HomeMy WebLinkAboutPermit Plumbing 2007-8-16
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01209
ISSUED: 08/16/2007
APPLIED: 08/16/2007
EXPIRES: 02/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 959 SUNSET DR
ASSESSOR'S PARCEL NO.: 1703341106317
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: add alter 4 fixtures
Owner: DIETRICH BELITZ
Address: 959 SUNSET DR
SPRINGFIELD OR 97477
Phone Number: ,541-
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor
RIGHT WAY PLUMBING
License
49561
Expiration Date
12/16/2008
Phone
541-484-3787
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
"~OT1CE' Sprinkled Building: n/a
I~ · , ~,p.t lr T~': 'A'nR~
THIS. PERMIl ~H"L~~~~ORMATION I
AUTHORiZED UNDE
NeED OR \S ABANDONED FO
Frontyard Setback: CQMME PERlOD. . _ Overlay Dist:
Side 1 Setback: ANY 180 DAY # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
ATTENTION: Or . TS
follow rules ado
NotifIcation Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules bf
calling the center. (Note: the tete mone
number for the Oregon UtIlity Noli Icatlon
Center is 1-800-332-2344).
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
Pal.!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01209
ISSUED: 08/16/2007
APPLIED: 08/16/2007
EXPIRES: 02/16/2008
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
Fixture
Amount Paid
Date Paid
Receipt Number
$6.40
$3.20
$5.12
$64.00
8/16/07
8/16/07
8/16/07
8/16/07
1200700000000001048
1200700000000001048
1200700000000001048
1200700000000001048
Total Amount Paid
$78.72
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 I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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 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.
~~
o~/c,-07
Owner or Contractors Signature
Date
Pal.!:e 2 of 2
225 Fifth 'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01209
COM2007-01209
COM2007-01209
COM2007-01209
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Fixture
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RIGHT WAY PLUMBING
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001048
Date: 08/16/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 075536 In Person
Payment Total:
Page 1 of I
9:19:45AM
Amount Due
64.00
3.20
5.12
6.40
$78.72
Amount Paid
$78.72
$78.72
8/16/2007