HomeMy WebLinkAboutPermit Building 2010-2-19
SI'!A1NOI!'E&,D
Status
Issued
'CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00220
ISSUED: 02/19/2010
APPLIED: 02/19/2010
EXPIRES: 08/19/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2836 WAYSIDE LN
ASSESSOR'S PARCEL NO.: 1703224403300
Springlield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT BESCRIPTlON: Approximately 85 feet of water line.
Owner: HUBGINS ELBON R
Address: 2836 WAYSIDE LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUIL()\NG INFORMATION I
Expiration Date
02128/2011
Phone
541-935-6350
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
ReaJ')'ard Setback:
Solar Setbacks:
Overlay ()jst:
# Street Trees Rqd:
Paved B,'ive Rqd:
%' of Lot Coverage:
, . ,
REQUIREB PARKING
Total:
Handicapped:
Compact:
'!MMENCED OR IS ABANDONED ~~Iuation Descri
, , ,~,~ nAY PERIOD,
I PUBLIC IMPROVEMENTS I
s.;~>>'&!<lawITequires you,to
ATTENTION: Dr >l~' \W Qregon Utility
follow rules aDij~~t t'JifJefire set lorth
Notilica\iOn coet~~10~hrOugh OAR 952,-OO~y.
in OAR 952-0 - . copies of the ru es
0090 you may obtalO e' the telephone
liin the center. (Not '" Notification
er 0 0 332-2
Center is 1-80 -
Street Improvements:
Storm Sewer Available:
Speciallnstructioll :
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
'f I.,..",..........
V " 'V. II""&'"
Description
TYI)e of Construction
$ Per Sq Ft
or multiplier
. Square Footage
or Bid Amount
Value
Bale Calculated
Page I of2
. :! ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00220
ISSUED: 02/19/2010
APPLIED: 02/19/2010
EXPIRES: 08/19/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Valne of Project
. Fees Paid ~
Fee Description
+ 12% Statc Snrcharge
+ 5% Technology Fcc
Water Line - 1st 100'
Amonnt Paid
Date Paid
Receipt Number
$9.12
$3.80
$76.00
2/19/10
2/19/1 0
2/19/10
1201000000000000153
1201000000000000153
1201000000000000153
Total Amount Paid
$88.92
I Plan Reviews ~
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.
Reauired InsDections ~
Water Line: Prior to tilling trench and inclnding required testing.
By signatnre, I state and agree, that I have carefnlly 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 of any strncture without permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I 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 on the site at all
times during construction. .
~~
~r or Contractors Signature
2-(7 - co/u'
Date
Page2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000153
Date: 02/19/2010
9:37:49AM
Job/Journal Number
COM20 I 0.00220
COM20] 0~00220
COM20] 0-00220
Payments:
Type of Payment
CreditCard
cReceintl
Description
Water Line - 1 st ] 00'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
AARON MUSTIN
Received By
n
. . \~,
-,', }.
Page ] of]
Check Number
}Batch Number
019598
,
Item Total:
Authorization
Number How Received
Amount Due
76.00
9.12
3.80
$88.92
Amount Paid
019598 In Person
Payment Total:
$88.92
$88,92
211912010