HomeMy WebLinkAboutPermit Plumbing 2003-12-8
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01220
ISSUED: 12/08/2003
APPLIED: 12/08/2003
EXPIRES: 06/08/2004
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 2251fwater line
Owner: SW AGGART LESTER C JR & M A
Address: 3276 LAKE MONT DR EUGENE OR 97408
'.
.
Contractor Type
Plumbing
I CONTRACTOR INFORMATION'
Contractor License
BOHEMIA PLUMBING & CONSTRUCTION ]41468
I BUILDING INFORMATION.
Expiration Date
03/0312005
Phone
541-942-8333
"t-
Rearyard Setback:
Solar Setbacks:
# of Units: # of Stories:
Primary Occupancy Group: Heigh~Structure
Secondary Occupancy Group: ;r~~ eat:
Primary Construction Type VN '" \~"\~~~ pe:
Secondary Construction Type: i-'\>'~<t. ~~~\R~{Wt Type:
# of Bedrooms: . ~~\..\.. ~ ~f:J '\> ~~,ke\lgy Path:
"'\(\'\\C~~~\\ ~ ~~'V~~ ~~\\~\)()
,- s<'" \:..v=' ~\"f
\~\ ~()~\-V :\:.\) () ~\()\)'I DEVELOPMENT INFORMATION'
SETBA~S ~~~\J ~ '\>~ REQUIRED PARKING
Frontyard Setbacl&()~ \ ro~ \) Overlay Dist: OU \? Total:
Side 1 Setback: \\~ # Street Trees Rqd: o.U\~eS 'I \)\\\\\'1 \ Handicapped:
Side 2 Setback: Paved Drive Rqd: \e.\!'1 ~e O'(eQO(\ Se\ \O~ Compact:
,...,,~p,o.O(\ \~e -0.'(13 2,00
% of Lot C~~~r.ag'e~c \)'1 '(u\eS I\.~ 9'6 S \
~i\U cO'?'\:. '(\0513 ~ Or 13 '(\}\e .
I\.~€ . .\P,S a:~o.'(."\ .",-(O\)g _ n\ \'(\ _,",0(\13
I PUBfiI~\1'MP.R0VEMENTS' .' ~ CO\>\~:",e \e\<ci~~\,,\C'3-\\O\'
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\(\ --{Ov ce'(\ egO ",'3?,-t'-'
0090. \~ (\Q \\,13 \'(\e 0'( }ocDownspoutslDrains:
C-o.~\\ \0'( . ',e, "\
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, Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01220
ISSUED: 12/08/2003
APPLIED: '12/08/2003
EXPIRES: 06/08/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid'
. Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
$7.30
$5.11
$45.00
$28.00
12/8/03
12/8/03
12/8/03
12/8/03
Receipt Number
1200200000000002563
1200200000000002563
1200200000000002563
1200200000000002563
Total Amount Paid
$85.41
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.
I Reouired Insoections ,
1 Water Line: Prior to filling trench and including required testing.
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 aU
tlZ;4~/ /.~1/~
Owner nr cnntractnrs;<'a..re Date 7'? /
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01220
COM2003-01220
COM2003-01220
COM2003-01220
Payments:
Type of Payment
Check
Receipt #: 1200200000000002563
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
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: 12/08/2003 10:59:31AM
Amount Paid
Item Total:
45.00
28.00
5.11
7.30
$85.41
How Received
In Person
Payment Total:
Amount Paid
$85.41
$85.41