HomeMy WebLinkAboutPermit Plumbing 2007-8-27 (2)
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANi~ED
_ITY OF ~rKINGFIELD .
Building/Combination Permit
PERMIT NO: COM2007-01268
ISSUED: 08/27/2007
APPLIED: 08/27/2007
EXPIRES: 02/27/2008
VALUE:
Status
Issued
SITE ADDRESS: 402 W QUINALT ST
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 1l0lfsanitary sewer
Owner: HOUSING AUTHORITY & URBAN
Address: 300 W FAIRVIEW DR
SPRINGFIELD OR 97477
Contractor Type
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
READY ROOTER DRAIN CLEANING & R SI<92524
BUILDING INFORMATION I
Expiration Date
02118/2009
Phone
541-744-7991
VB
# 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 FI Garagelcnrport
Sq Ft Other:
Occupant Lond:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback: Overlay Dist:
Side.l Setback: # Street Trees Rqd:
Side 2 Setback: ~f(;Q m Drive Rqd:
Rearyard Set~ ~ ~tI1O, 10 (),;Q~Il11mm;ot Coverage:
Solar Setbac~ liWiloo _".I"w;;'_" i\ll~ !lr@ !!!!t f~
Mft""~t'!'~_t':1. """'" . - Qell ^.l't
OM e52~1.ctr/O. 'il'lroue"l~""" ?"!-':'.../,,-
~. 'Icm iOOVob~ copies rK~OVEMENTS I
Street Improvelll!!ll\iiJ I;\lO Clln'!1S1. (NotO: th!! .l;J~JifMtL
"'......t.;nSU1 ii\O Oregon Utllltyl'1l.~t.~
Storm Sewer AI_~ Io 1~-m~
Speciallnstructiou:
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
Type of Construction
~.O~~:~'"lVe"H~H ~lRElfMWORIt
"Ilu ,- ... UNDER THIS PEKIVIIII" IwE
I Valuation DescriDtion I AUTHORIZEOD OR IS ABANDONED FOR
COMMENCE
$ Per Sq Ft Square Footall.~Y 180 D~ p'ERIOD. Dale Calculated
or multiplier or Bid Amount n ue
Paee I of 2
.
'ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01268
ISSUED: 08/27/2007
APPLIED: 08/27/2007
EXPIRES: 02/27/2008
VALUE:
Status
Issued
22S Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
FI'I'~ P~id I
$6.60
$3.30
$5.28
$50.00
$16.00
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
Receipt Number
1200700000000001094
1200700000000001094
1200700000000001094
1200700000000001094
1200700000000001094
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtlIOO'
Amount Paid
Date Paid
Total Amount Paid
$81.18
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.
IRI'Il~
Sanitary Sewer Line: Prior to filling trench and including required testing.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereou is true and correct, aud 1 further certify that any and all work performed shnll 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 Snfety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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, JhD permit card is loc d at the front of the property, and the approved set of plans will remain on the site at all
timesduringc nstruction. ~ ') 8'-27-07
Owner or contractors}lgnature
Date
Page 2 of 2
225 Fifth Street
Spt"ingfield, Oregon 97477
541-726-3759 Pbone
..J;.~
WiL
C.f Springfield Official Receipt
D.opment Services Department
Public Works Department
Joh/Journal Numher
COM2007-01268
COM2007-01268
COM2007-01268
COM2007-01268
COM2007-0 1268
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 08/27/2007
1200700000000001094
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtlIOO'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID NICHOLS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 045438 In Person
Payment Total:
Page I of I
9:45: 12AM
Amount Due
50.00
16.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
8/27/2007
~5IDENTIAL - COMMERCIAL
:~~~~~~=T.
1ifC"-O
225 N~ FIFTl-l STF<:ET
SPRINGFIELD. OREGON <31411
ENGINEERING DIVISION
OR'ICE NO. 126-3153
INSPECTION LINE, 126-316<3
JOB ADDREe5, 4to7~ yJ. cfJ)U(~DL-(
-'-SSES50RS MAP NO.*' 17 6~"2-7 q / T-'-X LOT NO: +. /0/
SUSDIVISION,
O.:NER, 1-1 A 5L A
=DRES5, 300 vJ ,
S,Ar=, 6 rL
il.iOR< DESCRIPTION,
SIDE'.J.W..K, ~
( !'72.../!J./-I ::;?/-J A Ft:rl... ')
~AIe...v't2.A.fJ CI,y, ~Pelf..l(,fl&f7
ZIP, <f7~7 7 P;.lQN;: 1><0.
CUs:9 SIDE
5:n=.ACK
ClR3.c..rr :
~SIDESiJ..!..L _
CO, & ERICAL
SECOND DR:V:WAY I SEE ,~IC )
REQUIRES APPLICA,ION i'OR A SECOND DRIV:WA"'I'T-~.1.)
OR A COUNTY AFf'LlCA,ION FOR F-'-CILlTY F::~IT IC '38-203)
IF IN TI-;E U.c:5. .
DATE CF. AFPLICA7ION
bk~/tfj
SPRINCFIELD
RECEIPT NO, (780d
CASH
CHECK ~
oj;
Ci-iECKED FOR DELINQ:!~CIES" ~
SIGN::;:
f!;o c> Ie..
t:/z,,/(: 5"
DA.7E:
UX;>Rl< TO BE FE~"", IcD BY:
OilN:R
~I'RAC'jOR
*'
REC,IS,RATION NO. '31>,7 I
CON,RAC70R *' -"77' A -r 0 J....I
=e>RE5S 2/1 '$?q IS
t"N..LC,-/f!.J..Jcfl oJ.J
AIf'PCJl2f eel.
EXP:RES,~~2..I- 96
P;';=='Llfcl- 05 ~
PROCEDURE FOR IN5A::CTION REQUEST:
CALL 126-316<3 IR=.CORDER) STATE YOUR CITY DESIC,~TED .!OS N'J:"'09ER. JOS APDR=.5S.T':"P= CF.
INSF:CTION REClUESTI:D A'lD ~ YOU WILL SE READY FOR INSp=CTION. CONTRACTORS OR Ol:N=.RS NA.'-'= A'le>
p~ NU11SER. REQ'JES,S RECEIVED 9:.ur= 1,00 .L..'1 WILL SE MADE Tl-lE SAME DAY. REO"JES,S "'=TI:R 1,00
.0..'1 WILL BE MAPE ,HE NEXT lLORKlNG DAY
* S== =~
--~
EXISTING: SU1LDfNC:: P::~IT NO. ( rr APPLICABLE)
YOUR CITY DESIC,NATI:D J05l'<O. IS;' C/ C::/ ()(;;{)
. -
REGlUIRED INSPECTIONS
[0'
SIDEWALK I DRIYEWAY
FOR ALL CONCRETI: FAVlNc.. W17l-l1N
11-IE STREET RIGHT 0;= WAY. TO SE
M.tJ:>E ,t.FTER ALL EXCAVATlNU
15 COi"'iPLETE AND FO~ ~
A'lD 5US-5A5E M'<'TCRIAL IS
IN PLACE
FEES:
SIDEWALKS
CURB-CUT
~10.00 . @.I5/LF. ( X )
0;:: WALK
~10.00 . 10.15/LF. ( X )
D
.- CURS I APPROACl-l APRO:
A-IER FOR:'"15 ARE ERECi:
BUT PRIOR TO po~;aING
CONCRETE.
UJ.L..L< X'
/ '"
I. X' J.
TOTAL PERt1IT FEE:
~
C011MERICAL DRIV:WAYS SHALL
HAVE 5' TO 8' FLAIR5
3'- o' STA'lDAF1D
I i-lAVE ,CAR:::.~LL"'" EXA'"'1I~D n..!: COMPLETED APPLICATION FOR F'E~IT. ':"'~D DO J-l'ER::6Y CE~jr;:.,... 7~.L.T ALL
INrOR1ATION J-l'EREON 15 TRUE A"UJ CORR:CT, A"l.D I FURT;";ER CERTIFY 7J-.1AT A!'-lY ~'lD ALL WOR< FE~~ED
SHALL BE DONE IN ACCORDA'lCE WITH THE ORDIN-'.'lCES 0;= THE CITY OF SPRI~GFIELD. AND THE LAC.!5 OF THE
5TATE OF ORE6o:-.l FERTAINI1'JC::I TO THE WOR<. DE5CRI5:D HEREIN, A"'fD n..IAT NO OCOJPANCi WlLL 9E M..!.!:)E:
or: ~-...:y 5T~CTUR..: Ulli,-lOJT FER:'11551o:-.l 0:= TI-{E 6tJILDNG DIVISION.. I FURi~ER CERTIFY 7t-f,..1T o:--.lL.,.. CO:--''TRACTO::<S
.<ND EMPLOYEES WHO ARE IN COMPLIA'lCE WITH ORS 101.0:,5 WILL BE USED ON THIS PROJECT.
SIGNED
DATI:
.
T 1.<' C)
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