HomeMy WebLinkAboutPermit Plumbing 2007-8-28
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01285
ISSUED: 08/28/2007
APPLIED: 08/28/2007
EXPIRES: 02/28/2008
VALUE:
SITE ADDRESS: 1654 WATER ST
ASSESSOR'S PARCEL NO.: 1703274106000
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 501fsanitary sewer
Owner: HOUSING AUTHORITY & URBAN
Address: 300 W F AIRVIEW DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
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ca;(t\'Oet \at ~e"'$~~;pe:
(\u can Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
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
Expiration Date
02/18/2009
Phone
541-744-7991
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 I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
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I PUBLIC IMPROVEMENTS I c. \y\~~ \~ ~()\
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I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Pal!:e 1 of2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01285
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
1200700000000001101
1200700000000001101
1200700000000001101
1200700000000001101
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.
L Reouired Insoections I
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
street, th~ ermit card is located he fronlOf'th roperty, and the approved set of plans will remain on the site at all
times during co struction. }
g -- 2-?i--o ',/
_ ~ C r_
Owner or C;;~ra;;ors Sig~ture
Date
Paee 2 of2
225 Fifth Street
, .
, '
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0J285
COM2007-01285
COM2007-01285
COM2007 -01285
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001101
Date: 08/28/2007
Description
Sanitary Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID NICHOLS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 01523b In Person
Payment Total:
Page 1 of 1
lO:16:01AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
8/28/2007