HomeMy WebLinkAboutPermit Plumbing 2010-5-19
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lirie
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PERMIT NO: COM2010-00641 .
ISSUED: 05/19/2010
APPLIED: 05/19/2010
EXPIRES: 11/19/2010
VALUE:
SITE ADDRESS: 1384 MODOC ST
ASSESSOR'S PARCEL NO,: 1703253315300
Springfield. TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace water line 301f
Owner: CAMPBELL COURTNEY.
Address: PO BOX 89
DEXTER OR 97431
I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor
PHILLIP JAMES OWENS
ATTENT~~~~
tollo'N rules acJEptf~~ rules are set 10rth
tiPtification Cen,l). ~&OAR 952.()()1.
In OAR 952.()()f.IllMO 'es oHherules bY
~. You malcjb\'ai'Jl BQli1I; the telephone
Calling the ~r iIlIP~tility Noti1icatlon
nlimber for t~fil!::~\l<t:'~2_2344).
CentllfIlBr~f)llQriP.
Sprinkled Building: ' n/a
License
Expiration Date Phone
541-844- I 512
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot C'overage:
........ ."
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~
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NOTICE: SIdewalk Type, ."., .
THIS PERMIT SHAllI5Xffi~Jfsilli~W,OR1< .:;
AUTHORIZED UNDER THIS PERMIT IS NO~/
., COMMENCED OR IS ABANDONED FOR ,\"
"AI\}'{, .180. DAY PERIOD.
I V alu"ation Description I
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00641
ISSUED: 05/19/2010
APPLIED: 05/19/2010
EXPIRES: 11/19/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. ,Total:Vaiue of Project
I ,.Fees Paid. .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
Date Paid
$9.12
$3.80
$76.00
5/19/10
5/19/10
5/19/]0
Receipt Num~r .
]201000000000000498
]201000000000000498
]201000000000000498
Total Amount Paid
$88.92
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 Insnections I
;J .11 "it,"
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Water Line: Prior to tilling trench and incl,u1iin'g 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 trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield 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 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.
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Paee 2 of 2
225 Fifth Street
S.,ringfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000498
Date: 05/19/2010
IO:15:43AM
Job/Journal Number
COM20 1 0-00641
COM20 1 0-00641
COM20 1 0-00641
Payments:
Type of Payment
Check
cReceintl
Description
Water Line - 1st 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
PHILS ROOTER SERVICE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1405 In Person
Payment Total:
Amount Due
76.00
9.12
3.80
$88.92
Amount Paid
$88.92
$88.92
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