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Home My WebLink AboutPermit 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