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Home My WebLink AboutPermit Plumbing 2007-5-16 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00702 ISSUED: 05/16/2007 APPLIED: 05/16/2007 EXPIRES: 01/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 444 S 71ST ST Springfield ASSESSOR'S PARCEL NO.: LOVING PARTITION P TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install Storm Sewer Line Owner: VERN W BENSON Address: 940 HWY 99 N EUGENE OR 97402 Contractor Type Sewer Phone Number: 541-912-0600 I CONTRACTOR INFORMATION I Contractor License PROFESSIONAL UNDERGROUND SERVICE156231 BUILDING INFORMATION I Expiration Date 07/14/2009 Phone 541-501-7128 # 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: Storm Sewer Available: Special Instruction: Notes: Description # 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 REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Tree;mR ~ ATTENTION: Oregon Mllcmlrftl ; . follow rules adopted byot8P&)i~ l!rf. Notification Center. Those rules are se oi1h In 'J,.n~~" gQ,1.nn1rubJmtoh O~ 952-001- 0090. You may ~MlUW'=6~jEJ calling the ce l.... {n L L . r. . number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: NonCE: T~IS p~ IXPtRE!~ WORK AUTHO~" 1"11 ~s;n"l1Tie t4ST I Valuation Description I COMMENCED OR IS A&ARDONiD fOR $ Per Sq Ft Square Footat.NY 1&0 DAY PERIOD. . Value Date Calculated or multiplier or BId Amount Type of Construction Pae:e 1 of2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00702 ISSUED: 05/16/2007 APPLIED: 05/16/2007 EXPIRES: 01/12/2008 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 Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Storm Sewer Each Addtll00' Amount Paid Date Paid $5.90 $2.95 $4.72 $45.00 $14.00 $2.80 $1.40 $2.24 $28.00 5/16/07 5/16/07 5/16/07 5/16/07 5/16/07 8/8/07 8/8/07 8/8/07 8/8/07 Receipt Number 2200700000000000755 2200700000000000755 2200700000000000755 2200700000000000755 2200700000000000755 1200700000000001018 1200700000000001018 1200700000000001018 1200700000000001018 Total Amount Paid $107.01 I Plan Reviews I To Request an inspection call the 24 hour recording at726-3769. 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 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. '~ , :> . - f-a - 7 Owner or Contractors Signature Date Pal.!e 2 of 2 225 Fifth .Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00702 COM2007-00702 COM2007-00702 COM2007 -00702 Payments: Type of Payment Check cReceintl RECEIPT #: Description Storm Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + ] 0% Administrative Fee Paid By BENSON DEVELOPMENT City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001018 Date: 08/08/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5366 In Person Payment Total: Page ] of I 2:24:37PM Amount Due 28.00 ].40 2.24 2,80 $34.44 Amount Paid $34.44 $34.44 8/8/2007