HomeMy WebLinkAboutPermit Plumbing 2007-9-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01356
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 03/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 463 S47th St
ASSESSOR'S PARCEL NO.: 1702324306700
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Encroachment Permit for connection of private sewer to the public sanitary line.
Install sanitary sewer approx 50' and water line approx 90' line
Owner: NOW AK DAVID M & CHRISTINA N
Address: 465 S 47TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Sewer
Contractor
SEC CONSTRUCTION
License
150980
Expiration Date
04/04/2008
Phone
541-747-6504
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
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 ImprovemfftftrCE:
Stor~ Sewer A ~~~PERMIT:SHALl EXPIRE IF THE WORK
SpeCial Instruch~THORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
. Description
Type of Construction
Downspouts/Drains:
AtlcNTION: Oregon taw requires you.t,o
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952..()()1-o01 0 through OAR 952-001-
bt I -'~., -. .~.. ...1,000 h'l
WIIU."WUiI mal':> aft eUrl,t'=.~,
I . .. I calling the center. (Note: the telephone
ValuatIOn DescrmtlOn number for the Oregon Utility Notification
Center is 1-a0D-332-2344).
$ Per Sq Ft Square Footage
It' I' B'd A t Value Date Calculated
or mu Ip ler or I moun
Pae:e 1 of 3
......
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
Encroachment Permit
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each Addtl100'
Total Amount Paid
Public Works Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01356
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 03/06/2008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$5.00 9/6/07 3200700000000000603
$6.60 9/6/07 2200700000000001401
$2.50 9/6/07 3200700000000000603
$3.30 9/6/07 2200700000000001401
$6.75 9/6/07 1200700000000001165
$4.00 9/6/07 3200700000000000603
$5.28 9/6/07 2200700000000001401
$135.00 9/6/07 1200700000000001165
$50.00 9/6/07 3200700000000000603
$50.00 9/6/07 2200700000000001401
$16.00 9/6/07 2200700000000001401
$284.43
I Plan Reviews I
09/06/2007 09/06/2007 10 EW Take in encroachment permit
application and route to
Maintenance Division for review
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.
~eoniredJnSDections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to filling trench and including required testing.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01356
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 03/06/2008
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
I street~hat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
(;;/::g~rytmC1Zr.Wt l ~/ (, ! ~
Owner or Contractors Signature Date
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01356
COM2007-01356
COM2007-01356
COM2007-01356
COM2007-01356
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID NOWAK
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001401
Date: 09/06/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
574
In Person
Payment Total:
Page 1 of I
11 :50:23AM
Amount Due
50.00
16.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
9/6/2007