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