HomeMy WebLinkAboutPermit Plumbing 2006-9-28
.
...CITY OF SPRIN\.Irl1<.,LD
Building/Combination Permit
PERMIT NO: COM2006-01245
ISSUED: 09/28/2006
APPLIED: 09/28/2006
EXPIRES: 03/2812007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1581 SA ST
ASSESSOR'S PARCEL NO.: 1703363206902
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replace approx I 100fwater line
Owner:
Address:
TERRY MATTHEWS
1581 S A STREET
SPRINGFIELD OR 97477
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. 1\1IS PEl. . NOER \ ~!" ' fOR
Contractort.\.Il\10RllEO \.lOR IS t.Bt.NOONE~icense
ARPS PLUl\1!Hl:I.l1t\~~ . IFt,?" 38123
M~'( \ D\BilfcDlNG iNFORMA TlON I
Phone Number: 541-726-6800
Contractor Type
Plumbing
Expiration Date
01/24/2008
Phone
54 I -484-7246
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heighl of Struclure
Type of Heal:
Water Type:
Range Type:
Energy Palh:
Sprinkled Building:
Lol Size:
Sq Ft I sl Floor:
Sq FI 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carporl
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Selback:
Solar Selbacks:
Overlay Disl:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
REQUIRED PARKING
Tolal:
Handicapped:
Compacl:
Notes:
1.1\0
.,^c\lO
I PUBLIC IMPROVEMEN. TS ,. \{9\)OI\ la'l'l t\t"O~~90n U\I~\O't\t
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.J-"'-. .. ,\tj . $
I .. - f:;en,e,
Valuation Description
Streellmprovemenls:
Storm Sewer Available:
Special Instruction:
Description
Tvpe of Construclion
$ Per Sq FI
or multiplier
Square Foolage
or Bid Amounl
Value
Date Calculaled
Paee I of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I245
ISSUED: 09/28/2006
APPLIED: 09/28/2006
EXPIRES: 03/28/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P"idJ
Fee Description
+ I OD/o Administrative Fee
+ 5% Techoology Fee
+ 8% State Surcharge
Water Line. 1st 50 Feet
Water Line - Each AddtllOO'
Amount Paid
Date Paid
Receipt Number
$5.90
$2.95
$4.72
$45.00
$14.00
9/28/06
9/28/06
9/28/06
9/28/06
9/28/06
1200600000000001462
1200600000000001462
1200600000000001462
1200600000000001462
1200600000000001462
Total Amount Paid
$72.57
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
I R.enllired ~ectinns I
Water Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I have carefully examined the cnmpleted application and do hereby certify that all
informatinn hereon is true and correct, and 1 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 permissioo 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.
'11~~
Owner or ContractorsfSignature
1 j-/cj{ /0 6
Date
Page 2 of2
225 Fifth Street
,,1 . .
Springfield, Oregon 97477
541-726-3759 Phone
.~
<;1M. of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1245
COM2006-0 1245
COM2006-0 1245
COM2006-0 1245
COM2006-0 1245
Payments:
Type of Payment
CreditCard
cRcceiotl
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line - Each Addt) 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TERRY MATTHEWS
1200600000000001462
Date: 09/28/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
108158 In Person
Payment Total:
Page 1 of I
IO:OO:2IAM
Amount Due
45.00
14.00
2.95
4.72
5.90
$72.57
Amount Paid
$72.57
$72.57
9/28/2006