HomeMy WebLinkAboutPermit Plumbing 2007-6-8
Status
Issued
.CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00839
ISSUED: 06/08/2007
APPLIED: 06/08/2007
EXPIRES: 12/08/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 940 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO,: 1703264302200
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Repair/replace 40' water line
Owner: COLBURN JOE
Address: 385 24TH ST
SPRINGFIELD OR 97477
Phone Number: Unlisted
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
READY ROOTER DRAIN CLEANING & R SI192524
BUILDING INFORMATION.
Expiration Date
02/18/2009
Phone
541-744-7991
# 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 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:
Sidewalk Type:
Storm Sewer Available: , to Downspouts/Drains:
Special Instr.JLCtiQPtION: Oregon law reqUires YOU,I't liH\T\CE: iHE WORK
AI I t:1\l the Oregon Uti I Y I~U LL EXPIRE IF
Notes: tollow ~u\es adoPte~hb:se rules are set forth THIS PERM\1 SHA ER "THIS PERM\! \S NOT
Notiti~~~~ ~~~t~~1 () throuah OAR 952-0~\- AU"THORIZEO U~_O.r. ^ ~lnnNFn fOR
I[\UM.II"'V~J- . . Ol..,.."'r1""""'''V -"'f,nnu"-\\II_t.UUIl10ML,.
a obtain copies , "-, lIUlvhu V
0090,'.YOU m Y nter (Note: the 1eW'-hl'at.ion Descri ,f n1 W OAY PERIOO.
ca,lmg the ce . Utility NotlllCcHlu I
b r for the Oregon Ir, S
D . t' numB. f r t- ~ -t'''';j2 234"'-+fer q Ft Square Footage V I
escnp IOn Tvueero", ~p~ F1!C. IOU' It' I' B'd A a ue
lJ Ilv ~ or mu Ip ler or I mount
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00839
ISSUED: 06/08/2007
APPLIED: 06/08/2007
EXPIRES: 12/08/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Water Line - Ist 50 Feet
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$45.00
6/8/07
6/8/07
6/8/07
6/8/07
Receipt Number
1200700000000000727
1200700000000000727
1200700000000000727
1200700000000000727
Total Amount Paid
$55.35
I Plan Reviews I
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.
I Reouired Insoections I
Water Line: Prior to filling trench and including required testing.
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 a ree to ensure that all required inspections are requested at the proper time, that each address is readable from the
str , that permit card is located at the front of the property, and the approved set of plans will remain on the site at all
t; ..durin con:t, O~~~ c- ~_ 87
Owner o....Eon\ractors Sig~ture Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00839
COM2007-00839
COM2007-00839
COM2007-00839
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Water Line - 1st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
READY ROOTER
f
Oh, of Springfield Official Receipt
l Jopment Services Department
Public Works Department
1200700000000000727
Date: 06/08/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jlh 5596B 5596B In Person
Payment Total:
Page I of I
11 :59:37 AM
Amount Due
45.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
6/8/2007