HomeMy WebLinkAboutPermit Plumbing 2009-2-18
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00235
ISSUED: 02/1812009
APPLIED: 02/1812009
EXPIRES: 08/18/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1177 N ST
'ASSESSOR'S PARCEL NO.: 1703264401000
Springfield TYPE OF WORK: Plumhing Only
PROJECT DESCRIPTION: Replace water line,ltiss 1000f.
. TYPE OF USE: Repair
Residential
Owner: JANICE ROMAN
Address: 1177 N ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
BAXTER PLUMBING & ROOTER LLC 169028
I BUILDING 1NFORMA\fI0N11 10
O,'DgO" ,~.. gOI1 ulilit'!
. _.,- "" " '.0\\\'. '",..' ny 1M ore Ilorl\1
,., . .# of Stories: rules are se 0'
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R-3 ',d ,.,1 : t!!'.ight;of~StriIctufrO'" ,,'
\',' T\1\Ca\\0l1T r'f'H' Int\Ou.'J 1 Ihe rules by
",. 052, )'pe'o .ea 'oples 0" e
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0090, . t\Range\i'Y~~i Utilit'! Not\tlca
ca\\I~~r line'j;gyCP@i6~_332.2344).
I\UI1\ GWr.m~dB'uilding: nla
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Set hack:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
. Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-521-2202
Expiration Date
03/13/20 I 0
Phone
541-935-6696
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
I ;~~~I:~PROVEMENTS I
THIS PERMIT SHAll EXPIRE lFsr!Jlliv\lOO'i\~e:
AUTHORIZED UNDER THIS PERbmJStf:IDJiDrains:
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee 1 of 2
Value
Date Calculated
._S!i!"Ui!l~!~!:O;i
I
~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00235
ISSUED: 02/18/2009
APPLIED: 02/18/2009
EXPIRES: 08/18/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
Date Paid
Receipt Nnmber
$9.12
$3.80
$76.00
2/18/09
2/18/09
2/18/09
1200900000000000117
1200900000000000117
1200900000000000117
Total Amount Paid
$88.92
I 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. .
I Relluired Insnec!j~~~ I
Water Line:' Prior to filling trench and including required testing.
By signatnre, 1 state and agree, that I have carefully examined the completed ap"plication 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 "!ade of any structnre withont permission of the Commnnity Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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
~~n:;?i?~ ;l- / y~ 0 '1
Owner or Contractors Signature Date
Paee 2 of 2
225 Fi(th Street
Springfield, Oregon 97477
541-'126-3759 Phone
Job/Journal Number
COM2009-00235
COM2009-00235
COM2009-00235
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
Description
Water Line - 1st 100'
+ 5% Technology Fee
.j. 12% State Surcharge
Paid By
BAXTER PLUMBING
;m:~;~j
IlL
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000117
Date: 02/18/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 01854z In Person
Payment Total:
Page I of I
9:43:04AM
Amount Due
76.00
3.80
9.12
$88.92
Amount Paid
$88.92
$HH.92
2/18/2009