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HomeMy WebLinkAboutPermit Plumbing 2008-9-17 . _$ .E!.,. I'I...!"'. ~1;~/it.iiiI.1),.",:.....,'., '.',.~.".... ~I -..., .' 'I . , .~ ,.. ;1 ".,.. .....,. -""""""-,.",~"",,,""'--" ",.~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01425 ISSUED: 09/17/2008 APPLIED: 09/17/2008 EXPIRES: 03/1712009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1155 18TH ST ASSESSOR'S PARCEL NO.: 1703253407301 Springfield TYPE OF WORK: Plnmbing Only TYPE OF USE: . Repair Residential PROJECT DESCRIPTION: Replace approx 301fwater line- Owner: DAWN WILLIAMS Address: 1155 18TH ST SI'RlNGFIELD OR 97477 Phone Nnmber: 541-554-4773 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor BARNES HIGH TECH PLUMBING INC License 83311 Expiration Date 0211712010 Phone 541-726-9854 BUILDING INFORMATION II # of Units: Primary Occupancy Gronp: Secondary Occnpancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: VB # of Stories: Lot Size: Height ofStructnre Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: equlreS yoU;tj:lFt Garage/Carport &rn_l{~@,(Il: Oregon la~;e Oregon lJ,lllj\ft Other: 1~P,1i~9~\!lIllIlIlitUl\llfd by rullWare setlWl\\lJant Load: I _ ~_~'or Those _ ", "~~1'\1. I DEVi~M"'fiGmllFoo~i~e rules bY 0090. ~ou Ii,Ul.I~L lNote: thete'epho~8 REQUIRED PARKING o~~~~':::~~~gon Uti,~~\icatiOft #~ro~~&MlB<I~:1~0-332- . Paved Dnve Rqd: % of Lot Coverage: Total: Handicapped: Compact: R-3 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instrnction: Sidewalk Type: Description Type of Constrnction Downspoutsillrains: ~~. NO't\ct~"^\'T $\\~t\. ~~,,^\'T \S ~O't 'tHIS P.E, :\",cn \ tNtlER 'f!\.,.,,,n~~D fOR 1/';: - , ,- ED OR \~ /\bn.... I Valuation Des'1WM6~\'1 PERIOD. ~! ,gilt" $ Per Sq Ft quare Footage V I D C I I d a ue ate a cn ate or mnltiplier or Bid Amonnt Notes: Page I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-0I425 ISSUED: 09/1712008 APPLIED: 09/1712008 EXPIRES: 03/1712009 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ I. Fees Pai~. .1 , Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Water Line - 1st 50 Feel Amonnt Paid Date Paid Receipt Number $5.20 $6.24 $2.60 $52.00 9/17/08 9/17/08 9/17/08 9/17108 2200800000000001410 2200800000000001410 2200800000000001410 2200800000000001410 Total Amonnt Paid $66.04 Plan Reviews I 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. I Renuired Insp,ections 1 Water Line: Prior to filling trench andinclnding reqnired testing. By signatnre, I state and agree, that 1 have carefnlly 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 structnl'e without permission of the Commnility Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on .this project. I fnrther agree to ensnre that all reqnil'ed 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 tim~:..~ ? /;7 /6g--. O~r or ctntr~ctors Signat;"e Date / ( Page 2 of2 225 Fifth Street Springfiel'd;"Oregon 97477 54]-726-3759 Phone Job/Journal Number COM2008-0 1425 COM2008-0 1425 COM2008-0 1425 COM2008-0 1425 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Water Line - 15t 50 Feet + 5% Technology Fee + 12% State Snrcharge + 10% Administrative Fee Paid By BARNES HIGH TECH PLMBG *;A~'!:"ELOiiI. '.'.."".~ .;....... .~ . .~. . ,....-__.."..._._7.. T!' ,'~ ~.- City of Springfield Official Receipt Development Services Department Publie Works Uepartment 2200800000000001410 Date: 09/17/2008 , " Item Total: Check Number Authorization Received By Batch Number Number "C!w Received djb 017932 In Person Payment Total: Page 1 of I 9:36:32AM Amount Due 52.00 2.60 6.24 5.20 $66.04 Amount Paid $66.04 $66.04 9117/2008