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HomeMy WebLinkAboutPermit Plumbing 2004-7-7 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00680 ISSUED: 06/10/2004 APPLIED: 06/10/2004 EXPIRES: 01107/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 512 C ST ASSESSOR'S PARCEL NO.: 1703352410900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install rinnai gas water heater and insert Owner: BROWN EDWIN B & JEANNE A , Address: 12941-2 HORN LN EUGENE OR 97404 Contractor Type Mechanical Plumbing ~ I CONTRACT ,'. - TION I ~ ~"" e~Q ~ \~~ ~ \ Contractor . e9JOf\ \'6. \'(\00'. ~,~ ~~ ~~~~nse MARSHAL!--J\,tJ ~~ '01,.e 1\l\Q,'~,~'" 1:l\l~~~,:9, 0 SHAD,~~~ti , ~~fO\)! ~~ ~~~ ~~~~!~\5 'f)\\'J~' _'^O'(\ I\1llL "D 'ffl' ., i '~\GO"" 2: ~!...(). g5 ~'j O.bf ~ ~\\X\~ :"A.A.~) I '" ur' ....Q\l cef."<<'S~~. 'A?l1/T' ~ ~~e ~~T1cture '~~\ot~~P'e bfHeat: V~w~ c,e"Water Type: Range Type: Energy Path: ' Sprinkled Building: Expiration Date 12/23/2005 01114/2006 Phone 541-747-7445 541-741-3553 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type ' S~condary Construction Type: # of Bedrooms: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: .' Compact: % of Lot Coverage: ' . \N~~~ ~ \~~ \,\01 ~...\q'f. ~ ~'~ \~ I PUBLIC IMPR~t~N~~~\.\. t.\~\':, ~~~t~ \O~ ~\~t.~~~\) \j~\)~~~~ype: ~\j\\\()~~c,~\) ()~~~BspoutS/Drains: c,<J~\'S\,\Q.~ \)~i, ? ~~i u Front yard Setback: Side J Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid $10.00 $4.50 $3.15 $9.00 $15.00 $4.00 $17.00 $4.50 $3.15 $14.00 $31.00 6/10/04 6/10/04 6/10/04 6/10/04 6/10/04 6/10/04 6/10/04 7/1/04 7/1/04 7/1/04 7/1/04 Total Amount Paid $115.30 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00680 ISSUED: 06110/2004 APPLIED: 06110/2004 EXPIRES: 01/07/2005 VALUE: Receipt Number 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 . 1200400000000001050 1200400000000001050 1200400000000001050 1200400000000001050 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. . Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFl~Lj) , Building/Combination Permit PERMIT NO: COM2004-00680 ISSUED: 06/10/2004 APPLIED: 06/10/2004 EXPIRES: 01/07/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~wtA/ne T #f/I/L '1/7 J 0 L( Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street '1 .' .. Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official 'Receipt lelopment Services Department Public Works Department RECEIPT #: 1200400000000001050 Date: 07/07/2004 2:20:52PM Job/Journal Number COM2004-00680 COM2004-00680 COM2004-00680 COM2004-00680 Description + 7% State Surcharge + 10% Administrative Fee Fixture Minimum! Adjustment Plumbing Payments: Type of Payment Paid By Check . MARS HALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 18070 In Person Payment Total: Amount Due 3.15 4,50 14.00 31.00 $52.65 Amount Paid $52.65 $52.65 7/7/2004 Page I of I