HomeMy WebLinkAboutPermit Plumbing 2009-6-17
CITY OF SPRmld' II',LD
Building/Combination Permit
Status
Issued
,
PERMIT NO: COM2009-00877
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES:, 12/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1380 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO,: . 1703253307600
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace approximately 40 feet of water line,
Residential
Owner: KRAMER STEPHEN P
Address: 42113 DEERHORN RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
SCHIRMER ENTERPRISES INC
License
169413
Expiration Date
03/30/2010
Phone
541.485-1749
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction 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 ind Floor:
Sq Ft Basement: '
Sq Ft GaragelCarport
S'I FtOthc.-:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
, Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
ATTENT:#:Stre..e-'sV!,~s:.~q~~n"ir8~ ,,~u '0
follow ru[Payed-Dnve Rqd:~ Ol'ec'o; , ""'I't
_, . ,....kl~----.r..,.... -..i"V~IY
NoliflcatloIYo.or-Lot C!o:v_eJ-"g~:,es are set fcrth
In OAR 952-001-0010 through OAR 952-001-
nnon V""'lt ............ ~l.-.._:_ _.' . ._
. C'IIPUB)I;(GiMRRO,VE-M'E~is;I~~h;;';euy
nul.......... '......' "'V V1C8u1r ULlllty l\Jotifica"';"..'1
Center is 1-800-332,2344), Siuewalk Type:
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NotesNOTlCE:
Tl It..... ____
""V , ~fllVIII "HALL EXPIRE IF TH
AUTHORIZED UNDER THIS PERMIT~~~mhtion Descriotion I
COMMENCED ORIS ABAND '- ".j I
D A.~I\!t' 180 DA'T' X,..--,., "l1'h t ,tqNED FO$lPer Sq Ft Square, Footage
escnp IOn ' Yl-'efO-,-"",ns rue Ion I' I' B'd A
. or mu tip lef or I mount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00877
ISSUED: 06/1712009
APPLIED: 06/1712009
EXPIRES: 12/1712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 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
6/17/09
6/17/09
6/17/09
2200900000000000681
2200900000000000681
2200900000000000681
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 Renuired Insneetions 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 eity 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 requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the proper!)', and the approved set of plans will remain on the site at all .1
times during construction.
h. ~-17-o r
Owner or ConJfctors Signature Date
Pa2e 2 on
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phone
Job/Journal Number
COM2009-00877
COM2009-00877
COM2009-00877
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
Description
Water Line. 1st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
STEPHEN KRAMER
.'
.,
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000681
Date: 06/17/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
r7526b In Person
Payment Total:
Page 1 of 1
IO:13:45AM
Amount Due
76,00
3,80
9,12
$88,92
Amount Paid
$88,92
$88,92
6/17/2009