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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