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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\{ ~Oi\~~~W\I'f S~M.\. E'J{P~ P~RW\li IS ~Oi ~~~ORI!EO U~~~: ~~~MOOMEO fOR .-.f.IA\'.C~\~~~ tl\llJ~' 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 . __11}' VI' ~rK11'lt.I'IJ'.,LD- 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