HomeMy WebLinkAboutPermit Plumbing 2010-7-6
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00887
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/06/2011
VALUE:
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Status
Issued
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225 Fifth Street, Spri~gtieId, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1164 L ST
ASSESSOR'S PARCEL NO.: 1703264407000
Springtield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replumb existing
Owner: BATES KIM DELPHINE
Address: 1164 L ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
GARYS ROOTER & PLUMBING SERVICE L 174640
BUIL'DIl;;"C'INFC)RMA TlON I
Expiration Date
02/28/2011
Phone
541-935-6350
VB
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
.Energy Paih:
Sprinkled Building'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
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Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT IWORMATlON I
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AiTENTlON: oregodn b~~h oregon !-l\iI"1..
rules adopt8'IIifIieiett10IU.
:~:a\lon cen\~1~~~:U l!lflllD. ~~:
"'0,$952-OO1-uv . iV6'f1tYilr-""f'"
'fOIl may obtain cop y,\\\,& W1ePMf?,l\rie:
OO:lilng the cen\er~ (~~~tili\V Notitica\IO .
center \8 LIC IMPROVEMENTS
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:
;~':~~.'; ..'St:"J~:' ':: ~.17'
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Downspouts/Drains:
Description
Type of Construction
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Notes:
Date Calculated
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Paee'I of 2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Amount Paid
Date Paid
Total Amount Paid
$18.24
$7.60
$152.00" .
$177.84 '
I Plan Reviews I
7/6/10
7/6/10
7/6/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00887
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 0110612011
VALUE:
Receipt Number
3201000000000000379
3201000000000000379
3201000000000000379
To Request an inspection call the 24 hour r~!;<!rdi"lg..at726:3769. All inspections requested before 7:00
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a.m. will be made the same working day, insp'ections"requested after 7:00 a.m. will be 'made the following
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work day.
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Reauired.Insnections ~
Rough Plumbing: Prior to cover and including required t~sting.
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that 1 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 ofthe City of Springfield and the Laws of the State of Oregon pertainiug to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division. Building Safety.
1 further certify that only contractors and empioyees 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
Pa2e 2 of2
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, 1
Date
225 Fifth St~eet
Sprin&fi'eld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000379
Date: 07/06/2010
8:59:29AM
Job/Journal Number
COM20 I 0-00887
COM20 I 0-00887
COM20 I 0-00887
Payments:
Type of Payment
CreditCard
cReccintl
Description
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
AARON MUSTIN
Item Total:
'<,., "', . ", i., <;:heck Number Authorization
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~.~'~t.~ed.~,!h.~{::::,;~atc~;,!'Iumber . Number How Received
Amount Due
152.00
18.24
7.60
$177.84
Amount Paid
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$177.84
$177.84
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00682b In Person
Payment Total:
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7/6/2010