HomeMy WebLinkAboutPermit Plumbing 2008-8-28
Status
Issued
CITY OF SPRINLrJ'II',LD
Building/Combination Permit
PERMIT NO: COM2008-01298
ISSUED: 08/28/200'6 ~
, APPLIED: 08/28/2008
EXPIRES: 02/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pho.ne
541-726-3676 Fax
541-726-3769 Inspectio.n Line
SITE ADDRESS: 320 38TH ST
ASSESSOR'S PARCEL NO.: 1702311306400
Springlield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace appro.x 15' water line
Owner: HOLMES LOIS A
Address: 320 38TH ST
SPRINGFIELD OR 97478
I. CONTRACTOR INFORMATION .
Contractor Type
Plumbing
Contractor License
GARYS ROOTER,& PLUMBING SERVICE L 174640
. BW.LDI~G INFORMATION I
Expiration Date
02128/2011
Phone
541,935-6350
# o.f Units:
Primary Occupancy Gro.up:
Seco.ndary Occupancy Gro.up:
Primary Co.nstructio.n Type
Seco.ndary Co.nstructio.n Type:
# o.f Bedro.o.ms:
#.o.f Sto.ries:
Height o.f Structure
Type o.f Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lo.t Size:
Sq Ft 1st Flo.'o.r:
Sq Ft 2nd Flo.o.r:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Lo.ad:
nla
I DEVELOPMENT INFORMATION I
REQWRED PARKING
Fro.ntya'rd Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback: .
So.lar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% o.f Lo.t Co.verage:
To.tal:
, Handicapped:
Co.mpact:
No.tes:
1 PUBLIC IMPRO'.'IEMIRNrc&!I Oregon law requires you to
_ ... "w."v.. ,uloo> ~dOPtsP by ~he Or ell on Utility
Notification Center. i'I:r)1',~\<uTrr:!'!itreset forth
. In OAR 952-001-00Db~nsii6\\'tWR.liJ1f-oOl.
NOTICE' 0090, You may obtain copies of the rules by
. l E~~egFIWWlNtOR\$'Jote: the,telephone
THIS PERMIT SHAl ~~ ~\~1S~00i. on Utility Notification
AUTHORIZE\:!. U.N_D.~, D ^ "nn Frffdl'\ 1-800-332-2344).
L;UIVIIVI'::.' '-" "~' ,- ..-
. "1'Y:~I-.\I[,.-QI(;'D'l .. I
' .,: . :, 'a ualton escnotlOn.
Street Impro.vements:
Sto.rm Sewer Available:
Speciallnstructio.n:
Description
Type o.f Co.nstructio.n
$ Per Sq Ft
0.1' multiplier
Square Fo.o.tage
0.1' Bid Amo.unt
Value
Date Calculated
Paee I o.f2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge
+5%.Technology Fee
Water' Line - tsr50 Feet
TotalAmount Paid
Amount Paid
$5.20
$6.24
$2.60
$52.00
$66.04
Total Value of Project
Fee~ P~i? I
Date Paid
8/28108
8128108
8/28108
8/28108
I Plan Reviews I
CITY OF ~rKl1'1tjl'l.li.LD
Building/Combination Permit
PERMIT NO; COM2008-0I298
ISSUED: 08/28/2007
APPLIED; 08/28/2008
EXPIRES; 02/28/2008
VALUE;
Receipt Number
12008000000000009t9
1200800000000000919
1200800000000000919
1200800000000000919
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7;00
a.m. will be made the same working day, inspections requested after 7;00 a.m. will be made the following
work day.
Reouired Tnsnectiolls I
1" . !, I
Water Line: Prior to filling trench and including required testing.
. By signature, I state. and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrtber 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 witb ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are r~quested 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.
Q , _!?/iYb
. -O.A:".-
'--.
Owner or Contractors Signatnre
Pa2e 2 of2
<3fv;: /~ <6
Date
225 Fifth Street
Springfield, Oregon 97477
541-72t-3759 Phone
Job/Journal Number
COM2008-0 1298
COM2008-01298
COM2008-0 1298
COM2008-0 1298
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #;
Description
Water Line - 1st 50 Feet
+ 5% Technology Fee
+ 12%State Surcharge
+ 10% Administrative Fee
Paid By
GARYS ROOTER &
PLUMBING
City of Springfield Official Receipt.
Development Services Department
Public Works Department
1200800000000000919
9:34:44AM
Date: 08/28/2008
Item Total:
Check Number AuthoTization
Received By Batch Number Number How Received
Amount Due
52.00
2.60
6.24
5.20
$66.04
lIh
63771 In Person
Amount Paid
$66.04 .
Payment Total:
$66.04
r
Page I of I
8/28/2008