HomeMy WebLinkAboutPermit Plumbing 2008-1-14
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED.
EXPIRES'
VALUE:
COM2008-00056
01/14/2008
01114/2008
07114/2008
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 791 S 47TH ST
ASSESSOR'S PARCEL NO 1802051209100
Spnngfield TYPE OF WORK Plnmbmg Only
TYPE OF USE Repd,r
ReSIdential
PROJECT DESCRIPTION Replace water hne, approx 100 Imeal feet
Owner BARKER RICHARD T & NORMA L
Address 791 S 47TH PL
SPRINGFIELD OR 97478
Phone Nnmber 744-3940
I CONTRACTOR INFORMATION J
Contractor Type
Plnmbmg
Contractor
TRENCHLESS PIPE SERVICES INC
License
155663
ExpIratIOn Date
05/2812009
Phone
541-741-1744
BUILDING INFORMATION.
# of UOIts
Pnmary Occnpancy Group
Secondary Occupancy Group
Pnmary Construction Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type 01 Heat
Water Type
Range Type
Energy Palh
Spnnkled BUJldmg
Lot SIZe
Sq Ft 1st FloO!
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gdl age/Carpo. t
Sq Ft Other
OCCUPdUt Load
nla
I DEVELOPMENT INFORMATION.
Front yard Setback
Side 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Tolal
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Sidewalk Type
Downspoutsilll aIDs
,~a.R!'~rta~ requires you to
I ;li6W~~Iflif.f6'Pf!llJIbY the Oregon Utility
t\tltl1.if::atlon Center Those rules are set forth
II 0~A~2-001-0010through OAR 952-001-
(1)01\ Vn'l m"v n.btam copies of the rules by
calling the center (Nofe me le'"IJ''U'''''
number for the Oregon Utility Notification
Center IS 1-800,332-2344)
DeSCriptIOn
Tvpe of Constl uctlOn
I N.,TICE:
ValuatIOn DescrlOtIOIt;,~IS PERMIT SHALL EXPIRE IF THE WORK
$ Per Sq Ft Squal'lAEliHtIlgBIZED UNDER THIS PERMIT IS NOT
or multlpher or BldQTh\4M\!NCED OR 1S"A'BANDONEDaFOOalculated
ANY 180 DAY PERIOD.
Paee I of2
Status
Issued
CITY OF SPRING1<lELD
Building/Combination Permit
PERMIT NO: COM2008-00056
ISSUED' 01/14/2008
APPLIED. 01/14/2008
EXPIRES 07/14/2008
VALUE
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn Lme
Total Value of Plolect
Fees Paul I
Fee DescriptIOn
+ 10% AdmlDlslrat.ve Fee
+ 12% State SurchJrge
+ 5% Technology Fee
Water Lme - 1st 50 Feet
Water Lme - Eaeh AddtllOO'
Amount PaId
Date PaId
ReceIpt Number
$660
$792
$330
$50 00
$1600
1/14108
1/14108
1/14108
1/14108
1/14108
2200800000000000043
2200800000000000043
2200800000000000043
2200800000000000043
2200800000000000043
Total Amount Paid
$83 82
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 atter 7'00 a m Will be made the follOWIng
work day.
I Renllired Insnechons I
Water Lme Prior to filling trench and mcludmg reqUired testmg
By signature, I state and agl ee, that I have carefully exammed the completed applIcatIOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify that any and all wor k performed shdll be done 10 accordance with
the Ordmdnces of the City of Splmgfield dnd the Laws of the State of Oregon pertdmmg to the work described hel em, dnd
that NO OCCUPANCY Will be made 01 any slructnre wIthout permISSIOn of the CommuDlty ServIces DIVISIOn, Buddmg Safety
I fnrther certIfy that only contractors and employees who are 10 complIance wIth ORS 701 005 Will be used on thIS prolect
I further agree to ensure that all reqnl/ed mspectlOns are requested dt the proper tIme, that edch address IS readable from the
street, that the permIt cal d IS located at the tront of the property, aud the approved set of plans Will remam on the sIte at dll
lImeSd5:]:n. (fA-L~ iltf/rJ8
Owner or Contractors 'Slgn:;ur:- (J Date t I
Paee 2 of 2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00056
COM2008-00056
COM2008-00056
COM2008-00056
COM2008-00056
Payments
Type of Payment
Check
cRecemtJ
RECEIPT #.
DescnptlOn
Water Lme - 1st 50 Feet
Water Lme - Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
TRENCHLESS PIPE SERVICES
~~
City of Sprmgfield OffiCial Receipt
Development Services Department
Public Works Department
2200800000000000043
Date' 01114/2008
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
lIh
15305
In Person
Paymenl Total
Page I of]
303SIPM
Amount Due
5000
1600
330
792
660
$83 82
Amount Paid
$83 82
$83 82
1/14/2008