HomeMy WebLinkAboutPermit Plumbing 2009-1-7
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-00025
ISSUED: 01i07/2009
APPLIED: 01/07/2009
EXPIRES: 07/07/2009,
VALUE:
225 Fifth Street, Springfield, OR
54].726.3753 Phone
54] -726'3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 1290 I ST
ASSESSOR'S PARCEL'NO.: ]70335]]0]400
Springfield TYPE OF WORK: Plumbing Only
TYPEOF USE: Alteration Public
PROJECT DESCRIPTION: Changing shower to walk-in shower stall. Replacing toilet and wall-mount sink.
Owner: MCCULLEY JOHN E & FLORENCE
Address: 1290 I ST
SPR]NGFIELD OR 97477
I CON!RACTOR INFORMATION'
Contractor Type
General
Contractor
RICHARD LEE KRUMDlECK
License
47212
Expiration Date
02/] 1/2009
Phone
54]-343-] ]55
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary' Construction Type:
# of Bedrooms:
BUILDI~G !N~<?RMATION I
I
# of Stories: I
Height of Structure
Type of Heat: I
Water Type: I
Range Type: :
Energy Path: I
Sprinkled Buildi~g. n/a
I
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2J1(l Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVEL?PMENT INFORMATION ,I
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: I
# Street Trees Rqd:
Paved Drive Rqd:
I
% of Lot Coverage:
I
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROV~MENTS 1
Sidewalk Type:
AT1Eiir1lWli~j}l;b(ltHtgf],~~W reqUireS yo,~.~O
folloW rules adopted by~e Oregon l,;iI,lty
\!otuication Center. Those rules are set fo~
Ntin!' C E: In OAR 952-001-001 0 through OAR 952-00 '
THIS PERMIT SHALL EXPIRE IF THE WORK nnClll You mav obtain copies of tha rul1ls b
i,U I nunlLtu UI~Utti I HI;:' !-'tKIVIII I~ \:(;-; I calling tne center. ~NOIe: m~ 1""'~'IU'~.
COMMENCED OR IS ABANDONED FOR Valuation Description, number for the Oregon Utility NotificatIon
ANY 180 DAY PERIOD. ' is 1-800-332-2344).
Description' Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Street Improvements:
Storm Sewer Available:
Special Instruction:
Page] of2 ,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00025
ISSUED: 01/07/2009
APPLIED: 01/07/2009
EXPIRES: 07/07/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
,Fees Pa,id.1
Fee Description
+ ]2 % State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$]9.00
$39.00
117/09
, ]/7/09
117/09
117/09
]200900000000000003
]100900000000000003
]200900000000000003
]200900000000000003
Total Amount Paid
$67.86
Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. Ail 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.
Re~lUir~d Insn~cti?n~ 1
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: 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 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 furth'er 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 frout of the property, and the approved set of plans will remain on the site at all
times dur?~7,,' / s::uct/i, '
kJ~, /-7-7Jr:f
, . {<-.>"
Owner or Contractors Signature Date
Page 2 of2
J
City of Springfield Official Receipt,
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00025
COM2009-00025
COM2009-00025
COM2009-00025
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000000003
2:25:36PM
Date: 01107/2009
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Amount-Due
19,00
39,00
2,90
6,96
$67,86
Paid By
AAA PLUS CONTRACTING
Item Total:
<..:heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
7188
In Person
Payment Total:
$67,86
$67.H6
nJm
Page I of 1
1/7/2009