HomeMy WebLinkAboutPermit Plumbing 2008-1-4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-000I6
ISSUED: 01104/2008
APPLIED. 01104/2008
EXPIRES: 07/0412008
VALUE:
225 Flftb Street, Spl mgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 6326 C ST
ASSESSOR'S PARCEL NO 1702342402900
Springfield TYPE OF WORK Plumbmg Only
TYPE OF USE RepaIr
ReSIdentIal
PROJECT DESCRIPTION Cbange out water beater
Owner TRUST DATED 4/24/07
Address 6326 C ST
SPRINGFIELD OR 97478
Phone Number 541-359-9895
I CONTRACTOR INFORMATION I
Contractor Type
Plumbmg
Contractor
OWNER
License
EXPIratIOn Date Phone
BUILDING INFORMATION I
# of Ulllts # of Stories
Pllmary Occupallcy Group R-3 HeIght of Structure
Secondary Occupancy Group Type of Heat
Primary ConstructIon Type VB Watel Type
Secondary ConstructJon Type Range Type
# of Bedrooms ATTENTION: Oregon law r~fg~ v~to
follow rules adopted by th~fllflR&i iil~}\lIIg
..1......,$.........+".\1',. I"'o.nto.r Thn~p. rules are se tortli
In OAR 952-001-001'l' ~'<WtflMmfORMATlON ,
0090. You may obtai. - -~ - - . .
calling the center. (Note the telephone
number for the Oregon UlllOrdtllli;liDooon
Center IS 1-800-332#2114&)1 Trees Rq d
Paved Drive Rqd
% of Lot Coverage
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
REQUIRED PARKING
Frolltyard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Total
HandICapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer Available
Speclallnstl uctlOn
SIdewalk Type'
N Orret:nspouts/Drams
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMFNr.Fn nR Ie: 1H1~Mnnw:n F<'!1
I W\NY 180 DAY PERIOD - - -
Valuahon DescrmtlOn I .
Notes
DescrIPtIOn
Type of Construction
$ Per Sq Ft
or multlpher
Square Footage
or BId Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
225 Flftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fee DescrlptJon
+ 10% AdmmlStratlve Fee
+ 12% State Surcbarge
+ 5% Technology Fee
Fixture
MllllmumlAdJustment Plumbmg
Total Amount PaId
Total Value of ProJect
Fees Paul I
Amount PaId
$500
$600
$250
$1600
$34 00
$63 50
I Plan Reviews I
Date PaId
114/08
1/4/08
114/08
114/08
114/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-000I6
ISSUED: 01/04/2008
APPLIED 01/04/2008
EXPIRES' 07/04/2008
VALUE'
ReceIpt Number
2200800000000000008
2200800000000000008
2200800000000000008
2200800000000000008
2200800000000000008
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7.00
a.m. will be made the same workmg day, mspectlOns requested after 7:00 a.m. WIll be made the followmg
work day.
I R~(;~lred Insnechons I
Rough Plumbmg Prior to cover and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
By SIgnature, I state alld agl ee, that I have carefully exammed the completed apphcatlOn and do bereby cer1I1y that all
mformatlOn hereon IS true and correct, and I further certJfy that any and all work performed shall be done III accordance wIth
tbe Ordmances of tbe CIty of Springfield and the Laws 01 the State of Oregon pertammg to tbe work described berem, and
tbat NO OCCUPANCY WIll be made of any structure wIthout permISsIOn of the Commulllty ServIce; DIVIsIOn, BuJldmg Safety
I furtbel cerlIfy that only contractors and employees wbo are m comphance wIth ORS 701 005 WIll be used on thIS ploJect
I further agree to ensure that all required IIlspectlOns al e requested at tbe propel lIme, that each addl ess IS I eadable fl om tbe
street, that the permIt card IS located at the front of tbe property, and the approved set of plans WIll remam on the SIte at all
times dUllOg constructIOn
~\?,
--
Owner or Contractors SIgnature
r-
Paee 2 of 2
J 7_-' L} -,01
Date
225 F,ftb Street
Sprmgfield, Oregon 97477
54I-726-J759 Pbone
City of Sprmgfield Officml Rece'pt
Development Serv'ces Department
Public Works Department
Job/Journal Number
COM2008-000 16
COM2008-00016
COM2008-00016
COM2008-000 16
COM2008-000 16
Payments
Type of Payment
CredltCard
cRec'-mtl
RECEIPT #:
2200800000000000008
Date: 01104/2008
DescriptIOn
Fixture
MllIlmum/AdJustment Plumbmg
+ 12% State Surcharge
+ 5% Technology Fee
+ 10% AdministratIve Fee
PaId By
JOHN RUDKINS
Item Total
t:heck Number AuthOrization
Received By Batch Number Number How Received
dJb 113438 In Person
Payment Total
Page 1 of 1
11 55 39AM
Amount Due
1600
3400
600
250
500
$63 50
Amount PaId
$63 50
$63 50
1/4/2008