HomeMy WebLinkAboutPermit Plumbing 2009-2-26 (2)
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-0027]
ISSUED: 02/26/2009
APPLIED: 02/26/2009
EXPIRES: 09/] 1/2009
VALUE:' $ 1,000.00
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Status
Issued
225 Fifth Strect, Springfield, OR
54]-726.3753 Phone
541~726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 305'21ST ST
ASSESSOR'S PARCEL NO.: 1703361305500
Springfield TYPE OF WORK: Dryrot
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: RepairlReplace Plumbing Fixtures and Add/AUer/Repair ]0 Electrical Circuits.
Minor dryrot repair
Owner:
Address:
WILLIAMS CONSTRUCTION CO
PO BOX 2158
JASPER OR 97438 . ,,\~VN' l~r'~re,>;. 'YOU \0,
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lollow rUlc"',','c'bN"liRAGT0'R. 'INFORM~~ION I
N tilicatlon r {. I .' ,,',
inoOAR 952-00i'OU~Y"II.:'~,~:: :-( iRe rliil>s.@y
Contract9r You may obtain ~or~es\~'?. 't"el"ef'lACl:!cense
UV;:;IU. . -.,,',: 1~19\e' lIe . P. '.
DONALIt~A~V.IN H@R'I'9N_ U\liiiY Nf:iiinea!llfi021
OWNERnumberlor the, ~~e~~~~~2a~~Q4i\1:
. Vl;ll...... .-
I BUlLD]NG INFORMATION I
Contractor Type
Electrical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R-3 Height of Structure
Type of Heat:
VB Water Type:
Range Type:
Energy Path:
NOTICE: SpriQkleABuWll4UHEWOP.\"-
-' l'r: rrofl.nlT ~1-H)'LL-t"n --;~~';r'l~ I\,ci\ff
Ali~H'h~~\!'f.~PrrJ;~
COMMENCtU u ;).,
ANY 180 DIW<PJmgfbist:
# Street Trces Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,
Front yard Setback:
Side f Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:'
I PUBLIC IMPROVEMENTS I
Phone Number: 541-937-4215
Expiration Date
07/25/2009
Phone
541- 726-9021
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basem'ent:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
. Total:
Haudicapped:
~ompact:
. Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Dowuspouts/Drains:
Notes:
Paee I of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00271
ISSUED: 02/26/2009
APPLIED: 02/26/2009
EXPIRES: 09/11/2009
VALUE: $ 1,000.00
225 Fifth Street, Spriugfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
Tvpe of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
l..Fm pq~
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $6.96 2/26/09 1200900000000000134
+ 5% Technology Fee $2.90 2/26/09 ]200900000000000134
Fixture . $38.00 2/26/09 1200900000000000134
Minimum/Adjustment Plumbing $20.00 2/26/09 1200900000000000134
+ 12% State Surcharge $22.20 3/11109 1200900000000000178
+ 5% Technology Fee $9.25 3/11/09 1200900000000000178
Add, Alter, Extend Circ $55.00 3/11109 1200900000000000178
Add; Alter, Extend Circ Ea Add $54.00 3/11109 1200900000000000178
Fixture , $76.00 3/11/09 1200900000000000178
+ 12% State Surcharge $6.96 3/19/09 1200900000000000199
+ 5% Technology Fee $2.90 3/19109 1200900000000000199
Buildiug Permit $58.00 3/19/09 1200900000000000199
Total Amount Paid
$352.17
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.in. will be made the saine working day, inspections requested after 7:00 a.m. will be made the following
work day. '
~eollirel\.lnsnections I
Rongh Plumbing: Prior to cover and including required testiug.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Fiual Electric: When all electrical work is complete.
Pa2e 2 01'3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00271
ISSUED: 02/26/2009
APPLIED: 02/26/2009
EXPIRES: 09/11/2009
VALUE: $ 1,000.00
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I st~te and agree, that I have.carefully examiued 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 accordance with
the.Ordinances of the City of Springfield and the Laws of the Stateof Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Commnnity 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 reqnired inspections are requested at the proper time, that each address is readable from the
s~reet, th~ ~f1~:;~ is located at the front of the property, and the approved set of plans will remain on the site at all
:U~U!i :Yr109
~ Contractors Signature Date
.'
Paee 3 of 3
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
Job/Juurnal Number
COM2009-00271
COM2009-0027I
COM2009-0027!
Payments:
Type of Payment
Check
cReeeintl
RECEIPT #:
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SCOTT WILLAMS CONST
City of Springfield Official Receipt
Development Services Department
Public Works Departm~nt
1200900000000000199
Date: 03/19/2009
Item Total:
Check Number Authorization
Received By Batch Number Number' How Received
cjc
4674
In Person
Payment Total:
Page! of!
10:38:23AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
3/1912009