HomeMy WebLinkAboutPermit Plumbing 2010-6-23
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00809
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: 12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1501 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253404401
Springfield TYPE OF WORK: Plumhing Only
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TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Repair water line
Owner: OM LID BRENDA E
Address: PO BOX 214
SPRINGFIELD OR 97477
Contractor Type
Plumbing
I CONTRACTOR INFORMATION ~
Contractor License
C & R PLUMBING LLC 167015
BUILDING INFORMATION I
Expiration Date
07/01/2010
Phone
(541) 736-9582
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
RiiiigeType:
-'EW~rgyP~th:' "
Sprinkled 'Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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, ~DEV.~OPMENT INFORMATION ~
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Fr~ntyard Setback: ~. OteQOll ~~ \ne Ole;l~ set I~\~rlay Dist:
Side I setbl~O ~dl)\)\ed \'lOse l\l\e~p..'" 952-91 :meet Trees Rqd:
Side 2 Set tU\etl C9l\\at. 1 \n10\Jg\1 ~ \\'Ie 1\J\~&:!,ed Drive Rqd:
Rearyard f.c;IlIt\O~.()O,\-OO'\O\lI CO?\eS;e \e\e?M~@: Lot Coverage:
Solar Setb /IS' 96 -0.'/ O'p\e: I~O\e"~, ~o\\\\Ca.- , ..
U ". at. \ \\\\\'1 ,.' .,
Ce.\\\lIC) 101\\'19.0\,600-'2>'2> 'j PUBLIC IMPROVEMENTS I
{tI'oe1 ~el \10 , '
Street Improv~ents: cell '.' ; .
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REQUIRED PARKING
Total:
Handicapped:
Compact:
Description
Type of Construction
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Storm Sewer Available:
Special Instruction:
Notes:
Date Calculated
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Pa2e I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Total Amount Paid
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Total Value of Project
"Fees,PaidJ '
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Amount Pa.~<;I;f:!;; ! '.
$9.12:;
$3.80
$76.00
Date Paid,
6/23/10
6/23/10
6/23/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00809
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: 12/23/2010
VALUE:
Receipt Number
3201000000000000327
3201000000000000327
3201000000000000327
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.
$88.92
Plan Reviews I
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LReouired InsDect~
Water Line: Prior to filling trench and including required testing.
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By signature, I state and agree, that I have carefullyj~~amined the completed application and do hereby certify that all
information hereon is true and correct. and I furthef'-certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Lii\Vs'ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission ofthe 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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Owner or Can tractors SignatureD
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Date
22~ Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000327
Date: 06/23/2010
10:31:57AM
Job/Journal Number
COM20 J 0-00809
COM20 J 0-00809
COM20 J 0-00809
Payments:
Type of Payment
CreditCard
cRecciotl
Description
Water Line - I sl J 00'
+ 12% Stale Surcharge
+ 5% Technology Fee
Paid By
C AND R PLUMBING
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Amount Due
76.00
9.12
3.80
$88.92
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
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$88.92
$88.92
369807 In Person
Payment Total:
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