HomeMy WebLinkAboutPermit Plumbing 2009-5-22
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00719
ISSUED: 05/22/2009
APPLIED: 05/22/2009
EXPIRES: 1112212009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspection Line
SITE ADDRESS: 1554 A ST
ASSESSOR'S PARCEL NO.: 1703363104603
Springfield TYPE OF WORK: Plumbing Only
Residential
TYPE OF USE: Alteration
, PROJECT DESCRIPTION: Relocate 3 fixtures
Owner: R & R PERKINS LLC
Address: 1810 15TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
BAXTER PLUMBING & ROOTER LLC , l~q?Qe8
, I BUILDING'ID'FOR~A,T,/ON:'~'Xtl
,,'r'if.~'\lOI'I~Qn\ecl \}~_~'r~les a.',;9'o50Z:~0~'
r les Off \(1 l1!nes.- 1':<'
R!:3\O\'i'Jc~~on C1l1it.t(llllSfr'.I~~1l~ \tle ruleSne'o'l
"0\1 I ~ 00.1-\5',)"' O\e~ \ pno
\.~ 01>-'" 952.- !.xIQ'bQIIHe~{e-, \ne \e e \ca.tIOn
V'B\l90. '{oU mW~I!t!lIT)~~: \.l\iliW \'l0\1\
o calling \~~'HW~r'1'~b_332.-2.344).
nuro'oel Ot<;rJ\r!5''PMh.
Ces'prinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Expiration Date
03/13/20 I 0
Phone
541-935-6696
II/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
,!"TU'!:'_ 'J'" ,,'nail
! _~ - _:..:J.I' '';-\''11'\[; If 'Tl r~ ,-
.1 PUB~\~<\1'f'~R~V1EMl!l"I-'FS"H\S PERMIT IS NOT
AUTHOKILtU uO"R" I~ \ABANOOMMlI~~pe:
COMMENCED .
ANY 180 DAY PERIOD. Downspouts/Drams:
Street Improvements:
Storm Sewer Available:
Special Instructioll:
Notes:
.1 Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Pa2e 1 01'2
Value,
Date Calculated
Status
Issued
225 Fifth Street, Spl'illglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioll Line
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$6.96
$2.90
$57.00
$1.00
Total Amount Paid
$67.86
Plan Reviews I,
5/22/09
5/22/09
5/22/09
5/22/09
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM2009-00719
ISSUED: 05/22/2009
APPLIED:, 05/2212009
EXPIRES: 11/22/2009
VALUE:
Receipt Number
1200900000000000522
1200900000000000522
1200900000000000522
1200900000000000522
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 Reollired Insoec~i?'!~,1
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbillg work is complete.
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 Ordillances of the City of Springfield and the Laws of the Siate of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of allY structllre without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are ill compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested "tthe proper time, that;each address is readable from the
street, that the permit card is located at the frollt of the property, and tbe approved set of plans will remain on the site at all
"m;;;72";'"wflO C;, ?-'lA?
k." "' c/..ro~;r.;;;"
Paee 2 01'2
Date
225 Fifth Street
SpringfieId~ Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00719
COM2009-00719
COM2009-00719
COM2009-00719
Paymellts:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 05/22/2009
1200900000000000522
Description
Fixture
Millimum/Adjustmellt Plumbing
+ 5% Techllology Fee
+ 12% State Surcharge
Paid By
BAXTER PLUMBING
Item Total:
Check Number Authorization-
Received By Batch Number Number How Received
djb
02286z In Persoll
Paymellt Total:
Page I of 1
10:12:18AM
Amount Due
57,00
1.00
2,90
6,96
$67.86
Amount Paid
$67,86
$67,86
5/22/2009