HomeMy WebLinkAboutPermit Plumbing 2010-4-29
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00534
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/29/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4875 B ST
ASSESSOR'S PARCEL NO.: 1702324100212
Springfield TYPE OF WORK: Plumhing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 20lfwater line
Owner: ESCOLA TRUST
Address: 221 CRANSTON CREST
ESCONDlDO CA 92025
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I CONTRACTOR INFORMATION .
Contractor Type
Plumhing
Contractor License
DRAIN RAIDER ROOTER SERVICE LLC 170530
BUILDlNC INFORMATION'~'
Expiration Date
06/19/2010
Phone
541-338-8848
VB
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: . SSI12nd Floor:
,wa\1iff~N: Oregon law reqUires ~~ . asement:
RBlPl\I . 9 adopted by the ore90I' rage/Carport
E ~ Center. Those rules are et r her'
1ft ';..M1;;O010throu,gh OAR - - .
SI!' ll~n'Obtaln copi~~ of the limJft Load:
ne {el'=!IJIlUIIt:r
I DEVELO~r~ity Notification
Center is 1-800-332-2344). REQUIRED PARKINC
Overlay Dist: Total:
#,~treet Trees Rqd: Handicapped:
P'itvedDJ"ive Rqd: Comp~ct:
% of Lot Coverage:
r"i"'-,:. ~'. .'.' ,
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Croup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback: ,
Solar Setbacks:
I PUBLIC IMPROVEMENTS i
Sidewalk TYl!!:'.:.;"";,,;'i\'i,,,';'" . ""
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. '" Dowiispou'tsiDr'W\~ 'l'IO?1< ~~:
NOl\ef-. Ii $"'~\.\. ~?\?E \~l-A\i \$ MOi X
:THIS I'E~~EO UNOER "l-\\~'~~NEO fOR ':~\[;'.
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I 01'2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00534
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/29/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid ~'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
Date Paid
Receipt Number
$9,12
$3.80
$76.00
4/29/10
4/29/10
4/29/10
2201000000000000432
2201000000000000432
2201000000000000432
Total Amount Paid
$88.92
I Plan Reviews ' I
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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 Reauired Insoections ~
Water Line: Prior to filling trench and including required'testing.
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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 structure withont permission of the Community Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who arc 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 t permit ca s located at the front of the property, and the approved set of plans will remain on the site at all
times d ng ons uc ,-~-,- :.: ":_:,'.. ' ~ic2 q'~O
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Owner or Contractors Signature
Date
.J~'
, ,., l'a2e 2 of 2
225 Fif~h.Street
SpriIigfield, Oregon 97477
541-726-3759 Phone'
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000432
Date: 04/29/2010
II :50:24AM
Job/Journal Number
COM20 I 0-00534
COM20 I 0-00534
COM20 1 0-00534
Payments:
Type of Payment
CreditCard
. cRcceiot 1
Description
Water Line - 1st 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DRAIN RAIDER ROOTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
76.00
9.12
3.80
$88.92
Amount Paid
djb
035009 In Person
Payment Total:
$88.92
$88.92
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