HomeMy WebLinkAboutPermit Plumbing 2005-5-25
I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00618
ISSUED: OS/25/2005
APPLIED: OS/25/2005
EXPIRES: 11/25/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1650 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703253403900
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: 20' Sanitary line.
Owner: MCKAY INVESTMENT CO LLC
Address: 2350 OAKMONT WAY STE 204
EUGENE OR 97401
54\ i~41l\
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I C.0.NTRACTOR INFORMATION I
. ~-<:--'<v ~ '0-
Contractor (~~.~ c\:J'<:- License
MCINTYI~~K6q~~TEtJETION INC 3550
~'v ~~~~ ~\)\tBUILDING INFORMATION'
S-<:--"f. S'<:- ~~ .
'; # of Units: . ~>&' ~ '0~<:j ~ ~\). # of Stories: ,0 Lot Size:
Primary Occupa,~cY:Gr€~:\..\) \:)'<:- ~~ Height of Structure ~o'> ~>(;;:\ ~ Sq Ft 1st Floor:
Secondary OCC~P~~~y~90Q~P.t\"\)::\ ~~ Type of Heat: .~0C:J~..;j :<-.,0 'i::J" Sq Ft 2nd Floor:
Primary Construetion\TypeJ 0.\" Water Type: n~ nr:00 n.C:J0t.I'>S '\)'\ Sq Ft Basement:
,,'-) . ,~, ~ V ,'" 0'''' ~'<I ~:F ~
Secondary Constructio~;~YP~J Range Typ'~~ e ~ ~ 50 C!5 .se ~0 Sq Ft Garage/Carport
# of Bedrooms: <J ~ . Energy &t~~ ~ ,.se O~ ~0" ~o .~o<::- Sq Ft Other:
~ Spr~<1.J~i~~<f o'~ '\.~i?~,-v~ Occupant Load:
. . T~ -<X" .0 . o~ n. . ^~
I DEVno1.~ l~bm\i~ii~ ttX\'
'\'V~ v~ "'~ ~O-. ~~ v a:~
~ * " . 0<::- ~\) &;\. 0" t])0:J
l ,~~ .~~~!lY~<i~t:00'-0 ;<..0~<o<:P'
~o~ #~treet> ~is .R,:q~:. "
" q '-l'J % ,;;s.' .,-~
.~ .Ji'~%~iY~~~
\$1l ~obfi'ourage:
. ~.r$'
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Contractor Type
Plumbing
Expiration Date
10/08/2007
Phone
541-687-2841
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,,(,;.
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
, Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
f
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-00618
ISSUED: OS/25/2005
APPLIED: OS/25/2005
EXPIRES: 11/25/2005
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'
. Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
$4.50
$3.15
$45.00
5/25/05
5/25/05
5/25/05
Receipt Number.
2200500000000000667
2200500000000000667
2200500000000000667
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.
L Reouired Insnections I
Sanitary Sewer 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 all
dmes pJ:nstru~
(- - - I, ,. .
Owner or Contractors Signature
5 -~~ -os
Date
Pae:e 2 of 2
I 225 Fifth Street
Springfield, Oregon 97477
~ 541-726-3759 Phone
Job/Journal Number
COM2005-00618
COM2005-00618
COM2005-00618
Payments:
Type of Payment
CreditCard
5/25/2005
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
EVELYN MCINTYRE
City of Springfield Official Receipt
~velopment Services Department
Public Works Department
2200500000000000667
Date: OS/25/2005
2:40:47PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 008476 In Person
Payment Total:
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65
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