HomeMy WebLinkAboutPermit Plumbing 2009-2-19
Status
Issued
CITY OF SPRINLi1<u.LD '
Building/Combination Permit
PERMIT NO: COM2009-00245
. ISSUED: 02/19/2009
APPLIED: 02/19/2009
EXPIRES: 08/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 157 12TH ST SPACE 36
ASSESSOR'S PARCEL NO.: 1703354100201
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Relocate shower drain
Owner: GARDNER STEVEN
Address: 157 12TH ST SPACE 036
SPRINGFIELD OR 97477
I CO~TRACTOR INF<?RMAT1?N I
Contractor. J..jcense
BREWN"ltoiTERPRISE~1= If iHE WO~)1018
1~ RMIl ~RJu,:'L M\f,~~"'!1>
. ~~:iR\ZEO lJWilIi';U~~m~w r!FTION' .
# of Units: OtJItv\EMCEO OR \~e:~~tories:
Primary Occupancy Group: C M'l' l%e Oi\'l' Pf.R\~lght of Structure
Secondary Occupancy Group: A . Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Expiration Date' Phone
08/06/2010 541-485-3345
Contractor Type
Plumhing
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOP~EN! INFORMATION I
. REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:.
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Ha~\ycapped:.
Paved Drive Rqd: n laW requIreS ~ct:
% of Lot Cjtt~1f~ot'l: oretd by the oregon t forth
folloW r.~~~sr.~~~~r.e ThOse ~~~e~~~ ~~Z-001..
I PUBLIC IMPR8Y.E~.JJ1-U~;~~' ~;pies oHh,e pl~~~;'
.. .'1. yt"~~~ ~,lY 0 IN ~e' the te e .
'. 0091.).. IUthe cen\Sldew:i1'tJ~\\W'Notificat\On
. . calling the oregon .9.344).
number for ,. n.>\ltil!P~7U-raids:
center 15'
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
I Valuation DescriDtion I
Des~ription
Type of Construction
$ Per Sq Ft
or multiplier
Square 'Footage
or Bid Amount
Value
D'ate Calculated
Pal!e I of2
" ":.
-~~!'!!!:~~,~""'.:.~" , . . - '. ','
lL .. "': ~'. u ,~.,..,,~,
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00245
ISSUED: 02/19/2009
APPLIED: 02/19/2009
EXPIRES: 08/19/2009
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 Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing ,
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$19.00
, $39.00
2119/09
2/19/09
2/19109
2/19/09
'2200900000000000190
2200900000000000190
2200900000000000190
2200900000000000190
Total Amount.Paid
$67.86
Plan Reviews ,
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.
, Re~lIired Insnections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumhing: When all plumbing work is complete.
By signature, I state. and agree, that I have carefully 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 accordauce with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections,are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front ofthe property, and the approved setof plans will remain on the site at all
times during construction.
C/~/
,
r2.-/q~o1
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth"Street
Springfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2009-00245
COM2009-00245
COM2009-00245
COM2009-00245
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Pub lie Works Department
2200900000000000190
Date: 02/19/2009
Description
Fixture .
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State ,Surcharge
Paid By
BELLA STONE LLC
Item Tot.al:
Check Number Authorization
Received By Batch Number Number How Received
djb 1374 In Person
Payment Total:
Page I of I
2:42:54PM
Amount.Due
19.00
39.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
2119/2009