HomeMy WebLinkAboutPermit Plumbing 2007-03-08G
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2007-00339ISSUED: 0310812007
APPLIED: 03/0812007
EXPIRES: 09/0812007
VALUE:
SITE ADDRESS: 1218 1ST ST
ASSESSOR'S PARCEL NO.: 1703263300524
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: lnstall water heater
Owner:
Address:
CLAYTON HORN
I2I8 IST ST
SPRINGFIELD OR 97477
Phone Number: 541-
Contractor Type
Plumbing
Contractor License
ACE EQUTPMENT & SPECTALTY SERVICE 154093
Expiration Date
0u24t2009
Phone
541-729-6221
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group :
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
# of Stories:
Height of Structure:
Lot Size:
Sq Ft lst Floor:
Type of Heat:
:oreEon
r Those
0 Load
PARKTNG
thc
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
#Street
Total:
Handicapped:
Compact:Paved Drive Rqd:
oh of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
THIS PER MIT SHALL EXP rHuoh{tHrr$$Unx
sxP,tB$$[,I,lSJi9[,,
NDONE.D FORAUTHORIZED UNDER THI
GOMMEN GED OR IS ABA
Notes:ANY 1 80 DAY PERIOD
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CONTRACTOR INFORMATION
Description Type of Construction
Page I of2
Value Date Calculated
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Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00339ISSUED: 0310812007APPLIED: 03/0812007
EXPIRES: 09/0812007
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
3t8t07
3t8t07
318t07
3/8t07
3t8t07
Receipt Number
1200700000000000246
1200700000000000246
1200700000000000246
r200700000000000246
1200700000000000246
$4.50
$2.25
$3.60
$14.00
$3r.00
$5s.3s
Fees Paid
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Reorr
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is front of the property, and the approved set of plans will remain on the site at all
0
Owner Signature
Page 2 ol 2
Date
lq
225 Fifth Street
Springfield, Oregon 97 477
541-72$-3759 Phone
Cir* of Springfield Official Receipt
D lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000246 Date: 0310812007 l1:06:40AM
Job/Journal Number
coM2007-00339
coM2007-00339
coM2007-00339
coM2007-00339
coM2007-00339
Description
+ 57o Technology Fee
+ 8% State Surcharge
+ lloh Administrative Fee
Fixture
Minimum/Adjustment Plumbing
Amount Due
2.25
3.60
4.50
14.00
3l.00
Item Total:$55.35
Payments:
Type ofPayment Paid By
UheckNumber Authorizatron
Received By Batch Number Number How Received Amount Paid
Check ACE EQUIPMENT AND
SPECIALTY
djb 4266 In Person
Payment Total:
$ss.35
$55.35
cReceintl Page I of I 318/2007
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