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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