HomeMy WebLinkAboutPermit Plumbing 2009-4-10
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00481
ISSUED: 04/10/2009
APPLIED: 04/10/2009
EXPIRES: 10/10/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1313 PARKER ST
ASSESSOR'S PARCEL NO.: 1703253313100
Springfield TYPE OF WORK: Plumbing Only
TYPE.OF USE: New
Residential
PROJECT DESCRIPTION: Water Line
Owner: ELFSTROM BARBARA J
Address: PO BOX 1800
SPRINGFIELD OR 97477
Contractor Type
Plnmbing
I CONTRACTOR ~NFORMATlON I
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUILDING INFORMATION I
Expiration Date
02/28/2011
Phone
541-935-6350
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq ROther:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Set hack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coven{ge:
Total:
Handicapped:
Compact:
I PUBLIC IMPROV~MENTS I
Sidewalk>'llyp' e:s you to
ATTENTION: Oreg"" ,-" '"", ' Ut'I'ty
d ,-l h" IhA Orpqon II
, fo\lnw rules a oP"Oownspo'nlsffirains't forth
.", Those rUleS-a ~ ov
Notillc:a.tlon Center. hOAR 952-001-
. 0" F' 952-001-0010 throug b
'foT'rE' In r> 1 , ies ofthe rules y
Not~,s\ ~ Iv~., L EXPIRE IF THE WORK 00,90" You may obtain ~~ie: the telephone
, HI::, PeRMIT SH.~~_ T' ,,,. neOMIT Ie; NOT callmg the cent;:r._ L_ 11t;lihl Notification
, ,
UI11UtilLCU UI\lUl-Il ",,- - - .......,,'--'. '.. \"'" "".-v 4)
, S ABANDONED rUt\.., - c It r Is 1_800-332-234 '
COMMENCED OR I I Valuation Descriptione e
ANY 180 DAY PERIOD,
. ' . $ Per Sq Ft Square Footage
DeSCriptIOn Type of ConstructIOn I . I' B'd A
. or rou tip lef or I mount
Street Improvements:
Storm Sewer Available:
Special Instruction:
Value
Date Calculated
,,~.'!1
Paee I 01'2
Status
Issued
,
CITY OF :srtuNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0048I
ISSUED: 04/10/2009
APPLIED: 04/10/2009
EXPIRES: 10/10/2009
VALUE:
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541c726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
Date Paid
Receipt Number
$9.12
$3.80
$76.00
4/10/09
4/10/09
4/10/09
2200900000000000362
2200900000000000362
2200900000000000362
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 bemade the following
work day.
I R~?lJiredlnsn~ctions I
Water Line: Prior to' filling trencb and including required testing.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne 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 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 requesled 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 sel of plans will remain on the site at all
times during construction.
/~/~
,0// ~/oCj
Date
Owner o~ ~ Signa;ure
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0048!
COM2009-0048I
COM2009-0048I
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
Description
Water Line - I st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GARY'S ROOTER &
PLUMBING
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000362
Date: 04/10/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
2306
In Person
Payment Total:
Page I of I
12:46:54PM
Amount Due
76,00
3,80
9,12
$88.92
Amount Paid
$88,92
$88.92
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4/ I 0/2009