HomeMy WebLinkAboutPermit Plumbing 2010-1-19
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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