HomeMy WebLinkAboutPermit Plumbing 2005-1-14
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01573
ISSUED: 01114/2005
APPLIED: 12/23/2004
EXPIRES: 07/14/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6449 Thurston Rd
ASSESSOR'S PARCEL NO.: 1702341200700
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: 300 feet of private water line utility
TYPE OF USE: New
Residential
. I PUBLIC IMPROVEMENTS I
Co ~\)Si'trewalk Type:
Co ,\\\.. ~a'
~\\\t. \, ~\, \S lJownspouts/Drains:
\-\.. t.~ S ?t.~ \a\\
~f;j,\t~. ~\, S\\~t.\\ \\\\ ~\)a~t.\)
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r' _ !I'N\V' ({ \' ...'
\:;\.I a li~n Descri tion
~~
$ Per Sq Ft
or multiplier
Owner: WIRFS THOMAS G & DIANE M
Address: PO BOX 237
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
JET MECHANICAL LLC
License
158633
I BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: r:~(Structure
Secondary Occupancy Group: ~ teo.u\t ~\}'t'~~t:
, Primary Construction Type., e~O'(\ \~ \"(\a Qte ~~W1 W.
Secondary Construction ~~e~" 01 l\eO 'o'i tU\eS~~),~~
# of Bedrooms: flo."~~ ~eS a.OO~ t ~'{\Ose u9'{\ e Il>>~K:
,o\\O~ t~ '(\ Ca'C\\0 O'\() \'{\to \as cA~ t~'f#\O~ilding: n/a
\ ,. _ n~'O _ ,," -~ ,.nO I.... ~e" _'Int\
\~6\;~ 9~:;~'i o~::'~~~,Nj INFORMATION I
I\090.~ \'{\e Ce Ote~O ~f'J..?,/j;,
v ~\\(\9 \"(\e .!OOfJ'~ .
Front yard Setback: Ca: Det \01 ( \5 '\ Overlay Dlst:
Side 1 Setback: ~u{(\ Ce'C\\e # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Square Footage
or Bid Amount
Type of Construction
Pal!:e 1 of2
Expiration Date
02/10/2006
Phone
503-363-2334
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
_._~~fIlIN~t'1I_~LJI) '~k..\J",!l"ii I
!
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01573
ISSUED: 01/12/2005
APPLIED: 12/23/2004
EXPIRES: 07/12/2005
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
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
$8.70
$6.09
$45.00
$42.00
1/12/05
1/12/05
1/12/05
1/12/05
Receipt Number
1200500000000000049
1200500000000000049
1200500000000000049
1200500000000000049
Total Amount Paid
$101.79
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 Insoections I
Water Line: Prior 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
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 const~ '
/' I-I)-.--~r
Owner or Contractors Signature
Date
Paee 2 of2
225"Fifth Street
,
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01573
COM2004-01573
COM2004-0 1573
COM2004-0 1573
Payments:
Type of Payment
Check
1/12/2005
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COZY HOMES
~iti
'-'.ty of Springfield Official Receipt
;velopment Services Department
Public Works Department
1200500000000000049
Date: 01112/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 37300 In Person
Payment Total:
Page 1 of 1
1:58:42PM
Amount Due
45.00
42.00
6.09
8.70
$101.79
Amount Paid
$101. 79
$101.79