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HomeMy WebLinkAboutPermit Plumbing 2004-09-23Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01178ISSUED: 0912312004APPLIED: 0912312004 EXPIRESz 0312312005 VALUE: SITE ADDRESS: 958 S 38TH ST ASSESSOR'SPARCELNO.: 1802061306000 PROJECT DESCRIPTION: Replace electric water heater Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential Owner: LEWIS SUSAN C Address: PO BOX 1528 SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor BTS CONSTRUCTION LLC License r46957 Expiration Date 02n5t2005 Phone 541-726-5761 CONTRACTOR INFORMATION BUILDIN( # 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: NOTICE: Description Type of Construction $ Per Sq Ft or multiplier the Square Footage or Bid Amount nla is 1-800-332'-23441. REQUIRED PARKING Total: Handicapped: Compact: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Total Value of Project DEVELOPMENT INFORMATION Puge Value Date Calculated [.3 FIE Building/C ombination Permit ,p Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-0I178ISSUED: 0912312004APPLIEDz 0912312004 EXPIRESz 0312312005 VALUE: F ees Paid Fee Description + l0o/o Administrative Fee + 7%o State Surcharge Fixture Minimum/Adj ustment Plumbing Total Amount Paid Amount Paid $4.s0 $3.15 $14.00 $31.00 $52.65 Date Paid 9t23t04 9t23t04 9t23t04 9t23104 Receipt Number 2200400000000001193 2200400000000001193 2200400000000001193 2200400000000001193 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. Final Plumbing: When all plumbing work is complete. nsnections 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. tt, U-n--q oq Owner or Contractors Signature Date Pase 2 of 2 225 l-ifth Street Springfield, Oregon 97 477 541-726-3759 Phone n'ty of Springfield Official Receipt _ .velopment Services Department Public Works Department RECEIPT#: 2200400000000001193 Date: 0912312004 9226:34AM Job/Journal Number coM2004-01178 coM2004-01178 coM2004-01178 coM2004-01178 Description Fixture Minimum/Adj ustment Plumbing + 7%o State Surcharge + l0o/o Administrative Fee Amount Due 14.00 3l.00 3.15 4.50 Item Total $52.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check BTS CONSTRUCTION DLM r322 In Person $52.65 Payment Total: -55ffi 9123/2004 Page I of I aDlmra3.o I