HomeMy WebLinkAboutPermit Plumbing 2007-1-23
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-001l2
ISSUED: 01123/2007
APPLIED: 01/23/2007
EXPIRES: 07/23/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2009 15TH ST
ASSESSOR'S PARCEL NO.: 1703252300203
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE:
PROJECT DESCRIPTION: Water service replacement.
Owner: PITKIN DAVID R & GEORGINA K
Address: 2684 FORT ROCK CRT SEe u
SALEM OR 97306 ..<".~~~~~
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,(. \ - \"'""
:<\~~ f,Q.@.NTMCTORINFORMATION I
\ \- ~~ S 'XV;' ~\) \ - .
Contractor Type G', Contl\-a-cto~ ,\\\ <;)~~ License
Plumbing .~(\'\\t::o..~\Q~~bp~F)R'hRAIN CLEANING & R SE92524
",\\\\CO'< ;~\L'\..~\) \J~ ~~\)' I BUILDING INFORMATION I .
'::'::,,'(\ ~~\J ~ ~~ o\}~: ,\
# of Units: ~ ~~~ r;:::, \;J'I:f:. # of Stories: ,,,'~ \),~~'L~tSize:
Primary Occupanc{Group:O Height of Structure ,,),\ 'In()~ ~\ \S1"F) 1st Floor:
t\~' ',V\ 0':1 C><;i "'....'
Se~ondary Occupa?cy(tJroup: Type of Heat: .j'<'~~ 0' .?f0:::l s~S1..f't52nd Floor:
PrImary C?nstructIo? Type Water Type: ..,:-,..' \ \~\.::-~.\}et.:?> 'R'- g<.~Q'!t;Basement:
Secondary Construction Type: Range Type:.,-';..'"o. 'O'i 1!:"_0 ~ .'^ o~~'(\.e Sq:Ft. Garage/Carport
oJ "'<J 0" ~" ,,\." 0\ ,,~'
# of Bedrooms: Energy,..!)ath:,O\?\; -'\'<", ,,~O\'j.. S 0 ~e\e~gc..Et'uther:
. . "'~ ~,~ ..,< . t.,\,' n\0 ,,, '\; ,.~,
Spn!lRled:.Bull(hng:~()'" rei" n/ltl0'" .~\c.0ccupant Load:
rf'\. 'V J~v.'O r.e' C\\J ',<'\ v ,C>,' A-..\ ,";"\.
).'T .t..., ~ tnr. - .P..-.... .'t).,('.,.. ._."-"'" 'l.~\...... (l:;;~
I DEVEL0PMENJdNFQRMA~IO~:,'I~~?w,f"
~\' <f'1. ~- \';\'_. ,0\" {~":J \,1~Yv
~o a\>-'{'~o\) l2,v ",,0 . 9,'J'
OverlaY, nist':\"~ ~ \.~'Q. \S~\"~
'",C\"-' ,\\,,-::) r.o' . e'
# Street-1}rees,Rq(f:~\.
v ~..,- \..~
Paved Qr.L~Rqd:1
~,'
% of Lot Coverage:
Expiration Date
02/18/2009
Phone
541-744-7991
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENI:S I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
...,..
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00112
ISSUED: 01123/2007
APPLIED: 01123/2007
EXPIRES: 07/23/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
WaterLine - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$3.60
$45.00
1123/07
1/23/07
1/23/07
1/23/07
3200700000000000038
3200700000000000038
3200700000000000038
3200700000000000038
Total Amount Paid
$55.35
I Plan Reviews I
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 .
Water Line: Prior to filling trench and including 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 aU 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 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
~3~;:'ont nfthe p,"p"ty, and the app,"v: ;::Ja="~emain nn the site at all
~'- -
Owner or Contractors Signature Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00112
COM2007-00112
COM2007-00112
COM2007-00112
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Water Line - 1st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID ALAN NICHOLS
Ci..... Qf Springfield Official Receipt
n iopment Services Department
Public Works Department
3200700000000000038
Date: 01123/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 025228 In Person
Payment Total:
Page 1 of 1
2:23:59PM
Amount Due
45.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
1/23/2007