HomeMy WebLinkAboutPermit Plumbing 2009-8-24
Status
Issued
CITYOI' ~t'Klj~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-01239
ISSUED: 08/24/2009
APPLIED: 08/24/2009
EXPIRES: 02/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6840 D CT
ASSESSOR'S PARCEL NO.: 1702352313500
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace water line
Owner: LAMB MICHAEL V
Address: 6840 D ST
SPRINGFIELD OR 97478
Phone Number: 541-513-0798
ATTENTION: 0 ,I CONTRACTOR INFORMATION I
. :ol/~w rules ad:;ied b-" 'OyuI/BS you to
OohtraetorCenter ThoY the, Oregon Utility License
~i1t~(rO\JRT)EN~iJ~9.NMI(~jA~!S~AV.](!:l'lS 1182531
. -c-aiiin~u~h~'~~~t~~'I;' 'BUII'JDlNGtiNi0RM'A TION I
number tor the 0 . ,. '~,c'. ~"" leJepnone
. regon ! 1+,/,', "-'_.c'" .
# ofUmts: Center ,'s 1-800 ~ 0.fStones::at1on
-3..11") ?::'H.II'
Primary Occupancy Group: R-3 Height of.Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
Expiration Date
06/11/2010
Phone
541-689-1711,
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
. Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NnTIf'r:.
THIS PER'MlT ~Ii'W!I,If.1~PROVEMENTS I
AUTHORIZED UNDER Y'H' "'~ " , nt VVURK
COMMENCED OR IS ABA~~ERMIT IS NOT
ANY 180 DAY PERIOD. NED FOR
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value.
Date Calculated
Paee I of 2
-.~'-~~e~!~'J/,,\~W
~~(" ["\. .:;;:11
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-01239
ISSUED: 08/24/2009
APPLIED: 08/24/2009
EXPIRES: 02/24/2010
VALVE:
225 Fifth Street, Springfield, OR
541- 726~3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~e~ Paid I
Fee Descriptiou
+ 12% State Surcharge
+ 5% Technology Fee
Water Line. 1st 100'
Amount Paid
Date Paid
Receipt Number
$9.12
$3.80
$76.00
8/24/09
8/24/09
8/24/09
1200900000000000971
1200900000000000971
1200900000000000971
Total Amount Paid
$88.9i
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. >'...
Reouire~ l~soections I
Water Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I have carefuIly 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 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' located at the front of the property, and the approved set of plans will remain on the, site at all
times during construct" . .
0:;;;;;_ ,;}.y- 05>
Owner o~utracto;s Signature
Date
Pa2e 2 01'2
22~ Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01239
COM2009-01239
COM2009-0 1239
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Water Line - 1st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
MICHAEL LAMB
~.~~.:OF. :Oi~..
..... '
...,..0;
,. . ,...
.~c_~___.:...' ~.,'. m'
City ofSprirgfieId Official Receipt
Development Services Department
Public Works Department
1200900000000000971
Date: 08/24/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1208 In ~erson
Payment Total:
Page I of I
1:36:55PM
Amount Due
76.00
3.80
9.12
$88.92
Amount Paid
$88.92
$88. 92
8/24/2009