HomeMy WebLinkAboutPermit Plumbing 2007-4-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00564
ISSUED: 04/18/2007
APPLIED: 04/18/2007
EXPIRES: 10/18/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1870 Hayden Bridge Rd Springfield
ASSESSOR'S PARCEL NO.: KING HENRY'S COURT
TYPE OF WORK: Site Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Sanitary and storm site work only
Owner: 'G & R BUILDING CONCEPTS
Address: 1135 CAL YOUNG RD
EUGENE OR 97401
Phone Number: 541-606-1755
Contractor Type
Plumbing
I CONTRACTOR INFORMATION I
Contractor Lic~q~~~') ~~)f'P~ation Date Phone
BABB CONSTRUCTION CO ... "tf-'r\~~~::~~\),:;~\UU'\~&~f{2007 541-688-2233
BUlLDING'l~M(i\'f~~N'\U~ ':e~ ~O}-\~:.qO u\
O " 'u' ,,0 I' ..,(".0 V ,o~
-::A'Y. \,},\ '.~' u,-e\v.. ,J;)'u? ,:)\\\.
# ~O[~~\~\ ~ s~,~o'J 0 \.\j\J \. ~') ul?,,"~ .~~~\
Heigb~f ~~'c\<iir&>"o~\,},\ \. .~~\\} :e s~~F.~\st-..Floor:
TYR~ (j,flFfe~t'i:\~O ,,~~solJ.. ~\oo~. e~d Floor:
Wa!t{)(!'w~: ~~-e S~\ ~\,),\ f--Q. ~ou~~O '~Sq Ft Basement:
Ran~\~15Y~~~ uou~~O ~~ N'-e\ U Sq Ft Garage/Carport
EnergYf--I3~,t~ s~~\(\'o Sq Ft Other:
Sprinkle~B'@.~ding: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total: ~~
Handica~~~t ~~'"\~\
CoqJ,Wl~: 0. \CO \'
x-i-~\"'v 't.~~\ ~~
t"\\~~' \r~ s\\~:~\1. \\\\S;\)~x-~ '"
I PUBLIC IMPROVEMENTS't\\\S ~~'(\~{~\) '0~~\S ~'6~~
\ ~\)~~~~~{~"'t.~\\)\)'
c,\D~~~~~/Drains:
~~'{
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00564
ISSUED: 04/18/2007
APPLIED: 04/18/2007
EXPIRES: 10/18/2007
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
Penalty Fee - BWOP Plumbing
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$19.10
$9.55
$9.44
$73.00
$45.00
$45.00
$28.00
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
1200700000000000433
1200700000000000433
1200700000000000433
1200700000000000433
1200700000000000433
1200700000000000433
1200700000000000433
Total Amount Paid
$229.09
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.
L 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.
~~~tq~~&~U
. ./, /' - 1/
Owner or Contractors Signature/
~ h~cC7
Dat/' , I'
I
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C:4", of Springfield Official Receipt
~ dopment Services Department
Public Works Department
Job/Journal Number
COM2007 -00564
COM2007-00564
COM2007-00564
COM2007-00564
COM2007-00564
COM2007-00564
COM2007-00564
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000433
Date: 04/18/2007
Description
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Penalty Fee - BWOP Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
G & R BUILDING CONCEPTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2455
In Person
Payment Total:
Page I of I
2:42:19PM
Amount Due
45,00
45.00
28,00
73,00
9.55
9.44
19.10
$229.09
Amount Paid
$229.09
$229.09
4/18/2007