HomeMy WebLinkAboutPermit Plumbing 2005-10-26
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541:-726-3676 Fax
541-726-3769 Inspection Line
__CITY OF SPRING~lELD '
Building/Combination Permit
PERMIT NO: COM2005-01515
ISSUED: 10/26/2005
APPLIED: 10/26/2005
EXPIRES: 04/26/2006
VALUE:
SITE ADDRESS: 935 5TH ST
ASSESSOR'S PARCEL NO.: 17033~2101600
Springfield TYPE OF
Plumbing Only
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replaceapprox 25lfwater line and supply lines for 7 fixtures
Residential
Owner: TRUDI SNOW
Address: 935 5TH ST
SPRINGFIELD OR 97477
Phone Number: 541-
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor
GARY ALAN MUSTIN
Licens e
12~990
Expiration Date
06/24/2006
Phone
541-463-7568
VN
BUlL DIN ON '
f . on law requires y
ollow rules adopted b th . ou to
# Ofl~: rYe Ortl~~ii/jt
HeigJfl I a Ion Center. Those rUlesS.i-~fs~~~Rr:
Typ ~t?52-001-001 0 through ~ _~]\oor:
Water ~Ypu may obtain copies of~Rl' a~ ent:
Range P9 the center. (Note: the ~Ftirr~c.rport
Ener~op'r for the Oregon Utility ~o'l,~t 18UYer:
Sprinkled Center is 1 ~80cMs2_234~)~c'lijMm.oad:
I DEVELOPMENT INFORMATION .'
" REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
. # of Bedrooms:
R-3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
, . Compact:
PUBLIC IMP
THIS PERMIT SHAffmJIRl~H! WORK
AUTHORIZED UNO~l&9lli~V.~ NOT,
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street
Storm Sewer Available:
., Special Instruction:
\
, Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
, or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
Status: Issued
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
\ 541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit:.
PERMIT NO: COM2005-01515
ISSUED: 10/26/2005
APPLIED: 10/26/2005
EXPIRES: 04/26/2006
VALUE:
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Water Line -1st 50 Feet
Amount Paid Date Paid Receipt Number
$14.30 10/26/05 1200500000000001611
$10.01 10/26/05 1200500000000001611
$98.00 10/26/05 1200500000000001611
$45.00 10/26/05 120050000~000001611
Total Amount
$167.31
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00
a.m. wlll be'made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench 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 structure without permission of the Community Services Division,
Building Safety. I further certify that only contractors and employees who are in compliance wit~ 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 wiD remain on the site
ata~lti s~onsqb- /;J 76-dft
~ ~/r/~v /'
Own CcH1fractors Signature Date
2 of 2
225 Fifth Street
Spl'ingfield, Oregon 97477
541-726-3759 Phone
Jib/Journal Number
COM2005-01515
COM2005-01515
COM2005-0 1515
COM2005-01515
. Payments:
Type of Payment
Check
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10/26/2005
RECEIPT #:
Description
Fixture
Water Line - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GARYS ROOTER AND
PLUMBING
~1',.~ .~".'!"'~',";ii" - '-' - ..\'.,'
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. ";i~'i'::'~."':~.~,'''i'''1'~'' m.''''-
rity of Springfield Official Receipt
)velopment Services Department
Public Works Department
1200500000000001611
Date: 10/26/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1762 In Person
Payment Total:
I of I
11:03:34AM
Amount Due
98.00
45.00
"
10.01 ,
14.30
$167.31
Amount Paid
$167.31
$167.31