HomeMy WebLinkAboutPermit Plumbing 2010-5-27
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00685
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPIRES: ll/27/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 220 W M ST
ASSESSOR'S PARCEL NO.: 1703274408501
Springfield TYPE OF WORK: Plumbing Only
Residential
PROJECT DESCRIPTION: Replace approx 30lfwater line
TYPE OF USE: Repair
I PUBLIC IMPROVEMENTS ~ .,.. ,';~:'",~"
, . Si.dewalk TYPe,""":e. \l'JO\',\{
N01\Ct~ ~~{t!11PWib~~frt \$ \'lOi
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Owner: EDWARDS KATHERINE M & VERNON A'iII,
Address: 220 W M ST :,:\ .
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA nON .
Contractor Type
Plumbing
Contractor License
DOUGLAS LEE JONES JM606
I BUILDING INFORMATION I'
# of Units:
. Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
O~erlaY'Ilist:
. "liStreehirees Rqd:' ",",
~aved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
, .
I .: ~ ,:
Valu'ation Descn
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pace 1 of2
n"v~> r:i; 1'....::. '
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Expiration Date
02/17/20 II
Phone
541-747-1254
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
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - ]st ]00'
Amount Paid
Total Amount Paid
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q.' :;:Total Valu'e of Project
I Fees Paid 1
$9.12
$3.80
$76.00",,_, ." .
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$88.92 H.;,:. .. ,.j'-
I Elan Reviews I
Date Paid
5/27/]0
5/27/]0
5/27/]0
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00685
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPIRES: 11/27/2010
VALUE:
Receipt Number
220]000000000000585
220]000000000000585
220]000000000000585
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 Insn,~ctions I
Water Line: Prior to filling trench and includihg required testing.
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.
] further certify that only contractors and employees,i:wlui.a.rejn c,omplia'nce 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 pro petty, and the approved set of plans will remain on the site at all
times during construction. ";:;::
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000585
8:20:57AM
Date: OS/27/2010
Job/Journal Number
COM20 1 0-00685
COM20 10-00685
COM20 1 0-00685
Description
Water Line - 1st 100'
+ 12% State Surcharge
+ 5% Technology Fee
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Amount Due
76.00
9.12
3.80
$88.92
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Item Total:
Payments:
Type of Payment
Check
cRcceintl
Paid By
ARRTTS PLUMBING AND
ROOTER
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
$88.92
5836
In Person
Payment Total:
$88.92
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5/27/2010