HomeMy WebLinkAboutPermit Plumbing 2007-8-28 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 660 S 70TH ST
ASSESSOR'S PARCEL NO.: 1802022201700
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01264
ISSUED: 08/28/2007
APPLIED: 08/24/2007
EXPIRES: 02/28/2008
VALUE:
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Relocate existing sanitary sewer
Owner: JOHN KHASTEDAI
Address: PO BOX 7493
EUGENE OR 97401
Contractor Type
Plumbing
Contractor
OWNER
# of Units:
. Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VB
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
Type of Construction
Phone Number: 541-513-1650
- . let" ....." ,1rQQ vqu to
An t:.N \IVI\!. VI c~."'~' .. t on Utility
G(jlMfMA!~\{~ set forth
o -'001 0 thr~u,gh OAR 952-001-
in OAR 952-001 btain cdf3l~~Q)icthe ruRli~ation Date
0090. You may Ot (Note' the telephone
W~;;;:~~W~~~~~r;;v"l;...;1
v\:;lIILI;lI Iw l .
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
. # Street Trees Rqd:
NOTICE. Paved p.riv~~: IF THE WORK
THIS PERMH ~~~ !".
AUTHORIZED UNDER THI )'ERMIT IS NOT
- -'"r .-J/'1[O on It" ^J?^lIlnnf\ll=n FOR
vUIVI"~L .!l"... _ t!.. eo ..t..
ANY 11PsYMiCl ~EMENTS I
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01264
ISSUED: 08/28/2007
APPLIED: 08/24/2007
EXPIRES: 02/28/2008
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
+ 5% Technology Fee
+ 8% State Surcharge
Encroachment Permit
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$6.75
$4.00
$135.00
$50.00
8/28/07
8/28/07
8/28/07
8/28/07
8/28/07
8/28/07
2200700000000001355
2200700000000001355
2200700000000001355
2200700000000001355
2200700000000001355
2200700000000001355
Total Amount Paid
$203.25
I Plan Reviews I
Public Works Review
08/28/2007
08/28/2007
APP BRC
encroachment permit taken in for
connection of private sanitary line to
the public.
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 Reouired Insoections I
II
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 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.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01264
COM2007-01264
COM2007-01264
COM2007-01264
COM2007-01264
COM2007-01264
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Encroachment Permit
+ 5% Technology Fee
Paid By
JOHN KHASTEDAI
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001355
Date: 08/2812007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
brc
1244
In Person
Payment Total:
Page 1 of 1
9:31:20AM
Amount Due
50.00
2.50
4.00
5.00
135.00
6.75
$203.25
Amount Paid
$203.25
$203.25
8/28/2007