HomeMy WebLinkAboutPermit Plumbing 2008-5-27
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00742
ISSUED: OS/27/2008
APPLIED: OS/27/2008
EXPIRES: 11127/2008
VALUE:
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 3310 INDUSTRIAL AVE
ASSESSOR'S PARCEL NO 1702303408400
Sprmgfield TYPE OF WORK Plumbmg Only
ReSidential
TYPE OF USE' Repair
PROJECT DESCRIPTION Replace approx 100lfwater hne
Owner CHRISTOPHE SMITH
Address 1701 ADKINS ST
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Plumbmg
Contractor License
READY ROOTER DRAIN CLEANING & R S~92524
I BUILDING INFORMATION I
# ofUmts /, I' ''')f\J '~C'~n I,~w rE}~ulres you to
'F "1,': ( ,), J~ oJrfR~I16regon Utility
Pnmary Occupancy Group' R;~ , ' 1 f I Hel!!.,..t....f. S,tr,lfpJ-%m forth
j" .,~ 111~-e rules anf
Secondary Occupancy Group lil U/ '\ ~ 1,2-00 ! -001 (frrWbeblJ'aAR 952-001-
Pnmary ConstructIOn Type O(l90 Y&1 may obtaM'~j!5I~~Wf the rules by
Secondary Construction Type calling the center R(~T~telephone
# of Bedrooms number for the Or.rgntlttYINotlflcauon
Center IS 1-S0~1t4~l.mg n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks.
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage'
Expiration Date
02/18/2009
Phone
541-744-7991
Lot Size
Sq Ft Ist Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load'
REQUIRED PARKING
Total.
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
NOTICE: WO~ewalk Type
THIS PERM1T SHAlElREXPTHIS1RpEE'RF ~~i,s Ndl'wnspoutslDrams
AUTHORIZED UNO
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements
Storm Sewer AvaIlable
SpeCial InstructIOn'
Notes
I Valuation DescriptIOn I
DescnptlOn
$ Per Sq Ft
or multIpher
Square Footage
or Bid Amount
Type of ConstructIOn
Pa2e 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00742
ISSUED: OS/27/2008
APPLIED: OS/27/2008
EXPIRES: 11/27/2008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Total Value of ProJect
Fees Paid'
Fee DescrIptIOn
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Lme. Ist 50 Feet
Water Lme - Each AddtI 100'
Amount PaId
Date PaId
ReceIpt Number
$660
$792
$3.30
$50 00
$16 00
5/27/08
5/27/08
5/27/08
5/27/08
5/27/08
1200800000000000558
1200800000000000558
1200800000000000558
1200800000000000558
1200800000000000558
Total Amount PaId
$83 82
I Plan Reviews,
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 followmg
work day.
I Reouired Insoections I
Water Lme' PrIor to fillIng trench and mcludmg reqUIred testmg
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permISSIOn of the Commumty ServIces DIvIsIon, BUlldmg Safety
I further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 wIll be used on thIS proJect.
I further agree to ensure that all re Ulred mspectIOns are requested at the proper tIme, that each address IS readable from the
streetzr e permIt card IS I ated ~ the front of the property, and the approved set of plans wIll remam on the sIte at all
"m dunn: o:?'"~ / ,S-:-:2 ?~a g
/ ~/~-
-~ ..;>'"'\ //
Owner or\Contractor~tSignature Date
Pal!:e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00742
COM2008-00742
COM2008-00742
COM2008-00742
COM2008-00742
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
DescriptIOn
Water Lme - 1st 50 Feet
Water Lme - Each AddtllOO'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
DA VID NICHOLS
CIty of Springfield OffiCial Receipt
Development Services Department
Public Works Department
1200800000000000558
Date: OS/27/2008
Item Total
Check Number AuthorizatIOn
ReceIved By Batch Number Number How ReceIved
dJb 005710 In Person
Payment Total
Page 1 of 1
1 06 28PM
Amount Due
5000
1600
330
792
660
$83 82
Amount Paid
$83 82
$83 82
5/27/2008