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.
(
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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