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HomeMy WebLinkAboutPermit Plumbing 2008-8-27 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01295 .ISSUED: 08/27/2008 APPLIED: 08/2712008 EXPIRES: .02/2712009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54t-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1212 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264411200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace Water Line Approx 25' Owner: HARRIS GINGER . Address: 1212 CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Number: 541-747-1650 I. CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor License GARYS ROOTER & PLUMBING SERVtCE L t74640 BUILDING I,~FORM~ T10N I Expiration Date 0212812011 Phone 541-935-6350 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: . lua8 '(1717EC::'C::EE-009-, S! Ja ,q"..'" ;,,nrll L:,-~~:'n.. ~111'"'' U06~JO 6111 WI,"'" f i\r \'>< - ~ it 641 '610N) J61U"~ ",-<. Ct', . \.\. c'lJ'\I'-C \ W\i:flfBl\WIMPROV~1 bOil.. ~~;IO s~!doo U!'81qo ^'8lU:;C~, '. " Street lW.lkl,~~~~,~:; S\\r>: r:I'- "\\\\S ~cl'- c:O rOl'- .~O-C::96 B'iO lj&deW~lk,TypeDO-(.: .' ,:' "", ,\-I\S I't ~f\ \It-l\)<- ^t-IOOt-l<- sal':u asoLll 'J61U68!.' ,"", " Storm Sewet',A:<\ailaote: 00 \" ^Bt'\ IlllOll6S 6J'8 U.Qwns'lllUtslDrains:'J, , ^\\\\lV" n n v t'\. 6aJO a41/l4"fiO'vv~- - , Speciallnstru,ction,Ccu r:O\OO. Al!l!ln uo b M~I U066JO :NOilKu-,-v CG\~\\W-' n~'{ ~,<-n 0\ no" S6Jln 6J 0 "" ~\)() u Notes: hl'l, Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I Valuation Descriotion I. j.,,' ~ . "'" ' . Description Type o(&ipstn,ctio'n .';~--' $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e I of2 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 Surcharge + 5% Technology Fee Water Line - 1st 50 Feet Tota(Amount Paid .. Total Value of Project Fees Pairl I Amount Paid Date Paid 8127/08 8127/08 8/27108 8127108 CITY OF SPRINGl'mLD Building/Combination Permit PERMIT NO: COM2008-0129S ISSUED: 08/27/2008 APPLIED: 08/27/2008 EXPIRES:' 02/27/2009 VALUE: Receipt Number 1200800000000000915 1200800000000000915 12008000000000009t5 1200800000000000915 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. $5.20 $6.24 $2.60 $52.00 $66.04 I Plan Reviews I I Relluirerl (nsnections" Water Line: Prior to filling trench and inclnding required testing. By signature, ( state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and ( further certily that any and all work performed sball be done in accordance with the Ordinalices of the City of Springfield and tbe 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 dU]~ruc:i@J, ------ Owner or Contractors 'Signature ,. -~ ~ Palre 2 of2 z / )- 1 /tJ Y; Date 225 Fifth'Strect Springficld,Oregon 97477 541-726-3759 Phone ' Job/Journal Number COM2008-0 1295 COM2008-0 1295 COM2008-0 1295 COM2008-0 1295 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Water Line - 1st 50 Feet + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee' Paid By GARY MUSTIN 1200800000000000915 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/2712008 II :41 :53AM Amount Due 52.00 2.60 6.24 5.20 $66.04 Item Total: Check Number Authorization Received By Batch Number Number How Received lIh Page I of I 005132 Amount Paid 005132 In Person Payment Total: $66.04 $66.04 8/2712008