HomeMy WebLinkAboutPermit Plumbing 2007-8-28 (2)
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01277
ISSUED: 08/28/2007
APPLIED: 08/28/2007
EXPIRES: 02/28/2008
VALUE:
.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
SITE ADDRESS: 540 W QUlNAL T ST
ASSESSOR'S PARCEL NO.: 1703274200100
Springfield
TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 501fsanitary sewer
TYPE OF USE: Repair
Residential
Owner: HOUSING AUTHORITY & URBAN
Address: 300 W FAIRVIEW DR
SPRINGFIELD OR 97477
, CONTRACTOR INFORMATION'
Contractor Type
Plumbing
Contractor License
READY ROOTER DRAIN CLEANING & R SIl92524
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary construc~QN' Oregon law requlr~~.~pe:
Secondary constr,~w~,: rUlllr dopted by the Oregung~llilYPe:
# of Bedrooms: foll.O.W 1 ~~nter Those rules aEn~g;ot#.!lh:
~0~~~~~~-O01.001 0 throu.g~ ~:'~~~Jluilding: nla
0090 YOU may UUt.QlIl v...._.__ .
a1iin the center. lNo'€DEMR~OP~~!,'lT INFORMATION'
C g f the Oregon IJIIlI'l "'"'''''~----
number or 800-332-2344).
Frontyard Setback: Center is 1- Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Expiration Date
02/1S/2009
Phone
541-744-7991
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
compnct:
I PUBLIC IMPROVEMENTS'
"''''I('E' Sidewalk Type:
J:~~ \;ERrv'/?P~"~l\l~t~[jPtlrn'S:'F THE WO~~
'1 HORIZED UNDER THIS PERMIT IS N
UMMENCED OR IS ABANDONED FOR
\;'!Y 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Tvpe of Construction
Paee I of2
Value
Date Calculated
.
.CITY VI< ~t"Klf'lt.I<u..LD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01277
ISSUED: 08/28/2007
APPLIED: 08/28/2007
EXPIRES: 0212812008
VALUE:
225 Fifth Street, Springfield, OR
541-726-37S3 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F.....P"W
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
8/28/07
8/28/07
8/28/07
8/28/07
Receipt Number
1200700000000001109
1200700000000001109
1200700000000001109
1200700000000001109
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.
I R"ouir..rll~
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 certif)' that nil
information hereon is true and correct, and I further certify that any and all work performed shall be done in nccordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, nnd
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. 1
further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from the
s~reet!.:tha.c ermit ~ard is loca at he front oH~erty, and the approved set of plans will remain on the site at all
limes durmgcon ~2 ~ 1 ~ 2 J~7
Owner or 6n r~ctors Signfure Date
Page 2 of2
225 Fifth Street
Springfi~~, Oregon 97477
541-726-3759 Phone
.'j:'~
~
cef Springfield Official Receipt
Development Services Dcpartment
Public Works Department
Job/Journal Number
COM2007-0 1277
COM2007-0 1277
COM2007-01277
COM2007-01277
I Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
Description
Sanitary Sewer - 1 st 50 Fcet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID NICHOLS
1200700000000001109
Date: 08/28/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 01523b In Person
Payment Total:
Page I of I
10:21 :30AM
Amount Due
50.00
2.50
4.00
5.00
$61.5U
Amount Paid
$61.50
$61.5U
8/28/2007