HomeMy WebLinkAboutPermit Plumbing 2008-10-27
Status
Iss u ed
CITY OF SPRINGFIELD
I!
,
Building/Combination Permit
PERMIT NO: COM2008-01583
ISSUED: 10/27/2008
APPLIED: 10/27/20,08
EXPIRES: 04/27/20,09
VALUE:
225 Fifth, Street, Springfield, OR'
541-726-3753 Phone
541-726~3676 Fax
541-726-3769Jnspection Line
SITE ADDRESS: 1890 M ST APT 91
ASSESSOR'S PARCEL NO.: 1703254301500
Springfield TYPE OF WORK: PlumbingO~ly
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Water heater
Owner: KINGS COURT/BlRD LLC
Address: 2677 WILLAKENZIE RD STE 003
EUGENE OR 9740]
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I. CONTRACTOR I~F9R~I,O ",
. AlllO'" Iv"" -" ~c"d b the oregorrurlhty ";
Contractor follow rules ad~pt\h~e ruldsilUlJ1set forllExpiration Date
RIGHT WA Y p~~lNJ~~ ~~~_~~j()throu~h49Wt952-0~1. ']2/]612008
ool1i#litiD1N~~~p6JmiAl1~~~h~~; I
calling t11~vO>'n' gon Utility Notification
numbEII ~'jl"\\ll'ies~~800_332-2344).
Ife!gllllbfStructure
Type of Heat: ,
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541~484-3787
Contractor Type
Plumbing
R2
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floo~:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load,:
VB
nla
1 DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, m~INI,I)ist: " Total: ::
, ' leVIf;ees Rqd: Handicapped:
," <t9iRMliX.ooAll EXPIRE IF THE W Compact:
IW'bHOcRlelifJ.'t.Jl1Q , DRK
XI~M~,;~::!::~I~t~~,~~~~ NOT '
I PUBLIC IMPR ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
..~, .
Sidewalk Type:
D.ownspoutslDrains:
Notes:
, ' 1 Vaiuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
: Date Calculated
Paee 1 of 2
CITY OF SPRINGFIELD'
"
Status
Iss u ed
Building/Combi6ation Permit
PERMIT NO: COM2008-01583
ISSUED: 10/27/2008
APPLIED: 10/27/2008
EXPIRES:' 04/27/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726'3676 Fax
541-726-3769, Inspection Line
Total Value of Project
Fees Paid 1
Fee Description
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimuml Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$5;20
$6.24
$2.60
, $17.00
$35.00
10/27/08
10/27/08
10/27108
10/27/08
10/27/08
2200800000000001556
2200800000000001556
2200800000000001556
2200800000000001556
2200800000000001556
Total Amount Paid
$66.04
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be malIe the following
work day. . ,
I Relluired InsDeetions 1
Rough Plumbing: Prior to 'cover and including required testing.
. ,
Final p'lumbing: 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 Ordinanc~s 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 ad'dress 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.
\1 &a~t\,~
I .l' )('-----
Owner or Contracto~ s Sigerture
/O-Z7-0g
Date
Paee 200
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008.0 1583
COM2008-0l583
COM2008-0 1583
COM2008-0l583:
COM2008-0 \ 583
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2008-0 i 583'
COM2008-0l583
COM2008-0l58J,
COM2008-0J 583
COM2008-0 1583
Payments:
Type of Payment
Cash
Change
cRcceiotl
RECEIPT #:
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
RIGHT WAY PLUMBING
RIGHT WAY PLUMBING
Description
Fixture
Minimum/Adjustment Pl~mbing
+ 5% Technology Fee
+ 1;2% State Surcharge
+ '10% Administrative Fee
Paid By
RIGHT WA Y PLUMBING
RIGHT WAY PLUMBING
City of Springfield Official Receipt
Development Sen:ices Department '
Public Works Department
2200800000000001556
Date: 10/27/2008'
Item Total:
Check Numbet: Authorization
"Received By Batch Number Number How Received.
djb
djb
In Person
In Person
Payment Totaf:
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
Page 1 of 1
]2:05:16PM
Amount Due
17,00
35,00
2,60
6,24
5,20
$66. U4
Amount Paid
$70,00
($3,96)
$66. U4
Amount Due
17,00
35,00
2,60
6,24
5.20
$66.U4
Amount Paid
$70,00
($3,96)
$66,04
10/27/2008