HomeMy WebLinkAboutPermit Plumbing 2008-3-28
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00423
ISSUED: 03/28/2008
APPLIED: 03/28/2008
EXPIRES: 09/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS: 121 W C ST APT 1
ASSESSOR'S PARCEL NO.: 1703352312101
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace water lines to 4 units
Owner: BRIGGS FAMILY TRUST LLC
Address: 798 DORRIS ST
SPRINGFIELD OR 97477
Contractor Tvpe
Plumbmg
!ti?lTRACTOR INFORMATION I
fOlio ,~ , IUN: Ore
Contractor NOtifi;~'es adoPt~~~'aw r~we Expiration Date
RIGHT WAY PLit1lU~~-",n Center. In" Y.fhe49Min!f~!O 12/16/2008
UU~3 ~_ - el~~ -",'11"
c .:B(J.IIL~ Set forth
nu .... '!:J Ine eent Pies of th 952-001_
tnber fplJlt~!Od{~': (Note: the fe e rUles by
C~f..ot: dhiJity N 1~1?hone
\)-1- 0 3 Otlbeat'
Type of Hea . - 32-2344). Ion
Water Type:
Range Type:
Energy Path:
Sprinkled Building'
Phone
541-484-3787
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
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.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!:e 1 of2
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 Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
$6.60
$7.92
$3.30
$50.00
$16.00
3/28/08
3/28/08
3/28/08
3/28/08
3/28/08
Total Amount Paid
$83.82
I Plan Reviews ~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-00423
ISSUED: 03/28/2008
APPLIED: 03/28/2008
EXPIRES: 09/28/2008
VALUE:
Receipt Number
2200800000000000371
2200800000000000371
2200800000000000371
2200800000000000371
2200800000000000371
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 .
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 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
nmes~~
Owner or Contractors Signature
Paee 2 of2
.3 -- ~ '-d.J;
Date
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00423
COM2008-00423
COM2008-00423
COM2008-00423
COM2008-00423
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
DescriptIOn
Water Lme - 1st 50 Feet
Water Lme - Each Addtll00'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
RIGHT WAY PLUMBING
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000371
Date: 03/28/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
DJB
064233 In Person
Payment Total:
Page I of 1
2:05:38PM
Amount Due
5000
1600
330
792
660
$83.82
Amount Paid
$83 82
$83.82
3/28/2008