HomeMy WebLinkAboutPermit Plumbing 2007-11-19
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01700
ISSUED: 11/19/2007
APPLIED: 11/19/2007
EXPIRES: 05/19/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 639 19TH ST
ASSESSOR'S PARCEL NO.: 1703361212600
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replumb kitchen, bath and laundry
TYPE OF USE: Repair
Residential
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Owner: WAYNE PREVITI
Address: 2510 BAILEY HILL RD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
SUMMIT PLUMBINGIDBA MICKEY CONST 169922
I BUILDING INFORMATION I
# of Units: # o~_~U ~~_
Primary Occupancy Group: R-3 egot' \e.'ItI~~on~~&\i'
Secondary Occupancy Gro~tl'f\ON~ ~~p\ed '0,/ "'fetCdiI'~2.o0'\.
Primary Construction TY~l\O'l4 fu\e.f n\et. 1hO~tf\~@.5 1eS '0'1
Secondary Construction T~~ca\\on ~'\.oO'\O \htft.~d~,:t~on.
# of Bedrooms: , ol\R gS2 ~ o'g\8\n c~N;~~~ ca\\Oa
~ftO(\ 'IOU tn- nt.t. ~~.t:'"~ (ling: n/a
VV;i.\::s '\" ~ D :..a~o~t'~' ·
"u~t~(\~~~rMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
..--" ,.
Overlay Dist:
- . # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Page 1 of 2
Phone Number: 541-686-6069
Expiration Date
04/28/2008
Phone
541-968-5270
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:
Value
Date Calculated
~ep.mNA1!i!'li&D
;j
~
li
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01700
ISSUED: 11/19/2007
APPLIED: 11/19/2007
EXPIRES: 05/19/2008
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
$8.00
$4.00
$6.40
$80.00
11/19107
11/19/07
11/19/07
11/19/07
Receipt Number
3200700000000000762
3200700000000000762
3200700000000000762
3200700000000000762
Total Amount Paid
$98.40
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 ~fter 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 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.
(2~
-.." (
Owner or Contrac rs Signature
/1- /q~07-
Date
Pae:e 2 of 2
225.Fi.fth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01700
COM2007-01700
COM2007-0 1700
COM2007-01700
Payments:
Type of Payment
CreditCard .
cReceiotl
RECEIPT #:
Description
Fixture
+ 5% Technolopy Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
EAST WEST CONCRETE
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200700000000000762
Date: 11/19/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 003723 In Person
Payment Total:
Page 1 of I
2:15:34PM
Amount Due
80.00
4.00
6.40
8.00
$98.40
Amount Paid
$98.40
$98.40
11/19/2007