HomeMy WebLinkAboutPermit Plumbing 2010-1-25
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00I03
ISSUED: 01/25/2010
APPLIED: 01125/2010
EXPIRES: 07/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 555 Q ST
ASSESSOR'S PARCEL NO,: 1703264208400
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Install500lfwater line
Owner: H STEWART BURGE REVOCABLE TRUST
Address: 525 HARLOW RD
SPRINGFIELD OR 97477
Contractor-Type
Plnmbing
I CONTRACTOR INFORMATION.
Contractor License
READY ROOTER DRAIN CLEANING & R SI192524
BUILDING INFORMATION'
Expiration Date
02125/2011
Phone
541-744-7991
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupa.ICY Group: Type of Heat: ,.
Primary Construction Type . Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: ATTENTION: Oregon 1lrN~ll9tjau to
foUow rules adopted bytlRri8l<hgbll~: n/a
~OARs62~1" 01"tY~!'!!ft~M1l5~fiMATION 1
0090, You mayob n COpl&S or InV Nt"'lI J,
calling the center. (N~: iI ~~
nvmbel' for the Oregon "ees Rq :
Center,ls 1-80 - dO' R d
aye five q :
% ,of Lot Coverage:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: ,
Occnpant Load:
Frontyard Setback:;
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLICIMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Sidewalk Type:
,.;, "c' DownspontslfGlillaild AVO 09 ~ ANV
,;?" 1I0~ Q3NOONVIlV SI\:IO Q3:lN3\f11WO:l
lONOMSI3j.\HW1~~~B~~~ ~~~~~ fIN~~~H~~l
)l1:I;a ~::I'lll fl..N
Notes:
I Valuation Description I
~ ~:.:., '. . i '
. h_ _, .~ ,_ ,,_._
.. .,' "", . ,.~.",
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Page I 012
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.; ':
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-00103
ISSUED: 01/2512010
APPLIED: 01/25/2010
EXPIRES: 07/25/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid 1
Fee Description
+ 12% State Surcharge
+ 5% Tecbnology Fee
Water Line - 1st 100'
Water Line" Each AddtlIOO'
Amount Paid
Date Paid
Receipt Nnmber
$18,24
$7,60
$76,00
$76,00
1/25/10
1/25/10
1/25/10
1/25/10
1201000000000000072
1201000000000000072
1201000000000000072
1201000000000000072
Total Amonnt Paid
, $177.84
Plan Reviews I
To Request an inspection call the 24 hour r~~;;rdihg'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~auir~~ Insnec~i?n~ 1
Water Line: Prior to filling trench and inclnding required testing,
By signatnre, I state and agree, tbat I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance witb
the Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Building Safety,
1 further certify that only contractors and employees who are in compliance wifh ORS 701.005 will be nsed on this project.
I further agree to ensnre that all required.inspections are reqnested at the proper time, that each address is readable from the
stree, a ermit card is loc the J'r t of the property, and the approved set of plan~ will remain on the site at all
times durin nstruction.
(z, /-2J"- /0
Date
;'1 .
.". .
"
Paee 2 of 2
225 Fifth Street
Sprin'gfield, Oregon 97477
541-726-3759 Phone
\;
Job/Journal Number
COM20 1 0-00 1 03
COM20 1 0-00 1 03
COM20 1 0-00 1 03
COM20 1 0-00 I 03
Payments:
Type,of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Water Line - 1 st 100'
Water Line - Each Addtl 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DAVID NICHOLS
"~..'.,"j...,.\Hi'~""'':''ELO''.' .111.."...'.."'.'.'..'...'.
:: ,':'
.,','.". '
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000072
Date: 01125/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
00534d In Person
Payment Total:
Ji
l:t)~ '
.1,,-.;<
','J
" '
;;'.'
Page I of 1
12:04:07PM
Amount Due
76,00
76,00
18,24
7,60
$177,84
Amount Paid
$177.84
$177,M
1/2512010