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Home My WebLink AboutPermit Plumbing 2004-04-27Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00338ISSUED: 0412712004APPLIEDz 0312612004 EXPIRESz 1012712004 VALUE: SITE ADDRESS: 200 r6TH ST ASSESSOR'S PARCEL NO.: 1703363104603 PROJECT DESCRIPTION: Repair Sanitary Sewer Owner: R&RpERIilNSLLC Address: 326 MAIN ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential Contractor License OREGONELECTRICSERVICE 38001 ROYAL FLUSH ENVIRONMENTAL SERVIC Expiration Date 09n4t2004 Phone 54r-343-1681 54t-895-2072 CONTRACTOR INFORMATION BUILDING INF # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 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: Impervious Surface Area: REQUIRED PARJ(NG Total: Handicapped: Compact: t0t Sidewalk Type: DEVELOPMENT INFORMATION Pase I of3 a Contractor Type Electrical Sewer F 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: COM2004-00338ISSUED: 0412712004APPLIEDz 0312612004EXPIRESz 1012712004 VALUE: Description Tvpe of Construction Fee Description + l0Yo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Fixture Minimum/Adj ustment Electrical Minimum/Adj ustment Plumbin g Total Amount Paid Total Value of Project Date Paid 4t27t04 4t27t04 4t27t04 4t27t04 4t27t04 4t27t04 Value Date Calculated Receipt Number 1200400000000000550 12004000000000005s0 1200400000000000550 1200400000000000550 1200400000000000550 1200400000000000550 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $9.00 $6.30 $43.00 $14.00 $2.00 $31.00 $10s.30 Rees Pnid Plan Reviews To Request an inspection call the 24 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. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Rpnrrired fnsneefinns Paee 2 of3 L}l Valuation Descriotion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00338ISSUED: 0412712004APPLIED: 0312612004EXPIRES: 1012712004 VALUE: 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 70f .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. 4a Ar,tr.-7 o+ffi Signature Date Page 3 of3 l SPRINGFIELD, OREGON ryru,p.,and do€s not specific land userequire INSPECTION REQUEST:W6%1bg Zoning l:D(L CitY Job Number OFFICE: '726-3'159 225 FIFTH STREET Therollowingp roject as submitted Date i LOCATION OFzDo has the torrorHlrf, Cm CAL PERMIT APPLI CATiON Caw'tzooLl4O33 I FEE SCIEDLLE BELOW or Multi-Famiiy per dwelling umt. Servrce included:LEGAL DES t703 CRIPTION's*6I'i oLl6o3 JOB DESCRIPTION f (-Ul t Permits are non-transferable and expire if rlork is not stalted within 180 days of issuance or ifwork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical co"08fffiE P0 B0x 2237noo"" EU0ENE; oR g74oa Pt onqlH3:-l-b-8/Citt' Supen'isor License Number I S.aa- .S Erpirauon oate /O- Ot ' 4 Constr Contr. Number -5?OO / Exprration Date 1000 sq.ft. or less Each additronal 500 sq. ft or portion thereof Each Manufd Home or Moduiar Dwelling Service or Feeder B. Services or Feeders Installatron, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampVvolts Reconnect Only C. Temporary Sewices or Feeders Installation, Alteration or Relocation 200 amps or less Items Cost Sum $ 106.00 $1900 si000 _$6300_ _ $ 75.00 _ _ $l25.oo _ _ s163.00 _ _ $375.00 _ s s0.00 _ sso.oo _ $ 3.00 AUIHORI lease or rent. DORIS L EXPIRE R THIS P 1Lb-z+oo NED IOR Si of Supervising Electrician Orvners Name .2J\ Address 7 V ar x) D Each Additional Circuit or with Service or Feeder Permit E. Mrscellaneous (Servicelfeeder not included) -Each irutallation Pump or imgation SigniOutline Lighting_ Limited Energy/Res Limited Ercr#lComm ^n 5. STIBTOTAL OF ABOVE \>/A'NI ?% State Surcharge t& .N, Admrrustrative Fee o INSTALLATION The installation is being made on propeftv I ou'n which is not intended rrrtl*t: TH6'REf3 IF THE WORK Srgnature ERMIT IS NOT $s0.00 $s0.00 $25.00 $45 00 C 1f NY 1BO DAY 374- q )-o A ABANDO TOTAL gZLf - r r::i^ 9 -14 -nl taw Center , Those are set fort 1-001 0 through oAR 952-00 obtain copies ol the rules I the telePhone ^oo-ca44\./ s+: oo qj 0090. nurnber for One Circuit 225 Fifth Street SpringfiEld, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt -evelopment Services Department Public Works Department RECEIPT #: 1200400000000000550 Date: 0412712004 t:51:27pM Job/Journal Number coM2004-00338 coM2004-00338 coM2004-00338 coM2004-00338 coM2004-00338 coM2004-00338 Description Fixture Minimum/Adjustment plumbing Add, Alter, Extend Circ Minimum/Adjustment Electrical + 7yo State Surcharge + l0% Administrative Fee Amount Due 14.00 31.00 43.00 2.00 6.30 9.00 Item Total: Type of Payment Paid By Check ROYAL FLUSH ENV Received By Batch Number Number How Received In Person Payment Total: $r0s.30 Amount Paid $10s.30 $r05.30 djb 1366 412712004 Page I of I lPnrxortll'rr