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HomeMy WebLinkAboutPermit Plumbing 2008-6-12 -iii( 4JiI 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