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