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HomeMy WebLinkAboutPermit Plumbing 2004-02-19.FIIlD Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CITY Building/C ombination Permit PERMIT NO: COM2004-00199ISSUED: 0211912004 APPLIEDz 0211912004EXPIRES: 08/1912004 VALUE: SITE ADDRESS: 179 S 14TH ST ASSESSORTS PARCEL NO.: 1703363204400 PROJECT DESCRIPTION: Replace boiler with water heater Springfield TYPE OF WORK: Plumbing OnIy TYPE OF USE: Repair Commercial Owner: HOLIDAyLAUNDROMATSLLC Address: PO BOX 26125 EUGENE OR 97402 Contractor Tvpe Plumbing Contractor DICKBAILEY PLUMBING CO License 107255 Expiration Date 06t2912004 Phone 541-344-6996 CONTRACTOR INFORMATION BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS N01t # 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: Frontyard Setback: Side I Setback: Side 2 Setback: CE: PER Mll ZED 1H \S AUT HOR { -Rn n-?32-2344' REQUIRED PARJilNG Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: 180 Street Improvements: Storm Sewer Available: Special Instruction: Notes: COM NI\E NCED .Paved Drive Rqd: ANY DAY %o ofLot Coverage: $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pase 1 of2 Description Type of Construction Value Date Calculated t}- you to UtilitY lltSt Et Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00199ISSUED: 0211912004APPLIED: 0211912004 EXPIRES: 08/1912004 VALUE: Fee Description + l0%o Administrative Fee + 7Yo State Surcharge Fixture Minimum/Adj ustment Plumbing Penalty Fee - BWOP Plumbing Total Amount Paid Amount Paid $9.00 $3.15 $14.00 $31.00 $4s.00 $102.15 Date Paid 2n9t04 2lt9t04 2n9t04 2n9t04 2n9t04 Receipt Number 1200400000000000223 1200400000000000223 r200400000000000223 1200400000000000223 1200400000000000223 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 Final Plumbing: \ilhen 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 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. ZRtizl.l/a/z-ry Owner or frntracto(s Signature,/Date Pzse? of2 L.L- r ees raro Keourreo InsDectrons I 225 Fifth Street ':! Springfield, Oregon 97477 541-72G3759 Phone City of Springfield Official Receipt ; Development Services Department Public'Works Department I Date:15: coM2004-00199 coM2004-00199 coM2004-00199 coM2004-00199 coM2004-00199 Fixture Minimum/Adj ustrnent Plumbing Penalty Fee - BWOP Plumbing + 7%o Slale Surcharge + l0%o Administrative Fee Item Total:$102.r5 14.00 3l.00 45.00 3. l5 9.00 Type ofPeyment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard SR YETT 000302 019181djb In Person Payment Total: $ 1 02.15 $102.15