The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2003-9-4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00858 ISSUED: 09/04/2003 APPLIED: 09/0412003 EXPIRES: 03/04/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1349 MODOC ST ASSESSOR'S PARCEL NO.: 1703362202200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install water heater Owner: PARADA HENRY A & MARIA Address: 1349 MODOC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor BERNARD PETERSEN INC License 93126 Expiration Date 08/23/2007 Phone 541-343-9339 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: ' Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I BUILDING INFORMATION. N01'C~E~~0(3.~ll EXP\RE \F lHE WOR~ot Size: 1\-1\5 P el ftf~~~iTM\S PERM\1 \S NO Sq Ft 1st Floor: AU.1\-1~ \~&~ ~~~"S ABANDONED FOR Sq Ft 2nd Floor: COMM~ ffi:1\~OD Sq Ft Basement: ANY 1 iQJg~ ~~: . Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: Vlhr SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING . res~outo Overlay Dlst: 'Oregon laW requI 'I o\iil:t # Street 'J)~eS:Rq1i~ONd ted by the oregofl~Jmc~pped: Paved D~y~q'd~les a op Those rules arE'cb~J~lt: L'f'r. tion center. hOAR 952-00 % ofL"o't2€0've~age2._001_0010thrO~9 $ the rules \ in OAR ~o btain COpIes 01 "",on YoU may 0 "..I_~^' thAtelephone I PUBLIC IMPiOY~MiIDN:T.S ielllt:ll. \"n~ -Utility Notificauu" - 1e Orego ) nUfllU<;;;' .~. - . S' ._~f\n. r.:\1)~-2344 . Center IS lOewall{....Type: Downspouts/Drains: Front yard 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 Total Value of Project Pae;e 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00858 ISSUED: 09/04/2003 APPLIED: 09/04/2003 EXPIRES: 03/04/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid $4.50 $3.15 $14.00 $31.00 9/4/03 9/4/03 9/4/03 9/4/03 Receipt Number 1200200000000002064 1200200000000002064 1200200000000002064 1200200000000002064 Total Amount Paid $52.65 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 Reouired InsDections I 1 Rough Plumbing: Prior to cover and including required testing. 2 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. ~~ -rJ0v~~ ') 4\0\ Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00858 COM2003-00858 COM2003-00858 COM2003-00858 Payments: Type of Payment Check Receipt #: 1200200000000002064 Description + 7% State Surcharge + 10% Administrative Fee Fixture Minimum! Adjustment Plumbing Paid By BERNARD PETERSEN INC Received By djb Check Number Batch Number Authorization Number City of Springfield Ofticial Receipt Development Services Department Public Works Department' Date: 09/0412003 1:10:28PM Amount Paid Item Total: 3.15 4.50 14.00 31.00 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65