HomeMy WebLinkAboutPermit Plumbing 2008-4-22 (2)
.
a:lTY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00558
ISSUED: 04/22/2008
SCAN N ED ~~~~J~~~ ~~~ii~i~~~
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1735 RAINBOW DR
ASSESSOR'S PARCEL NO.: 1703273100106
Springfield TYPE OF WORK: Plumhing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 401fwater line
Owner: NATHAN MCNARY
Address: 1735 RAINBOW DR
SPRINGFIELD OR 97477
Phone Number: 541-744-7095
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
GARY ALAN MUSTIN
License
129990
Expiration Date
06/24/2008
Phone
541-463-7568
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: _1~liED'1OU to
# of Bedrooms: A'i'TENi"ON: Orpt"~ed'bi\l\~dWtIr.:Utllity
qo\\OW 1'\1100 ado ~<!It<Bilmoo~
t~:""^"'lnt'Center; ~.."...J.. 0:; A" "".,.tl1'[1.
In OAR 952-OO1'(.D~\j!'i'aiiMBJV13lNP6~A TION I
Q09O. You may (Note' ur,mr,o~ rr. ,!
calling the center'~'II'I~ ~otiflcation
number for the Orego'l) ~!~.!l!:
Center Is 1 reet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownsEo?ttW~afJ€lR\{
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~~~ORI!EO U~~~: ~~~MOOMEO fOR
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1 Valuation M!~c~mtlOn f
Notes:
Description
Trne of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
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Status
Issued
Building/Com binationPermit
PERMIT NO: COM2008-00558
ISSUED: 04/22/2008
APPLIED: 04/22/2008
EXPIRES: 10/22/2008
VALUE:
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
fm tlWlJ
Fee Description
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 50 Feet
Amount Paid
Date Paid
$5.00
$6.00
$2.50
$50.00
4/22/08
4/22/08
4/22/08
4/22/08
Receipt Number
1200800000000000388
1200800000000000388
1200800000000000388
1200800000000000388
Total Amount Paid
$63.50
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 RI~(lUlireflln.ne~tions I
iirrfl I ..lIiir
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 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.
\.~CLl0-.... ~\\\ II,-~n^
Owner or Contr~ignature
~\I::::JN f)~
i '-
Date
Paee 2 of2
225 Fif.tlt Street
Springfield, Oregon 97477
541-'r26-3759 Pbone
Job/Journal Number
COM2008-00558
COM2008-00558
COM2008-00558
COM2008-00558
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
. .Lj:a~~" \
~"
~
Description
Water Line - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
GARYS ROOTER AND
PLUMBING
Cillf Springfield Official Receipt
D opment Services Department
Public Works Department
1200800000000000388
Date: 04/2212008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1775
In Person
Payment Total:
Page I of I
11:58:10AM
Amount Due
50,00
2.50
6.00
5.00
$63.50
Amount Paid
$63,50
$63.50
4/22/2008