HomeMy WebLinkAboutPermit Plumbing 2005-06-27Building/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: COM2005-00803ISSUED: 0612712005
APPLIEDz 0612712005EXPIRES: 1212712005
VALUE:
SITE ADDRESS: 40616TH ST
ASSESSOR'SPARCELNO.: 1703362409500
PROJECT DESCRJPTION:
Springfield TYPE OF WORI(: Plumbing Only
TYPE OF USE: Alteration Residential
Owner:
Address:
COVEN SPIROS J & SHARON J
25200 CHENEY DR
VENETA OR 97487
Contractor Type
Plumbing
Contractor
GARY'S ROOTER SERVICE
License
129990
Expiration Date Phone
0612412008
# 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:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
'Sq Ft Basement:
Ft Garage/Carport
$ Per Sq Ft
or multiplier
o\
Square Footage
or Bid Amount
Ft Other:
Sidewalk Type:
Downspouts/Drains:
Load:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase I of2
Value Date Calculated
rV\
\(\
{\
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range \\,e
%
Valuation Description I
\
Building/Combination Permit
Status Issued
225 Fifth Streetn Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00803ISSUED: 0612712005APPLIED: 0612712005
EXPIRESz 1212712005
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 7%o State Surcharge
Water Line - lst 50 Feet
Total Amount Paid
Amount Paid
$4.50
$3.1s
$4s.00
$52.65
Total Value of Project
Date Paid
6t27tgs
6127t05
6t27t0s
Receipt Number
2200500000000000830
2200500000000000830
2200s00000000000830
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Water Line: Prior to lilling trench and including required testing.
Reouired Insnecti
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is Iocated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
6-72-a{
Owner Date
Paee? of?
reelrarql
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 2200500000000000830 Date: 0612712005 9:51:18AM
Job/Journal Number
coM2005-00803
coM2005-00803
coM2005-00803
Description
Water Line - lst 50 Feet
+ 7o/o State Surcharge
+ l0% Adminishative Fee
Amount Due
45.00
3.15
4.50
Item Total:$s2.6s
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check SPIROS J. COVEN jmp 123 In Person $s2.6s
Payment Total:$52.65
61271200s Page I of I
SFltl.IAr.XLI'