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Home My WebLink AboutPermit Plumbing 2009-5-21 $(..AINQ~W.D,. _.._....-.^'~..'"._."..,.,,""',.,.... ~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2009-00716 ISSUED: OS/21/2009 APPLIED: OS/21/2009 EXPIRES: 11121/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1004 W L ST ASSESSOR'S PARCEL NO.: 1703273401819 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Hose bib Owner: GILLESPIE LOLA K Address: 1004 W L ST UNIT 18 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Plumbing Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: ~ge Type: X. \)'\\E ~gy Path: G \~ ,\Y\ -< \sSi) inkled Bnilding: . ,pI""\. ~,~\ \ .. . c.t:. s\\~\-\- \:.~~\s Y\',D~tL6PMENT INFORMATION I ~Si'~\ '\:."'~\\ \j\\'0'\:.'" ~~~W... ' ., 'IS '( \4'\:.\) n \S Front yard SetJjil"~i)""~ x.'0 ()" \a\)' Overlay Dist: Side 1 Setbac,J(:)\' ~'\:.\\G ~ '('\:.'" # Street Trees Rqd: Side 2 Setback,"a~ \ 'O~ \)1' Paved Drive Rq~: Re3rY3rd Setba8R:t . % of Lot Coverage: Solar Setbacks: # of Units: Primary Occupaucy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 20d Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a' REQUIRED PARKING Total: Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS I . ,-"to O gon law requlrGS Sidewalk Type: TTENTION: re Qregon Ut\lily . All w rules adopted by the \es are pp.wns'poutsiDrains: 10 0 Those ru OOi- ~o~~~~~;.~g~:g~i 0 thr~ui~~ ~~~e9;~~s by ~090. You may obtam ~ofe: the telephOne ~ollinn the center. l__ IIt"ihl Notification I ~~\'~;~~~~;;:~};iq~~~;j1-2344). Street Improvements: Storm Sewer Available: Special Instruction: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing Amount Paid $6.96 $2.90 $19.00 $39.00 Total Amount Paid $67.86 Total Value of Project Fees Paidj Date Paid I Plan Reviews I 5/21109 5/21109 5/21/09 5/21109 CITY OF SPRINGFIELD Building/Combin~tion Permit PERMIT NO: cOM2009-00716 ISSUED: OS/21/2009 APPLIED: OS/21/2009 EXPIRES: 11/21/2009 VALUE: Receipt Number 3200900000000000385 3200900000000000385 3200900000000000385 3200900000000000385 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 Reouired Tnsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plnmbing 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 dOlle 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 withont permission of the Community Services Division, Building Safety. I fnrther 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 requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. \~t' ,J~~ Owner or Contractors Signature Page 2 of2 s JVJce; Date 225,Fifth $trcet Springfield, Oregon 97477 541-726-3759 Phone iiii. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-007I6 COM2009-007I6 COM2009-00716 COM2009-00716 Payments: Type of Payment Cash cRcccintl RECEIPT #: Date: OS/21/2009 3200900000000000385 Description Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge Paid By LOLA GILLESPIE Item Total: Check Number Authorization Received By Batch Number Number How Received nJm In Person Payment Total: Page I of 1 2:52:51PM Amount Due 19.00 39.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 5/21/2009