HomeMy WebLinkAboutPermit Building 2010-4-26
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00509
ISSUED: 04/26/2010
APPLIED: 04/26/2010
EXPIRES: 10/26/2010
VALUE:
Status
Issued
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SITE ADDRESS: 1928 D ST
ASSESSOR'S PARCEL NO.: 1703361310600
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 130 ft of water line & one hose bib,
Owner: SULLIVAN LIVING TRUST
Address: 1928 D ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor
OWNER
License
Expiration Date Phone
BuiLDINGiiNFORMA TlON ~
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Wof Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:'
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:' '
# .Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~
ATTENTION: Orego~il!lw,l!qifll'P8:you.I.0
-- "C.follow rules adoPleqjaYvtl1\\~rl~GP.~M~~
1'}~;'JNciliiicalloncenler. Those r(jles,:: :;2-001.
:.:" In'OAR 952-Q01-0010 lhrough 0 rut hV
, h' " 0090 You may obtain copies of the es wr
calilng the center. (Note: .'!1e tel~phone
.t':Anl r is 1-800-332-2344).
Descfl rnnr
Notes:
NOT'C~:MIT SHAlt EXPIRE IF
THIS PER THIS PER
AUTHORIZED UNDER DONS}fp!\ Ft
DescriPlio'tOMM[OOW 06\,laGIMt;! I . I'
PERIOD or mu tIp ler
ANY 180 DAY .
Square Footage
or Bid Amount
Value
Dale Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00509
ISSUED: 04/26/2010
APPLIED: 04/26/2010
EXPIRES: 10/2612010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, Total Value of Project
I Fees Paid I
Fee Description
, + 12% State Surcharge
+ 5% Technology Fee
Fixture
Water Line - 1st 100'
Water Line - Each AddtlIOO'
Amount Paid
Date Paid
Receipt Numher
$13.68
$5.70
$19.00
$76.00
$19.00 '
. ,
4/26/10
. 4/26/10
4/26/10
4/26/10
4/26/10
2201000000000000406
2201000000000000406
2201000000000000406
2201000000000000406
2201000000000000406
Total Amount Paid
$133.38
I Plan Reviews ~
To Request an inspection call the 24 hour rec.~rdi!lg,at.726~3769. All inspections requested before 7:00
a.m. will be made the same working day, iIi~p'~cti'6nk'i'equ'ested after 7:00 a.m. will be made the following
work day. .
Reauired InsDections I
Rongh Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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 struciur,e 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 ensn're 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.
Owner or Contractors Signature
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Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000406
Date: 04/26/2010
10:32:15AM
Job/Journal Number
COM20 I 0-00509
COM20 I 0-00509
COM20 I 0-00509
COM20 I 0-00509
COM2010-00509
Payments:
Type of Payment
CreditCard
cReceintl
Description
Water Line - 1st 100'
Water Line - Each Addtl 100'
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
CHARLES SULLIVAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
76.00
19.00
19.00
13.68
5.70
$133.38
Amount Paid
nJm
313683 In Person
Payment Total:
$133.38
$133.38
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