HomeMy WebLinkAboutPermit Plumbing 2007-8-28
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01277
ISSUED: 08/28/2007
APPLIED: 08/28/2007
EXPIRES: 02/28/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 540 W QUINAL T ST
ASSESSOR'S PARCEL NO.: 1703274200100
Springfield
TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 50lfsanitary sewer
TYPE OF USE: Repair
Residential
Owner: HOUSING AUTHORITY & URBAN
Address: 300 W FAIRVIEW DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
READY ROOTER DRAIN CLEANING & R S~92524
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction T.,w "OM' Oregon taw requlrfWlfMl,~pe:
Secondary Constr~'dii"::ltr' dopted by the OreQbrn~'lit1h>e:
# of Bedrooms: foll~~ ~~. ~:nter Those rules a~k!OMh:
NotdAlcRa9150~"()01_0010thrOugh OAB.oo~Building: n/a
In 0 . _ . ...~ ."-0 r111,:o<::. hv
0090 YOU may ULJla11l ""'...._E: ~-
ali' the center. (NoteDRMBOO~NT INFORMATION I
C ,"g f the Oregon UtIlI1Y ''fULII''''............~-
number or . 00-332-2344).
Frontyard Setback: Center IS 1-8 Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Expiration Date
02/18/2009
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:
Compact:
I PUBLIC IMPROVEMENTS I
-~ rrr'i C":=. Sidewalk Type:
:,:"!~ P:RIVWP'SI>>A~t!tfl)iAlai:\f THE WORK
"'TI-IORIZED UNDER THIS PERMIT IS NOT
: :'\JMMENCED OR IS ABANDONED FOR
~\~Y 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pae:e 1 of 2
Value
Date Calculated
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01277
ISSUED: 08/28/2007
APPLIED: 08/28/2007
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
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$50.00
8/28/07
8/28/07
8/28/07
8/28/07
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 Reauired InsDections ,
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 ofany 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
streeti'tharfh- ermit card is loca at he front of-t.Joperty, and Ihe appeoved "" of plan, will ..ma.. in on the site at all
nm"rdne;ng <on~2 _ 't. p ___ -2 JrG; /
/' -
Owner or Con ractors Sign Date
Pal!:e 2 of 2
225 Fifth Street
Springfi~l~, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01277
COM2007-01277
COM2007-01277
COM2007-01277
Payments:
Type of Payment
CreditCard
cReceiot I
RECEIPT #:
1200700000000001109
Date: 08/28/2007
Description
Sanitary Sewer - 1 st 50 Feet
+ 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
01523 b In Person
Payment Total:
Page 1 of 1
IO:21:30AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
8/28/2007