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HomeMy WebLinkAboutPermit Plumbing 2009-4-28 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00565 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 10/28/2009 VALUE: SITE ADDRESS: 345 38TH ST ASSESSOR'S PARCEL NO,: 1702311307100 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: ' Replace water line Owner: NOLA OLTMAN Address: 345 N 38TH ST SPRINGfiELD OR 97478 Contractor Type Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Sidc 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I CONTRACTOR INFORMATION I VB ,,/a I DEVELOPMENT INFORMATION I Overlay Dist: #Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: . 541- Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Residential Phone 541-935-6350 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I o.V-. , , ~~Qp , Side)l:3W 1We:c. ~Q\ . ~~~rr.\;. ~)l~", ~O~\C~i\'J\\\ S\\~~rr. \\\~~~~"f~' \\\\S ~QI?-\'L~Q D61?- \S r>-'i)r>-~ r>-\.\\ ,~~~c.~~ o~I?-\()~' . ~(\~\" ,p ~'i r - "\,,..- I V I ' D!\'~" -t' I a natIOn escnn IOn $ Per Sq Ft or multiplier Square Footage or Bid Amount Contractor loW req&,iSl,el]Se \t1 Expiration Date GAR YS ROOTE&-A-f\4't-\~1N'(iJSE~Y.1~~ glii:,!6'40\,)t!\~~t 02/28/2011 _.....r.'-" ..H......-. - ,_~ "'''; .;;...,,.. .~.- Ie ,11-"BtIIQ)ING'~NFORM)UION:19?Z-.oo~~ Not,..-- 001-0U1U""v-,~ Ithel~~\\l"J in OARy9~J;1(,%todeS.;lin eOPle~\'1~ teie~l%W\'@ R-3 0090,'\' eighjEotlSirJ~lli'J.eoe~'I\it'i tl0i.\l~i&n' ca In, '" 'j' H"'<ogon I All mbe r.llf \) E ,e~t:- 0-33Z-Z3/}"p,' nu \\:)tJ~tarype:,80 Range Type: Energy Path: Sprinkled Building: Paee 1 01'2 Value Date Calcnlated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00565 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 10/28/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total V,alue of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fcc Water Line - 1st 100' Amount Paid Date Paid Receipt Number $9,]2 $3,80 $76,00 4/28/09 4/28/09 4/28/09 2200900000000000448 2200900000000000448 2200900000000000448 Total Amount Paid $88,92 I Plan Reviews I' To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reuuired Insnections I Water Line: Prior to filling trench and including required testing, By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety, I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the s~reet, th.\t:the,J9,rmit ~:aru'~Z' 71 the front of the property, and the approved set of plans will remain on the site at all times ~~nng eonstructlO , f - /11$ ) ~ / / . r) - Q ?; - 0 <0 .1./ J! J)i I - v v Owne~"'lF'/;n( ractors Signature Date Paee 2 01'2 225 Fifth,Street Sprii.gfleld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00565 COM2009-00565 COM2009-00565 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Water Line - 15t 100' + 5% Technology Fcc + 12% State Surcharge Paid By GARY MUSTIN ~~ City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000448 Date: 04/28/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 034224 In Person Payment Total: Page I of I 9:45:53AM Amount Due 76,00 3,80 9,12 $88,92 Amount Paid $88,92 $88,92 4/28/2009