HomeMy WebLinkAboutPermit Plumbing 2007-9-5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01272
ISSUED: 09/05/2007
APPLIED: 08/27/2007
EXPIRES: 03/05/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 609 54TH ST
ASSESSOR'S PARCEL NO.: 1702331300400
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Abandonment ofseptic tank and installation of private sanitary sewer line to connect
to the public sanitary sewer system.
AI I t:.NT10 JYIB ]~8faw re~uires you .t.O
r~ effw.f1i<t>regon Utility
foll?W r~le ;t\~1eItUles are set forth
Notification ~f . t..CA~19rooeOAR 952-001-
In OAR 952-00 - '\NOli US'T b
0090 You may obtain copies of the rules y
cal' '.1'''' . ....l....'. )Hwt:.. "~'I: ~~'irh,..nQ
(~ OAM"." - MID ification
.nu
Center S Sidewalk Type:
Owner: MALONE HASKEL WAYNE & MARY L
Address: 609 N 54TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Applicant
Plumbing
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of3
Expiration Date Phone
541-579-0315
12/23/2007 541-895-2072
n/a
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:
Downspouts/Drains:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01272
ISSUED: 09/05/2007
APPLIED: 08/27/2007
EXPIRES: 03/05/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description'
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $10.00 9/5/07 2200700000000001397
+ 5% Technology Fee $5.00 9/5/07 2200700000000001397
+ 8% State Surcharge $8.00 9/5/07 2200700000000001397
In Lieu of Assessment $4,320.00 9/5/07 2200700000000001397
Sanitary or Storm Sewer Cap $50.00 9/5/07 2200700000000001397
Sanitary Sewer - 1st 50 Feet $50.00 9/5/07 2200700000000001397
Sanitary Sewer - Improvement $265.25 9/5/07 2200700000000001397
Sanitary Sewer - Reimbursement $348.83 9/5/07 2200700000000001397
SDC MWMC Administration $10.00 9/5/07 2200700000000001397
SDC MWMC Improvement $961.52 9/5/07 2200700000000001397
SDC MWMC Reimbursement $-1,037.84 9/5/07 2200700000000001397
SDC MWMC Reimbursement $91.61 9/5/07 2200700000000001397
SDC Sanitary/Storm Admin $31.97 9/5/07 2200700000000001397
Total Amount Paid $5,114.34
I Plan Reviews I
Public Works Review
08/28/2007
08/28/2007
APP BRC
In lieu of assessment, calculated
SDC's an will route the
encroachment permit when the
applicant signs the permit. BC
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.
!...ReouiredJnsoections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and
verification from company performing pump and fill.
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01272
ISSUED: 09/05/2007
APPLIED: 08/27/2007
EXPIRES: 03/05/2008
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.
Owner or Contractors Signature
Date
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