HomeMy WebLinkAboutPermit Plumbing 2006-10-03E
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01263ISSUED: l0/03/2006APPLIED: 10103/2006
EXPIRES: 04/0312007
VALUE:
SITE ADDRESS: 295 S ISTH ST Springfield TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCELNO.: 1703360000504
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace approx 2901f water line and I fixture
Public
Owner:
Address:
CITY OF SPRINGFIELD
225 sTH ST
SPRINGFIELD OR 97477
Contractor Type
Plumbing
Contractor
OWNER
License Expiration Date Phone
CONTRACTOR INFORMATION
BL
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special lnstruction:
Notes:
rUlYlUr€gOIl l3W
frsft adopted bytho
Thom rules
obtaln coplcs of
ocntor. (Nde: the
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% d{$ftlGferase:
THIS PER
R THIS PERMIT IS N()T
ANY 180 DAY PERIOD
A BBEOIJEIIfffi
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Floor:
arport
Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Tvpe of Construction
Page I of 2
Value Date Calculated
ry
-00,|0 hrough OAR
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2006-01263ISSUED: l0/03/2006APPLIED: 10/0312006
EXPIRES: 04/0312007
VALUE:
Fee Description
+ l0'h Administrative Fee
+ 5"/o Technology Fee
+ 8%, State Surcharge
Fixtu re
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
t0t3t06
t0t3t06
t0t3t06
t0t3t06
t0t3t06
l0/3/06
Receipt Number
I 200600000000001481
l 200600000000001 481
r 20060000000000148r
l 200600000000001 481
I 200600000000001481
l 20060000000000148r
$10.10
$5.05
$8.08
$14.00
$45.00
$42.00
$ 124.23
Fees Paid
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769, All inspection requested before 7:00 a.m.
will be made the same working dayo inspections requested after 7:00 a.m. will be made the following work
day.
Rough Plumbing: Prior to cover and including required testing.
Water Linel Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Reou
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 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,
Owner or Contractors Sign
Pase 2 of 2
Date
I o-- 3^ag
ffi.i
225 Fifth Street
Spr'ingfield, Oregon 97 477
541-726-3759 Phone
aFnr*afittILD C-'w of Springfield Official Receipt
, . elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001481 Date: 1010312006 2:04:27PM
Job/Journal Number
coM2006-01263
coM2006-01263
coM2006-01263
coM2006-01263
coM2006-01263
coM2006-01263
Description
Fixture
Water Line - I st 50 Feet
Water Line - Each Addtl 100'
+ 57o Technology Fee
+ 870 State Surcharge
+ l\Vo Administrative Fee
Amount Due
| 4.00
45.00
42.00
5.05
8.08
10.10
Item Total:$124.23
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard CITY OF SPRINGFIELD djb 007244 In Person
Payment Total:
sl24.23re
cReceint I Page I of I t01312006