HomeMy WebLinkAboutPermit Plumbing 2010-1-20
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00077
ISSVED: 01120/2010
APPLIED: 01120/2010
EXPIRES: 07/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2403 15TH ST
ASSESSOR'S PARCEL NO.: ]703243302200
. 11,
~pringfield TYPE OF WORK: Plumbing Ouly
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace shower pan
Owner: HARRY DORMAN P & CHERI J
Address: 2403 15TH ST
SPRINGFIELD OR 97477
Phone Number: 541-687-9704
I, CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
MCKENZIE TAYLOR
License
]09867
Expiration Date
] 1109/20]0
Phone
747-5413
B~ILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustructiou Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy Path:
Spi-inkledBuilding:
Lot Size:
Sq Ft ] st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Fl Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
..
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
, 1H0f:2-~llllo:ielll'd:Y1 Coverage:
I . , I' II" ,;lION Al!1!1(l uo5eJO elll JOI J8qWnu
Aqv;~~;:;f;';~!~'~~ENTS I
Street Improvements: -lllO-i:98I:1VO If6noJlIlOlllO-lllO-~98I:1VO UI
qpOllllB eB BelllJ esolU 'JelUeo UOIIllOIIIlON
Storm Sewer Availabl~l!ln uo6eJO elll Aq peldopv S811U MOllell
Special Instruction: Ol ~ BeJlIlbeJ M8J u06aJO :NOIlN3.llV
Frontyard Setback:
Side] Setback:
Side 2 Setback: '
Rearyard Setback:
Solar Setbacks:
........_:..~.....T~ __
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
I ~~MMENCED OR IS ABANDONED FOR
Valuation Descriotiolll rlY 180 DAY PERIOD. ,," ,
"'V;,;:.:>o<;~::-;" _
Description
Type of Construction
$ Per Sq Ft
or multipiier "
Square Footage
Oil' Bid Amount
Value
Dale Calculated
_" I
Paee I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 luspection Liue
Fee Description
+ 12% State Sui'charge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
Amouut Paid
$6.96
$2.90'" :
$19.00' !}
$39.00 :
$67.86
..:
Total Value of Project
Fees Paid I
~ ..
I Plan Reviews I
Dale Paid
1120/10
1120/1 0
1120/1 0
1120/] 0
CITY OF ~t'Km\..r1' IJ'.,LD'
Building/Combination Permit
PERMIT NO: COM2010-00077
ISSUED: 0112012010
APPLIED: 0112012010
EXPIRES: 0712012010
VALUE:
Receipt Number
220]000000000000047
220]000000000000047
220]000000000000047
2201000000000000047
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 R,eouired I nsnections I
Shower Pan. Prior to covering and including required testing.
By signature, I state aud agree, that I have carefully examined the completed application and do herehy 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 Spl'ingficld and the Laivs 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 ouly contractors and employees who are iu compliauce 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 readahle from the
street, that the permit card is located at the front of the property, and the approved set of pia us will remain ou the site at all
times during construction.
, Pi n!-,
O,;ne,lor con/acts Signature
Paee 2 of 2
//2/)/2IJ10
Dat~ /
225 Fifth Strcet
Springfleid; Orcgon 97477
541-726-3759 Phone
~Ai::
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM20 I 0-00077
COM20 I 0-00077
COM20 1 0-00077
COM20 I 0-00077
Payments:
Type of Payment
Check
cReceintJ
RECEIPT #:
2201000000000000047
Date: 01120/2010
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
MCKENZIE TA YLOR CONSTR
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
2005
In Person
Payment Total:
,:.'
"i'
Page 1 of I
10:]0:49AM
Amount Due
19,00
39,00
6,96
2,90
$67,86
Amount Paid
$67,86
$67.86
1/20/20 I 0