HomeMy WebLinkAboutPermit Plumbing 2007-5-22
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00733
ISSUED: 05/22/2007
APPLIED: 05/22/2007
EXPIRES: 11/2212007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 303 S 5TH ST
ASSESSOR'S PARCEL NO.: 1703350000307
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: New
PROJECT DESCRIPTION: Suite 127 - Install point of use water heater, ptrap and hose bib
Public
Owner: CITY OF SPRINGFIELD
Address: 225 N 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
SUSAN JANE ARNOLD
License
49561
Expiration Date
12/16/2008
Phone
541-484-3787
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structift9:n:; . Sq Ft 1st Floor:
Type of Heat: fOllOW NT10N:Ore Sq Ft 2nd Floor:
Water Type: Vot/fle ~Ule8 adopt gOgcJcF\tvIfmm. ent:
Range Type;n 0", at/on Center ed &grf1l;~ kU~~JV9Ulo
Energy Pat'Vo~ R 952..001_0 . ih6QEfMl, 'e'igOn UtiI'
Sprinkled Bui~1I1gYOU mey~ll 01.0 t~f}J.lLaflPmrlBlSet~ Ity
am.,,~, u ot~I'" _ ,'Wf1 0.4 0 _. 1Qrt
I DEVELOPMENT iNIG'REM~Cr. (N~;~~~~ of th~ ;~O.
. regOn Uf'" e lD~ijbW~-.lpARKING
. ~ ., .. '?"f) Ilty ^'",u: ne
Overlay Dlst: ~~.~:J-23'''P'Macation
# Street Trees Rqd: 41iandicapped:
Paved Drive Rqd: Compact:
% of Lot COVl{ffF
.,. ICf'
1/.../1[, OJ, _~ .
I PUBLIC IMPROm:N~.N-Tffifr SLi
CO "'<f Ifill.! /:"
MIVt/:"N 0 UNS1tlew.a\Ipm,pe:
ANy 1...-. CEO UER .,. 't: IF .,.
780 D OR !3IJWri'PfBItsf!1!Jal;fsF. WOR
}qy PERIOOABANDO;/:"DMlr IS NOr/(
. C FOR
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
-~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$42.00
$3.00
5/22/07
5/22/07
5/22/07
5/22/07
5/22/07
Total Amount Paid
$55.35
I Plan Reviews,
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: cOM2007-00733
ISSUED: 05/22/2007
APPLIED: 05/22/2007
EXPIRES: 11/22/2007
VALUE:
Receipt Number
1200700000000000606
1200700000000000606
1200700000000000606
1200700000000000606
1200700000000000606
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 Reouired Insoections I
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
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 the approved set of plans will remain on the site at all
times during construction.
k/~--;~
O~r or Contractors Signature
Pal!e 2 of 2
S- -.'--:h '"O?
Date
225 Fifth Street
Springfield, Oregon 97477
541,726-3=759 Phone
(':~ of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00733
COM2007-00733
COM2007-00733
COM2007-00733
COM2007-00733
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000606
Date: 05/22/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Fixture
Minimum/Adjustment Plumbing
Paid By
ARNOLD KURTIS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 011093 In Person
Payment Total:
Page I of I
10:58:51AM
Amount Due
2,25
3,60
4.50
42,00
3,00
$55.35
Amount Paid
$55,35
$55.35
5/22/2007