HomeMy WebLinkAboutPermit Plumbing 2008-1-11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00043
ISSUED. 01111/2008
APPLIED' 01111/2008
EXPIRES. 07/I1/2008
VALUE:
Status
Issued
225 FIfth Street, Spnngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 InspectIOn Lme
SITE ADDRESS 1487 OKSANNA ST
ASSESSOR'S PARCEL NO 1703342202300
Sprmgfield TYPE OF WORK Plumbmg Only
TYPE OF USE
PROJECT DESCRIPTION Replace water hne
Owner MICHAEL MASER
Address 1487 OKSANNA ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbmg
Contractor
RIGHT WAY PLUMBING
License
49561
BUILDING INFORMATION I
# of UOltS # of Stones
PnmJry Occupancy Group R,3 Height of Structure
SecondJry Occupancy Group Type of Heat
Pnmary ConstructIOn Type VB Water Type
Secondary ConstructIOn Type Range Type
# of Bedrooms ATTENTION: Oregon law requlr~Path
follow rules adopted by the OregdiPtJtll!tyd BUlldmg nla
."YLIIIWUIUII V~UII.I;II. Yllt"l~'" '"-i~"""".~~'=" '::.::'-t~~.:~~
In OAR 952'()01-0010throu~9l!))UlI9!J2wmT INFORMATION I
0090. You may obtain copies 01 me rUles oy
Frontyard Setbad,Slllng the center. (Note' the tel~h5?11.:lDlst
number for the Oregon Utility Not IlS'iitll1n
SIde I Setback Center IS 1-800-332,2344) Street Trees Rqd
SIde 2 Setback Paved Dnve Rqd
Rearyard Setback % of Lot Coverage
Solar Setbacks
I PUBLIC IMPROVEMENTS I
StJ eet Improvements
Storm Sewer AVJllable
Spec..1 InstructIOn
Repa.r
Resldent..1
Phone Nnmber 541,
ExpiratIOn Date
12116/2008
Phone
541,484,3787
Lot SIze
Sq Ft 1st FloOl
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarpOl t
Sq Ft Otber
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
SIdewalk Type
Downspouts/Dralus
NOTICE: K
THIS PERMIT SHAll EXPIRE IF THE WOR
. - ~I-[E ~tlr\l:D TI-lI<:: PFRMIT IS NOT
:~ I nUl '- -- BANDONED FOR
I ValuatIOn DescnntlOnlJ.'MMENCED OR IS A
ANY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multlpher 01 BId Amount
Notes
DeSCriptIOn
Type of ConstructIOn
Page I 01 2
Value
Date Calculated
_Spn'NGFIe:LO
...
.l
-~
CITY VJ:' M'KINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED.
EXPIRES:
VALUE.
COM2008-00043
01/11/2008
01/11/2008
07/11/2008
225 FIfth Street, SprIngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 Inspechon Lme
Total Value of Project
Fees Palll I
$500
$600
$250
$50 00
1/11/08
1/11/08
1/11/08
1/11/08
ReceIpt Number
1200800000000000027
1200800000000000027
1200800000000000027
1200800000000000027
Fee DescrIptIOn
+ 10% Admmlstratlve Fee
+ 12% State Surchalge
+ 5% Tecbnology Fee
Water Lme, 1st 50 Feet
Amount Pdld
Date PaId
Total Amount PaId
$63 50
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 followmg
work day.
I. Ref/Ulred InsnectlOns I
Water Lme PrIor to filhng trench and mcludmg reqUIred testmg
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do herehy cerhfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work pertormed shall be done III accordance WIth
the Ordmdnces of the CIty of SprIngfield and the Laws of the State of Oregon pertamlllg to the work descrIbed herem, and
thdt NO OCCUPANCY Will be made of any structure Without permISsIOn of the CommuDlty ServIces DIVISion, Buddmg Safety
I further certIfy that only contractors aud employees who dre m comphance WIth ORS 701 005 WIll he used on lhls project
I further agree to ensure that all requIred IIlspechons are requested at the proper hme, that each address IS readahle from the
street, thdt the permIt card IS located at the front of the property, and the approved set of plans WIll remam on the site at all
tImes durmg coust! uchon
~
Owner or Contractors SIgnature
II J./'rY'- <J 'l?-
Date
Paee 2 of2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/JournaJ Number
COM2008,00043
COM2008.00043
COM2008-00043
COM2008-00043
Payments
Type of Payment
CredltCard
cRecelnll
RECEIPT #.
DescriptIOn
Water Lme ' I sl 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
RIGHTW A Y PLUMBING
r
7j:~~:-~
.IlL ~ ~
City of Sprmgfield OffiCIal Receipt
Development Servlccs Department
PublIc Works Department
1200800000000000027
Date. 01/1112008
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb
083599 In Person
Payment Tolal
Page I of I
8 51 35AM
Amount Due
5000
250
600
500
$63 5U
Amount Paid
$63 50
$63 5U
1111/2008