HomeMy WebLinkAboutPermit Plumbing 2008-4-16
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00528
ISSUED: 04/16/2008
APPLIED: 04/16/2008
EXPIRES: 10/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 505 S 53RD ST
ASSESSOR'S PARCEL NO.: 1702333404627
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replumb 9 fixtures
Owner: HOWELL KENNETH J
Address: 505 S 53RD ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
THOMAS H RHEUTAN
License
64111
Expiration Date
OS/23/2008
Phone
360-253-5522
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: Range Type:
# of Bedrooms: ~1efl.tlttrftes you to
ATTEN~!?~~~~~?p.:8~~~KIf'b \\t\~~~~h
\UItUVY .-....- rlt.I....."'~I...,-....-.
NotifIcatIOn 'ElmVE .. MlAlI'ION
In OAR 952-0 . pies of t e r
0090. You may obtam co . ~~ telephone
CB.\\mg the center.~t8!i.li:~~~ification
number tor the. Or~~~~~ ~j aqd:
Center IS 1!QWe(l"'J1T1 e f{ :
% 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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
NOTICE: p\RE If THE WORK
THIS PERMlT S~~~~ VHIS PERMIT IS NOT
AUTHO~IZEO U I~ l\RANDONEO FOR
\,;\:I\III"'~ G'G[D ~5l .
I Valuation DesctAd DAY PERIOD.
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00528
ISSUED: 04/16/2008
APPLIED: 04/16/2008
EXPIRES: 10/16/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Amount Paid
Date Paid
Receipt Number
$14.40
$17.28
$7.20
$144.00
4/16/08
4/16/08
4/16/08
4/16/08
2200800000000000468
2200800000000000468
2200800000000000468
2200800000000000468
Total Amount Paid
$182.88
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 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
set, that the permit card is located at the fr.~t of the property, and the approved set of plans will remain on the site at all
ti e during construction. '
~ I. "--- ~Lle \06
\
Date
Owner or Contractors Signature
Paee 2 of2
225 Fifth Street
""
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00528
COM2008-00528
COM2008-00528
COM2008-00528
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
Description
FIxture
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistratIve Fee
Paid By
THOMAS RHEUT AN
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000468
Date: 04/16/2008
Item Total:
Check Number Authonzation
Received By Batch Number Number How Received
dJb
3218
In Person
Payment Total:
Page I of 1
1:09:10PM
Amount Due
14400
720
1728
1440
$182.88
Amount Paid
$182 88
$182.88
4/16/2008