HomeMy WebLinkAboutPermit Plumbing 2010-7-6
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00894
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/06/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2555 21ST ST
ASSESSOR'S PARCEL NO,: 1703244201301
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace water service
Owner: BOWERS RHONDA L
Address: 2555 21ST ST
SPRINGFIELD OR 97477
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Contractor Type
Plnmbing
I CONTRACTOR INFORMATION ~
Contractor License
BQP PLUMBING INC 134320
BUILDING INFORMATION ~
Expiration Date
03/30/20 II
Phone
541-343-5748
VB
# of Stories:
Height of Strnctnre
Type of Heat: ,
Water Type:
. Range"Type,'"' .
. Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
. Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occnpant Load:
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
, regon
follow rules adopted INFORMATION
Notification Center. Those rules are set forth
Frontyard Setbac'lr OAR 952-001-0010 through OJlfi~lW,l:
Side I Setback: 090., You may obtain copies ofRtllutileifbl,es Rqd:
Side 2 Setback: calling the center. (Note: the ~IVJl/I<Iru;ve Rqd:
Rearyard Setback: number for the. Oregon Utility Nj;ftil~overage:
S I S tb ks Center IS 1-800-332-234"""''':' ,
o ar e ac : ':fJo . 0,
REQUIRED PARKING
Total:
Handicapped:
Compact:
f'PUiiLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
Type of Construction
I
I . '. . i THIS PERMIT SHALL EXP
Valuation Description AUTHORIZED UNDER THIS PERMIT IS NOT,
.... . N'MENCED OR IS ABANDONED FOR .;'
$ Per Sq Ft Sqnare Fo6tagel ' '.
or multiplier or Bid Am6tiiJY 180 DAY fliet\'IOD. Date Calcnlated
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Paee I of2
Status
Iss u ed
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00894
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
Total Value of Project
Fees Paid _
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
2201000000000000796
2201000000000000796
2201000000000000796
Total Amount Paid
$88.92
Plan Reviews ~
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To Request an inspection call the 24 hour r:e~ilrliing 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.
L...Reouired InsDections I
Water Line: Prior to filling trench and including requi~ed testing.
By signature, I state and agree, that I have carefuIly.examined the 'completed application and do hereby certify tbat all
information hereon is true and correct, and I furt~e'r c,ertify 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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225 Fifth Street
Springfield, .oregon 97477
541- 716:3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
,
2201000000000000796
2:40: 19PM
Date: 07/06/2010
Job/Journal Number
COM20 1 0-00894
COM2010-00894
COM20 I 0-00894
Payments:
Type of Payment
CreditCard
cRcceintl
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 How Received
Amount Due
76.00
9.12
3.80
$88.92
Amount Paid
djb
$88.92
$88.92
05753c In Person
Payment Total:
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7/6/2010