HomeMy WebLinkAboutPermit Plumbing 2006-6-8
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CITY OF SPRINGFIELD -
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Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00698
ISSUED: 06/08/2006
APPLIED: 06/07/2006
EXPIRES: 12/08/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2744 C ST
ASSESSOR'S PARCEL NO.: 1703361421101
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace water line, sanitary sewer and interior supply lines for fixtures.
Residential
Owner: STEPHEN CASSELL
Address: 1965 TARPON ST
EUGENE OR 97401
Phone Number: 541-687-1903
Contractor Type
Plumbing
I CONTRACTOR INFORMATION t
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Contractor n \a\)'J ~'t~ce~S3'\ \j\\ (c)I"fli ration Date Phone
DA VID SCOTT PERRY ....\(\\"t o~e~~r\ b\! \D1i4~JkJe se~ ~~~{)6/27/2006 541-896-0145
I ~1iiLDING9'~iORWl~TIQ~pP.~ ~~;e~ '0'/
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NO \ #~t3%tj)-fies. 'Q\a\n C . \De \e '\' ca\~ Size:
\n O~ei~ (1.f;rsir~~t:!tre\NO\e.\\\\\,/ NO\\ \ Sq Ft 1st Floor:
009Ftpe~t\lIea~n o~egon \j 32.-2.34:4:). Sq Ft 2nd Floor:
M'~~'ef\YPe.ne.s ,\_<000-3 Sq Ft Basement:
~ge ~@f;te{ \ Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
R-3
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact: ~~
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__IO\?-t. ~\\~,\ _
I PUBLIC IMPROVEMENTS _\(':t;. -'( S\\~\...\.- \~\S ?~~t.\) tlJ~'
d \'" ~\ \ ~_,,,\Dt.'" ~\)v
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~\)\~~~js~o~~~\ilis:
~G\S\W\ \) \)~'{
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
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: COM2006-00698
ISSUED: 06/08/2006
APPLIED: 06/07/2006
EXPIRES: 12/08/2006
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
+ 8% State Surcharge
Fixture
Sanitary Sewer - 1st 50 Feet
Water Line- 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$17.40
$13.92
$84.00
$45.00
$45.00
6/8/06
6/8/06
6/8/06
6/8/06
6/8/06
1200600000000000832
1200600000000000832
1200600000000000832
1200600000000000832
1200600000000000832
Total Amount Paid
$205.32
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
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.
!-t~ ~..t~ ~.AA-LLL
Owner or Contrfctors Signature
Db }(Jf(II)(....
Date
Page 2 of2
225 Fifth Street
Spring(iefd, Oregon 97477
541-.726-3759 Phone
Job/Journal Number
COM2006-00698
COM2006-00698
COM2006-00698
COM2006-00698
COM2006-00698
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Fixture
Sanitary Sewer - 1 st 50 Feet
Water Line - 1st 50 Feet
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
STEPHEN CASSELL
r.'v of Springfield Official Receipt
_ _ t'elopment Services Department
Public Works Department
1200600000000000832
Date: 06/08/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1031 In Person
Payment Total:
Page 1 of 1
3:49:04PM
Amount Due
84.00
45.00
45.00
13.92
17.40
$205.32
Amount Paid
$205.32
$205.32
6/8/2006