HomeMy WebLinkAboutPermit Plumbing 2007-8-31
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01264
ISSUED: 08/31/2007
APPLIED: 08/24/2007
EXPIRES: 03/0212008
VALUE: .
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
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Relocate existing sanitary sewer and water line
Owner: JOHN KHASTEDAI
Address: PO BOX 7493
EUGENE OR 97401
Phone Number: 541-513-1650
Contractor Type
Plumbing
Sewer
I CONTRACTOR INFORMATION I
Contractor License
ROYAL FLUSH ENVIRONMENTAL SERVIC153694
ROYAL FLUSH ENVIRONMENTAL SERVIC .
BUILDING INFORMATION I
Expiration Date
12/23/2007
Phone
541-895-2072
541-895-2072
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
A11ENnON: Oregon faw requires yoU to
HfoROW ""ea adopted by the Oregon Utility
fnoO~~on Center. Those rules are set forth
"" 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
caflfng the OInter. (Note: the telephone
Dumber for the Oregon Utility Notification
Center Ie 1-80Q.332-2344).
Notes:
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
Encroachment Permit
Sanitary Sewer - 1st 50 Feet
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Total Amount Paid
Public Works Review
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01264
ISSUED: 08/31/2007
APPLIED: 08/24/2007
EXPIRES: 03/02/2008
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$5.00 8/28/07 2200700000000001355
$2.50 8/28/07 2200700000000001355
$6.75 8/28/07 2200700000000001355
$4.00 8/28/07 2200700000000001355
$135.00 8/28/07 2200700000000001355
$50.00 8/28/07 2200700000000001355
$6.60 8/31/07 2200700000000001372
$3.30 8/31/07 2200700000000001372
$5.28 8/31/07 2200700000000001372
$50.00 8/31/07 2200700000000001372
$16.00 8/31/07 2200700000000001372
$284.43
I Plan Reviews I
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.
lJeouireCUnsnections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to filling trench and including required testing.
Pa2e 2 of3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01264
ISSUED: 08/31/2007
APPLIED: 08/24/2007
EXPIRES: 03/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
'\it1l'\n~U9 f\O.:.J\\niJ ,\td~ ~.3 \ -(Tl
;;::~~o.t'acto" S;gnat.,. NJ\; vJ}(t\~ ~ Dat.
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Paee 3 of 3
225 .~'ifth Street
Springfield, Oregon 97477
5'41-726-3759 Phone
Job/Journal Number
COM2007-01264
COM2007-01264
COM2007-01264
COM2007-01264
COM2007-01264
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JOHN KHASTEDAI
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001372
Date: 08/31/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
1245
In Person
Payment Total:
Page 1 of 1
8:15:10AM
Amount Due
50.00
16.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
8/31/2007
"i/';;'
.~I,.;.
CITY OF SPRINGFIELD
, ,
, r
City Hall
Sprlnglleld, Oregon
Development Services
OFFICIAL RECEIPT
. .' 22094 .
Date ~\.GJ. . ~
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