HomeMy WebLinkAboutPermit Plumbing 2006-2-27
~
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. LIl fOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00226
ISSUED: 02/27/2006
APPLIED: 02/27/2006
EXPIRES: 08/27/2006
VALUE:
"
SITE ADDRESS: 921 LOCRA VEN AVE
ASSESSOR'S PARCEL NO.: 1703272400200
Springfield TYPE OF
Plumbing Only
TYPE OF USE: Repair
Residential
_PROJECT DESCRIPTION: Replace 20lfwater line
Owner: JENNIFER MCEVOY
Address: 921 LOCHA YEN AVE
SPRINGFlELD OR 97477
-,--_..T'''I'\I' Qreaon IdW 'v~_... 'Utility
I CON'f~CTORJNFaRMA HON'I "jonset forth
IV....... -\ nos~ rUl""'" are
tl ation Center. hOAR 052-001-
Contractor No IICp' 952-Q01-00101flic~iise h E~R,i.P!tjon Date
READY ROOTER DRA~1'(C}~~MU'lM/4\tR,SIm524~S of t '~~h~\l~1812009
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I BUILDIN~1INEaRM"'TIONIJti\ity Notification
number lor U1" V"~"- 2-2344).
# ofStorllWnter is 1-600-33 Lot Size:
Height of Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor: '
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled nla Occupant Load:
Contractor Type
Plumbing
# of Units:
., PrImary Occupancy Group:
Secondary Occupancy
Primary Construction Type
.. Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
. ~;
Storm Sewer A valIable:
Special Instruction:
Notes:
Description
Tvpe of Construction
R-3
VN
Phone Number: 541-
.~_.... \11'\11 to
Phone
541-744-7991
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
.u~ ~Ol\'"
__ .-_~- _':r\ne'~ln W3":
IPUBLIC IMPRO~~ SW,\~1\-1\S i'~"w.' \'01\
,. .' - Llo\'.\il6 \I~~'dP~~fO
(>.\li n C~O O\i \;T
CO\'ll\'llt.~ O(>."{ p\!lllGQ,poutslDrabts
(>.\i"{ \80
Total:
Handicapped:
Compact:
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiptier or Bid Amount
Value
Date Calculated
1 of 2
.
. CITY OF SPRINGFIELD.
Building/Combination Permit:
PERMIT NO: COM2006-00226
ISSUED: 02/27/2006
APPLIED: 02/27/2006
EXPIRES: 08/27/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
~ F~~s Paid I
I Plan Reviews I
To Request an inspection can 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. win be made the following
work day.
IR~n~
Water Line: Prior to fiUing 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 certity 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 wiD be made ohny structure without permission of the Community ServicesDivision,
Building Safety. I further certity 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 pe . card ..located at the front of the property, and the approved set of plans wiD remain on the site
a:t~ri on c' X 212-?/oc
Owner or Contracton Signature
Date
2 of 2
225 Fifth Street
Spnrig1'teld, Oregon 97477
541-72~3759 Phone
'f.
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Job/Journal Number
COM2006-00226
COM2006-00226
COM2006-00226
Payments:
Type of Payment
CreditCard
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2/27/2006
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RECEIPT #:
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Jiii..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200600000000000207
Date: 02/27/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
DAVID NICHOLS
Received By
djb
I of I
Item Total:
L:beck Number Authorization
Batch Number Number How Received
08168B In Person
Payment Total:
11:00:12AM
Amount Due
3.60
4.50
45.00
$53.1 0
Amount Paid
$53.10 .
$53.10