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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>. ~ · U I .. ,,0\ qOl'" ~Oj\lo ~ ,- ~G'6e.I" .()I)'\" 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~~ ~~~~li~ ~I.)"\\t\~\\ ~~~;~? \~~ ~'ij'ij~r:\) ~ ~ \~\~ \l~?\lt.'ij ~ ~ \~ t>-'O~ t>.\}\~~cl-\Ct.'ij ~c~\'ij'ij. 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