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Home My WebLink AboutPermit Plumbing 2005-9-9 . . CITY OF I)nuNGFIELD . Building/Combination Permit PERMIT NO: COM2005-01236 ISSUED: 09/09/2005 APPLIED: 09/09/2005 EXPIRES: 03/09/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 18 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703224404800 Springfield TYPE OF WORK: Plnmbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Repair/Replace 25-30' Water Line Owner: INGER BABCOCK Address: 3384 ANTI QUA DRIVE EUGENE OR 97408 Phone Number: 541-431-7075 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor BARNES HIGH TECH PLUMBING INC License 83311 Expiration Date 02117/2008 Phone 541-726-9854 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction r~e::NTION'Oregon I Range Type: '.... . a1nl rAIIIJI''-''l'" \/Quto # of Bedrooms: follow rules ado t db ,Energ}' Pl!.th:, "'0. p e y S"u, hi'k1= B~ 'Id' .... NIT' pr ""- UI mg' o I Icatlon Center. Those rill"" "r<' "0' '^~" "' Uflti ~o~-UU1-0 ,j ;DEVELOPMENif~INFORMATlON I 0090. You may ob . u..... I V....,..,II;.:J VI U Itf rUles O} calling the center. (Note' the telonhone number for the Oregon lHy,~~lrJ()~I~~:a""'r.. , Center is 1-800_3:~'~!JW~trees Rqil. Paved DrIve Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: NOTICE: . I PUBLIC IMPROVEMENTS I Street Improvements: THIS PERMIT SHALL EXPIRE IF THE WORK Storm Sewer Available: ~UTHORIZED UNDER THIS PERMIT IS NOT Special Instruction: OMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!elof2 . . CITY OF SPRINGFIELD Building/Combination Perm,it PERMIT NO: COM2005-01236 ISSUED: 09/09/2005 APPLIED: 09/09/2005 EXPIRES: 03/09/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.Fp.p.< Paid I Fee Description + 100/0 Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feet Amount Paid Date Paid $4.50 $3.15 $45.00 9/9/05 9/9/05 9/9/05 Receipt Number 2200500000000001238 2200500000000001238 2200500000000001238 Total Amount Paid $52.65 I Plan Reviews I 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. ~eouiredJnSDections 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 oCany structure without permission of the Community Services Divisioo, Building Safety. 1 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 times during construction. Owner or Contractors Signature Date Pal1e 2 of2 II. "'0"\ //..............,,:, I,. .-'''--- . '-::, - -~ >:: ',----, ; -1U,..,~;' on> ""IT. "'o",onD, 0"''''. '"to' "''''~::~:~'~'';:,~~ d~I,~,~v;'~~J' ~ City job Number QO~ "2...00.5 ,(9\"2-3/0 vv ~f' ~D) LOCATION OF rROI'OSW WORK: ~Cl.\jd~Y\ J/ LV~tf I\~e lac~ ~ . I pC\.A,~-+ 11'/Ll.s , ~j) ASSESORS MAP: TAX L . ~. - ~1 OWNER:.JJ\ 3Ptf l~ a hUJ (1-, I'HONE: 4~ i ~ 1 ~ 1 ~ ~l ADDRI:SS: ~~&-I J~Y\Lj u" ()c;\)--V ~ CIIT: _ c/J (J /Y'J. , STATE: rj L zW: ~ 7C1 (j 9 'l~~ll DESCRII'TIONOFWORK: D"5 0. kp\'\cL tr(\!Y\ L\lL\tJJv tY\otru-t() hOt)s.e. {~ ~\IH'1\~ ~ ICifiJ , _ NEW: X REMODEL: AD[1JTON: DEMOLISH: OTHER: VALUE: t;j- CO >1 rikJ ~j . r\~S . 0 CONTRACI'OR'S NAME SPRINGFIELD C~- _:=~, ADDRI:SS CONST. CONTRAcrOR # EXI'IRES pHONI: GI:NI:RAL: I'LUMIlJNG: ./ rj (J.j,.{J 13 ~ )?,OWM j W"9h 6 fp el, ~96 .306-\ iir ~.t~li{; dDve ~.... -f1\YW- ~ ". MI:CHANICAL: ~ I:LECI'RICAL: ~ IJ \r-ll Furnace j. Exhaust Hood \, Vent Fan No. i Wood Slave/Insert/I ~j t~ J~ Mechanical Permit Subtotal ~1 ~ll.,)~ ""Minimum of $45.00 ~ State Surcharge 7% Administrative Fee 10% ~ 'j Issuance Fee ~l TOTALMI:CHANtCAL Mre~ilil:~lllii~at!lI · ITEM M ~SL-'fo':J ~~. C ~MBINGPERMIT ~ ITEM FEE fixtures ff No. g IT. IT:),1S'"-30 IT. 45~ Residential Bath(s) Sanitary Sewer : Cwater Storm Sewer , I'lumbins Permit Subtotal "Minimum of $45.00 State Surcharge 7% Administrative Fee 10% 'i 5"" CZ!2 S. 1.5 V S--D .$5,;).6<:'- TOTAL PLUMBING Ti) ~:i 1l.. " jJ~1!Jll1)j],LWhlUl~ · Mlis:€e.'~]allO;~<OJtIDS~ __ y ____... !';of .f __....__ ~ ..; ...~ ....- Shared Drive{T:)/Building FomlslPennit WorksheeI3.04.doc , . Status Issued \.. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line SITE ADDRESS: 18 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703224404800 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01236 ISSUED: 09/09/2005 APPLIED: 09/09/2005 EXPIRES: 03/09/2006 VALUE: Springfield TYPE OF WORK: Plumbing Only I CONTRACTOR INFORMATION I ~' Contractor ~'0 ,0- BARNES HIGH TECH PLUMBI~"G:I)Ilt:-\) PROJECT DESCRIPTION: . Owner: NESS JOANNE R Address: 18 HAYDEN BRIDGE WAY SPRINGFIELD OR 97477 Contractor Type Plumbing TYPE OF USE: Alteration Residential License 83311 Expiration Date 02117/2008 ! BUlLDlNG'INFORMA TION I v' C '\ ~'y \.... v _ \,:> \ ,\ # of Units: .X:!Yi#'~f~~(iries: Primary Occnpancy Group: \'~' , ,~ S -s"\)\: ,,-Height of Structure Secondary Occupancy Groul!:<\' ;.(}.:;-".'(.0 \)~ 'Type of Heat: Primary Construction Type~. ' ..f;; \. ':(:-.-;1. ,'0 "o(0Water Type: Secondary Construction Type,,'-- \~,,,'\J ,<-,".V;\ Range Type: \:: \" \)\ # of Bedrooms: ~', _,.., -oj Energy Path: \...~: ,\~ \, '\ Sprinkled Building: Lot Size: Sq Ft Ist Floor: .~lI Ft 2nd Floor: ,\o'Sq(Ft ~asement: .,\e<O ^'S4.Ft~GaragelCarport ~.... 0" n" ~, .e~ ,,.,Q; ,.,Sq' Ft;Other: .\' O'V \V ~" '" \7;" '!j.a S ~ ~c.:up-~-nt Load: _~ .~ ~e; ~t>:! (v ^0 '. DEVELOPMENT INFORMA'fION?". ',:,~ ~ 0' 'S':\e1-~~,iP'- ) . s '-".~' ,,\0' ~ov' \. .,,~'- R,e 'S'e _,o~ REQUIRED PARKING ~' '" ~,-e '\" <:,0 e. . :;\'- ~. OverlaY,15ist,\.se c1l, ,\,<:)<:) ~?p ~o'" \)~"f: :!-~~ Total: # Strer~ J:re~~<!!-~~<:)<:) :;\ 0'<:J ~e\. ~Q,O~ <::,~'I: Handicapped: Paved Drivii'R1\dP {:-~ c;e~ O\e n.<:)<::r Compact: V"". .....'\:' V. .U % of L6t.Coyerage: 'S'e 'S'e. s '\' \~ s:>.0:I>:),' i,.\~q, \ ,0'" ~e\" ~',...v- V'e .-O>~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Tvpe of Construction Page 1 of2 Sidewalk Type: DownspoutslDrains: Value .~-\ . . 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 Water Line - 1st 50 Feet Total Amount Paid Total Value of Project L.F""~ P~id I Amount Paid Date Paid 9/9/05. 9/9/05 9/9/05 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01236 ISSUED: 09/0912005 APPLIED: 09/09/2005 EXPIRES: 03/09/2006 VALUE: Receipt Number 2200500000000001238 2200500000000001238 220050000000000\238 To Request an inspection caU the 24 hour recording at 726-3769. AU 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. . $4.50 $3.15 $45.00 $52.65 I Plan Reviews I [Jeouired In~n""tiomJ 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 herehy 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 times during construction. ~A~k~) Owner oUontractors Signature Paee 2 of2 9 /1/05 , Date 225 Fifth Street Springfield, Oregon 97477 <~ 541-726-3759 Phone .- . Job/Journal Number COM2005-01236 COM2005-0 1236 COM2005-01236 Payments: Type of Payment CreditCard " .., :l " .h .\ .. 9/912005 \ . RECEIPT #: Descrlptien Water Line - 1 st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By INGER BABCOCK a.~., ~ 2200500000000001238 Received By jmp Check Number Batch Number Page I of I ~ity of Springfield Official Receipt .evelopment Services Department Public Works Department Date: 09/09/2005 Item Total: Autherlzatien Number How Received 013622 In Person Payment Total: 3:07:18PM Amount Due 45.00 3.15 4.50 $52.65 Ameunt Paid $52.65 $52.65