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Home My WebLink AboutPermit Plumbing 2010-2-12 CITY OF SPRINGFIELD Building/C?mbination Permit 225 Fifth Street, Springfield, OR 541..726-3753 Phone 541-726-3676 Fax 541..726_3769 Inspection Line , PERMIT NO: C:OM2010-00198 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 08/12/2010 VALUE: Status Iss u ed , .i~ ,,' SITE ADDRESS: 4421/2 16TH ST ASSESSOR'S PARCEL NO,: 1703362409700 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Repair water line TYPE OF USE: Repair Residential Owner: CULVER JOHN M II TE Address: 442 1-2 N 16TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Plumbing Contractor EHLERS CONSTRUCTION INC DONN MERRICK PLUMBING LLC License 04231 185065 I ~UILD,ING INFORMATION' # of Units: II of Stories: Primary Occup'ancy Gronp: R..3 ieil hO\ll\1!J'ture Secondary Occupancy Group: n 1a'H f I'J\I\i\Y Primary Construction TIffEN1\O",:~e~:d b'l \Il ~~ ~~ol\h Secondary ConstructiO'io\~1U\es adQp "OIose f~. ~ ~82>OO\. # of Bedrooms: : ~\On cen:\O\"toutl\\H~ti~tIIes by \lI00~.~~~~Ob~~~P~ ~~g: n/a ou:n\ll9\l\8::tI,\~~~af.MIIAt INFORMATION ~ . ....ff\tl8t ~ iI ,.r"..,-811 .. . . ,- cel\\llf . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Expiration Date 11119/2010 01/08/20] ] Phone 541..689"6177 541-556-5629 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage/Carport Sq Ft Other: Occupant Load: . REQUIRED PARKING : Total: Handicapped: . Compact: I PUBLIC IMPROVEMENTS' '._ Sidewalk Type; t ~Op.\( : c', 'N01\C~~ ~ S\'\t.\.l~~i~'\6 ~01 ..ih, " 1\-\\5 PE?Wt~D \l~DEP. 1\'\\S I)O~EO fOR 1\\}"(\,\OR\ltEI) OR \S t>.'P1\~ CON\W\E~C 1\'1 PE?\OI). , i\~'i ,\8() I) Street Improvements: Storm Sewer Available: Spcciallnstrnction: Notes: Page I of2 Status Issued 225 Fifth Street, Springlield, OR 541-726..3753 Phone 541..726..3676 Fax 541..726-3769 Inspection Line , , I Valuation Descriotion I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing , Amount Paid Date Paid $6.96 $2.90 $19.00 $39.00 2/12/10 2/12/1 0 2/12110 2/12/10 Total Amounl Paid $67,86 Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00198 ISSUED: 02/1212010 APPLIED: 02/12/2010 EXPIRES: 08/12/2010 VALUE: . Value Date Calculated Receipt Number 1201000000000000124 1201000000000000124 120!000000000000124 120!000000000000124 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,ef'uired Ins'1~ction~ I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is.complete. By signature, I state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance witb 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 of any structure without permission of tbe Community Services Division, Building Safety. I further certify that ollly contractors alld employees wbo are in compliance with ORS 701.005 will be used on this project. 1 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 011 the site at all 1"'_: ", times during construction. " :''';! '.. \-'.~ 'rtiJ;-~ J' 1 ~~-~ OWller or Contractors Sigllature Page 2 of 2 2-.12. I D Date 225 F,ifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Developme!1t Services Department Public Works Department Job/Journal Number COM20 I 0-00 198 COM20 I 0-00 198 COM20 1 0-00 198 COM20 1 0-00 198 Payments: Type of-Payment Check , cReceint\ RECEIPT #: Date: 02/1212010 1201000000000000124 Description Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Pa;d By EHLERS CONSTRUCTION INC Item Total: Check Number Authorization Received By Batch Number Number How'Received 6837 djb In Person Payment Total: lip) ".:..iJ .'Page 1 of 1 9:S2:22AM Amount Due 19.00 39.00 6,96 2.90 $67.86 Amount Paid $67.86 $67,86 2112/2010