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
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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