HomeMy WebLinkAboutPermit Plumbing 2010-7-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00893
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/0612011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,-3769 Inspection Line
SITE ADDRESS: 570 19TH ST
ASSESSOR'S PARCEL NO.: 1703361309900
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Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace water service
Owner: BIRD SHA WN C & TINA MARIE
Address: 16I7 G ST
SPRINGFIELD OR 97477
I CONTRACTOR'INFORMATlON I
Contractor Type
Plnmbing
Contractor License
BQP PLUMBING INC 134320'
BUILDING INFORMATION ~
Expiration Date
03/30/20 II
Phone
541-343-5748
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R-3 Height of Structure
Type of Heat:
VB Water Type:
:RiiiigeT)'pe: '
~j<;neqiy'Path:
Sprinkled Building:
,il!""~:i!W.'~~_' .
Lot Size:
Sq Ft 1St Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard :AIlliihlJlON: Oregon law requires you merlay Dist:
Side I Sett/illlo.w rules adopted by the Oregon Uti~treet Trees Rqd:
Side 2 SettJ!Rtillcatlon Center. Those rules are set fqlt;ftl,d Drive Rqd: '
Rearyardle.!ilM~2'()Ol-0010 through OAR 952-0Q,1nr Lot Coverage:
Solar Set~: You may obtain copies 01 the rules by ".,'-,
II e Note: the tele h ' -
number for the, Oregon Utility Nlr~~ IMPROVEMENTS ~
Center la 1-800-332-2344) I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Description
Type of Construction
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK,
I OT:
I V I """',:'0." . tCJJ.N.v1ENCED OR IS ABANDONED FOR
a ua IOn escnp .~ 80 DAY PERIOD. e
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$ Pe;'Sql'Ft "";" "Square Footage
or multiplier or Bid Amount
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Notes:
Value
Date Calculated
Paee I of2
Status
Issued
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2010-00893
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/06/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
:,.1;otal Value of Project
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I~.f~e~ p~tiu
'~::.... II.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
Date Paid
Receipt Number
$9.12
$3.80
$76.00
7/6/10
7/6/10
7/6/10
2201000000000000795
2201000000000000795
2201000000000000795
Total Amount Paid
$88.92
I Plan Reviews ,
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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. witrbe made the following
work day.
I Reouired Insnections ~
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'.,'" .";..,.
Water Line: Prior to filling trench and incIiiii',li'g ;~q'~i/ed tesiing.
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatioo 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 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 Contractors Signature
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Date
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Pa2e 2 01'2
225 Fifth Stn:et
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Springtieid: Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000795
2:39:24PM
Date: 07/06/2010
Job/Journal Number
COM20 1 0.00893
COM2010-00893
COM20 1 0-00893
Payments:
Type of Payment
CreditCard
cReceintl
Description
Water Line - 1st 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BERNARD PETERSEN
Item Total:
Check Number Authorization
Received By Batch Number Number Bow Received
Amount Due
76,00
9,12
UO
$88.92
Amount Paid
djb
05753c In Person
Payment Total:
$88.92
$88.92
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p'age (of I
7/6/20 I 0
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