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HomeMy WebLinkAboutPermit Plumbing 2005-1-14 SPRINGFTEa.O .. 'e"!f:"(1''''''. -~. 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 .l?ft~'fi: r fe 00 Ut\\\\V p,xH:.Ni\ON. ~8\1uJde'a~d~s:ire set 1~ - ,,-... rilleS a ,....."c:P rU ~fl'A'.lJ'{\"\. ~~~;~c~mVirPRMwmr~~b~~ It 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 Page 1 of 1