project l~ ....':....., '" Amonnt Paid Date Paid Receipt Number $16.08 7/26/10 1201000000000000836 $6.70 7/26/10 1201000000000000836 $58.00 7/26/10 1201000000000000836 $76.00 7/26/10 1201000000000000836 $627.71 I'''' .1 ~_' 1\.'1' " (~ 7/26110 1201000000000000836 $1,049.56", .. 7/26/10 1201000000000000836 .".'-.. , ' $10.00"'" 7/26/10 1201000000000000836 $22.63 "" 7/26/10 1201000000000000836 $1,333.57 7/26/10 1201000000000000836 $101.97 7/26/10 1201000000000000836 $157.27 7/26/10 1201000000000000836 $3,459.49 07/26/2010 I Plan Reviews i 07/26/2010 ~" " ,DON CTM " ,,' ..,"0 , , "f" "';;'.< To Request an inspection call the 24 hourre~tlrding 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. l...1eollirerUnsnection'\ I Septic Tank Pumped: After septic tauk has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump:arid hil: {I.' ." I' ' ... , ~ Sanitary Sewer Line: Prior to filling trenchlanct'inchiding required testing. " .,."., I'!: r , ; _" ,.1 L~ Paee 2 of3 """ ,,",., t. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00983 ISSUED: 07/26/2010 APPLIED: 07/26/2010 EXPIRES: 01/26/20] ] VALUE: Status Issued i;'~ :(1: (,~L " ,,( ~ ." .~l,l :~d ,'I!; By signature, 1 state and agree, that 1 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, /'1 (.1./ /r;' . ;1 c" ""......... d. /~ '7-'.;1..'- -:;l.ouJ Owner or Contractors Signature Date .,: ,'n: ~ "'" ',I' "J ,<1:1 ,~ ; !,\', '.", . 1 "..~ ~ ~h, ' .' ." ....,; ,'." Paee 3 of 3 ~ ;:':", Wil"u~~~~I:i~ii......' ,- ',: ~ ,'. ....---,......._- 225 F,ifth S~reet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000836 Date: 07/26/20 I 0 ] I :57:06AM Job/Journal Number COM20] 0-00983 COM20] 0-00983 COM20 1 0-00983 COM20 I 0-00983 COM20]0-00983 COM20] 0-00983 COM20] 0-00983 COM20 I 0-00983 COM20 I 0-00983 COM20 1 0-00983 COM20 I 0-00983 Payments: Type of Payment Check cRcccintl Description Sanitary or Stonn Sewer Cap Sanitary Sewer - 1 st 100 Feet ,.':\ . + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC MWMC Compliance Charge .. /.' Amount Due 58.00 76.00 ]6.08 6.70 1,049.56 627.7] 101.97 1,333.57 10.00 157.27 22.63 $3,459.49 Paid By GE FAUST Received By . ~ ,,- ., djb Item Total: Check Number Authorization Batch Number Number How Received 5686 In Person Payment Total: $3,459.49 $3,459.49 Amount Paid i/<"~ f'~,' '. . , . .:::'f'".' ;:-.'(:." t! ",",' . Page I of I 7/26/20 I 0