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