HomeMy WebLinkAboutPermit Plumbing 2009-4-23
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00544
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 10/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
SITE ADDRESS: 4162 FORSYTHIA ST
ASSESSOR'S PARCEL NO.: 1802052200404
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace tubs with showers
Owner: MAINSTREAM HOUSING INC
Address: 180 E 18TH AVE
EUGENE OR 97401-4160
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
SCHIRMER ENTERPRISES INC
License
169413
Expiration Date
03/3012010
Phone
541-485-1749
VB
BUILDING INFORMATION I
# of~'~TION: Oregon law req\l\rt'l~<i!y~(~e'
HeifU1~ $tnQ(!tI'ltlPpted by ~hr~I~~ea~~slI~fi~{I]Floor:
TYR~\\f1I:Nltln Center. ThOSou h()AR~l!if.~n,d Floor:
W~fff);J\ypes2-001-001 0 t~o i~S of ttj~9,~1'ft~~ement:
RaOg@(J'.y!felU may obtalf(Nofe: th? t~,\~9\F,~!:Garage/Carporl
Ene,r~~lI'@!.he. cente~~ on Utility N,~!i~.t\O,fher:
sprur'dllI!JB~~~l;\~ 1_~oO-g0,<-2-;3M9ccupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Front yard Setback:
Side J Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains: OR\<.
~~~\~~~M\T SH~~~ ;X~\~~~~~{ ~ NOT
~Ul\iO~.\I~~"U~~\S ~B~NDONED FOR
~'';':i:''''' ,Iv-- PERIOD.
I Valuation DeSCri.lil'illIHji O~'i
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pauelof2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
" ,
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Fixture
Minimnm/Adjnstment Plnmbing
Amonnt Paid
Date Paid
$6.96
$2.90
$38.00
$20.00
Total Amonnt Paid
$67.86
I Plan Reviews I
4/23/09
4/23/09
4/23109
4/23/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00544
ISSUED: 04123/2009
APPLIED: 04/23/2009
EXPIRES: 10/23/2009
VALUE:
Receipt Nnmber
1200900000000000293
1200900000000000293
1200900000000000293
1200900000000000293
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.
I ReolJired Jnsnecti~ns I
Rough Plumbing: Prior to cover and including reqnired testing.
Shower Pan. Prior to covering and including required testing.
Final Plumbing: When all plumhing work is complete.
By signature, I state and agree, that 1 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 withont permission of the Commnnity Services Division, Bnilding Safety.
I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all reqnired 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.
~
(
-----.....
Owner or Contractors Sign"ature
Paee 2 01'2
Llk?r:c;
Date
225 Fifth Street
Springlield, 'Oregon 97477
54]-726-3759 Phone
Job/Journal Number
COM2009-00544
COM2009-00544
COM2009-00544
COM2009-00544
Payments:
Type of Payment
Check
cReceintl
RECE]PT #:
~,^p~~'iij.--....'.
~' '.." ,
, .
. ,
_._~.,. "0"_" ", _', ,_,
City of Springfield Official Receipt
Development Services Department
Public Works Department
]200900000000000293
Date: 04/23/2009
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CASTILE CONSTRUCTION
INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 6706 In Person
Payment Total:
Page] of I
II :34:22AM
Amount (}ue
38,00
20.00
2.90
6,96
$67.86
Amount Paid
$67.86 ,
$67.86
4/23/2009