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HomeMy WebLinkAboutPermit Plumbing 2005-4-20 . . CITY OF SPRI1'jtJl'l~LD Building/Combination Permit PERMIT NO: cOM200S-004S0 ISSUED: 04/20/200S APPLIED: 04/20/200S EXPIRES: 10/20/200S VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1669 SEQUOIA AVE ASSESSOR'S PARCEL NO.: 1703273310900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair PROJECT DESCRIPTION: Replace shower valve, relocate tub drain and replace vent fan Residential Owner: DAVIS GWEN Address: 1669 SEQUOIA AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Plumbing Contractor MD CONSTRUCTION INC HEDDINGER ENTERPRISES INC License 153658 28722 Expiration Date 12/0612006 08/12/2005 Phone 541-520-3690 54 I -484.9869 I BUILDING INFORMA nON I # of Units: Primary Oceupancy Group: Secondary Occupancy Group: Primary Construetion Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Strueture Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: AT~mrlow.ebregon law requires YOUlIt GaragelCarport foll~~s!tHlbl?t.ed by the Oreoon Uti Ft Other: Noti~J>.rmIHr&rn1Hp'I"ffiose rules~e set 10 upant Load: I DlNE{;~~;::~;N~nOlhR 952.001. .. ., -..- !!~!.H, .~e rules bV REQUIRED PARKING calling the ~nter. (Note: the telephone 8l1l6t~'C!lI~f.Y0re9on Utility Notification # Str~Ji~I}!W0-332.2344) PavedOrlve'itqd: - % of Lot Coverage: Total: Handicapped: Compaet: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Pae:e I of3 . Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total V~lue of Project Fpp< P'WLI Fee Description -'Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Meehanical Minimum/Adjustment Plumbing Vent Fan Amount Paid Date Paid $10.00 $9.00 $6.30 $28.00 $39.00 $17.00 $6.00 4120/05 4/20/05 4120105 4/20/05 4/20/05 4/20/05 4/20/05 Total Amount Paid $115.30 I Plan Reviews , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM200S-004S0 ISSUED: 04/20/200S APPLIED: 04/20/200S EXPIRES: 10120/200S VALUE: Value Date Calculated Reeeipt Number 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 2200500000000000454 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 Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is eomplete. Pal!e 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM200S-004S0 ISSUED: 04/20/200S APPLIED: 04/20/200S EXPIRES: 10/20/200S VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion 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 aceordance 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 ofany 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 aU 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. ( /1Z vvtm .Qdr~ ~. ('.rAI.s +- I-J /LD /O:S- Date r or Contractors Signature Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00450 COM2005-00450 COM2005-00450 COM2005-00450 COM2005-00450 COM2005-00450 COM2005.00450 Paymcnts: Type of Payment Cheek ., ;, , 4120/2005 . RECEIPT #: .~~J~QFI,KLD,' _; __.._', 1Ii:' 1 i ; ". ! , i _ _.' ..1 .po. .~,-.--- ..J;Lty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000454 Date: 04/20/2005 Description Fixture Minimum/Adjustment Plumbing Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By MD CONSTRUCTION INC Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 1182 In Person Paymcnt Total: Page I of I 10:28:25AM Amount Due 28.00 17.00 6.00 39.00 10.00 6.30 9.00 $115.30 Amount Paid $115.30 $115.30