HomeMy WebLinkAboutPermit Plumbing 2006-12-18
Status
Issued
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-01619
ISSUED: 12/18/2006
APPLIED: 12/18/2006
EXPIRES: 06/18/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 366 BLACKSTONE ST
ASSESSOR'S PARCEL NO.: 1703233407900
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 3 fixtures
Owner:
Address:
BARRY BOGART
366 BLACKSTONE
SPRINGFIELD OR 97477
Phone Number: 541-746-7116
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
KEVIN LEE KIKER
License
159330
Expiration Date
03/30/2008
Phone
541-221-3212
BUILDING INFORMATION.
VB
# of Stories: Lot Size:
HCight. of Structure Sq Ft 1st Floor:
." Ii:I # Ii....,..
Trype ofll'te~t: Sq Ft 2nd Floor:
J i""1/~ '"
)Vaterr-l)Jp~;, Sq Ft Basement:
il/!"r, '/v'fITSf{
;'RangVJ;'>)jY~: ALL f. Sq Ft Garage/Carport
'-Energy Path':) UND XPIRE 1 Sq Ft Other:
!L.s.p~Alkl~d';'8Bi~in~/R THIS ~{aF THf~ant Load:
I, .n. I1T~I1') t'L~U/~ vl/URJr
~,..i y 'l~:'L.....nl" - 'i~ r 18 N
I DEVELOPMENT INFi~B~ATlOWfED Fo Or
. R REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
An t::faved Drive Rqd:
fOil U I" ,
1\/ lOW rtJ/of-IJdtlfZ.o..ygrilge:
l10tific . eSado Uf/ldVvt
in ()~.... at/on ~O"'.. Pled bllH.. _ ~4Llirl::l,'-. j' .
00 '! I M~~~P! I ~"'>' vregO~J t.--: ~o
. ~cr.~. -.. 'ft~J S UtilJty
ca/'. "'Cly b "IUU h afi~~01>1:
I/ng th 0 tain .'[J OAb mew6lUt/Type:
nUrnbe e center cOPIes I"l '52-0~
rforthe 0" . (Note: th Of the 1l.n~no~utS/Drains:
Center is 1- Bgon Utilit e te':Phon: _ J
800-33') .! NOtifiC!:lt.
c-C344). q JOn
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01619
ISSUED: 12/18/2006
APPLIED: 12/18/2006
EXPIRES: 06/18/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid-l
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$3.60
$42.00
$3.00
12/18/06
12/18/06
12/18/06
12/18/06
12/18/06
1200600000000001767
1200600000000001767
1200600000000001767
1200600000000001767
1200600000000001767
Total Amount Paid
$55.35
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.
LReouired Insoections I
Rough Plumbing: 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.
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
times during construction.
/'
/:0~
, /
Date
Pae:e 2 of2
225 FifthStr.eet
Springfield, Oregon 97477
541-726-3759 Phone
cjl-' of Springfield Official Receipt
1 Jopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1619
COM2006-0 1619
COM2006-01619
COM2006-01619
COM2006-0 1619
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 12/18/2006
1200600000000001767
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MENIGES CONSTRUCTION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 064023 In Person
Payment Total:
Page 1 of 1
] :13:52PM
Amount Due
42.00
3.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
12/18/2006