HomeMy WebLinkAboutPermit Plumbing 2007-6-21
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00919
ISSUED: 06/21/2007
APPLIED: 06/21/2007
EXPIRES: 12/21/2007
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 139 MILL ST
ASSESSOR'S PARCEL NO.: 1703353203400
Springfield
TYPE OF WORK: Plumbing Only
Residential
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair water line and replace section ofsidewalk
Overlay Dist:
~ # Street Trees Rqd:
Oriel Paved Drive Rqd:
rfllS p~: % of Lot Coverage:
~_lJrfln" ~A1/r.~IJ,:
4~~M4!ENf~14h141n;W~Y&~ENTS I
F~rflJ&'t~~ /S 4;41//S pl-;:Ht WOh Sidewalk Type:
'tlt/OD. NDOIVED '/r /s!VO ~ownspouts/Drains:
. FOR r
Owner:
Address:
)AMES P ARMENrl:Rrl:Nr.
90578 SUNDE~~ ION: 0,.,
SPRINGFIELD ~t/~741JgIes adOpetgon law ~
,... 0 atlnn ,... en h ealli,.~ '
, 'iN 952..1", /fer. If.,:'} II Ie Or ~v YOu 1(1
0090. YOU -001-~tffi~Q~~F01~TION I
Calling th;ay Obtain c . 9h OA 1. .... ;:,et fortb
COhfi1a~~5. Center__ (N OPles O!Lh:!52-00t!--icense
READY ~g.ptfig~tW@;Iffl~1&e8 ~1-J92524
Ie, IS 1I"<roi~l~INl'YFA TION .
::''V~4 . VI/
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R2
VB
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page 1 of 2
Expiration Date
02/18/2009
Phone
541-744-7991
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Setback 5'
Curb and Gutter
Value
Date Calculated
Status:
Issued
CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2007-00919
ISSUED: 06/21/2007
APPLIED: 06/21/2007
EXPIRES: 12/21/2007
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sidewalk Repair Permit
Water Line - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$4.50
$2.75
$3.60
$10.00
$45.00
6/21/07
6/21/07
6/21/07
6/21/07
6/21/07
2200700000000000995
2200700000000000995
2200700000000000995
2200700000000000995
2200700000000000995
Total Amount Paid
$65.85
I Plan Reviews I
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 Reouired Insoections .
Water Line: Prior to filling trench and including required testing,
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I 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 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 ofany 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 a ree to ensure that all re . d inspections are requested at the proper time, that each address is readable from the
str , that e permit c. ard is 10 ted a;jhe front of the property, and the approved set of plans will r~main on the site at all
times du,; ,uu"mct;ou. b
L ' tl X,--" l~ C;. 2..-f-O)
Owner or ~ctors Sign ture
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -00919
COM2007 -00919
COM2007 -00919
COM2007 -00919
COM2007-00919
RECEIPT #:
Description ,
+ 8% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Sidewalk Repair Permit
+ 5% Technology Fee
Payments:
Type of Payment Paid By
CreditCard READY ROOTER
cReceintl
~,ty of Springfield Official Receipt
.evelopment Services Department
Public Works Department
2200700000000000995
Date: 06/21/2007
11:23:21AM
Item Total:
Check Number Authorization
Received By Batch Number Number, How Received
djb 02522B In Person
Payment Total:
Amount Due
3.60
4.50
45.00
10.00
2.75
$65.85
Amount Paid
$65.85
$65.85
Page 1 of 1
6/2l!2007