HomeMy WebLinkAboutPermit Plumbing 2007-8-28
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01283
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: 1518 WATER ST
ASSESSOR'S PARCEL NO.: 1703274106600
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
I CONTRACTOR INFORMATION I
Contractor Type Contractor License
Plumbing READ\1hq~'1t>"~{\IN CLEANING & R SF92524
:rTE~'\O~: Otei~~ ~~\~e 6(e~~\~~i'\m~\ILDING INFORMATION.
Il\ Ju\eS adop ,hOse tu\eS p..p.. eQ~411:J .-,
# of uJR~\~~at\on cente~~ 0 thtOu.gh 0, the t\1i~~ ~w of Stories:
primai~'\1t_9~f9\'Ra\n CO?\eS;e \.e\ep~~~@ JIeight of Structure:
Second lb'.cc.yout~'/&~~~.P\~o\e" .h'/ ~O\\~\~~~@'Type of Heat:
Primar9 c~U\f1Wlt\'iQ.p~~egon \J\~.Z~44), Water Type:
Seconda~~OOii~~sfte'l)OO-33 Range Type:
# of Bedrdbms: centef Energy Path:
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Expiration Date
02118/2009
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
N01\CE: Si~m~~{1~ 'NOR\{
1\--\\S PERMII SHALL ~'f~sp~~~St~Ol
AU1HOR\ZED UNDE\SR ABANDONED fOR
NlMENCED OR
~~y 180 DAY PER\OD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!:e 1 of2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Total Amount Paid
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01283
ISSUED: 08/28/2007
APPLIED: 08/28/2007
EXPIRES: 02/28/2008
VALUE:
Receipt Number
1200700000000001103
1200700000000001103
1200700000000001103
1200700000000001103
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.
$5.00
$2.50
$4.00
$50.00
8/28/07
8/28/07
8/28/07
8/28/07
Sanitary Sewer Line: Prior to filling trench and including required testing.
$61.50
I Plan Reviews I
1......Reouired Insoections I
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
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
nmZri';:e L
Own., n'~~;...ct"" Signatnp
Pa2e 2 of 2
g~Zg_o7
Date
225 Fifth,Street
Spri.i'gfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0I283
COM2007-0I283
COM2007-01283
COM2007 -01283
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001103
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 OI523b In Person
Payment Total:
Page 1 of 1
10:17:28AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
8/28/2007