HomeMy WebLinkAboutPermit Plumbing 2009-12-16
Status
Issued
CITY OF SPRIl'olYJ'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-01797
ISSUED: 12/16/2009
APPLIED: 12/16/2009
EXPIRES: 06/16/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 520 34TH ST
ASSESSOR'S PARCEL NO.: 1702312408800
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Public
PROJECT DESCRIPTION: Water Heater
Owner: SLINGER EDITH L TE
Address: 520 34TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor
SURRETTS
License
158295
BUILDING INFORMATION ~
Expiration Date
01114/2010
Phone
741-3553
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building,
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
.'o/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I Setback:
Side Z Setback:
Rearyard Setback:
Solar Setbacks:
, Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
,Total:
, Handicapped:
, Compact:
I PU~L1C IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
ATTENTION: Ore!;\Qn law requires you to
follow R'1':!!l'!'81lIWilltl9~he Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
NOTICE: RE \FiHE WORK 0090, You may obtain copies o1the rules by
~"". nCQMlI SH/I,LL EXI'\ _ __;...,. tC ~I()T callina the center, INote: the telephone
~'UTHORIZED UNDEK \ t1lv r ',' :;:~m\-j ",number for the, Oregon Utility Notification
" n':1ENCED OR IS ABANDC 1\'v,allJatlOn DescnotlOn Center IS 1-S00p32-2344). '
,m,I"Q R\OD,
'I': 1, ,0 D~Y PE, $ Per Sq Ft Square Footage '
Type 01 ConstructIOn I ' I' B'd A Value Date Calculated
. or mll tip ler or I mount
Storm Sewer Available:
Special Instruction:
Notes:
Description
,;.;'1
'f'
Pa2e I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01797
ISSUED: 12/16/2009
APPLIED: 12/16/2009
EXPIRES: 06/1612010
VALUE:
225 Fifth Street, Springfield, 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
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$6,96
$2.90
$19;00
$39,00
12/16/09
12/16/09
12/16/09
12/16/09
2200900000000001398
2200900000000001398
2200900000000001398
2200900000000001398
Total Amount Paid
$67.86
I Plan Reviews ,
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 R.~ouiredl nsnections .
Final Plumhing: When all plumhing work is complete,
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'he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wo'rk 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 co a 0 and employees who are in compliance with ORS 701.005 will'be used on this project.
I further ag e 'ure t at all ired inspections are requested at the proper time, that each address is readable from the
street, tha the it c 'd is I t d at the front of the property, and the approved set of plans will remain on the site at all
times during 0 S
/'Ij 7
. _::... t,.
Owner or Contractors Signature
rz-!r blm
{ /
Date
Pace 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.Job/Journal Number
COM2009-0 1797
COM2009-0 1797
COM2009-0 1797
COM2009-0 1797
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
~:r,.">>,'''!'!',,~''jj''~.~'''' '...'.'
..~~.. -, .
.",~ "
-.~(
--- ..~- -.-
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001398
Date: 12/16/2009
2:59:31PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
19,00
39.00
2,90
6,96
$67,86
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GREEN CITY
CONSTRUCTION
Amount Paid
nJm
065817 In ~.erson
$67,86
Payment Total:
$67,86
I.
Page I of I
12/16/2009