HomeMy WebLinkAboutPermit Plumbing 2009-7-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2009-00981
ISSUED: 07/06/2009
APPLIED: 07/06/2009
EXPIRES: 01/06/2010
VALUE:
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 164 S 17TH PL
ASSESSOR'S PARCEL NO.: 1703363107100
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Repair
Rcsidenthll
PROJECT DESCRIPTION: Sanitary coonection private property
Owner: LEE JO ANN
Address: 23992 ROWLAND RD
HARRISBURG OR 97446
Contractor Type
Plumbing
ATTt:f..ITIf"\I\I. f""\______ '_ .
!oll~CON;rRACTORINFORI\I{i\:TlON"1 to
Notification Center. Those rules .'l~~ ~et f~;rh.-. . .
Contractor in OAR 952-001-0010 through bA~g~~_001._t-xP'ratIon Date
SCHIRMER ENmERPRISES.lI:'Gbtaln cooies rWli\nlll<>o h" 03/30/2010
n~I~BUILDING:iNFORMA TION:.Phone
. _. - ..0., . ._..!Icatlon
C#enfter is. 1-800-332-2344)
o Stones: .
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-485-1749
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms.:
R3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Othcr:
Occupant Load:
VB
n/a
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:.
NOTI~f Lot Coverage: K
T~I~ PF~MIT SHALL EXP1R~;~ll'~TE,~8~T
I RUB)juDi~~~~'~I~~~NE~ FOR
'l,\mllvlC1WL.L :1:, , .
ANY 180 DAY PERIOD. Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
. Storm Sewer Available:
Special Instruction:
.
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
'..
Paee I 012
~$*rF'lI~!l!Iil!~P~'.
. ....d....
-~ . .,.... . ...........
,
~ U"~ ......, ..-
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00981
ISSUED: 07/06/2009
APPLIED: 07/06/2009
EXPIRES: 01106/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Toial Value of Project
Fees Paid I
Fee Description.
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
$1 1.40
$4.75
$19.00
$76.00
7/6109
7/6/09
7/6/09
7/6/09
Receipt Numher
2200900000000000755
2200900000000000755.
2200900000000000755
2200900000000000755
Total Amount Paid
$11 1.15
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 Reouired Insnections I
l ,1 I,
Rough Plnmbing: Prior to cover and inclnding required testiog.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Final Plumbing: When all plumbiug work is complete.
By signature, I state and agree, that I have carcfnlly cxamined 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 Ordiuances of the City of Spriugfield and the Laws of the State of Orcgon pertaining to thc work dcscribed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I furthcr 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
strcet, 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. .
0../1 (J. __ L ( 7- & - C7 ;/
Owner or,fLontractors Signature
Date
Pa2e 2 of 2
225"Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0098I
COM2009-00981
COM2009-00981
COM2009-00981
Payments:
Type of Payment
Check
cRcccint J
RECEIPT #:
Description
Fixrure
Sanitary Sewer - 1 st 100 Feet
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
10 ANN LEE
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000755
Date: 07/06/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1236
In Person
Payment Total:
Page 1 of 1
8:27:17AM
Amount Due
19.00
76.00
4.75
11AO
$111.15
Amount Paid
$111.15
$111.15
7/6/2009