HomeMy WebLinkAboutPermit Plumbing 2009-12-23
Building/Combination Permit
PERMIT NO: COM2009-0I830
ISSUED: 12/23/2009
APPLIED: 12/23/2009
EXPIRES: 06/23/2010
VALUE:
('l;
_S\i!nl,,!,Or-'lItI,P,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
SITE ADDRESS: 2668 33RD ST
ASSESSOR'S PARCEL NO.: 1702193100907
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Repair internal supply line
TYPE OF USE: Repair
Residential
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: .
, , . '." -. .,,;". ',,:,::.~ :z"',;'''fi~~;~'r ~:...
~~~[;~~~'f\a~~t~~~\{ ~'~~~
AUi\-\ORIZED UNuth ~~AN60NEl$i~lk Type:
COMMENCED pO~~~D. Downspouts/Drains:
ANY 180 DAY
Owner: BOUR STEVEN M & JERRI D
Address: 2668 N 33RD ST
SPRINCFIELD OR 97477
, .~.
,I CONTRACTOR INFORMATION I
Contractor License
EHLERS CONSTRUCTION INC 4231
ATTENTION' Ure~m'7.g:~<h:~ e: ~
follow rules ~doPt~~rrHfl.lTlON I
N I'll 81lon Centef Those rules are se 0
# o.f Units: o~~ 95~.()Q1,()O'10thr~~~~2-001.
Primary Occnpancy Crou~~~ you'ffiay obtaIn Cc/iti...."'.~ ,.,fU\llll~
Secondary Occupancy Cr~iin ~ center. (NoT~\1o~e
Primary Co'nstruction Type ~ f~Ahe Ofegon"'~ilIJ~ce1iOn
Secondary Construction Tyr>>': Centef II 1~~: '
# of Bedrooms: Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Page I of2
Expiration Date
11/19/2010
Phone
541-689-6177
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Carage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKINC
Tntal:
Handicapped:
Compact:
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01830
ISSUED: 12/2312009
APPLIED: 12/23/2009
EXPIRES: 06/2312010
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 Surchargc
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amonnt Paid
Date Paid
Receipt Number
$6.96
$2.90
$19.00
$39.00
12/23/09
12/23/09
12/23/09
12/23/09
1200900000000001357,
1200900000000001357
1200900000000001357
1200900000000001357
Total Amount Paid
$67.86
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 Reouiredln~nections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, th.lt 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 thc City of Springfield and thc Laws of the State of Oregon pertaining to thc work described hercin, 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 ~::M:rd is located at the front of the property, and the approved set of plans will remain on the site at all
tim~"j;i:~ . /2 ~~ /01
I'J. r./.~ I,? ( .
Owner or contractouture Date
Pace 2 01'2
225 !/ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~.".r~.RINQ~FJ.,m.o .,. ~'. .,' II;,
., ,.,' ,
Ilk ,"
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1830
COM2009-0 1830
COM2009-0 1830
COM2009-0 1830
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
1200900000000001357
Date: 12/23/2009
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
EHLERS CONSTR INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
6727
In Person
Payment Total:
.t-
0.' ." , :~ ,\' '.
,.'
Page 1 of 1
II :05:49AM
Amount Due
19.00
39.00
2,90
6.96
$67.86
Amount Paid
$67,86
$67,86
12/23/2009