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Home My WebLink AboutPermit Plumbing 2004-6-11 ~s.~. 'A..I. NO. FI~ LD".iii... ".- .........1...... 1IIc,-ti · l ~-_., .'-'-'C~ ,. I J. : -.".~. ...~.,._""""",~.""ft.....' ' ". Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00538 ISSUED: 06/11/2004 APPLIED: 05/07/2004 EXPIRES: 12/11/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1361 MODOC ST ASSESSOR'S PARCEL NO.: 1703362202100 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Repair water line \i Owner: REESE MARK D Address: 1361 MODOC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Plumbing Contractor PLUMB CRAZY PLUMBING INC License 136547 Expiration Date 08/31/2005 Phone 541-895-4768 I BUILDING INFORMATION. # of Units: c;:::,~~ of Stories: Lot Size: Primary Occupancy Group: $:..x, ~ ~&eight of Structure Sq Ft 1st Floor: Secondary Occupancy Group: ~ '\: ~ \S ~ Type of Heat: Sq Ft 2nd Floor: Primary Construction Type 9.~x, rv~~ ~\:> Water Type: Sq Ft Basement: Secondary Construction TYP~x,~ ~S ~ ~~x,\j Range Type: ,0 Sq Ft Garage/Carport # of Bedrooms: ~~\; ~ "\~ ~<::j Energy Path: ~o~ .~~~~Ft Other: t"~. . ~ S \~\j~ Co. ~~~ Sprinkled Building: ~~rg'a~ 'V~ '~~~1Jpant Load: .(\.'V.....~'.... \.) ~ \~.J (' ...~ ('\0 ;P~ '),(\ ,\~s ~;~t~'\.\j ~~~~\jY I DEVELOPMENT INFO~~.:j~~~c;)~\~? ~'\ '\: ,0..~..~~ <\~. ~0($ ~'Q 0~ O~ ~'?}S O~0 ~QUIREDPARKING ~'V ~,,"' ~ '\J . 0 ~0v oCJ ~ t\~ R~ ~O Front yard Setb~:~ ,<0 Overla~~: ?:P~ '\~ ~~o'S'e?O ,~0 .~\.v'(i. Total: Side 1 Setback: ~~ # St~~~~~~lP.'~....~: (P~"0.~0~ ~o\.~. Handicapped: Side 2 Setback: BGe'l1:~~~...$:j ~\.t$!-~ ~o~ -$~~ !'l,.f?;,tA~ Compact: Rearyard Setback: o/.\~~~~ 0 ~0~' o~ r;!)f?;,'?; Solar Setbacks: ~o~ ~<?-- Qj ~ ~ v0~ O\0:CO\)tr (\ ...to ~'f'0 r0 ~. I PUBLIC I~~~Nt~\ \~ .,' v Street Improvements: ~v Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: 'iif 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 Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00538 ISSUED: 06/11/2004 APPLIED: 05/0712004 EXPIRES: 12/11/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;~, L.,.Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Water Line -1st 50 Feet Amount Paid Date Paid $7.30 $5.11 $28.00 $45.00 6/11/04 6/11/04 6/11/04 6/11/04 Receipt Number 2200400000000000749 2200400000000000749 2200400000000000749 2200400000000000749 Total Amount Paid $85.41 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 , Water Line: Prior to filling trench and including required testing. 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. - fl ~~ ~ - ,/v. //. 2JYCI'f " Owner or Contractors signat61 Date Pal!e 2 of 2 , 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00538 COM2004-00538 COM2004-00538 COM2004-00538 Payments: Type of Payment Check ~ , ,~ t~ 6/11/2004 r;ty of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200400000000000749 Date: 06/11/2004 Description Fixture Water Line - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By MARK DREESE Received By IMP Page I of I Item Total: Check Number Authorization Batch Number Number How Received 1079 In Person Payment Total: 1:32:15PM Amount Due 28.00 45.00 5.11 7.30 $85.41 Amount Paid $85.41 $85.41