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
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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