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Home My WebLink AboutPermit Plumbing 2004-2-2 <, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectinn Line . . CITY OF SPRIl~\..-.l'IELD. Building/Combination Permit PERMIT NO: COM2004-00136 ISSUED: 02/0212004 APPLIED: 02/02/2004 EXPIRES: 08/02/2004 VALUE: SITE ADDRESS: 1141 MAIN ST 1 ASSESSOR'S PARCEL NO.: 1703354107200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential " PROJECT DESCRIPTION: Install approx 250lfwater line Owner: STEPHEN KRAMER Address: 42113 DEERHORN RD SPRINGFIELD OR 97478 Contractor Type Plumbing Phone Number: 541-896-3205 I CONTRACTOR INFORMATION , Contractor OWNER Expiration Date Phone Overlay Dist: NOli CE: ~~W'l\ltfl!tWOO/H: THIS PERMIT SHf>.ll EXPI I\ve<hanl,\~@{ lED UNDER THI n:;l'lIVlrr AUTHORI ED OR IS f>.Bf>.~~ ~rage: COMMENC .../ . on n~V PFRIOO. 1'\" f_j I PUBLIC IMPROVEMENTS' Sidewalk Type: n law reqUires you tCDownspoutslDrains: ATTENTION:Orego the Oregon Utility follow rules adopte1hbYse rules are set fort -lotification cent~~1 0 t~rough OAR 952-00 , '"' ^ Q Q<;?-001- . . . _ _, .ho rilles l 0090. V04""" ;;2'~." "~:'-;he tellflhOne ailing ~,,~aluatllln(tje;crJp,t1on.lfication c the urel.lU'" ~....., number tor S "'I" ,,>'VIAl. T f C t t. r~_Pe!"-- q.Ft.Rnn-.,.."quare~)fnotage vpe 0 ons rue IOn - -- It." I' B'd A t or rou Ip ler or I moun # ofUnils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description License BUILDING INFORMATION I R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN , DEVELOPMENTINFORMATION I REQUIRED PARKING Total: HandICapped: Compact: Value Date Calculated Total Value of Project Pal!e 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00136 ISSUED: 02/02/2004 APPLIED: 02/02/2004 EXPIRES: 08/02/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F PI'S p~ i.IU Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid Receipt Number $7.30 $5.11 $45.00 $28.00 2/2/04 2/2/04 2/2/04 2/2/04 1200400000000000149 1200400000000000149 1200400000000000149 1200400000000000149 Total Amount Paid $85.4 I I Plan Reviews I 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. I Renuired l"sDpelin"s , I Water Line: Prinr to filling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Informatinn herenn 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 nf 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 tbe approved set of plans will remain on the site at all times rrn~ coniC-on. If-"2 '-b Y /~. . Owner or Contractors Signature Date Page 2 of2 225 Fifth Street ;/ Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00 136 COM2004-00 136 COM2004-00137 COM2004-00137 COM2004-00137 COM2004-00137 COM2004-00 136 COM2004-00136 Payments: Type of Payment Check 8!'r.~~~:'.i Mi..'......,.".,...,".'.-....... !' .'-",,~;i ",C "-'.1 'c.'.'''-..,'."..,' .:,""""';' Giy of Springfield Official Receipt Development Services Department . Public Works Department t Receipt #: 1200400000000000149 Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Water Line - Each Addtl 100' Paid By STEPHEN KRAMER Received By djb Check Number Batch Number 0447 Date: 02/02/2004 Amount Paid 9:50:09AM ~~ Item Total: 5.11 7.30 45.00 42.00 6.09 8.70 45.00 28.00 $187.20 Authorization Number How Received In Person Payment Total: Amount Paid $187.20 $187.20 . . II' '. '.;;zt'J:..~..,"',';' ,:'. AT;:rxr!'~E'~ ~C!:TIrCT;"F.\ '.OREG~~T.k.."o" '.'""~(. ~~'t~.-:~,,;..~v~. '" ~:", ~-1~.r:~'~'.~.::, ~ - \ZJ-ITf;E9:L!,,, " ""hi'/ .,< \.:.!~~:,;/JFr:;1lv,,~;:~~~'t t ....~ . .:--,. .:~,. ~~ \'" ~... f "H"~' t -.:t_~lj. '1...il,.~"...~4' .;' :;d,__ ~~'t_;.z..:~"'_~_~''+':"~':"':.'o~:~ s submllled has the following require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97~77 . PH:(54I)726-3753 . F,mr(!l'll1)726-3689 e 4L. ELECTRICAL PERMIT APPLICATION Zoning . City Job Number (}JJI'12dM "/:y)I!J~ Date 2/' AJ-I- Date a-JO- 04J 1. ~::L0'6AT;6N.bFiNSTAT:r;4"i10NJW,i'ljt,~i 3 !"ciM.PiETltFii~t:EsgITHfBEL6W~:\ .!~;),,;,:,"D;'l ll.'..f> '::''1' ').'....'-~.;,i:,...~...~~.~~"'..'-. ':':-~~r.".'X. ..",.:":...-:d.1f_';>-LZ~ . ~L."... ,j( h~:'H:.o.;.. i.-.';''', ,..';;,~-.'o. ::,e~.'-<;:~_'..., ,", k :.,,~,.,y...~~.-~ i::;,)),l/:;:~~-i,~:::'tf(,..: .~;~ ---/y.'! /l//t-/AJ ()'/; LEGAL DESCRIPTION / 7';?~ ~5 4/ /') 7Z1J/0 JOB DESCRIPTION JlXn'rA t1~JI-.: Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ; .~;:;~'~.-.;'f;;;A'~y-".7.':'" ......~;:";i,7':tJ::r.M?;F5:~~' ,r:.,~::'1t:y,l^'.--'~ ~.'~" ~_t ",CONTRACTcOR'INSTALIATION,ONLY.<. 2. ~r~:,~l;'if~ ''':X';''':''~ ~'L;j;.\1..~' i ",J~:e.~'5\.;::.~ '~';:C:1~~~d\,\,'~^'2.)~i.;;it.'{);;c1.:::': Electrical Contractor I t.,.. /:' ~ i e L City It?. O. /'Jirl. !?'t"f ;:::: '1/ '1"i 0 ,,<./''''J?-t "- ().e Phone ?- J 2- - ,UL Address / Supervisor License Number '36,..)3 Expiration Date S -<--J"" 0 '-! Constr. Contr. Number :). 0 .- .;~ C:.... Expiration Date l'1o.;L 0 <-f Signature of Supervising Electrician -y~~ Owners Name ::37Zt/1!' ~6<1 Address 4-2l>(~ 7)~ City ~. Phone S'l~ -~:?7.f)f" OWNER INST ALLA nON. The installation is being made on property [ own which is not intended for sale, lease or rent, Owners Signature: Inspection Request: 726-3769 ~::'';'--:-;T',.~~rt. j.1'~ f~i:('; :"'(~J-:'';'~;'..\:.t;~ ~~:';:~-r:-;,:'<J":",",:;"t'if~ J'.il:';'~' _~:.j.j":\'~' ,~,-",_<,,- "'.... '.1:',';''1.;'*1",;;-; A. /':New' Residc'ntial ~:Sirigle orJl\'lulti~Famil\' ,per, (h';elliitg~u'nitt~..::+.:~ ',~:':, +_ : J'. ')l.;." ~ {l " . ..,"" .,,).._ -..l. ,:~.;;.r..;.,.. .~,' .\.,',;" "'". '.. ~'_ ,;"..... .........', .'~"-.' ,.- ',-. Service Included 1000 sq. fl. or less Each additional 500 sq. ft. or portion thereof . Each Manufacf d Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 ~~~~~ttj:':' ",. Fi'~:"'\.~:::'Y~ l,,;{>~::=-~:';s.fH';"':: ';,~,7;_ ".:.:~1-t-:'.':'~:':'~ ';"-C -;:":~'~~j<I'2f.~~ B. 'lSer,vices 'or.Feeders':-';.lnstallation; Alte~:ition's..or'Relocatiori :il:'I> b:::.1..i,,:~',,:,:,>~'.' :~;;ii.m~4l2:hi..::.;.,!fj;)l~,!,>~:;{;!:;",::::(. ~'; :~ln.t'_:::.~f..;cil~' -1.. . ,'i:':~,\'('..; 'r;,~.:t-tJ.i~\IJ.;~' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only ~ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ~3,~ c. ~T~k~f~&~'s~t1~~;i':~~~~~~~~:'~:~I.~:~~r~~~'f~~~ .v.=--~._ ..zJ-~~....._' ~ Jo.l~_.............\.tJ:T-_~""""'''''''J._=~~'-'", _~(~....- 'l;",," "" ':1'; ~~""'" '.... Installation, Alteration or Relocat~on 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "BOO above. D :,.(;'8"" ~->!li~';h\.,"lC" ;';:':';'",',r!!i"::~...{~.. qr5-(}Z~';':tr(,~"j@';fJrf,'<.~"r-'1;4';~-"'lI.":'i'~.'r'r.::it;'.i?'::'.itW,;'};~4.;:"~ . ~r ranc' ~ IrcU1tsk1*:;-~1~!vI::~~~'J.'ffiJ':']>~1~'~,;;G;"~.~~~1i~~"'.,.t'J"'.'~.i:t't~*tl; "'.... V,:..ls:...', _ :J.;$;.;t;);:..>.., .;.~~ .~"..,.or............~_'t.....,~,_ "";.,~~',~l,:..,, .:i~~.,.:.s.:;.:'{,~t'h'<.~.~.",~t New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 :,::':"~! ~,'.~"~,k{'o~\';.'7j.::~.~t"::;f'r.;.~~~,"_:(1-"i''t't'':'J;:~; ~;::-,-~{~"~; '(J~{.... ~-,.~,.\g:',~,~, '. E. .f~~~~e.II~,!~o!,~. (~e~~ce/f!~~~~!.no!.~c1~~.~~~: -E~clLIl,lstaU~tioll ....--,., , f.#"1.I'.....~ ....,'"'~__,_~~.l.. ...._l.'i_,,~,.,..........."").jf'""_.'.i:.,;t ~~,~~.,. ..~.. _ ~",___.""",, ,("",(. ~... , Pump or irrigation Sign/Outline Lighting . Limited Energy/Residential Limited Energy/Commercial $ 50.00' $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspe~tion Fee is $45.00 + Surcharges t-.~ ?~(:s:'"'-:,,-.r<:;, . ",.' ;.;.~"_r ~ - ~':ii~ ~ '.;;~;;,.::~';1. ,":YJ.',;,.,..;- "..';.', :- - ~ ;;;. 4. f1SUBTOTAL OFABOVE"[ .""~i,-;'{';Y~'h'.\;:Y. .J;~}\~"~;$,) 1,. 'i;L';C~~~:;:,j:.~K'1:., ~':....~~: "~~*~l~~:.' ~~" (~~,~_, ,.:/1~ 7% State Surcharge 10% Administrative Fee ~3~ ~';'I ~.'O -7'~. '1/ TOTAL Shared Drive(T:)/Building Fanus/Electrical Pennit Application I.03.doc 225 Fiftli Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00136 COM2004-00136 COM2004-00 136 Payments: Type of Payment CreditCard .. w:~. Mi-..:. "......'c~'".=, .,c_.',..._. ..'.. """....... 1 . -. -' , ,.: , '_";'"', ..>-'7",;"..'.' ""nc_, - ., Receipt #: 1200400000000000181 Description Perm ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Received By dim l.:heck Number Batch Number Authorization Number Paid By ANDREI DZIEDZIC 000295 001421 City of Springfield Official 'Receipt . Development Services Department /i Public Works Department Date: 02/09/2004 2:07:11PM Amount Paid Item Total: 63.00 4.41 6.30 $73.71 How Received In Person Payment Total: Amount Paid $73.71 $73.71 . .