HomeMy WebLinkAboutPermit Plumbing 2007-7-26
Status
Issued
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: COM2007-01105
ISSUED: 07/26/2007
APPLIED: 07/26/2007
EXPIRES: 01126/2008
VALUE:
Springfield
TYPE OF WORK: Plumbing Only
SITE ADDRESS: 5244 D ST
ASSESSOR'S PARCEL NO.: 1702332400157
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 30' of sanitary line
Owner: RICE LYNN ANN
Address: 5244 D ST
SPRINGFIELD OR 97478
Phone Number: 541-741-3841
I CONTRACTOR INFORMATION I
License
129990
Expiration Date Phone
06/24/2008
Contractor Type
Plumbing
Contractor
GARY'S ROOTER SERVICE
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
BUILDING INFORMATION I
# 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:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Storm Sewer Available: \f-JQ~~
Special Instruction: \~'t. \f ~\-\,c \S "01
Not\\O't\~~~,,^1i S~\~\S I'~~~~ fO~
1\\\S . ...nl1f.D U .~ ~~~"O
f\. \} \ r\0T"'" CoD \)~ f...
t" ,,^,,^t.~C~ ?t.i\\Ot).
CQ ~ ~\) O~'(
~~'( \
Description Tvpe of Construction
Downsp'outs~a\Ni yoU to
ATTENT'ON: Oregon ~a~:e Oregon UtilitY
follOW rutes adopted ~e rutes are set fort"
Notification ~~1n~~1~~rough OAR 952..()()by1-
a.. QAR. 952-vu - .... .' ' l~f the rules .
. -" u may uulcl.. is r h tetepnon"
~. \ (Note: t e ,
Valuation Descrt' the center. Utility Notification
nu ef tor the Oregg~2_2344).
$ Per Sq Ft Square Fd9~f \8 1-8
It' I' B'd A t Value Date Calculated
or mu Ip ler or I moun
Pa~e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
$5.00
$2.50
$4.00
$50.00
Total Amount Paid
$61.50
Total Value of Project
Fees Paid I
Date Paid
7/26/07
7/26/07
7/26/07
7/26/07
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01105
ISSUED: 07/2612007
APPLIED: 07/26/2007
EXPIRES: 01126/2008
VALUE:
Receipt Number
1200700000000000965
1200700000000000965
1200700000000000965
1200700000000000965
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 InsDect~
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 durVnstruction.
~~':~ / :<L-o"/
Ownetor Contra~gnatu~~t ..' ..... Datt,pr (
.i:
Pa2e 2 of2
225 Fifth Str'eet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01105
COM2007-01105
COM2007-01105
COM2007-0ll05
Payments:
Type of Payment
Cash
cReceinll
RECEIPT #:
1200700000000000965
Date: 07/26/2007
Description
Sanitary Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GARYS PLUMBlNG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ilh In Person
Payment Total:
Page I of 1
1 :23:58PM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
7/26/2007