HomeMy WebLinkAboutPermit Plumbing 2005-4-7
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~.
.., CITY OF ~rKll'\jhl'l~LD
Building/Combination Permit
PERMIT NO: COM2005-00406
ISSUED: 04/07/2005
APPLIED: 04/07/2005
EXPIRES: 10/07/2005
VALUE:
*
SITE ADDRESS: 208 MAIN ST APT 1
ASSESSOR'S PARCEL NO,: 1703353204700
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
PROJECT DESCRIPTlON: Replace water lines serving individual apts and 2 fixtures
Owner: DAVIS JOAN K
"Address: 734 SUMMIT BLVD
SPRINGFIELD OR 97477
I CONTRACTORINFORMATlON'
Contractor Type
Plumbing
Contractor
KEVIN MARK COHEN
License
131326
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
"
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
I BUILDING INFORMATlON I
# of Stories: , es you to
. ~ti",q}llr ,
ATTENTION: ~gIIfO, &Jo%gon Utility
I~W rules adnrnll~t\1J ,iules are set 10rth
Notilication cer*iI!e~=)gh OAR 952-001-
in OAR 952-00~~~~lbUfljeS 01 the rules by
0090. You mays MJ!dl.N~.lliIibDg\elephO~9 la
:~Il;n~ the ~~~ ~-:'J' J." ~L~:"'~~ "'1f\tlflcat\O~
numPDElVEI;oJ.MENff.INFQRMA.TlON I
I'
1..1'1;0'",..-" -
Overlay Dist:
# Street .Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Expiration Date
09104/2006
Phone
541-607-9208
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:
I p,lJBlIICIMPROVEMENTS I
THIS PERMIT SHf\LL w'me IF ~~~:':~~~pe:
AUTHORIZED UNDER THIS PERlv\lI,~"_"v, ,
COMMENCED OR IS ABANDON~",!!~poutsmrams:
ANY 1 ~O DAY PERIOD,
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Paeelof2
Value
Date Calculated
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00406
ISSUED: 04/07/2005
APPLIED: 04/07/2005
EXPIRES: 10/07/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
F",,~ tiWU
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Miscellaneous Plumbing
Amount Paid
Date Paid
$7.30
$5,11
$28,00
$45,00
4/7/05
4/7/05
4/7/05
4/7/05
Receipt Number
2200500000000000403
2200500000000000403
2200500000000000403
2200500000000000403
Total Amount Paid
$85.41
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.
'R"oll~
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When aU 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 witho'ut permission oftbe Community Services Divisidn, 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.
/~/;,
",. - Owner or Contrac~nature
?JP~ ~'I'mt.VL?A'"v
'Yhh)
Date
Pa2e 2 of2
225 Fifth Street
Spring(i,eld, Oregon 97477
541-726-3759 Phone
Jab/Jaurnal Namber
COM2005-00406
COM2005-00406
COM2005-00406
COM2005-00406
Payments:
Type of Payment
Check
-
'.
4/7/2005
.
RECEIPT #:
Description
Fixture
Miscellaneous Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
PaId By
TRC CONSTR
Wir8P~R".~~,~", ~ '.
: .'.,,~, ~
WJf; "
.4.".' ..
2200500000000000403
litJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 04/07/2005
Item Total:
Check Number AuthoriZation
Batch Number Number How Received
Received By
djb
Page I of I
1563 In Person
Payment Total:
2:36:47PM
Amount Due
28.00
45.00
5,11
7.30
$85.41
Amaaut Paid
$85.41
$85.41