HomeMy WebLinkAboutPermit Plumbing 2010-7-13
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00934
ISSUED: 07/13/2010
APPLIED: 07/13/2010
EXPIRES: 01/13/2011
VALUE:
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Status
Issued
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SITE ADDRESS: 279 S 71ST ST
ASSESSOR'S PARCEL NO.: 1702353405805
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Springfield TYPE OF WORK: Plumhing Only
TYPE OF USE: Move
Residential
PROJECT DESCRIPTION: Approximately 150 feet of water line
Owner: CASH PENELOPE I
Address: 285 S 71ST ST
SPRINGFIELD OR 97478
Contractor Type
General
IC.ONTRACT0R.INFORMA TION .
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Contractor License
ADDCO ENTERPRISES 129873
l BUILDING INFORMATION.
Expiration Date
06/18/2012
Phone
541-744-0428
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
.;rype oLtt".at:
fW~ter"T,ype: \.
::Riiiige Type:'
.~.t\rergy'P1iih:
"Sprinkled Building:
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 ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
"-" '..
REQUIRED PARKING
Total:
Handicapped:
Compact:
.
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Street Improvements: \ quires you to
ATTI=NTION: Oref1on aw re . .
Storm Sewer Available: b\' the Oregon Utility
tOI'C'1iV li.H0..::. <..01.'-''''';'--' tforth
Speciallnstruction:'r Those rules are se
1~Q[IIIC'W'J" ~,,,..J . hOAR 952-001.
Nm3:7F\;o5~~~~ -~;t~~~h:~\~~~.s of thle ruhles by
Uupu. (Note' the te ep one
I"'~::dlin(l the center. .'",,~, _..;l:.... tin
mber for the ure~Ull V~""] ,. -
nu Center is 1_600-332-2344).
Sidewalk Type:
DownspoutslDrains:
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
. AUTHORIZED UNDER THIS PERMIT IS NOT
,:Civii ~ENCED OR IS ABANDONED U
tion 80 DAY PER!OO.
v alu'iftio'ri,ifi~scri
Description
Tvpe of Construction
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$ Per~qIFt. . . Square Footage
or muliiplier or Bid Amount
Value
Date Calculated
Page I of2
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Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00934
ISSUED: 07/1312010
APPLIED: 07/13/2010
EXPIRES: 01113/2011
VALUE:
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Total Value of Project
J,Fees'Paid .'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Water Line - Each Addtll00'
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Amount Pa!IJ.'~'{.'" ',.' f'
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1'1'; ,
Date Paid
Receipt Number
7/13/10
7/13/10
7/13/1 0
7/13/10
2201000000000000825
2201000000000000825
2201000000000000825
2201000000000000825
Total Amount Paid
$111.15
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. will be made the following
work day. '
I Reauired Insuections I
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Water Line: Prior to filling trench and includin'ga,equi"ed testing,
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By signature, I state and agree, that I have carefulli\'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 of the City of Springfield and the L~ws 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.
1 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 tbe
street, that the pe~t card is located at the front of the prop~rty, and the approved set of plans will remain on the site at all
times during cofi ruction. ,
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Owner Contractors Signature \:~,'S.:._;5',,', "j Date
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225 Fifth Street
Springfield, OJ;egon 97477
541-726-'3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000825
Date: 07/13/2010
1:16:20PM
Job/Journal Number
COM20 I 0-00934
COM20 I 0-00934
COM20 I 0-00934
COM20 I 0-00934
Payments:
Type of Payment
CreditCard
cReceintl
Description
Water Line - 1st 100'
Water Line - Each Addtl 100'
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
76.00
19.00
11.40
4.75
$111.15
Paid By
JOHN GRESSER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
01321 C In Person
Payment Total:
$111.15
$111.15
01321c
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