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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