HomeMy WebLinkAboutPermit Plumbing 2009-1-28
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00131
ISSUED: 0l/28/2009
APPLIED: 0l/27/2009
EXPIRES: 07/28/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2387 DON ST
ASSESSOR'S PARCEL NO.: 1703272102100
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace and reroute water service
Owner: DOVE RONALD E & NAN B
Address: 972 S 71ST ST
SPRINGFIELD OR 97478
I 'CONTRACTOR INFORMA TION I
Contractor Type
Plumbing
Contractor
BARNES HIGH TECH PLUMBING INC
License
83311
Expiration Oate
02/17/2010
Phone
541-726-9854
BUILDING INFORMATION I
# 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:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Sethack:
Side) Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: '
Total:
Handicapped:
Compact:
Street Impro.\Mih'j;M);E:
Storm Sewel~if.iIi~MIT SHAll EXPIRE IF THE WORK
Special Inst~HTJII0RIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
, ,
I ~UBLIC IMPROVEMENTS I
ATT@.i",e.'!~\k &~P~:.m law requires you to
follol'D' rul". "rl~t r.fD"N,h" the Oregon Utr'll'ty
.. ownspou s raIDs:
Notrflcallon Center, Those rules are set forth
in OAR 952-001-0010through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
............L-.~~z.__......._ ,....~___'" "~~'...., ,,_,'" ..'
~ . - v -.. - .....J . .-"..-...........1
Center is 1-800-332-2344).
Notes:
I Valuation Oescrintion ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Pa~e 1 of 2
,-
Status
Issued,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00131
ISSUED: 01/28/2009
APPLIED: 01/27/2009
EXPIRES: 07/28/2009
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 Paid I
Fee Description
+ 12% State Surcbarge
+ 5% Technology Fee
Water Line - 1st 100'
.Amount Paid
Date Paid
$9.12
$3.80
$76.00
1/28/09
1/28/09
1/28/09
Receipt N umher
i200900000000000105
2200900000000000105 .
2200900000000000105
Total Amount Paid
$88.92
I Plan Reviews I
To Request an inspection call the24 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 ~eo~ire,~ I.~~ve,d~?n~..'
Water Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 he made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project.
1 further agree to ensure that an required inspections are requested at the proper time, that each address is readahle 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 during construction.
,
, Owner or Contractors Signature
Date
Page 2 of2
.
City of Springfield. .
Plumbing Authorization To Begin Work
E-inailed To: joe@hightech"plumbing.com
Receipt # RC5451119
1/27/20094:08:58 PM
Check on status of permit
By Phone: (541)726-3753 or Em.iI: permitcenter@ci,springfield.or.us
! Sanitary Sewer - first 100 feet
I ~ each additional 100 feet
I StonnSewer - 'first 100 feet
'I ~ each additional I 00 feet
Water Service - first 100 feet
- each additional 100 feet
I
I I - Rain drain collector system
II -Drywell
I . Catch basin or area drain
I - Pressure reducing valve
I
D New construction
[KJ A~dition/alteration/rep]acement
I
,
I
I
$76.00 I
I
[K] 1 or 2 family dwelling
D Commercial I I~dustrjal
P Multi-family
D Accessory Building
IJob no.: jJob address: 2387 DON ST
ICity/Stater.lIP: SPRINGFIELD, OR 97477-1922
I Suitclbldg.lap~.no.:
I Proj_cct name:
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1703272102100
I Lot no.:
I Name: Weslon Hamlin
I Phone: (541) 52J-8271
I Email:
IF..:
I
I
I
I
I
I
I
I
I Floor drain/floor sinklhub I
I Garbage dispos<ll . I
Hose bib~:;'fEtf;-l::ln DrJgon IQwq:;~i,,:: "n.. tn I
I Ice mak o':?'''{ .(/'J~S G.do~ iW-':'y +h" "rp~nrl ~
.1 Prlmer- ~b "S 5 n '" if"d ,t b'.' d ...... I
Ovto'J) olillcatlon ventel ~"ff'tJb'e %W:S''flTI'iJ!j~ ftlrm
II Pnmerln6bliijllltfil~.OOl-Ul rlJlJIi\.~iihMl\lils'J\ilGlIt1Iib~- I
I Smk/ba\.lIJtf1~!J~U may U.U1tc::UI! liUY1f;)1-- ~;...l~::_.U~"'~~
I I TUb/showe\i\1l&\\oWp*" "'", '" ,. \~~ll'~ ,V,~t ~,~.:~
I I 1I...1I1;,}8f-'.;:"; e-,e : r:::gC:1 L' :ty Nct'f '.:atlon
, Unnal ~ent,.,... il:' 13~()n.:33 _?~A.A.\
II Water closet - - I'
I I Water heater . I
I Backflow preventer
I Backwater valve
I Clothes washer
I Dishwasher
I Drinking fountain
I Ejectors/sump
I Expansion tank
I Fixture/sewer cap
service
Plmb.lic. no.: 20-314PB CCBlic.no.:
I Business Name: BARNfP_y~~~~!:~H PLUMBING INC
ICont"': Joe Bames THI~ PERMIT 2H:\tk-EY.P'~E !1: TI.l': 'A,nD\(
IAddcess: 27870LYMPM1H2R1ZE8 !m8ER T~t5 PERMIT IS NOT
IGty/S,atdZtP: SPRIN~(}:I-R.>,9M(;'Eb ~111S .A,!lf'.ND~N!i~!,gfl
Iphon," (541)7269S54 ,"IN\' -:-:;{) D^\' r:Jl1~1)7440583 , .
I Emall: joe@hightcch-plumbing.cotyl .
I Metro lic..no.: I City lie. no.:
Upon review and approval by your local jurisdiction; "your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I . Swimming pool or spa-
waterSllPplv and drain
- Hydronic heating - open loop
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained. .
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I
I
I
I TOTAL PERMIT FEE I
* City Of Springfield fees: 5% Technology Fee
C-c,- 131 ~009- \05
l4L \ \ZZ\D'l
Subtotal I
State Surcharge (12% of permit fee)
City Of Springfield fees"
$76.00 I
$9.12 I
$3,80 I
$8S,92 I
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-7,Z6-3759 Phone
Job/Journal Number
C0M2009-00 131
COM2009-00131
COM2009-00 131
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Water Line - 1st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONUNE PERMIT CHGS
2200900000000000105
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/28/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
Page 1 of 1
ONLINE bames high Online
tech
plumbing
Payment Total:
r
8:1I:40AM
Amount Due
76,00
3,80
9,12
$88.92
Amount Paid
$88,92
$88.92
1/28/2009