HomeMy WebLinkAboutPermit Plumbing 2010-1-11
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00037
ISSUED: 01/11/2010
APPLIED: 01/11/2010
EXPIRES: 07/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 832 D ST
ASSESSOR'S PARCEL NO.: 170335\306700
. Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace waterline approx 301f
Owner: BROWN LYNN ALBERTUS & LINDA KATHLEE
Address: 832 D ST
SPRINGFIELD OR 97477
.'
/
,
,.
'CONTRACTOR INFORMATION J.
Contractor Type
Plumbing
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUILDING INFORMATION I
Expiration Date
02/28/2011
Phone
'541-935-6350
# of Units: ." # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Gronp: T~~!9.
Primary Construction Type VB \e,'lI ~Mfo~\~
Secondary Construction Type: ~'. Oteg~ 'eN \"erQ,ti[9.lIf~~\.
# ot Bedrooms: ~~~O S a~o9'J '1tIO$etll\~~\llmP."~ \1i
...aQ'lftU\e Cen\eC. O"'tOl1~1 M~911ng:
..,..,,"edofl . ~"r\..$ ~J".:..i."ootl
~O~~:~~o~~~dl1~Qi.~6RMATION ,
~. "~\tItl oe"'otegotl .. .~r.
oe1\~'" ",e ~
":":""_tlBt \01 let \I \ Overlay Dist:
t\\P'-' cen # Street Trees Rqd: .
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. Total:
Handicapped:
Compact:
,.
I PUBLIC IMPROV~MENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
. --~ .:-~,,,...
Sidewalk.Ty~e';;'-N()?-~ .
. " DO~~\fu~1'~o ~() ::'.
~~)"nC~:' ~\i ~\-\t>-\..\ i\\\~ ?t.~t.1J rC\?-..:: .
I\\\S ~~~\1t.1J ~~~~S t>-'Ot>-~IJC\ .' .
,\ II _,.('~G _.['1"'1_
"c,IJi,YiJ"" t>-~ \",t.r.
I Valuation Descpoti"b'Dllf
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page'l of 2
_SWl:':'~t~~,IjfI-S:~~;
--"-'--'-"'r..._
..............,...............,!.-...
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00037
ISSUED: 01/11/2010
APPLIED: 01/11/2010
EXPIRES: 07/11/2010
VALUE:
Status
Issued
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
Water Line - 1st 100'
Amount Paid
Date Paid
$9.12
$3,80
$76.00
1/11/10
1/11/10
1/11/10
Receipt Numher
1201000000000000028
1201000000000000028
1201000000000000028
Total Amount Paid
$88,92
I 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,inspection~ requested after 7:00 a,m. will be made the following
work day.
R~r,\II,jred T nsnections .
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 is true 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 o(any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractorsllDd 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~~ I/{I/;o
~
O~ner or Contractors Signature Date
. ~', '"
p:. I:' ."
Page 2 of2
225 Fifth:-Street
Springfield, Oregon. 97477
541-726-3759 Phone
Job/Journal Number
COM2010-00037
COM2010-00037
COM20 I 0-00037
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Water Line - I st 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
AARON MUSTIN
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000028
Date: 0111112010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
o 1169b In Person
Payment Total:
.".
."r
'i, "
Page I of I
10:06:06AM
Amount Due
76.00
9.12
3.80
$88.92
Amount Paid
$88.92
$88.92
1/11/2010