HomeMy WebLinkAboutPermit Plumbing 2004-8-2
Status
Issued
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: COM2004-00955
ISSUED: 08/02/2004
APPLIED: 08/02/2004
EXPIRES: 02/02/2005
VALUE:
SITE ADDRESS: 1405 PIEDMONT ST
ASSESSOR'S PARCEL NO.: 1703253204800
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE:
RepBir
ResidentiBI
PROJECT DESCRIPTION: Replace 60lfwater line
Owner: WILSON MATTHEW R
Address: 1405 PIEDMONT ST SPRINGFIELD OR 97477
Contractor License
READY ROOTER DRAIN CLEANING & R S~~U '\@ .
I BUlLDIJSG.Jl\l~i:l;'~{.' ,1J\\\I'~..ot>.
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O''I.f'....~1l~r1e~~inop..~9&'2. O'a'J Lot Size:
R-3 ~ .. g ~~$tu'O SqFtlstFloor:
~ ~'R C09'e~ \ele~"~ Sq Ft 2nd Floor:
VN t\~ '" .: ~otO", ~oli\~" Sq Ft Basement:
~. ilj(fQgO!\ \)\I\~. Sq Ft Garage/CBrport
~r€b~t1t:'-'~~' Sq Ft Other:
~~m.~ilr.ig: - niB Occupant LOBd:
I DEVELOPMENTINFORMATION I
Contractor Type
Plumbing
# of Units:
Primary Occupancy Group:
Secondary OccupBncy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard SetbBck:
Side 1 Setback:
Side 2 SetbBck:
RearyBrd Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vBilable:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR'INFORMA TION I
.~.~_.--
Expiration Date
02/18/2005
Phone
541-744-7991
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
SidewBlk ~~'C. \N~~
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I Valuation De~~~~t\~~ rl . ."
$ Per Sq Ft
or multiplier
Square FootBge
or Bid Amount
Value
Date CBlculBted
Total Value of Project
PBlle I of2
.
. Lil i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00955
ISSUED: 08/0212004
APPLIED: 08/0212004
EXPIRES: 02/02/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
l.FI'I'~ P~id.l
Fee Description
+ 10% AdministrBtive Fee
+ 7% State Surcharge
Water Line - 1st 50 Feet
WBter Line - Each Addlll00'
Amount PBid
Date Paid
Receipt Number
$5.90
$4.13
$45.00
$14.00
812/04
8/2104
8/2/04
8/2/04
2200400000000001001
2200400000000001001
2200400000000001001
2200400000000001001
TotBI Amount Paid
$69.03
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~eouired In~np~tinn'-l
Water Line: Prior to filling trench Bnd including required testing.
By signature, 1 state and agree, that 1 have carefully examined the completed BpplicBtion Bnd do hereby certify thBt BII
information hereon is true Bnd correct, and I further certify thBt any and all work performed shall be done in accordBnce with
the OrdinBnces of the City of Springfield Bnd the Laws of the State of Oregon pertBining to the work described herein, Bnd
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify thBt only contrBctors and employees who are in compliance with ORS 701.005 will be used on this project.
I further Bgree to ensure that BII required inspections are requested Bt the proper time, thBt eBch address is readBble from the
street, thBt the permit cBrd is 10cBted at the front of the property, and the Bpproved set of plans will remain on the site Bt BII
times duri ,.v::.. ~ction.
~
t!J;2 /0 '-J
Owner or Contractors Signature
DBte
Paee 2 012
225 Fifth Street
.
Springfield, Oregon 97477
54V-726-3759 Phone
.
Job/Journal Number
COM2004-00955
COM2004-00955
COM2004-00955
COM2004-00955
Payments:
Type of Payment
CreditCard
8/2/2004
RECEIPT #:
.~
IIIL-
av of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200400000000001001
Date: 08/02/2004
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID NICHOLS
ReceIved By
djb
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
000459
008273 In Person
Payment Total:
3:t2:28PM
Amount Due
45.00
14.00
4.13
5.90
$69.03
Amount Paid
$69.03
$69.03