HomeMy WebLinkAboutPermit Building 2004-9-17
I,
.
. CITY OF SPRINlJNJ'.LU
'.
Building/Combination Permit
PERMIT NO: COM2004-01156
ISSUED: 09/17/2004
APPLIED: 09/17/2004
EXPIRES: 03/17/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 886 RIVER HILLS DR
ASSESSOR'S PARCEL NO.: 1703341211900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Alteration
Residential
PROJECT DESCRIPTION: Add washing machine in garage.
Owner: BYRON GEORGE
Address: 886 RIVER HILLS DR SPRINGFIELD OR 97477
Phone Number: 541-232-0151
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
KEVIN LEE KIKER
,,!~-l-._
License
159330
Expiration Date
03/30/2006
Phone
541-744-0700
I BUILBI~G.INFORMATIONI
~ \' :\ '\"
# of Units: ~v., ~~~o'~I1l'ri~: Lot Size:
Primary Occupancy Group: R-3 v.,-fS ~S 'X H~);it of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: v..~\"\"~ ,\'(1. ~\:ijpe of Heat: Sq Ft 2nd Floor:
Primary Construction Typ'e~. ~ Sv.Nf ~'Q'Y" Water Type: Sq Ft Basement:
Secondary constructiO~\f#t;;(-.~ <;) \)'''Ro- f.> ~<;), Range Type: Sq Ft Garage/Carport
# of Bedrooms: ~ 0S y. ~~"'~ x.-<;) \:j'{v.,~ Energy Path: Sq Ft Other:
'\ '::0,\'f;. ....v.,~\j "'~ Sprinkled Building: n/~ ~~~ Occupant Load:
\');' l\~'..... 'U .I:~ ~,,~'\ ~'n.
,,\)~--\ \"- I DEVELOPMENT INFORMA:aO~~<0"~~~\'
'Y" \~ 0'[/ .$.0 ~,:>'I: i:>'Q'\ REQUIRED PARKING
0(:. \5' ~0" '?-~ .,s,0 0
Overlay Di~,~,,~ 'Q~ <,0 \,s ~ 0 ;;s.0 \ ~o<::<, O~ Total:
# Stre!.h'\'fM~:I,,~O ~o-.)<:$ i:> 0' '0\0<:t'!",v~ Handicapped:
~~~_~~l!>~~.v.. ,~\5' 0<:t,0.;;s.0 ~o'\i Compact:
~~~t.~~!:)~~ 'Io.iY(:.~0'0~~~'OI>.t>\\
'O~O<,u'l>~~",'I:\j _""~ 0~\.0\' _(\0(:.. n..,'O'I: '
I PUBLlC1fw;Iio.vEl\mRl:~'.)' ~!O'.}J
I I .,,~
. ~~"J~J:.\\;'0\,v~(:.,0\ Sidewalk Type:
,:,{:' C;
<::<
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal!e I of2
\1 -iiiii'
.
. CITY OF ~rK11~uJ<lJ!.LU
Building/Combination Permit
PERMIT NO: COM2004-01I56
ISSUED: 09/17/2004
APPLIED: 09/17/2004
EXPIRES: 03/17/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid.l
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$4.50
$3.15
$28.00
$17.00
9/17/04
9/17/04
9/17/04
9/17/04
Receipt Number
1200400000000001357
1200400000000001357
1200400000000001357
1200400000000001357
Total Amount Paid
$52.65
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.
~ ReQuired Insnectionsj
Rough Plumhing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete.
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.
1 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.
. --/
, -" .-~-'
Owner ~ors SIgnature -
~
,- -
'-=.a
~/r7~
Date! /:.... ,
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
') 541-726-3759 Phone
Job/Journal Number
COM2004-01156
COM2004-0 1156
COM2004-01156
COM2004-01156
Payments:
Type of Payment
Check
9/17/2004
.
RECEIPT #:
.~
WI: .'
..,(Iiy of Springfield Official Receipt
-"elopment Services Department
Public Works Department
1200400000000001357
Date: 09/17/2004
Description
Fixture
Minimum! Adjustment Plumbing
+ 7% State Surcharge
+ I 0% Administrative Fee
Paid By
PRICE RITE ROOTER &
PLUMBING
Item Total:
Check Numher Authorization
Received By Batcb Number Number How Received
jmp 567 In Person
Payment Total:
Page I of I
1:37:58PM
Amount Due
28,00
17,00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65