HomeMy WebLinkAboutPermit Plumbing 2004-11-30Status Issued
225 Fifth Street, SPringfield, OR
341:726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Bui\dingl Combinationtennit
PERMIT NO:COIY[2004-01462
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11/30/2004
11/30/2004
0si30/2005
SITE ADDRESS: 1617 9TH ST
ASSESSOR'S PARCEL NO.: 1703264204903
PROJECT DESCRIPTION: Approx 35lf sanitary sewer
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: RePair Residential
Owner: THOMAS ELLIOTT
Address: 708 B ST SPRINGFIELD OR 97477
PhoneNumber: 541-
Contractor Type
Plumbing
Contractor
VOS PLUMBING INC
Expiration Date
04t04t2006
Phone
541485-0551
License
41805
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories g$
F
Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARJ<ING
Total:
Handicapped:
Compact:
R-3
VN
s$
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description Type of Construction
Total Value of Project
Value Date Calculated
\)\'
nla
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01462ISSUED: 1113012004APPLIED: 11/3012004EXPIRES: 05/3012005
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 77o State Surcharge
Sanitary Sewer - lst 50 Feet
Total Amount Paid
Amount Paid
$4.50
$3.1s
$4s.00
$52.6s
Date Paid
lu30t04
tu30t04
tU30t04
Receipt Number
120040000000000r667
r200400000000001667
1200400000000001667
Plan Reviews
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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Reouired fnsnect
By signaturer l 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 Springlield 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 70f .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
times during construction.
is located at of the property, and the approved set of plans will remain on the site at all
//' -a u
Owner or Contractors Signature Date //
Pase2 of2
E
H PFS rard
225 Fifth Street
Springficld, Oregon 97 477
541-726-3759 Phone
city of Springfield Oflicial Receipt
.velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001667 Date: lll3Ol2OO4 8:49:28AM
Job/Journal Number
coM2004-0t462
coM2004-01462
coM2004-01462
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Sanitary Sewer - lst 50 Feet
Amount Due
3.l s
4.50
45.00
Item Total:$52.6s
Type of Payment Patd By Received By Batch Number Number How Received Amount Paid
Check VOS PLUMBING INC djb 26478 In Person $52.65
Payment Total:
-Sffi
1U3012004 Page I of I
KN