HomeMy WebLinkAboutPermit Building 2010-3-18
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00338
ISSUED: 03/1812010
APPLIED: 03/1812010
EXPIRES: 09/1812010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
SITE ADDRESS: 1342 M ST
ASSESSOR'S PARCEL NO.: 1703253301700
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace washer waste
TYPE OF USE: Repair
Residential
Owner: DEAN OBRIEN
Address: 1342 M ST
SPRINGFIELD OR. 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
R-3
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Type of Construction
Page lof2
Phone Number: 541.
Expiration Date
02/28/2011
Phone
541-935-6350
Lot Size:
Sq Ft I st Floor:
, Sq Ft 2nd Floor:
Sq Ft Basement:
. Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00338
ISSUED: 03/18/2010
APPLIED: 03/18/2010
EXPIRES: 09/1812010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid. . Date Paid Receipt Number
$6.96 3/18/10 2201000000000000252
$2.90 3/18/10 2201000000000000252
$19.00 3/18/10 2201000000000000252
$39.00 3/18/10 2201000000000000252
Total Amount Paid
$67.86
I. PIl.InRey!e\Ys . ~
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.
LReouired Insoections I
Rough Plumbing: Prior to cover and inclnding required testing.
Final Plumbing: When all plnmbing work iscomplete.
By signature, I state and agree, that I have carefully 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 structnre without permission of the Community Services Division, Building Safety.
I further 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. .L;.!.Jl. .l~. '\j,':"
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Owner or Contractors Signature
Date
Page 2 of2
225 Fifth'Strect
Springfield, Oregon 97477
54]-726-3759 Phone
~.~
----.--.,.....-.. ..,.....- -
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECE]PT #:
220]000000000000252
9:55:43AM
Date: 03/]8/20]0
Job/Journal Number
COM2010-00338
COM2010-00338
COM2010-00338
COM20 I 0-00338
Payments:
Type of Payment
CreditCard
cReceintl
, Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
A mount Due
19.00
39.00
6.96
2.90
$67.86
Paid By
AARON MUSTIN
Item Total:
Check Number Authorization
Received ~y Batch Number Number How Received
djb 01826b In Person
Payment Total:
$67.86
$67.86
Amount Paid
. .
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3/18/2010