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HomeMy WebLinkAboutPermit Plumbing 2009-8-7 _$~ql"'~~!i!!:9d: , :!}:,~ ~~,:::;'" '" ,i Status Issued CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: COM2009-01l54 ISSUED: 08/07/2009 APPLIED: 08/07/2009 EXPIRES: 0210712010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line \ . SITE ADDRESS: 1664 MAIN ST ASSESSOR'S PARCEL NO,: 1703363103301 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Water line Owner: Address: GRAZIER DEAN STEW ART 1664 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plnmbing Contractor OWNER License Expiration Date Phone VB BUILDING INFORMATION I, ' NCJtifir.Ati;,~;~ "uOPied by th~eqUlres you to ' in#'ofjStorie,s:,enter, Those OregOn LLot,Size: -, I I tJQ:.J f1I)-f ru/ ''',tv' OGHeight of StrnCture) throu I es are setS<j,Ert 1St Floor: -~. lUll ~~" 9 I OAR .... ~ I cType(of,Heat: obtain cOPI'e '952,Sg ,Ft 2nd Floor: ''"''''leN. sotth -,,- nlWater Type:,nter, (Note' th e ruleSq)lit Basement: ..........1 II.{ t11A 0 'e tel- r Rang~I.Y,p"er regon Utility N ephorSq Ft Garage/Carport Energy Path:/S l-BOO-332,234t,t,catlsq Ft Qther: Sprinkled Bnilding: n/Q, Occnpant Load: # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Construction Type - Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback:' Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: , Paved Drive Rqd: N % of Lot Coverage: "r,.or'Cf' . "1,) .',~ AU.THd,~,UBJi,JG,I~~R~VEMENTS' ' COMMEN'-I::D UNDl'Rl/:'XPIRE IF ,Sidewalk Type: ANY CED 0 "THI THE . 180 DAY R IS A8 S PERMIT W~nspontS/Drains: PERIOD, 'ANDONED FdZ NOr . ' Total: : Handicapped: . Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Constrnction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Valne Date Calculated Paee 1 of2 . ....:s.~I'l~!!I~!!i!f,!i?J'., ~t""';i ' . - , ~ -:h, 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 Water Line - 1st 100' Total Amount Paid Total Value of Project Fe~s Pai~ I Amount Paid Date Paid 8/7/09 8/7/09 8/7/09 CITY OF 1'lrKll~vNJ',LD Building/Cqmbination Permit PERMIT NO: COM2009-01154 ISSUED: 08/07/2009 APPLIED: 08/07/2009 EXPIRES: 02/07/2010 VALUE: Receipt Number , 2200900000000000899 2200900000000000899 2200900000000000899 To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a.m. will be,made the same working day, inspections requested after 7:00 a.m. wilfbe made'the following' work day. $9,12 $3,80 $76,00 $88,92 I Plan Reviews I I Re/lllired Tnsneetions 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 ofthe 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 SerVi~es 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 It cated at the front of the property, and the approved set of plans will remain on the site at all time ring const Ictiol '\ ;1, ~ ~ cE-7-()~ O,~r Contractors Signally Date i I Page 2, of 2 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01154 COM2009-0 1154 COM2009-01154 Payments: Type of Payment Cash Change Job/Journal Number COM2009-0 1154 COM2009-0 1154 COM2009-0 1154 Payments: ' Type of Payment Cash Change cReceintl RECEIPT #: Description Water Line - 1st 100' + 5% Technology Fee + 12% State Surcharge Paid By DEAN GRAZIER DEAN GRAZIER Description Water Line - 1st 100' + 5% Technology Fee + 12% State Surcharge Paid By DEAN GRAZIER DEAN GRAZIER , ' City of Springfield Official Receipt Development Services Department Public Works Department i 2200900000000000899 , Date: 08/07/2009 Item Total: Chec~ Number Authorization Received By Batch'Number Number How Received djb djb In Person In ~erson Payment Total: Item Total: Check Number Authorization Received By BatchiNumber Number How ~eceived djb djb ' In Person In Person Paym~nt Total: Page 1 of 1 2:44:25PM Amount Due 76,00 3,80 9,12 $HH,92 Amount Paid $100,00 ($1108) $HK 92 Amount Due 76,00 3,80 9,12 $HK 92 Amount Paid $100,00 ($1108) $H8,92- 8/7/2009