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Home My WebLink AboutPermit Plumbing 2004-12-28SPRIN Building/Combination Permit PERMIT NO: COM2004-01585ISSUED: 1212812004 APPLIEDz 1212812004 EXPIRESz 0612812005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 1259 38TH ST ASSESSOR'S PARCEL NO.: 1702304304201 PROJECT DESCRIPTION: Replace water heater Owner: Address: CARL DEMOSS 1259 38TH ST SPRINGFIELD OR 97478 Contractor Type Plumbing Contractor BTS CONSTRUCTION LLC License 146957 Expiration Date 02n5t2005 Phone 54t-726-5761 # of Units: Primary Secondary Primary Secondary # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Valuation Description Description Type of Construction Total Value of Project Value Date Calculated Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential LUI\ Oregon by through Building: may center. number brthe Oregon Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01585ISSUED: 1212812004 APPLIEDz 1212812004 EXPIRESz 0612812005 VALUE: Fee Description + lOoh Administrative Fee + 7o/o State Surcharge Fixture Minimum/Adj ustment Plumbing Total Amount Paid Amount Paid $4.s0 $3.1s $14.00 $r.00 $52.65 Date Paid 12t28t04 12t28t04 12128104 12128t04 Receipt Number 1200400000000001795 r200400000000001795 1200400000000001795 1200400000000001795 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Reouired Insnections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 74-1%/L >tr /o+ Owner or Contractors Signature Date Pase2 of2 11 ees raro I 225 Fif$r Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt ,,elopment Services Department Public Works Department RECEIPT #: 1200400000000001795 Date: 1212812004 9:52:48AM Job/Journal Number coM2004-01585 coM2004-01585 coM2004-01585 coM2004-01s85 Description + 7o/o State Surcharge + l0% Adminishative Fee Fixture Minimum/Adj ustment Plumbing Amount Due 3. l5 4.s0 14.00 31.00 Item Total:$52.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check BTS CONSTR djb 1367 In Person $52.65 Payment total: -Sffi t2/2812004 Page I of I attraf,3.D