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Home My WebLink AboutPermit Plumbing 2004-02-18!.". "{t "a Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00189ISSUED: 0211812004APPLIEDz 0211812004EXPIRES: 08/1812004 VALUE: SITE ADDRESS: 1128 5TII ST ASSESSOR'S PARCEL NO.: 1703263402700 PROJECT DESCRIPTION: Add triple sink and floor sink Springfield TYPE OF WORI(: Plumbing Only TYPE OF USE: New Commercial Owner: CHRIS MAITLEN Address: 2127 BONNIE LN SPRINGFIELD OR 97477 PhoneNumber: 541-744-7006 Contractor Tvpe Plumbing Contractor VOS PLUMBING INC Expiration Date 04104t2004 Phone 541-485-05s1 License 41805 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN SETBACKS THIS PERMIT Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: AUTH0RIZED UNDER Tdllfl.f,FBq{lI rS NoT 00MMEN0ED 0R ls AHAH0R[F&fflft, ANY 180 DAY PERlOD.Paved Drive Rqd: Yo ofLot Coverage: REQUIRED PARIilNG Total: Handicapped: Compact: ATTEI\ follow rules adopted by the Oregon Uti to ;lltldewalk TYPe: lotification Center. Those rules are s€t fGDbwnspouts/Drains: r OAR 952-001-0010 through OAR 952-OO )090. You may obtain copies of the rules I calling the center. (Note: the telephone $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page 1 of2 DEVELOPMENT Description Type of Construction Value Date Calculated L U IL.l,rlI\ t, rr\ I UI(1YI]!L1!lll_.1 t Building/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: COM2004-00189ISSUED: 0211812004APPLIEDz 0211812004EXPIRES: 08/1812004 VALUE: Fee Description + l0Yo Administrative Fee + 7Yo State Surcharge Fixture Minimum/Adj ustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Amount Paid Date Paid 2lt&t04 2fl8t04 2fl8t04 2n8t04 2fi8t04 2n8t04 2tr8t04 $4.s0 $3.15 $28.00 $17.00 $103.26 $135.84 $11.96 Receipt Number 1200400000000000215 1200400000000000215 120040000000000021s 120040000000000021s 1200400000000000215 1200400000000000215 120040000000000021s $303.71 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. I Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 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 OCCUPAI\CY 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 r or Contractors Signature Pase2 of2 Date I ,: Hees rrrft I Kequrreo rnspeeuollf,l 225Fifth St.'eet Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200400000000000215 Date: 0211812004 9:24:52A]sd coM2004-00189 coM2004-00189 coM2004-00189 coM2004-00r89 coM2004-00189 coM2004-00189 coM2004-00189 Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin + 7o/o State Surcharge + lUY. Administrative Fee Fixture Minimum/Adj ustment Plumbing Item Total:$303.71 135.84 r03.26 I1.96 3.15 4.50 28.00 17.00 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check 5TH AND BROADWAY djb 4470 In Person Payment Total: $303.71 $303.71