HomeMy WebLinkAboutPermit 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