HomeMy WebLinkAboutPermit Plumbing 2008-9-17
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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. '.'.."".~ .;.......
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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