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
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Contractor . e9JOf\ \'6. \'(\00'. ~,~ ~~ ~~~~nse
MARSHAL!--J\,tJ ~~ '01,.e 1\l\Q,'~,~'" 1:l\l~~~,:9, 0
SHAD,~~~ti , ~~fO\)! ~~ ~~~ ~~~~!~\5
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'" 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
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