HomeMy WebLinkAboutPermit Plumbing 2008-10-27
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CITY OF SPRINGFIELD'
Status
Issued
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Building/Combil}ation Permit
PERMIT NO: COM2008-01580
ISSUED: 10/27/2008
APPLIED: 10/27/2008
EXPIRES: 04/27/2009
VALUE: '
225 Fifth Street, Springtield. OR
541-726-3753.Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1475 5TH ST
ASSESSOR'S PARCEL NO.: 170326420]20]
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Public
PROJECT DESCRIPTION: Replace 2 shower pans and valves
Owner:
Address:
CITY OF SPRINGFIELD.
CITY HALL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .1
Contractor'Type'
General
Contractor License
TIMBERLINE PAINTING & REI\!ODELING 157974
I BUILDING INFORMATION.
Expiration Date
] 2/1212009
Phone
541-912-7777
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories: ' to Lot Size: !
. , s "au
,,, H!;.\?h~,~f-~tf(~.c.'~""N requIre ~ Utility Sq Ft 1st Floor:
.'0"\ t'.Type'of Heat:,d by (\,e Orego ttorthSq Ft 2nd Floor:
. "il',c.:; OOUt,}l... les are 5e
l,)\,ov"W:iterC',fy,p,e:,. Those ru R 95Z-001Sq Ft Basemen!:
Nbti\i(.!l-\iQ;~iMe\)1 0 through O~he rules b1q Ft GaragelCarport
in OA\ERer~~~-3'\.\\ltain caples 0 tl phone Sq Ft Other:
0090,~~~M'~e~lJi\~i4'g9te,the ~B{l'icatiorOccupant Load:
~ol\\nc\tr\ ~..~"An \ Ltl\iW .
I DEW!iw;jihii'Ji;F~~hb;N'l
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:,
# Street TreesRqd: _~..
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compa,ct:
,
I PU,B.~IC IMPROVEMENTS I'
Street Improvements:
Storm Sewer Available:
Special Instruction: '
Sidewalk Type:
Description
Type of Construction
Downspouts/D rains\NO?'\<'
t \r i\\t Oi
~~;~~J:~~~ t"';~!i~;~~~; r~:
~,.'., t\~~tUv'" I).
I Valuati.o~ De~,,~~w tr>.'l Pt?\~ '
$ PerSq Ft Square F, (.f9.tag~.. ;'11"'\.."
" Value
or multiplier orBid Amount
Date Calculated
Notes:
Pa2e ] of 2
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Status
Iss u ed
CITY OF 1'lt'KlNljJ1ll'.,LD .
Building/CombiI}.ation Permit
PERMIT NO: COM2008-01580
ISSUED: 10/27/2008'
APPLIED: 10/27/2008
EXPIRES: 04/27/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753"Phone
541-726-3676,Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pa id 1
Fee Description
+ ] 0% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Fixture
MinimumlAdjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$5.20
, $6,24
$2.60
$34.00
$]8.00
10/27/08
10127108
10/27/08
10/27/08
10/27/08
]200800000000001089
]200800000000001089
1200800000000001089
1200800000000001089
1200800000000001089
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 made the following
work day.
RelllJi~ed Tnsnectinns 1
Rough Plumbing: Prior to cover and including required testing,
Shower Pan. Prior to covering and inclnding required testing.
Final Plumbing: When all plumbing work is complete.
By signature,] state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and, correct, and 1 further certify that any and all work performed shall be don~ in'accordanee with
the OrdiDluices of the City of Springfield and the L:lws of the State of Oregon pertaiuing to the work described herein, and
that NO OCCUPANCY will be made of :lny structure without permission of the Community Services Division, Building Safety,
1 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:lIl required inspections are requested at the proper time, that each address is readable from the
street, that the permit c:lrd is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
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Date
~ner or Contractors Signatu~'e
Paee 2 01'-2
225 Fifth Street
Springfiem:Oregon 97477
541-726-3759 Phone
Job/Journal Number
, COM2008-0l580
COM2008-01580
COM2008-01580
COM2008-0 1580
COM2008-0l580
Payments:
Type of Payment
CreditCard
cRcceiotl
RECEIrT #:
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ J 0% Administrative Fee
Paid By
TIMBERLINE PAINT
City of Springfield Official Receipt
Development Seniices Department
Public W(jrks Department
1200800000000001089
Date: 10/27/2008
1l:34:47AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received.
djb 335234 In Person
Payment Total:
Amount Due
34,00
18,00
2,60
6,24
5,20
$66.04
Amount Paid
$66,04
$66.U4
"
Pa,ge I of I
10/27/2008