HomeMy WebLinkAboutPermit Plumbing 2009-7-8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2009-01002
ISSUED: 07/08/2009
APPLIED: 07/08/2009
EXPIRES: 01/08/2010
VALUE:
SITE ADDRESS: 6487 D ST
ASSESSOR'S PARCEL NO.: 1702341300440
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Water line
Owner: FAIRCHILD KATHYJ
Address: 6487 D ST
SPRINGFIELD OR 97478
Contractor Type
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: .
Street Improvements:
TYPE OF USE: New
Residential
J CONTRACTOR INFORMATIO\, I
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
License
Expiration Date Phone
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupanl Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped: \D
_,. ~_^(} \10\1
, \,Gompact:""'"
AlIEN"T\ON: ~~~~~~ by the oregor~~';~;\h
IO\~2:::t~~~Sc~n\er. "Th.o~:. ~~~e~)~~ 952-001"
I PUBLIC IMPROVEMENTS:(OAR 952-0U~-~~t~\~~opies Oftttl\~~~'~~;'
. ~090. 'You ma, (Note: the e.'. . n
\\Sidewal"""FWi~: Utili\'! NolihcatlO
ca '''''' . uregon
'",r lor the . on 032-2344).
. nunDow,nsnouts/Di'ains:':;
. L/brll..... .-
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
. % of Lot Coverage:
Storm Sewer Availabl'OTICE'
Special Instrnction: ~HIS PERMIT SHALL EXPIRE IF THE WORK
Notes: AUTHORiZED UNDER THIS PERMIT is NOT
COMMENCF.D OR IS ABANDONED FOR
ANY 180 DAY PERIODj
Valuation Descriotion I
Description
Type of Constrnction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Pa2e I 01'2
Value
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01002
ISSUED: 07/0812009
APPLIED: 07/0812009
EXPIRES: 01/0812010
VALUE:
.
225 Fifth Street, Springtield, 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
7/8/09
7/8/09
7/8/09
2200900000000000766
2200900000000000766
2200900000000000766
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. Relll.lire~Ins'l.ecti~nsl
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 certi(y that any and all work performed shall be done 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 without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agr~e to ensure that all required inspections are requested at the proper time, that each address is readahle 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 durin nstruction.
?/y;/o 9' I
/
Owner or Contractors Signature
Date
Pa2e 2 of 2 .
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01002
COM2009-0 I 002
COM2009-0 I 002
Payments:
Type of Payment
CrectitCard
cReceiol]
RECEIPT #:
Description
Water Line - 1st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GARY'S ROOTER SERVICE
~i}~~;jj
IKIi '
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000766
Date: 07/08/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
nJm 008558 In Person
Payment Total:
Page I of I
10:55:2IAM
Amount Due
?6.00
3.80
9.12
$88.92
Amount Paid
$88.92
$88.92
? 18/2009