HomeMy WebLinkAboutPermit Plumbing 2010-7-26
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00982
ISSUED: 07/26/2010
APPLIED: 07/26/2010
EXPIRES: 01126/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3757 CHEROKEE DR
ASSESSOR'S PARCEL NO.: 1802061203900
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Abandon septic and connect to sewer
TYPE OF USE: New
Residential
Owner: EDEN ALICE P
Address: 3757 CHEROKEE DR
SPRINGFIELD OR 97478
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I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor
OWNER
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License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION ~
ATTEN110~ftaD.Yirequlres you to
Itc1low rut.. ~llYttbQtOI,goi'l Utility
Notification ~ ollHwl,ules are set forth
IntDAR 952~~gh OAR 952-001-
0090. You milt lea of the rules ~
calling the e: the telephone
number for ~ . .oUficatio'Ptla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. OvlklaVDist: "' , . '-'-'-~'
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.# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
""
Notes:
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I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount'
Pa2e I of2
r~i;i;? ,,!;'\:,:.,~>;~'f~
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Expiration Date Phone
Lot Size:
. . Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
~
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Value
Date Calculated
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CITY OF SPRINGFIELD
ATTENTION: Oregon law requIres you to Building/Combination Permit
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Status Issued NotificationCent.r. Thos.ndesaresetfortlfERMrT NO:
225 Fifth Street, Springfield, OR In OAR 952.()()1-D010 through OAR 952.()()1JSSUED:
541-726-3753 Phone 0090. You /YlIlyqb.t&lrt copies of the rul.s b)i\PPLIED:
541-726-3676 Fax call1ngth. center. (Note: th.tele~h~e EXPIRES:
541-726-37691nspection Line number for the Oregon Utility NotlficalionV ALUE:
Center 111-800-332-2344).
COM2010-00982
07/26/2010
07/26/2010
01/26/2011
Total Vldue of Project
l.J1ees Paidj;
;;;'f~h CO :)~,~ :~\ "':.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary or Storm Sewer Cap
Sanitary Sewer - 1st 100 Feet
Amount Pai~"):~
$16.08'
$6.70
$58.00
$76.00
Date Paid
Receipt Number
7/26/10
7/26/10
7/26/10
7/26/10
2201000000000000874
2201000000000000874
2201000000000000874
2201000000000000874
Total Amount Paid
$156.78
Plan Reviews, ,..
Public Works Review
07/26/2010
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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
Sep.tic T~nk Pumped: After septic t.ank has ~1e~P'!,m~~,d..nd filied. Please provide the inspector with receipt and
verificatIOn from company performlDg pumpal'd filL ~
Sanitary Sewer Line: Prior to filling treiJch"~~'dincl~ding required testing.
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 1 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.
1 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 requ~'sted 'afthe 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. .... " ,~ "
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1- '30- /()
Owner or Contractors Signature
Date
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Payments:
Method
CreditCard
8/2/2010
7:35:38AM
City of Sprin~field
Development Services Department
Public Works Department
Transaction Log
For Date: 07/26/20.10
Op's,C'rintinn.
Revenue Account No
Amount Paid
$58.00
$76.00
$16.08
$6.70
$156.78
Sanitary or Storm Sewer Cap
Sanitary Sewer - I st 100 Feet
+ 12% State Surcharge
+ 5% Technology Fee
224-00000-425603
224-00000-425603
821-00000-215004
100-00000-425605
Line Item Total:
Paid By
Received Check. How Amount Paid
):tv No. Annroval # D...",1
etm 02612z In Person $156.78
Payment Total: $156.78
ALICE EDEN
Page 6 of 13
cTransactionLog.rpt