HomeMy WebLinkAboutPermit Plumbing 2010-1-21
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00088
ISSUED: 01/21/2010
APPLIED: 01/21/2010
EXPIRES: 07/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 345 SCOTTS GLEN OR
ASSESSOR'S PARCEL NO,: 1703271310300
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace shower
Owner: CHARLES R SCHNIDER TRUST
Address: PO BOX 64142
ST PAUL MN 55164
I C.ONTRACTOR INFORMA nON,
Contractor Type"
Plumbing
Contractor
ACCURATE PLUMBING & HVAC LLC
License
183051
Expiration Date
07/17/2010
Phone
360"944-8952
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLI~.IMPROVEMENTS I,....."-',,,J:'i'''''?;:,:'.,''
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I V ~Iuation Descrintion I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
(
Page I 01'2
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
-<,,,t;,,
PERMIT NO: COM20IO-00088
ISSUED: 01/21/2010
APPLIED: 0112112010
EXPIRES: 07/21/2010
VALUE:
Status
Issued
Total Valne of Project
Fe~s Paid'
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$6,96
$2,90
$19,00
$39,00
1/21/10
1/21/10
1/21/10
1/21/10
2201000000000000055
2201000000000000055
2201000000000000055
2201000000000000055
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.
'. R,eouired Insnectiol1s ,
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete.
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 ofany 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 nsed on this project,
I fnrther agree to ensnre that all required inspections are reqnested 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 setof plans will remain on the site at all
times during co truction.
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7-1/0
Owner or Contractors Signature
Date
Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
JobiJournal Number
COM20 j 0-00088
COM20 I 0-00088
COM20 10-00088
COM20 1 0-00088
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2201000000000000055
Date: 01/21/2010
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ACCURATE PLUMBING
Item Total:
Check Number Authorization
Received By Batch Number Number How'Rece;yed
djb
9684
In Person
Payment Total:
Page 1 of 1
10:28:37AM
Amount Due
19,00
39,00
6,96
2,90
$67,86
Amount Paid
$67,86
$67,86
1/21/2010