HomeMy WebLinkAboutPermit Plumbing 2006-2-16
..
. Status
Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
.. CITY OF ~rKll'1ljt<mLD'
Building/Combination Permif
PERMIT NO: COM2006-00197
ISSUED: 02/16/2006
APPLIED: 02/16/2006
EXPIRES: 08/16/2006
VALUE:
SITE ADDRESS: 1505 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363206400
Springfield TYPE OF WORK: Plumhing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: replace approx 251fwater line
: Owner: JONES BIRDSALL L
Address: 93175 POWERLINE RD
EUGENE OR 97401
.
Contractor Type
.' Plumbing
Contractor
OWNER
# ofVnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
. Frontyard Setback:
. Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
..
Tvpe of Construction
Arrt-, ._
f' . . ''-'iV' 0
/I; ....0,. ruf.. . regon / Phone Number:
. Ctilic:atlO " 2dOPted aW reqUir
In OAFl95 n Center. 7: by the Or es You to
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I CONTRACTOR'INFORMATION-'I) OAFl952 Orth
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Or the ~..~ ote: N- . . e n!le..' .
Center I::acens~Utir EXPlr~~~on Date
IS 1-800_3.~~ I!y Notiti,..",,,~e
-V'TiI}. -q
541-485.2152
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Phone
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING ,.
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved l\r~"tlte E If 1HE fJ_ct:
% ofL~~gv~'tsViM\l SHfo.ll ~~~ PERM\1IS NOl
,'''T14n~\Z~~ UN~~f tt.:;.unnMHl FOR
I PUBLIC IMP~q~ENF~~ER\OO.- .
ji.~t IUIII..i" Sidewalk Type:
"
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!elof2
.
. CITY OF SPRINGFIELD:
Building/Combination Permit
PERMIT NO: COM2006-00197
ISSUED: 02/16/2006
APPLIED: 02/16/2006
EXPIRES: 08/16/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
" 541-726-3769 Inspection Line
Total Value of Project
F"".. P~id .
': Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Amount Paid
Date Paid
$4.50
$3.60
$45.00
2/16/06
2/16/06
2/16/06
Receipt Number
2200600000000000220
2200600000000000220
2200600000000000220
Total Amount Paid
$53.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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'
-~ -
I R"oll~.?"~tinn.'
Water Line: Prior to fiUing 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 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
I ' 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 con (~ction.
().. /; h In /,
I~-
:
Owner o&tractors Signature
Date
A'
Pal!e 2 of2
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"
-
J~b/Journal Number
COM2006.00 197
COM2006.00 197
COM2006.00 197
Payments:
Type of Payment
Check
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2/16/2006
RECEIPT #:
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
BJ JONES
G~Q~;D."'~.:...
1Iii:' .,
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.'-"--~--'--", --,
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200600000000000220
Date: 02/16/2006
Item Total:
Cbeck Number Autborizalion
Received By Batch Number Number How Received
djb 1949 In Person
Payment Total:
Page 1 of 1
IO:17:47AM
Amount Due
3,60
4,50
45,00
$53.10
Amount Paid
$53,10
$53. I 0