HomeMy WebLinkAboutPermit Plumbing 2005-1-14
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01571
ISSUED: 01114/2005
APPLIED: 12123/2004
EXPIRES: 07/14/2005
VALUE:
SITE ADDRESS: 6437 Thurston Rd
ASSESSOR'S PARCEL NO.: 1702341200700
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: 235 feet of private water line utility
TYPE OF USE: New
Residential
Owner: WIRFS THOMAS G & DIANE M
Address: PO BOX 237
SPRINGFIELD OR 97477
Contractor Type
Plumbing
I CONTRACTOR INFORMATION I
Contractor
JET MECHANICAL LLC
License
158633
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
BUILDING INFORMATION'
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: equ\reS yoU.~O
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p,xH:.Ni\ON. ~8\1uJde'a~d~s:ire set 1~
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in Op.. ~:P'- e obta\O cot""'''' te\ephOO
0090. :OUt~:~~,~~~te~~~ Notification
ca\\\ng iofttfitrQleEW~s ~3441.
number .e~..... .
I' ceb~~'-""u q .
Yo of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Expiration Date
02110/2006
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:
Sidewalk Type:
DownspoutslDrains:
Type of Construction
Pal!e 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01571
ISSUED: 0111212005
APPLIED: 12/23/2004
EXPIRES: 07/1212005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
lJees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
$7.30
$5.11
$45.00
$28.00
1/12/05
1/12/05
1/12/05
1/12/05
Receipt Number
1200500000000000048
1200500000000000048
1200500000000000048
1200500000000000048
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 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 con~ss~~..#
[7 /- /A--IJY-
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Sprlngfiefd, Oregon 97477
541-726-3759 Phone
'-"ty of Springfield Official Receipt
;velopment Services Department
Public Works Department
RECEIPT #:
1200500000000000048
Date: 01112/2005
1:58:18PM
Job/Journal Number
COM2004-01571
COM2004-01571
COM2004-01571
COM2004-01571
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Check COZY HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 37300 In Person
Payment Total:
Amount Due
45.00
28.00
5.11
7.30
$85.41
Amount Paid
$85.41
$85.41
1/12/2005
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