HomeMy WebLinkAboutPermit Plumbing 2008-5-7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00638
ISSUED: 05/07/2008
APPLIED: 05/07/2008
EXPIRES: 11/07/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1429 M ST
ASSESSOR'S PARCEL NO.: 1703253303800
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 45lfwater line
TYPE OF USE: Repair
Residential
Owner: SHEL TON ALLEN R & JENNIFER E
Address: 1429 M ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
License
170530
Contractor
DRAIN RAIDER ROOTER SERVICE LLC
I BUILDING INFORMATION.
# of Units: # of Stories:
Primary Occupancy Group: R-3 HeiM\~'~~~ to
Secondary Occupancy Group: r \ "_ 1\; \ :ON', oregOif~\~ %t~on Utility
Primary Construction Type ,~'l"\'I }Tilles adopte ~fr NWaresettorth
Secondary Construction Type\~ot\1Icat\On Center. ~~atl(f~IOAR 952-001-
# of Bedrooms: OAR 952-001-001 ~6il~the ru\es bY
~090 You may obtag'Rli~i4i'J.~one n/a
~(i,;,..t-.'r" ~~te~. ":. !Jl~\~' tlotlfiOaliOft
number1~D~~RMATION I
C ....
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Over!ay Dist: - -
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
06/14/2008
Phone
541-338-8848
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:
NOTICE: EXl'lnl~_wn..s'
TH\S PERM~ ~~~~~ TH\S PERM'T 15 NOT'
~~;:~r~~ED OR \5 ABANDONED fOR
,MV 1 An DAY PER\OD.
I Valuation Description I
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00638
ISSUED: 05/07/2008
APPLIED: 05/07/2008
EXPIRES: 11/07/2008
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
5/7/08
5/7/08
5/7/08
5/7/08
1200800000000000439
1200800000000000439
1200800000000000439
1200800000000000439
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 Insnections 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 Commumty 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
tim~es dU7 construction.
-J ~ "C' 5/~ jr->
{/__/L ,- /)____ _ ~ e / ;, ~d-
v- ...
Owner or Contractors Signature Date
Pa2e 2 of2
225 Fifth Street
Spring;field, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00638
COM2008-00638
COM2008-00638
COM2008-00638
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
DescriptIOn
Water Lme - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
DRAIN RAIDER
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000439
Date: 05/07/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 729528 In Person
Payment Total:
Page 1 of 1
9:36:30AM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/7/2008