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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' ,,\"'~' ~-, -''''5e R9c20 ," 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 VBI\ Op.R You W.alelA'Fyllti~ole'. l\1e tele,~\1O~Ol\ 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