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HomeMy WebLinkAboutPermit Encroachment 2008-4-1 (2) . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line (~~ n ~\~ p,,~ IL~ ~Vlr\l~\l"IH;'U aITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00373 ISSUED: 04/01/2008 APPLIED: 03/18/2008 EXPIRES: 10/0112008 VALUE: Status Issued SITE ADDRESS: 1250 Rainbow Dr ASSESSOR'S PARCEL NO,: 1703273402602 Springfield TYPE OF WORK: Miscellaneous TYPE OF USE: Alteration PROJECT DESCRIPTION: Encroachment permit to connect to sanitary sewer Residential Owner: RAINBOW VILLAGE INC Address: 1250 RAINBOW DRIVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type General Contractor TRENCH LESS PIPE SERVICES, INC License 155663 Expiration Date OS/28/2009 Phone 741-1744 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 Patb: 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 l DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street I mpl\Yb'fle'f:: Stor~ sew1~~~I~IT SHALL EXPIRE IF THE WORK Specl8l InsA'm~IWllZED UNDER THIS PERMIT IS NOT Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, I PUBLIC IMPROVEMENTS I ATTr.rSiiIfwal"'T.y,p,e: h" .. '>.I" ~ull/aw re . '- ,-' '.' ,", e;; ;,u'I",...i 'I-. . QUIres you to N.J'j/ic', DownspoutslDrulDs:le Oregon VI'" , . ""','ll vEnter Th . Ilty In OAH 952-001-0010 those rules are sel forth 0090, You may obI' rough OAR 952-001. calling Ihe centeral(~~p'es of Ihe rules by number tn, 'h_ ~,' 0 e: Ihe le/!i'r'''''~~ Cenler is - i :8'v" VIIIIIY NOtifiCation I Valuation Descriotion I 00-332-2344). Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 -ii.~ . aITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00373 ISSUED: 04/0112008 APPLIED: 03/18/2008 EXPIRES: 10/01/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 5% Technology Fee Encroachment Permit + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Numher $6,75 3/18/08 2200800000000000332 $135,00 3/18/08 2200800000000000332 $5,00 4/1/08 1200800000000000291 $6,00 4/1/08 1200800000000000291 $2.50 4/1/08 1200800000000000291 $16.00 4/1/08 1200800000000000291 $34.00 4/1/08 1200800000000000291 Total Amount Paid $205,25 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. L.Reolli~ Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumhing work is complete, , I By signature, I state and agree, that I have carefully examined the completed application and do herehy certify thaI all information hereon is true and correct, and I further certify that any and all work performed shall he 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 projecl, I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 con clion. l~~ Owner or Contractors SignaturU Date Pa2e 2 of2 225 Fifth Street . . SpringfieJ<I, Oregon 97477 54C726-3~59 Phone . J:OR;~ ~. Ci_ Springfield Official Receipt D.pment Services Department Public Works Department Job/Journal Number COM2008-00373 COM2008-00373 COM2008-00373 COM2008-00373 COM2008-00373 Payments: Type of Payment Check cReceiritl RECEIPT #: 1200800000000000291 Date: 04/0112008 Description Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By TRENCHLESS PIPE SERVICE Item Total: Check Number Authorization Received By Batch Number Number How Received njm 15441 I n Person Payment Total: Page 1 of I 9:50:02AM Amount Due 16,00 34,00 2,50 6,00 5,00 $63,50 Amount Paid $63,50 $63,50 4/112008