HomeMy WebLinkAboutPermit Plumbing 2005-5-5
Status
Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00535
ISSUED: 05/05/2005
APPLIED: 05/05/2005
EXPIRES: 11/05/2005
VALUE:
SITE ADDRESS: 788 LAKSONEN LP
ASSESSOR'S PARCEL NO.: 1702352202800
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 40Ifwater line
Owner: WILLIAM BUBLITZ
Address: 788 LAKSONEN LOOP
SPRINGFIELD OR 97478
Contractor Type
Plumbing
, CONTRACTOR INFORMATION I
Contractor License
READY ROOTER DRAIN CLEANING & R SI<92524
BUILDING INFORMATION I
Phone
541-744-7991
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction TYi>e
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Expiration Date
0211812009
R-3
# of Stories: Lot Size:
Height'ofStructure I requlr~~Floor:
TyptllollBW,1l0N: Oregonb a; orei'iJt~n9 Floor:
Wa~I:Jl\~)IJlll:lles adopted Y e ~ent:
Rl\IJ~iilim:>n Center. Those rute~: ~!(JmIgeJcarport
E'\'ir~~OO2-001-0010 thro~gh ~~at~liT:
Sp_~'l'OO11Iiog: obtain cQPIPS of CQl[lI!.Qt Load:
. _ _>__ "'Int... thA p,;l eDnomlI
I DEVELOPV~~JI~~Mn/oo ~tility Notilica1iOll
Center is 1-4JJ!Ja2-2344>- REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd, Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage,
VN
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
NOTICE: Downspoutsmrains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
:'.:':: : :'_. ~'..'.: :o:",uu.
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. Fee Description
- + 10% Administrative Fee
+ 7% State Surcharge
Waler Line - 1st 50 Feet
Amount Paid
$4.50
$3.15
$45.00
Total Amount Paid
$52.65
Total Value of Project
Fl'l's tlWU
Date Paid
5/5/05
5/5/05
5/5/05
I Plan Reviews I
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM20lis-00535
ISSUED: 05/05/2005
APPLIED: 05/05/200S
EXPIRES: 11/05/2005
VALUE:
Receipt Number
1200500000000000577
1200500000000000577
1200500000000000577
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.
, Rl'ouirl'd ~nsnections I
Water Line: Prior to filling trench and including required testing.
ily signa lure, I slate and agree, that I have carefuUy 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 aU 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 wllI remain on the site at all
;eso~ X
Owner or Contractors Signature
Paee 2 of2
-v If' bJ
Date
225 Fif:\h Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00535
COM2005-00535
COM2005-00535
Payments:
Type or Payment
CreditCard
5/5/2005
RECEIPT #:
.
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
DAVID NICHOLS
.~'~......- ,
Wi'''''~.~'=''''' ""'--',"'"",",',' ,I,
I. i
-c,~' ,
j, ,~
. . .,.=_.... ,,;, J ','
~ty of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
1200500000000000577
Date: 05/05/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 051292 In Person
Payment Total:
Page I of I
2:24:40PM
Amount Due
3.15
4.50
45.00
$52.65
Amount Paid
$52.65
$52.65