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HomeMy WebLinkAboutPermit Plumbing 2010-1-19 _li!~IlII1;1QFiI1il:I;~" 1 ' ' t , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00069 ISSUED: 01/19/2010 APPLIED: 01/19/2010 EXPIRES: 07/1912010 VALUE: Status ' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 755 66TH ST ASSESSOR'S PARCEL NO,: '1702341102915 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Three fixtures Owner: DUNCAN TERRY E TE Address: 755 66TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMA!ION I Contractor Type Plumbing Contractor BAXTER PLUMBING & ROOTER LLC License 169028 Expiration Date 03/13/2010 Phone 541-935-6696 BUlLDlNG INFORMATION I # of Units: Pl"imary Occupancy Group: Secondary Occupancy croup: Primary Construction Type Secondary Construction Type: , # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: ' Range Type: Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: ' Occupant Load: nla I DE':ELOPMENT INFORMATION, I REQUlRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: " I PUBLIC IMPROVEMENTS r Notes: Sidewalk Type: , ,;.'~: .1. ; Storm Sewer Available: ATliiJII,TI@M'W~!1!Jns' Special Instructioi!:T/CE: Nfo'~ow rules ~doP/edn:aw requires you to 'HIS PE oMica/ion C / Y the Oregon UtiI' , RMIT SHALL EXPIRE IFTHE WORK In OAR 952-oo~n er. Thoserulesare eU iIy ,~~!.~?_~I~E_~ UNDER THIS PERMIT IS NOT 009q" Youmav~':?,~?nI~~O~~hC?AR9~2-o~~ - ~ """~,"vLU ur. 10 AtiAI~I'UI'Jt:U I'''' SIli""!:IlI/tI cent /I--~ v, U'\1 rures hu ANY 1 J). I nUmb er. (Nole'lh -, 80 DAY PERIOD, Valuation Descrintion ~forth~ Oregon uii/jtye~el~Phone , ' enler 18 t -800-332_ Ollficat/on , $ Per Sq Ft Square Footage 2344). Type of Construchon I ' I' B'd A' Value Date Calculated, or mu tip Ief or I mount Street Improvements: Description Paee I 01'2 Status Issued CITY OF SPRIN\Jl'lELD ' Building/Combination Permit PERMIT NO: COM2010-00069 , ISSUED: 01/19/2010 APPLIED: 01/19/2010 EXPIRES: 07/19/2010 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54] -726-3769 Inspection Line Total Value of Project Fe~s Paid" Fee Description + 12% State Surcharge + 5% Technology Fce Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Nnmber $6.96 $2.90 $57,00 $1.00 1/19/]0 1/19/]0 1/]9/]0 1/]9/]0 1201000000000000055 ]20]000000000000055 ]201000000000000055 1201000000000000055 Total Amount Paid $67,86 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, inspections requested after 7:00 a.m. will be made the following work day. I .R,enuired r nsnectinns I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. By signature, I state and agree, that] have carefully examined the completed application and do bereby certify that all information hereon is true and correct, and] furth'er 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 OCCUP ANCY will be mad,e 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 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 construct' n. /----1/-10 tf--t-~ wiler or Contractors Signature Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~L~l Job/Journal Number COM20 I 0-00069 COM20 1 0-00069 COM20 1 0-00069 COM20 1 0-00069 Payments: Type of Payment CreditCard cRcccintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000055 Date: 01119/2010 1O:39:49AM Item Total: Check Number Authorization Received By Batch Number Number How Received Description Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Paid By BAXTER PLUMBING Page 1 of I Amount Due 57,00 1.00 6,96 2,90 $67.86 Amount Paid njm 008543 In Person Payment Total: $67,86 $67.86 '\ 1119/2010