HomeMy WebLinkAboutPermit Plumbing 2006-02-23trftrl
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-7263676Fax
541:7 26-37 69 Ins pe ction Line
Building/Co mbination Permit
PERMIT NO: COM2006-00215
ISSUED:
APPLIED:
E)(PIRES:
VALUE:
02t23t2006
02t23t2006
08123t2006 pre\
SITE ADDRESS: 2991 Yolanda St Springfield TYPE OF
ASSESSOR'S PARCEL NO.: 1702193300800
TYPE OF USE:
PROJECT DESCRIPTION: 4701f water line and drywell stub out for parcel3
Site Work Only
New Residential
"*Owner:
Address:
DUKES DAVID E & LAT'RIE S
29SSYOLANDAA\rE
SPRINGFIELD OR 97477
s you to
Contractor TvDe Contractor
EXPRESS COMP
Expiration Date
09n9t2007
Phone
541-747-302sINC
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
t'l0I'Trees
TH'S
f the ru/es by
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
egon uti/i Lot Size:-800_ff2 tificati
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
AU UNDEB TH'S PER fr4tT
RE IF
nla
7HE WORK
REQUIRED PARKING
Total:
Handicapped:
Compact:
,S NOT
Sidewalk Type:
DownspoutVDrains
$ Per Sq Ft
or multipfier
Square Footage
orBH Amount
Description Type of Construction
lof2
VaIue Date Calculated
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II
#
Height 1
FIILD
Status: Issued
225 Fifth Street, Springfield, OR
541:1263753 Phone
- 541:726-3676Fax
541:7 263769 Inspection Line
OF SPRIN
Building/Co mbination Permit
PERMIT NO: COM2006-00215ISSUED: 0212312006
APPLIED z 0212312006E)?IRESz 0812312006
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 8%o State Surcharge
Fixture
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Total Amount
Total Value of Project
Date PaidAmount Paid
$12.90
$10.32
$14.00
$4s.00
$70.00
$152.22
Receipt Number
1200600000000000196
1200600000000000r96
1200600000000000196
1200600000000000196
1200600000000000196
2t23t06
2t23t06
2t23t06
2t23t06
2t23t06
Fees Paid
To Request an inspection call the24
a.m. wiII be made the same working
work day.
hour-recording at 726-3769. AII inspection requested before 7:00day, inspections requested after 7:00 a.m. wiII -be
made the foltowing
Water Line: Prior to filling trench and including required testing.
Dryrvell: Engineered Dryrvell is Required. provide the City with a copy of the DEe application to keep on file.
By signature,I state and agree, that I have carefully examined the completed application
work
and do hereby certify that altinformationhereon is true and correct, and I furth er certify that any and all perf'ormed shall be done in accordancewith the Ordinances of the of Springfield andCity
and that NO OCCUPAIYCY witt be made of any stTucture without permission of the Community Services Division,
herein,
Building Safety.I further certify that only contractors and employeeswho are in compliance with ORS 701.005 witt be usedon this project.
I further agree to ensure that all required inspections are re quested at the proper time, that each address is readable fromthe street, that the card [s located at the front of the property, and the approved set of plans will remain on the siteat all times
the Laws of the State of Oregon pertaining to the work described
or Contractors Signature
2of2
Date
2
225 Fifth Street
St.*n"id, Oregon 91411
sZtqie-1159 Phone
"#fflHfiffitriflf;ffil*
0212312t06 3:14:35PMDate:
Job/Journal Number
coM2006-00215
coM2006-00215
coM2006-0021s
coM2006-00215
coM2006-00215
RECEIPT #:1
DescriPtion
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Fixture
+ 8% State Surcharge
+ lOo/o Administrative Fee
Amount Due
45.00
70.00
14.00
10.32
12.90
Item Total:
Number
Payments:
Tlpe of PaYment
Received BY Batch Nunber Number How Received Amount Paid
Paid BY
DAVID DUKES djb OO+:09 In Person
PaYment Total:
$152.22ffi
irb
r('
i
,|
2/2s/2006
l of 1
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