HomeMy WebLinkAboutPermit Plumbing 2010-1-13
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2{nO-00046
ISSUED: 01/13/2010
APPLIED: 01/13/2010
EXPIRES: 07/13/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 537 HAYDEN BRIDGE PL
ASSESSOR'S PARCEL NO.: 1703262101100
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace water line
,
Owner:
Add ress:
KLIPFEL DONALD J & JUDITH A
537 HA YDEN BRIDGE PL
SPRINGFIELD OR 97477
I 'CONTRACTOR INFORMATION I
Contractor Type
Plnmbing
Contractor
OWNER
License
Expiration Date Phone
~UlLDlNG INFORMATION I
.-
# of Stories:
R-3 Height of Structure
Type of Heat: .
VB . Water Type:
Range Type:
Energy pa~' \0
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. .a n a
~.:_~~ij~ION I
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~~~_~~~~~s :
~ --_o8I(j.dri2r "
~:::~~overage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
.,-'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Type of Construction
Sidewalk Type: , ~." ":"'" ,",
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, . , Downspouts/Drains:;!';:~,~'" ,'I:' ":'.,1'\"", :~,
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Valuation Descrintion II' O\'J\\'J\~~Ct: ,/ ?~?\OO.
C 'ISO'i)!>.l
$ Per Sq Ft Square Fo~1e V I
or multiplier or Bid Amount a ue
Date Calculated
Notes:
Pa2e I 01'2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspect;on Line
,....
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00046
ISSUED: 01/1312010
APPLIED: 01/1312010
EXPIRES: 07113/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
Date Paid
Receipt Number
$9,)2
$3.80
$76.00
1113/1 0
1113/10
1113/10
2201000000000000034
2201000000000000034
2201000000000000034
,Total Amount Paid
$88.92
I Plan Reviews ,
To Request an inspection call the 24 hour rec'1rding at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day, insp~ctions requested after 7:00 a,m. will be made the following
.1 " .
work day.
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I R.e~~~ire~ In~n~cti..o~s 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 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 of any structure without permission of the Commu!,itY 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all
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Page 2 01'2
225/Fifth,Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal NUJ!1ber
COM20 1 0-00046
COM2010-00046
COM20 I 0-00046
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Water Line - 1st 100'
+ '12% Slale Surcharge
+ 5% Technology Fee
Paid By
D J KLIPFEL
City of Springfield Official Receipt
Development Services Department
Public Works Department
2201000000000000034
Date: 01113/2010
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
5116
In Person
Payment Total:
'.
,,'
Page 1 of 1
9:07:41AM
Amount Due
76,00
9,12
3,80
$88.92
Amount Paid
$88,92
$88.92
1113/2010