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