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Home My WebLink AboutPermit Plumbing 2003-12-16 ~~~~{!~~JrI~!f~J,",_, . f ~ ~: -( ; l' ~ j: [I f ..,.;; CITY OF SPRINGFIELD Building/Combin~tion Permit PERMIT NO: COM2003-01220 ISSUED: 12/08/2003 APPLIED: 12/08/2003 EXPIRES: 06/12/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '\ SITE ADDRESS: 415 S A St ASSESSOR'S PARCEL NO.: 1703353113200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install 225lfwater line Owner: SW AGGART LESTER C JR & M A Address: 3276 LAKEMONT DR EUGENE OR 97408 I CONTRACTOR INFORMATION. Contractor Type Electrical Plumbing Contractor License L H MORRIS ELECTRIC 01838 BOHEMIA PLUMBING & CONSTRUCTION l41468 I BUILDING INFORMATION. Expiration Date 06/08/2005 03/03/2005 Phone 541-747-0811 541-942-8333 -1-.\ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: , SETBACKS I DEVELOPMENT INFORMATION. REQUIRED PARKING Notes: Overlay Dist: # Street Trees Rqd: Pave~1:~~e Rqd: _~o ,~~ ....~ ,,!'{o?of,:bot4€0~e.rage: ~' 0' 0" ~v ,(,C':f:i~^''\c&etJ",,\0 fO......~1:.,.,c., '(" 0'<' ,,'2I"~lJil~~IC-(i.~..ij.9~~M'k.~.TS I ~0($ 0. 'Q oC;;'<U ~($' 0..... ~0'.s..,~o-- _,,0 <->,0 A,\" ~o. 0Cj ,.,.~ o~ "~. 0"( ., '" R~ .~"U ~ Storm Sewer Available: ~"O i(}?j ':':..0'\' ,C> . cP 0~..~ i).~' Special Instruction: . .A.~'\. ,s.e.t::J (l/~ ~ $:)<:::> ~~'<' ~o~ \)~ n,<?J ~' ..\ '\ ~ ",(:) 0'0 :\. 0'<' :!>r;'/; N nTI C t1:. ~ ~O~~ ~O ~'-' ~ ~ 0<$ ~ \JI 1;.. ,~ ~,(j~ Q)~ ~ ",'b-0 v0~0 0'" .... 9'\:i THIS PERMIT SHALL EXPIRE IF THE WORK' ~o O~ ~o PJ~'" ~~i"c- AUTHORIZED UNDER THIS PERMIT IS NOT ~ <:::><:::>OJ<:::> #~'Oi\~(J" COMMENCED OR IS ABANDONED FOR ~..,)~~ ANY 180 DAY PERIOD. Front yard Setback: Side 1 Setback: Side 2 Setback: Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: '~~ Street Improvements: Sidewalk Type: Downspouts/Drains: Pa2e 1 of3 ~~e@!.~gEf~b'93""., 1 " ~t: Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-01220 ISSUED: 12/08/2003 APPLIED: 12/08/2003 EXPIRES: 06/12/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone .541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ \. Amount Paid Date Paid Receipt Number Fee Description + 10% Administrative Fee $6.30 12/8/03 1200200000000002569 + 10% Administrative Fee $7.30 12/8/03 . 1200200Q00000002563 + 7% State Surcharge $4.41 12/8/03 1200200000000002569 + 7% State Surcharge $5.11 12/8/03 1200200000000002563 Perm Serv/Fdr 200 amps or less $63.00 12/8/03 1200200000000002569 Water Line - 1st 50 Feet $45.00 12/8/03 1200200000000002563 Water Line - Each Addtll00' $28.00 12/8/03 1200200000000002563 + 10% Administrative Fee $4.50 12/16(03 1200200000000002608 + 7% State Surcharge $3.15 12/16/03 1200200000000002608 Backflow Device $28.00 12/16/03 1200200000000002608 Minimum/Adjustment Plumbing $17.00 12/16/03 1200200000000002608 Total Amount Paid $211.77 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 ~~ ' ~eouiredJnsnections , 1 Water Line: Prior to filling trench and including required testing. 2 Electric Service: Approval required prior to utility company energizing service. 3 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Pae:e 2 of3 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2003-01220 ISSUED: 12/08/2003 APPLIED: 12/08/2003 EXPIRES: 06/12/2004 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 ti~;~// /~~ Owner or Contractors ~re Date/ / Pal!e 3 of 3 225 Fifth Street 'i Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01220 COM2003-0 1220 COM2003-0 1220 COM2003-0 1220 Payments: Type of Payment Check Receipt #: 1200200000000002608 Description Backflow Device + 7% State Surcharge + 10% Administrative Fee Minimum! Adjustment Plumbing Paid By BOHEMIA PLUMBING Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt .. Development Services Department Public Works Department Date: 12/16/2003 IO:14:06AM Amount Paid Item Total: 28.00 3.15 4.50 17.00 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65