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Home My WebLink AboutPermit Plumbing 2006-7-27 Status Issued , CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00944 ISSUED: 07/27/2006 APPLIED: 07/27/2006 EXPIRES: 01/27/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3100 Martin Luther King Jr Pkwy ASSESSOR'S PARCEL NO.: 1703220003400 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Manhole and storm drainage pipe Owner: Address: I CONTRACTOR INFORMA nON, Contractor Type Applicant General Contractor PEACE HEALTH WILDISH CONSTRUCTION CO License Expiration Date Phone 695 10/22/2007 541-485-1700 BUILDING INFORMA nON I # of Units: # of Stories:-Lot Size: Primary Occupancy Group: Height of Structure ATTENTtON:Orc,IOn.~UireS you to Secondary Occupancy Group: Type of Heat: follow rut. ad~ldill)ttna<Gregon Utility Primary Construction Type Water Type: Notification CenM.FJ~~eri$sare set fortt Secondary Construction Type: Range Type: in OAR 952.001.~f4)~0"lf.tRe52.001 # of Be~ltlC E: Ene.rgy Path:.. 0090. You may ~ilrA!b~es of the rules b~ TH I S PER M ITS HA LL EXPI R~ ~F ~H 3 ~Olij\-mkled Butldmg: call1rlll\he celdir.'~M:h~~WIe telephone AUTHORIZElJ UNUtK 1 MI'" rc~I~I~.' nOT "'~fortneur6."..,.. UUlIlY I~VUrl"IlUIVl! ~LOPMENT INFORMA 4\ COMMENCED OR IS ABANDON[ enterts 1-80t\~ilttj"PARKING Frontya~hl$e1M~AY PERIOD. Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction : Sidewalk Type: Downspouts/Drains: Notes: ~//~ Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00944 ISSUED: 07/27/2006 APPLIED: 07/27/2006 EXPIRES: 01127/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ~ Fee Description + 10% Administrative Fee + 8% State Surcharge Plan Review Plumbing (30%) Sanitary or Storm Sewer Cap Storm Sewer - 1st 50 Feet Amount Paid Date Paid Re'ceipt Number $9.00 7/27/06 1200600000000001150 $7.20 7/27/06 1200600000000001150 $27.00 7/27/06 1200600000000001150 $45.00 7/27/06 1200600000000001150 $45.00 7/27/06 1200600000000001150 Total Amount Paid $133.20 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. ~eouireVnsnections I Storm Sewer Line: Prior to filling trench. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00944 ISSUED: 07/27/2006 APPLIED: 07/27/2006 EXPIRES: 01/27/2007 VALUE: 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. /J2uD ?U&d!# Owner or Cont~actors Signature tI ~ Paee 3 of 3 7/;7/67 I , Date 225 Fifth St~eet . '.. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00944 COM2006-00944 CO M2 006-00944 COM2006-00944 COM2006-00944 Payments: Type of Payment CreditCard cReceint I RECEIPT #: Description Storm Sewer - 1st 50 Feet Sanitary or Storm Sewer Cap Plan Review Plumbing (30%) + 8% State Surcharge + 10% Administrative Fee Paid By PEACEHEAL TH ORECON REGION r-, of Springfield Official Receipt -'- lelopment Services Department Public Works Department 1200600000000001150 Date: 07/27/2006 10:47:57AM Item Total: Check Number Authorization Received By Batch Number Number How Received dim 016771 In Person Amount Due 45.00 45.00 27.00 7.20 9.00 $133.20 Amount Paid $133.20 Payment Total: $133.20 Page I of I 7/27/2006