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HomeMy WebLinkAboutPermit Plumbing 2009-12-16 (2) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01797 ISSUED: 12/16/2009 APPLIED: 12/16/2009' EXPIRES: 06/17/2010 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 520 34TH ST ASSESSOR'S PARCEL NO.: 1702312408800 Springfield TYPE OF WORK: Plnmbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Water Heater Owner: SLINGER EDITH L TE Address: 520 34TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor'Type Mechanical Plnmbing Contracfor SURRETTS SURRETTS License 158295 158295 I, B,UILDING INFORMATION. . Expiration Date 01/14/2010 01/14/2010 Phone 541-520-7225 741-3553 # of Units: Primary Occnpancy Gronp: Secondary Occnpa~cy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: WaterTYpe: Range Type: Energy POth: Sprinkled Bnilding: 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 ~ REQUIRED PARKING / Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: \ I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: . Sidewalk Type: , Downsp'outs/Drains: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMI1: IS NOT COMMENCED OR IS ABANDONED~OR ANY 180 DAY PERIOD. '.,"". ATTENTION: Oregon Jaw requires you to follow rules adopted by the Oregon Utility . Notification Center. Those rules are set fort~ In OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules b) calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page 1 of 3 \..-11 i' OF ~rKll~ul'lELD Status Issued Building/Combination Permit PERMIT NO: COM2009-01797 ISSUED: 12/16/2009 APPLIED: 12/16/2009 EXPIRES: 06/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V ~Iuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated , " .Total Value of Project L.Fp~., P~iIU Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $6.96 12/16/09 2200900000000001398 $2.90 12/16/09 2200900000000001398 $19.00 12/16/09 2200900000000001398 $39.00 12/16/09 2200900000000001398 $9.48 1111/10 2201000000000000021 $3.95 1/11110 2201000000000000021 $79.00 1/11/10 2201000000000000021 Total Amount Paid $160,29 I Plan Reviews I To Request an inspection call the 24 hour recordtng at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day,insjiections requested after 7:00 a.m. will be made the following work day. ' Rrflllirprllnsnections I Final Plumbing: When all plumbing work is complete, Final Mechanical: When all mechanical work is complete. Paee 2 of 3 " , ....'1 ." .'1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01797 ISSUED: 12/16/2009. APPLIED: 12/16/2009 EXPIRES: 06/17/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and'agree, that I have carefnlly examined the completed application and do herehy 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 work described herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Bnilding Safety. I further certify that onl~ I ractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agre to ensure th' a I required inspections are requested at the proper time, that each address is readable from the ,street, that p(}:;tc/car s located at the front of the property, and the approved set ,of plans will remain on the site at all ';m~'>:; ;" ,liD . Owne' or Contraltors Signature Date I : , '. " Poee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1797 COM2009-0 1797 COM2009-01797 Payments: Type of Payment CredilCard cReceintl RECEIPT #: Description 1st Appliance + 12% Stale Surcharge + 5% Technology Fee Paid By MIKE DONAHOUE r~.A'N_~ "''''''.. BlL -'. -- ... ~ r".~_r' _ _m'_._.____~>'"... ~, City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000021 Date: 0111112010 Item Tolal: Check Number Authorization Received By Batch Number Number How, Received llh 33129 In Person Payment Total: ') Page I of I 1l:32:46AM Amount Due 79.00 9.48 3.95 $92.43 Amount Paid $92.43 $92.43 1/11/2010