HomeMy WebLinkAboutPermit Plumbing 2004-12-28
. CITY OF SPRir'lut<IELD'
Building/Combination Permit
PERMIT NO: COM2004-01586
ISSUED: 12/28/2004
APPLIED: 12/28/2004
EXPIRES: 06/28/2005
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspecti~n Line
~
SITE ADDRESS: 5950 KALMIA LN
ASSESSOR'S PARCEL NO.: 1802032301900
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE:
PROJECT DESCRIPTION: Replace water heater
Owner: CLARA FENNER
Address: 5950 KALMIA LN SPRINGFIELD OR 97478
1 CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
BTS CONSTRUCTION LLC
License
146957
I. 'UJ~~INFORMATION I
. Oregon laW le'-l-' . "0 Utility
# of Units: IITtEN"fION. ted by tl1e oreg!' 0~~.tI'5ies:
Primary OCCUPJJ~6'lU1PS adop ~se lules aR'Hght8~structure
Secondary Occ .000~nter. ~nthlOUgh Oi>-lfyiii!~,t:
Primary Const 2 ~'()01.()O VNcopies 01 twat~r Ju>e:
Secondary Con~?'aixPllay obtainlNote', tl1e tR~~gtj,J;r}.'l':
# of Bedrooms: calrng \he center. n Utility tt<rnerg~Path:
n~ lor \h~,~~~~~0_332-23sprinkled Building: nla
"",...wl I DEVELOPMENT 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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Repair
Residential
Expiration Date
02/15/2005
Phone
541-726-5761
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspoutsillrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
I Valuation Descriotion I
Description
TyJie of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Paee 1 of2
Value
Date Calculated
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01586
ISSUED: 12/28/2004
APPLIED: 12/28/2004
EXPIRES: 06/28/2005
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F....s P.\lldJ
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$14.00
$31.00
12128/04
12/28/04
12/28/04
12128/04
1200400000000001796
1200400000000001796
1200400000000001796
1200400000000001796
Total Amount Paid
$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.
L.ReauiredJnsD..~tions ,
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 nsed 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- /2- 'f? /6 Cf
/
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield;Oregon 97477
541-726-3759 Phone
J9b/Journal Number
COM2004-0 1586
COM2004-0 1586
COM2004-0 1586
COM2004-0 1586
Payments:
Type of Payment
Check
12/28/2004
.
RECEIPT #:
a.P.Il~'''''~I'1.E:I,I!......,.
u..'
._!
JiiilY of Springfield Official Receipt
"elopment Services Department
Public Works Department
1200400000000001796
Descrlptlnn
+ 7% State Surcharge
+ 10% Administrative Fee
Fixture
Minimum! AdjuSbnent Plumbing
Paid By
BTS CONSTR
Received By
djb
Page I of 1
Date: 12/28/2004
Item Total:
Check Number Authorization
Batch Number Number How Received
1367
In Person
Payment Total:
9:53:30AM
Amount Due
3.15
4.50
14.00
31.00
$52.65
Amount Paid
$52.65
$52.65