HomeMy WebLinkAboutPermit Plumbing 2006-5-25
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00633
ISSUED: OS/25/2006
APPLIED: OS/25/2006
EXPIRES: 11/25/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1891 H ST
ASSESSOR'S PARCEL NO.: 1703362111100
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 40lfwater line
Owner: FRANCIS MITCHELL
Address: 1891 H ST
SPRINGFIELD OR 97477
. '>::'Y1/)_ I co. ",'.._
r~ '1_. '"' ",' --J
, , ~"-'-:'-\~, ti" J81 J...."" Phone Number:
~I '..") ".' Gc.I~lU
, \ ), "J: 'L',....r.... R I
'r ,,- ' Jv c; l{J JUi/l':J:)
'1- \~ ~)8 !'!:;"'1'-'O f""l" .Il~
~ ',' .~"" ' A:J no~ 'r:-=''11''1
"', . '. , ' ," '}." .: J - {.U8-?C'r, I.J\_! -
.'. 1'........." , v-'uuvOW
I GONTRACTORINFORM~T-IQ~LI)!le:J!mO "
Uj. IIG/, SGJ/libOJ f~!'J-' ;"';"'llpe sejnJ Mo/iOIN
Contractor 'c;f U06fE1U:~~E;1N.:1.~fiiration Date
READY ROOTER DRAIN CLEANING & R SI192524 02/18/2009
5.;4~.~~~
Contractor Type
Plumbing
Phone
541-744-7991
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
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 Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
REQUI~ PARKING
"OOl'tl3d ,WO OB ~
Overlay Dist: ~~\N\NO~
# Street Trees Rq . :I 03NOON\jg\j SI 'tI0 0 '~l!-'?W:
Paved Drive Rqd:<BO llW'tl3d SI\-\l 'tI3GNII 0E1 ~~CSI\-\l
% of Lot Cov~~~:SI :II 3't\ldX3 ll~\-\S l\\N~"". (f\\1\1
)\'t\OM 3\-\1 ,~Jtt, '
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00633
ISSUED: OS/25/2006
APPLIED: OS/25/2006
EXPIRES: 11/25/2006
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
+ 8% State Surcharge
Water Line - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$4.50
$3.60
$45.00
5/25/06
5/25/06
5/25/06
2200600000000000657
2200600000000000657
2200600000000000657
Total Amount Paid
$53.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 I
Water Line: Prior to filling trench and including required testing.
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 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 aghe 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
{';'9es~ng cnn,.,n'./' / )
/\/._ ~~ S-.2S"~'~
O~ or Con~tors Signature Date
Pal!:e 2 of 2
225 Fifth Street
Springfield,.Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00633
COM2006-00633
COM2006-00633
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
READY ROOTER CHAPMAN
Cj...., of Springfield Official Receipt
1 Jopment Services Department
Public Works Department
2200600000000000657
Date: OS/25/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
5789
In Person
Payment Total:
Page I of I
11 :09:47 AM
Amount Due
3.60
4.50
45.00
$53.10
Amount Paid
$53.10
$53.10
5/25/2006