The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2004-04-27Buildin g/C ombination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00339ISSUED: 0412712004APPLIED: 0312612004EXPIRES: 1012712004 VALUE: SITE ADDRESS: 20011216TH ST I ASSESSOR'S PARCELNO.: 1703363104603 PROJECT DESCRIPTION: Repair Sanitary Sewer Owner: R&RpERKINSLLC Address: 326 MAIN ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential Contractor Type Electrical Sewer Contractor License OREGON ELECTRIC SERVICE 38001 ROYAL FLUSH ENVIRONMENTAL SERVIC Expiration Date 09114t2004 Phone s41-343-1681 s4t-895-2072 )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Trees Rqd: Paved Drive Rqd: %o oILot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Do\H?{p;rff &rtue s Y :,, *o , PUBLIC IMPROVEMENTS Notes: Pase I of3 I r.-rl\ r rf-A(- r rrla. rr\ r' Yl]Ilj]lf:z1l_l Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 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: COM2004-00339ISSUED: 0412712004APPLIEDz 0312612004 EXPIRESz 1012712004 VALUE: Description Type of Construction Fee Description + l0%o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Fixture Minimum/Adj ustment Electrical Minimum/Adj ustment Plumbing Total Amount Paid Total Value of Project Date Paid VaIue Date Calculated Receipt Number 120040000000000055r 1200400000000000551 1200400000000000551 1200400000000000551 1200400000000000551 1200400000000000551 Amount Paid $9.00 $6.30 $43.00 $14.00 $2.00 $31.00 $105.30 $ Per Sq Ft or multiplier Square Footage or Bid Amount 4t27t04 4t27104 4127t04 4t27t04 4127104 4t27t04 Fees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Reorrired Insnections Paee 2 of3 \ Valuation Descrintion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3153 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00339ISSUED: 0412712004APPLIED: 0312612004EXPIRBS: 1012712004 VALUE: 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 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 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. 4nr (5^t- owner o, co(t o("{ors Signature Date Page 3 of3 ]25 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 7 26-3'7 69 OFFICE: '726-3'759 ] LOCATION INST TION + -7-zoo ELECTRICAL PER]WT APPLI CATION 3. COMPLETE FEE SCMDULE BELOW A. New Residential-Single or Multi-Famiiy per dweliing umt. Included: City Job N.omAer COtt t?Pc:t\'OO3S 7 of issuance or if work is I 80 davs Autnorized Signature 2 CONTRACTOR INSTALLATION ONLY Electrcat con0fi{ffiE P0, Box 223i or less 500 d Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampVvolts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less Items Cost Sum $106.00 $1900 $5000 Address trllnrllr nnml-o.^truuilrr, lTryrluz Citt Pt'o,rq3H3:&8/ Supen"isor License Number , Aa.f- -S Expiration Date /o- or . 6-LI Constr Contr. Number -\,*aO / Erprration Date $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ s0.00 _ $so.oo _ S of Supervrsing Electrician 201 amps to 400 O\,TN'E$EAIU on la!\ r'equres 9@-ce' -tne O+egofrt00i00Y- orvners Nu-.?ovt Perr Kr *, s Crr.y sptJ.ph6ns 1ZC - Z4CO OWNER INSTALLATION The installation is being made on propemy I own which is not intended for sale, Iease or rent. m,rrruru'*ffiffihg,:Hl37 D One Circuit / s+:.oo Lt3 Each Additional Circuit or with Service or Feeder Permrt s 3.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _ $50.00 Sigr/Outline Lighting_ _ $50.00 Limited Energy/Res _ $25.00 Limited Energy/Comm _ $45.00 5. suBrorAr- or mo$fi^t ?% State Surcharge | )Y,YK{drnrnistrative F ee TOTAL Ltf 97 6' ""i9'8'yil8t I ou JOB gi?tf- tf so sq. Permits are Lf u,ork is not stafled within 180 ANY 180 DAY PERIOD. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ty of Springfield Oflicial Receipt .- evelopment Services Department Public Works Department RECEIPT #: 120040000000000055r Date: 0412712004 1:52:12PM Job/Journal Number coM2004-00339 coM2004-00339 coM2004-00339 coM2004-00339 coM2004-00339 coM2004-00339 Description + 7Yo State Surcharge + l0% Administrative Fee Fixture Minimum/Adj ustment Plumbing Add, Alter, Extend Circ Minimum/Adj ustment Electrical Amount Due 6.30 9.00 14.00 31.00 43.00 2.00 Item Total:$105.30 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check ROYAL FLUSH ENV djb 1366 In Person $105.30 Payment total: -STdE5d- 412712004 Page I of I ltloanc