HomeMy WebLinkAboutPermit Plumbing 2009-12-31
"
,
CITY OF SPRINGFIELD.
BuildinglCombination Permit
PERMIT NO: COM2009-01849
lSSUED: 12/3112009
APPLIED: 12/3112009
EXPIRES: 06/30/2010
VALUE:
Status
Issued'
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 3522 MAIN ST
ASSESSOR'S PARCEL NO,: 1702313102000
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace 10011' water line
Owner: OLSON BRENDA L & JEFFERY C
Address: 3522 MAIN ST
SPRINGFIELD OR 97478
",,'Ii-
I CONT~CTOR INFORMATION I
Contractor Type
Plumbing
Contractor License Expiration Date Phone
GARYS ROOTER & PLUMBING SERVICE L 174640 02128/2011 541.935.6350
IBUILDIN~i"iF~I4\.l!l\ll~on I" .
. ').Iotm I, YYd.. LOOpted b lllVf8quf,ea)'tlu
# of S"'6~~atlon Center.Tho;~ha Ollilgdij't'lu ~ '
H,eig_fi.trv'lflrP01-o0fO throu rUleS1'Rr<fllaor:
Type ofC:Wlltlg ,:ay Obtain cop,gh O.4Ijl&5~~or:
Watedlfml&8i for center. (Note~~S of ItlplitJlWwent:
Range Type: Ca ,the Oregon uiWtyha t8ljlA&lIt;iite/Carport
Energy Path: n ar Ie r-aO/J.332: Ng~f~r:
Sprinkled Building: nla ~cupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructio~ Type
Secondary Construction Type:
# of Bedrooms:
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:
Spedallnstruction:
'.,-;:-
.-.!".."."L. ~ f
I PUBLlqlMI'~EMENTS I
AUTHOFiIZ"E"D' J U0HALL EX~m:'t/l'1I<. 'IYp.e,: ' , ,
CO NDER TH ' I Ht: WORK .
~MENCED OR IS 1:iJ.I1.f/il;\lij'flfgJM}')';:,i'
AN) 180 DAY PER ABANDONED FOR " ,,!,
, IOD, ..>
Notes:
I V ~luation Descrilltion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
, Square Footage
or Bid Amount
Value
Date Calculated
Paee 1012
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726"3769Inspect~,on Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Water Line - 1st 100'
Total Amount Paid
Amount Paid
Total Value of Project
Fees P3id I
$9.12
$3.80
$76,00
Date Paid
12/31/09;[
12131/09
12/31/09
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM2009-01849
ISSUED: 12/31/2009
APPLIED: 12/31/2009
EXPIRES: 06/30/2010
Y ALUE:
Receipt Number
2200900000000001446
2200900000000001446
2200900000000001446
To Request an inspection call the 24 hour rectirdirig:at 726-3769. All inspections requested before 7:00
a,m, will be made the same working day, inspections requested aft~r 7:00 a.m. will,be made the following
work day,
$88,92
I Plan Reviews I
~'ioui,re~ Insl}ect,ions 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 iSltrue 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 ag'ree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permifcard is located at the front of the property, and the approved set of planswill remain on the site at all
times during construction. "
VJ6IW~fJ ~
Owner or Contractors Sigll3tuf
i,;i..'"(
, ~ 1
rl ,~:'
Paee 2 01'2
(2--- ') ( -0 q
Date
22~ Fi~th Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009.0 1849
COM2009.0 J 849
COM2009.0 1849
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
Description
Water Line .Ist 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
BRENDA OLSON
2200900000000001446
,City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/31/2009
1O:15:3IAM
Amount Due'
76.00
3.80
9,12
$88.92
Item Total:
Check Number 'Authorization
Received By Batch Number Number How Received
djb
.,',
Page I of I
9732 '
Amount Paid
In Person
Payment Total:
$88,92
$88,92
12/31/2009