HomeMy WebLinkAboutPermit Plumbing 2005-6-30
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-0083S
ISSUED: 06/30/200S
APPLIED: 06/30/200S
EXPIRES: 12/30/200S
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 461 W QUlNALT ST
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF
Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Approx 40lfsanitary sewer replacement
Owner: HOUSING AUTHORITY & URBAN
Address: 300 W F AIRVIEW DR
SPRINGFIELD OR 97477
Contractor Type
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
READY ROOTER DRAIN CLEANING & R SI192524
I BUILDING INFORMATION I
Expiration Date
02/1812009
Pbone
541-744-7991
. # of Units: # of Stories:
Primary Occupancy Group: Height of
Se~ondary OccUP,w.'~"I"t:. Type of Heat;
Primary constru,:,~~.~ ~pe. SHALL EXPIRE IJWI'\~~P.~;\
Secondary Construction'ERI\11T ~J.1ge<TYpe:'
# of Bedrooms: AUl rluRIZED Ui~DER 1HIS PEE~IJr~-P'ath~
COI\i\I\'IENCED OR IS ABANDots~rinklrd
_ ... ...r-.....,nn
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I\I~ 1
IUU un. ,............-.
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dlst:
ATTENTION: Oregon law i#J/itJ!eet~!to
follow rules adopted by thd'@)!~!),llitlli~:
Notification Center. Those rllfegfw!!~l'fSme:
in OAR 952-001-0010 through OAR 952-001.
VV;~ij~~~~~";e~~~~'1 !ffiaL"f2JMBtOyilli;NTSI
, Street number for the Oregon Utility Notification
Storm Sewer Available: Center is 1-800-332-2344).
Special Instruction:
Frontyord Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Sidewalk Type:
,Downspouts/Drams
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multipUer
Square Footage
or Bid Amount
Value
Date Calculnted
1 of 2
.
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM200S-0083S
ISSUED: 06/30/200S
APPLIED: 06/30/200S
EXPIRES: 12/30/200S
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Ff'f'S Pair! I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
$4.50
$3.15
$45.00
6/30/05
6/30/05
6/30/05
Receipt Number
1200500000000000925
1200500000000000925
1200500000000000925
Total Amount
$52.65
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.
Sanitary Sewer 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 wID 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 wlll 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 wID remain on the site
at:~()rin~ ;;;;r //?u/OJ
'~
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
.
541"726-3759 Phone
JoblJouroal Number
COM2005-00835
COM2005-00835
COM2005-00835
Payments:
Tl1'e of Payment
CreditCard
,
'.
6/30/2005
.
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID NICHOLS
.~
~
.JiILty of Springfield Official Receipt
W'elopment Services Department
Public Works Department
1200500000000000925
Received By
djb
I of I
Date: 06/30/2005
Item Total:
Check Number Aull1nrization
Batch Number Number How Received
095366 In Person
Payment Total:
1:56:10PM
Amou nt Due
45,00
3.15
4.50
$52.65
Amount Paid
$52.65
$52,65