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HomeMy WebLinkAboutPermit Plumbing 2008-4-22 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00558 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1735 RAINBOW DR ASSESSOR'S PARCEL NO.: 1703273100106 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Replace approx 40Ifwater line TYPE OF USE: Repair Residential Owner: NA THAN MCNARY Address: 1735 RAINBOW DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Tvpe Plumbing License 129990 Contractor GARY ALAN MUSTIN BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: n 'alf~,ihs<10U to # of Bedrooms: AnENTlON: Oreg~ bY5.f\Ug~ Utility ~f,~~~~;~~s~~~~~eTh~~f::~t n/a In OAR 952"()o1-~;ttJg1\!18INPa~A TION I 0090. You may (Note' tne \tlltl~ll"" .- calling the center. ~'i\i~.~OtifiCatiOn number for the Ore90'O 2t~4,t: Center is 1-S0CJt reet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-744-7095 Expiration Date 06/24/2008 Phone 541-463-7568 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownsEo~tf~~ElR\{ ~~:;~~~ ~~~~: ri~~~~~ri1f~:Oi - fit ll~ lIcMr.f..O OR - "" .. I,T 0 },JAi \:.K\UU' V aluation ~'icl lIOn Notes: Description $ Pel' Sq Ft 01' multiplier Square Footage or Bid Amount Tvpe of Construction Paee 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00558 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: 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 Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $50.00 4/22/08 4/22/08 4/22/08 4/22/08 1200800000000000388 1200800000000000388 1200800000000000388 1200800000000000388 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 following work day. I Reouired Insoections I 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 III compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the propel' 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 times during construction. ,--0\CL~~ ~\ ~l ~~^^ Owner or Contnf~.~ignature - ~\ ~N f)~ l - Date Pa2e 2 of2 225 Fif.t~Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00558 COM2008-00558 COM2008-00558 COM2008-00558 Payments: Type of Payment Check cRecemtl RECEIPT #: DescriptIon Water Lme - 1st 50 Feet + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By GARYS ROOTER AND PLUMBING City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000388 Date: 04/22/2008 Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How ReceIved dJb 1775 In Person Payment Total: Page I of I 11:58:10AM Amount Due 5000 250 600 500 $63.50 Amount Paid $63 50 $63.50 4/22/2008