HomeMy WebLinkAboutPermit Plumbing 2008-7-21
Status
Issued
CITY OF SI'Kl1~tJ-1'1l!;LD
Building/Combination Permit
PERMIT NO: COM2008-0I095
ISSUED: 07/21/2008
APPLIED: 07/21/2008
EXPIRES 01/21/2009
VALUE
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 494 RIVERVIEW BLVD
ASSESSOR'S PARCEL NO , 1703341410400
Spnngfield TYPE OF WORK Plumbmg Only
TYPE OF USE
RepaIr
ReSIdentIal
PROJECT DESCRIPTION Install French Dram
Ownel
Address
MAITLEN STUART A & PAULINE M
494 RIVERVIEW BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Tvpe
Plumbmg
Contractor
OREGON HELICAL PIERS LLC
BUILDING rNFOR~A nON,
License
ExpIration Date Phone
541-689-1414
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstI uctlOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
I DEVELOPMENT INFORMATION 1
-fOT/CE' REQUIRED PARKING
TH .
Overlay Dlst IS PERMIT Total
# Street Trees Rqd AUTHORIZE SHA!.h~
Pmd Dnve Rqd COMMENc D UNlfEiip\?fiS IF THE WOR
% of Lot Coverage ANY 180 D ED OR IS ABAN PERMIT IS NO~
AY PERIOD, DONED FOR
I PUBLIC IMPROVEMENTS I
ArrENT!
StI eet Improf<!,m'Wts ON Oregon I
N~;:':' rules ado aw requIres
Storm Sewer )\vadable Cent Pted by the Ore rou to
SpeCIal Insilnu~~o'U'-, 2-J01-0~1 ThOse rules a~~n Ullllty
- Olll,'ay obt 0 through OAR 9~et forth
Notes r 1-, ',C) ~,l)leramNcoPles of the ruT-DOl.
k ',' _ ,_'" ( ote the tF!/"Mh.:S by
l..i '"' <.JUUCYN -..-
.. lL/ hJ 1-600-3 'YW1Catlo I
32'2344) VaIuaPion DeSCrIptIOn
SIdewalk Type
DownspoutslDrams
DeSCrIptIOn
Type of CoustructIon
$ Per Sq Ft
or multIplIer
Squdre Footage
or BId Amount
Value
Date Calculated
Pa2e I ot 2
-~~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01095
ISSUED: 07/21/2008
APPLIED, 07/21/2008
EXPIRES: 01/21/2009
VALUE
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Total Valne of Project
F~es Pal/II
Fee DescnptlOn
+ 10% Admmlstratlve Fee
+ 12% State Snrcharge
+ 5% Technology Fee
M,scellaneous Plumbmg
Amount PaId
Date PaId
ReceIpt Number
$500
$600
$250
$50 00
7/21108
7121/08
7/21108
7/21108
2200800000000001110
2200800000000001110
2200800000000001110
2200800000000001110
Total Amount PaId
$63 50
I Plan Reviews I
To Request an mspection call the 24 hour recording at 726-3769 AllmspectIOns requested before 7 00
a.m, WIll be made the same working day, mspections requested after 7:00 a m WIll be made the followmg
work day
I Reouired Insnechons ,
Storm Sewer Lme Pnor to filhng treuch
By sIgnature, 1 state and agree, that I have carefully exammed the completed apphcdhon 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 dccordance WIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be made of dnY structure WIthout permIssIOn ofthe CommuDlty ServIces DIVISIOn, BuIldmg Safety
I further lertdy that only contractors and employees who are m comphance WIth ORS 701 005 wIll be used on thIS project
1 further agree to ensure that dll reqUIred mspectlOns are requested at the proper tIme, that each address IS readahle from the
street, that the permIt card IS located at the front of the property, and the approved set of plans wIll remdm on the sIte at all
times dunng constructIOn
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225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 I 095
COM2008-0 I 095
COM2008-0 1 095
COM2008,Ol095
Payments
Type of Payment
Cred,tCard
cRecemtl
RECEIPT #,
DescnptlOn
Miscellaneous Plumbmg
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
GARY NIELSEN
CIty of Sprmgfield OffiCIal ReceIpt
Development Services Department
Pubhc Works Department
2200800000000001110
Date 07/21/2008
Item Total
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
lIh
21437 In Person
Payment Total
Page 1 of 1
93441AM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
7/2112008