HomeMy WebLinkAboutPermit Plumbing 2008-12-15
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01774 .
ISSUED: 12/15/2008
APPLIED: 12/15/2008
EXPIRES: 06/1512009
VALUE:
225 Fifth Street, Springtield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1135 21ST ST
ASSESSOR'S PARCEL NO.: 1703254304300
Springtield TYPE OF WORK: Ptumhing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace water line
Owner: AUDREY B CHURCHILL FAMILY TRUST
Address: 2055 BONNIE LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATI~)N I
Contractor Type
Plumbing
Contractor
DA VID EDWARD RICHARDSON
License
157134
Expimtion Date
09/22/2009.
Phone
541-606-1588
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
E.iergy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
. Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I
REQUIRED PARKING
Total:
Handicapped:
Compact:
I DEVELOPMENT INFORM;\Tl?~ I
Description
NOTICE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
AlJTHulilLtu UNDER IFI;:; rLn;l'ii, ;3 i;u, I
r;Oiv]fvlENCED OR IS AS! ,.Yaluation,Descriotion
l\iN 180 DAY PERIOD.
Type of Construction
,
'\.' J 1-]" IIUI'L Ullj~UII ICJ.'IV I v....]"J" ""..... J,'-'~ --
I,PUBLIC IMPROVEM!!;llI":P> Illes adopted by the, Oregon Utility
Notification CSidewam'typJ:'.I193 are set fcrth
in OAR 952-001-00'10 tlHlu,Jh CAH 952-001-
0090. You-m!>p~!,woutS/Drains:tlte rules by
calling the C8IitGT. (i\! 't',< ::~':~ll~I~~l1G~e .
l,.. r ' " - f" ''"I'I--tl'Jn
number fOI- t"" v 'n::, '\", 0,\",0. ,
, Center;~ ',"(j"'~-_''-'~" ,~2,-r.;).
Street Improvements:
Storm Sewer Available:
Spedallnstruetion:
Notes:
$ perSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
-~,!!~~~!!:!~t~:~ '
l '.: /1').:'"
.'
Statos
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01774
ISSUED: 12/1512008
APPLIED: 12/15/2008
EXPIRES: 06/1512009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
Total Value of Project
Fe,e~ p~i~,.1
Fcc Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 50 Feet
Amount Paid
Da te Paid
Receipt Number
$5.20
$6.24
$2.60
$52.00
, 12/15/08
12/15/08
12/15/08
12/15/08
2200800000000001745
2200800000000001745
2200800000000001745
2200800000000001745
Total Amount Paid
$66.04
J
, 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 reqoested after 7:00 a.m. will be made the following
work day.
I Reouired Tnsnections ,
,1.111 II
Water Line: Prior to tilling trench and including required testing.
By signature, I state and agree, tbat T have carefully examined the completed application and do bereby certify tbat all
information hereon is true and correct, and I further certify that any'and all work performed shall be done in accurdance with.
the Ordinances of the City of Spriugtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struetnre without permission ofthe.Community Services Division, Building Safety.
I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arc 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
(\,Sad.uunrvinn~g{Constru:n. ,0
~ ) 'D (rn-J'-,\,)"j. \'/ ~ lC;--O f3
,owQor Contractors Signature Date
Paee 2 of 2
225 Fifth Street
. . . ~
Springfield, Oregoo 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1774
COM2008-0 1774
COM2008-01774
COM2008-0 1774
Payments:
Type of Payment
Check
cReceinll
RECEIPT #:
Description
+ 10% Administrative Fee
Water Line - 1st 50 Feet.
+ 5% Teclmology Fee
+ 12% Staie Surcharge
Paid By
JOSEPH REED
City of Springfield Official Receipt
.Development Services Department
Poblic Works Department
2200800000000001745
Date: 12/15/2008
Item Total:
Check Number Authorization
Received By Batch Number Number ,How Received
njm 2848 In Person
Payment Total:
.!
i
Page 1 of 1
3:02:lOPM
Amount Due
5.20
52.00
2.60
6.24
$66.04
Amount Paid
$66.04
$66.U4
12/15/2008