HomeMy WebLinkAboutPermit Plumbing 2008-6-12
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO
ISSUED.
APPLIED
EXPIRES:
VALUE:
COM2008-00847
06/1212008
06/1212008
12/1212008
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecllon Lme
SITE ADDRESS 560 21ST ST
ASSESSOR'S PARCEL NO 170336\307700
Spnngfield TYPE OF WORK Plumhmg Only
TYPE OF USE
Repair
Resldentml
PROJECT DESCRIPTION Replace water hne approx 601f
Owner FA YE WETZELL
Address 560 N 21ST ST
SPRINGFIELD OR 97477
Phone Number 541-
I CONTRACTOR INFORMATION I
Contractor Type
Plumhmg
Contractor License
READY ROOTER DRAIN CLEANING & R SI<92524
BUILDING INFORMATION I
ExpiratIOn Date
02118/2009
Phone
541-744-7991
VB
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
# of UOItS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
R-3
n/a
Front yard Setback
SIde 1 Sethack
SIde 2 Setback
Rearyard Setback
Solar Setbacks
,,, OI:"IIUO~' ~!V. J-armrf\m'bL-
follow rules a IIf -.' ~ATlON I
Notification Center Those rules are set foJh
In OAR 952-001-001 0 th~..m.El52-o01.
0090. You may obtain C91~~Af1f}lMI~
calling the center. (Nqtgylllll>~
number for the Oregon.>>~~ltiJll~IiOl.
Center is HIOO-332-2344).
REQUIRED PARKING
Total
Handoeapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer Available
SpecIal InstructIOn
Sodewalk Type
DownspoutslDralns
Notes
NOTICE:
THIS PERM(I' ~HAII t=lCPIRI= 11= THI= wnRlC
AUTHORIZED UIJptt1 I t!.lil!_tl1.lY~!Jl?l~.YJ .
COMMENCED OF' IWaw~
ANY 180 DAY PE~QJ;!r Sq Ft Square Footage
Type of ConstructIOn I I
or mu lip ler or BId Amount
Value
Date Calculated
DeSCriptIOn
Pa~e 1 of2
. _SP.A!NGFIE~,
i )
Status
Issued
.,
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecllon Lone
Total Value of Project
Fees Palll I
Fee Descnptlon
+ 100/0 AdmlDlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fcc
Water Lone - 1st 50 Feet
Water Lone - Each Addtl 100'
Amount PaId
Date PaId
$660
$792
$330
$50 00
$1600
6/12/08
6/12108
6/12/08
6/12/08
6/12108
Total Amount PaId
$83 82
Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00847
ISSUED. 06/]212008
APPLIED' 06/]212008
EXPIRES: ]2/]2/2008
VALUE'
ReceIpt Number
1200800000000000642
1200800000000000642
1200800000000000642
1200800000000000642
1200800000000000642
To Request an mspectIon call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7:00
a.m. wIll be made the same workmg day, mspectlOns requested after 7:00 a.m. Will be made the followmg
work day
I Reomred r nsnechons I
Water Lone Pnor to filhng trench and oncludong required tesllng
By sIgnature, I state and agree, that r have carefully examoned the completed apphcallon and do hereby certIfy that all
onformallon hereon IS true and correct, and I further certIfy that any and all work performed shall be done on accordance wIth
the Ordonance. of the CIty of Spnngfield and the Laws of the State of Oregon pertaonong to the work descnbed hereon, and
that NO OCCUPANCY wIll be m.de of any structure wIthout permIssIOn of the CommuOlty ServIces DIVISIOn, BUlldong Safety
I further eerllfy that only contractors and employees who are on eomphance wIth ORS 701 005 WIll be used on thIS project
I further agree to u that all required onspecllons are requested at the proper lime, that each address IS readable from the
street, that the ~ rmlt c rd IS loeazed at th ront of the property, and the approved set of plans WIll remaon on the sIte at all
limes dunn(nstru :A ~ / h---- /2 ~ D6
I ---'re I
Owner or Contractors slgnatu/
-
Pa~e 20f2
Date
225 FIfth Street
Sprmgfield, Oregon 97477
541-;26-3759 Phone
Job/Journal Number
COM2008-00847
COM2008-00847
COM2008-00847
COM2008-00847
COM2008-00847
Payments
Type of Paymeot
CredltCard
cRecemt I
RECEIPT #:
Description
Water Lme . 1st 50 Feet
Water Lme - Each AddtllOO'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlDlstratlve Fcc
Paid By
DA VID NICHOLS
~
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
]200800000000000642
Date 06/12/2008
Item Total
{;heck Number AuthOrization
Received By Batch Number Number How Received
dJb 02522D In Person
Payment Total
Page I of I
11 21 13AM
Amount Due
5000
1600
330
792
660
$83 82
Amount Paid
$83 82
$83 82
6112/2008