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Home My WebLink AboutPermit Plumbing 2003-4-14 ~ , >-\ . . City of Springfield Plumbing Permit Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection line PERMIT NO.: ISSUED: APPLIED: EXPIRES: PLM2003-00020 4/14/2003 4/14/2003 10/14/2003 SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: 1259 ISLAND CT 1703342200217 Replacing water heater, see also mec2003-00021 Springfield TYPE OF WORK: TYPE OF USE: Repair Commercial OWNER/APPLICANT: SHAW DOUGLAS HAROLD & SUSAN 1259 ISLAND CT SPRINGFIELD OR 97477 PLUMBING CONTRACTOR: ASSOCIATED HEATING & AIR CC PO BOX 412 EUGENE OR 97440 Phone: 541-683-2590 CCB#: 106275 EXPIRES: 08/3112004 Descriotion Amount Paid Date Paid Receiot Number + 10% Administrative Fee + 7% State Surchar~e Fixture Minimum/Adjustment Plurnbin~ 4.50 3.15 14.00 31.00 04/14/2003 04/14/2003 04/14/2003 04/14/2003 2200200000000000744 2200200000000000744 2200200000000000744 2200200000000000744 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 am. will be made the same working day, inspections requested after 7:00 a.In. will be made the following working day. Reouired InsDections: 1 Rough Plumbing: Prior to cover and including required testing. 2 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 hereilL I further certify that ooly contractors and employees who are in compliance with ORS 701.055 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, and that the approved set of plans, if applicable, will remain on the site at all times during construction. Owner or Contractors Signature Date " , ';/ v'''-''' '", , . . City of Springfield Plumbing Permit Status: Pending PERMIT NO.: PLM2003-00020 225 Fifth Street ISSUED: Springfield, Oregon 97477 APPLIED: 4/14/2003 541-726-3759 Phone 541-726-3676 Fax EXPIRES: 541 726 3769 I t' L' -. - 'Uregon law requires you to - - nspec IOn IDe ATTEN 1.IO~:"_~'MI h\llhe Oreaon Utility SITE ADDRESS: 1259 ISLAND CT TO\l~W '........~ --i.:';.riil..n"ldJles are seT TOI" NOTICE: NotiflcatlOnCemu< 6'~ Q~952-001' l\~~Iflt$m~EK:&PN0.IF THfog342Z00217 in OAR 952-001m~t()'F~bYb)e rules b~ AurR~~ t)tJ~tmPtioN~MRJ~I~bl/;g water hem9Ps~!tlmay Obfr(~Qfi~Js..BlePhOne COMMENCED O~_I~ ~8ANDONE'ili~~2'003_00021 ca~I~~_ .~~ :;.e:~r~oon Utility Notification O'{VNt:'kYA'ppfICANT: . ,uPLUMBING; to'r4T1RCt()R: SHAW DOUGLAS HAROLD & SUSAN ASSOCIA TED HEATING & AIR C 1259 ISLAND CT PO BOX 412 SPRlNGFIELD OR 97477 EUGENE OR 97440 Phone: 541-683-2590 CCB# 106275 EXPIRES 08/3112004 Descriotion Amount Paid Date Paid Receint Number + 10% Administrative Fee + 7% State Surchar~e .. Fixture Minimum/Adjustment Plumbin~ 4.50 3.15 14.00 31.00 04114/2003 04114/2003 04114/2003 04/14/2003 2200200000000000744 2200200000000000744 2200200000000000744 2200200000000000744 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 working day. ReQuired InsDections: 1 Rough Plumbing: Prior to cover and iocIuding required testing. 2 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 dooe in aecordance with the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in comp1ianee with ORS 701.055 will be used on this project. I further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from the street, and that the approved set of plans, if applieab1e, will remain on the site at all times during construction. #MItLA--7)~~~ Owner or Contractors Signature 'lI/03 Di&: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number PLM2003-00020 PLM2003-00020 PLM2003-00020 PLM2003-00020 Payments: Type of Payment Check Paid By Receipt #: 2200200000000000744 Date: 04/14/2003 Description Fixture Minimum/Adjustment Plumbing + 10% Administrative Fee + 7% State Surcharge Received By Check Number Confirm No ASSOCIATED HEATING & AlC, nJrn INe 10176 Page lofl " " " ,? 41 I 4/200}\ 2:29:08PM ;i City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 14.00 31.00 4.50 3.15 Line Item Total: $52.65 How Received Amount Paid In Person . 52.65 Payment Total: $52.65 cReceipLrpt . .) 02.'11/02 , -,1../'..... us I1Ffll """ · """""'"', o",m. "'''''''"-,,., · '''' "'''72~'''' lilt. O~J.bNnmbu !1";~~';":'~~o~ /J.~1~,c Vf- . lION 09.: 51 FAX 5417_8.9 . I CITY OF SPRINGFIELD ~004 ~. WCA'nON' OFPROI'OSEO WORK: 11);\ ASSESSORS MAP: V OWNF~' ~ 'f-.~ .~. o ADDRESS: / J- s-tr ~~ (!;f-' ~ CITY: ~~ Sf ATE: (}fL ~ D&SCRIYrI~N OFWO~ 1_/4'2 %f Ll1 tA}M;f/ 1Lt-~;6-/ rtIIn NEW: - REMODEL:--:- ADDITIOf\T' OEMOUSI" OTHER: W NAME ADDRESS ~ARCHITECI': CONTRAcrOR'S NAMt I GENERAL: ~ j; PLUMIlING.a"<\.spL.. IIJ..-...f- ~ MECHANICAl' O m:cnUCAC" ." ~......."....~.... . , .. .., . ':DJIil ___".." ~~~ I .. . TAX LOT: PHONE: 7t/7-~~3/ ZIP: q 7l:./tt:;-: VALUE: 'PliONE AODlUlSS CONSf. CONTRAcrOR # EXPIRES PHONE /os-n.,~bf,L.. /fJ1p 2-7~ t, t1 J ~z..s....,.6 ~~ll\iI$~~' furnace . Eliliaust Hood Vent Fan No wood StovelInsertlFireplace Unit ITEM J'ixtures Residentill1 BathCs) No: Sanit.uy Sewer FT. Water . Fr. Storm Sewer Fr. lEE ~ Mechanical PennH b ~j SlatCIssuance Administrative Fee Stale Surchazze Total Mechanical Permil Fees ~~~~ Demolition o State Issu.mec . ~ Administrative Fee . State Surcharge . . Totat Miscellaneous Pernuts Plumbing Pcnnit Adminishative Fee Slate Surchazze Total Plumbing Fees .. . Total Mechllnical Permits Total Plumbul$ Permits Total Miscellaneous Pcnnits TOTAL M~~l. Plwa1bing · Mistdlmoous f