HomeMy WebLinkAboutPermit Plumbing 2007-8-9
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2007-01176
ISSUED: 08/09/2007 .
APPLIED: 08/09/2007
EXPIRES: 02/09/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1430 5TH ST
ASSESSOR'S PARCEL NO.: 1703263101600
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Extend sanitary sewer line approx 20' line
Owner: CASE ALA YNA M
Address: 1430 5TH ST
SPRINGFIELD OR 97477
Phone Number: 541-747-7909
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor
RILEY PLUMBING & CONSTRUCTION
License
169050
Expiration Date
03/14/2008
Phone
998-8092
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# 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 I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Notes:
Storm Sewer Available:
Special InstructionNOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK uIreS you to
AUTHORIZED UNDER THIS PERMIT IS NOT All c,mON: Oregon law req r on Utility
l"nrlc~ I:nD lollow rules adopte~ b8~!h~'I~' ~ AR' forth
S8MMCNSCB SR IE A8l~'~ - to. -~ "... NotificatIon ""Ill"" ,.. i...""" 952.001-
ANY 180 DAY PERIOD. I Valuation Description I In OAR 952..oo1.0010thr~~: ~e Nles by
0090. You may obtain co~. the telephone
Square Footagecalllng the~~: (~uW~\!q~OJ'
or Bid AmounlftUmber J::.:;r181~Q0-332.23441. e
Downspouts/Drains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01176
ISSUED: 08/09/2007
APPLIED: 08/09/2007
"EXPIRES: 02/09/2008
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
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
$5.00
$2.50
$4.00
$50.00
8/9/07
8/9/07
8/9/07
8/9/07
Receipt Number
3200700000000000544
3200700000000000544
3200700000000000544
3200700000000000544
Total Amount Paid
$61.50
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.
LReouired InsDections I
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 during construction.
,~~
{~- - ,. I
wner or ~~ctors Sign~e
~ /9 /2tJ~7
Date / . /
Pal!e 2 of 2
225 Fifth'Street
,,"/
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01176
COM2007-01176
COM2007-01176
COM2007-01176
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sanitary Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALA YNA M SWANSON CASE
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200700000000000544
Date: 08/09/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
1710
In Person
Payment Total:
Page 1 of 1
11 :26:01AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
8/9/2007