HomeMy WebLinkAboutPermit Plumbing 2008-1-3
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED.
EXPIRES:
VALUE'
COM2008-000I2
01/0312008
01/03/2008
07/0312008
225 FIfth Street, SprIngfield, OR
541-726-3753 Pholle
541-726-3676 Fax
541-726-3769 InspectIOn Lllle
SITE ADDRESS 1554 M ST
ASSESSOR'S PARCEL NO 1703253309903
Springfield TYPE OF WORK Plumblllg Only
TYPE OF USE Repall
Commercial
PROJECT DESCRIPTION Replace approx 60lfwaterhne
Owner DARI MART STORES INC #1
Address 125 E 6TH AVE
JUNCTION CITY OR 97448
Contractor Type
Plumblllg
I CONTRACTOR INFORMATION)
Contractor L'cense
READY ROOTER DRAIN CLEANING & R S~92524
BUILDING INFORMATION I
ExpiratIOn Date
02/18/2009
Phone
541-744-7991
# of UllltS
Primary Occupallcy Group
Secondary Occupancy Group
Primary Construchon Type
Secondary ConstJ uctlOn Type
# of Bedrooms
# of Stories.
HeIght of Sh ucture
Type 01 Heat
Water Type
Range Type
Enel gy Path
Sprinkled BUlldlllg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard S~\~N: OrGgoolQW ~ ye~Wrlay DlSt
SIde 1 Setba, h\ow IlUloo Qdopted by the Oregon l>>\llW'eet Trees Rqd
SIde 2 Setb'W)tiflcaflon Center. Those rules are s~ Dllve Rqd
Rearyard S&YGlllR 952.o01.Q010through OAR 95a..,pg~tot Coverage
Solar SetbadooO You may obtain coplesoftherulesoy
-K.....IIle-9'1...M t"J~t". 1t>""p!9!lhone
8lUmbsrior thG Oregon Utlllty~PROVEMENTS'
Center 161.aoo-332-W ,------
Street Impl ovemellts
Storm Sewer AvaIlable
SpeclallnstJ uctlOn
Total
HandIcapped
Compact
SIdewalk Type
DownspoutslDrallls
DeScriptIOn
Type of ConstructIOn
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AtlTI16RI;:IB :;uxn TIII~ r['1MIT '~ ..':IT
I Valuation Descnohon 'COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or mulhpher or BId Amount
Notes
Value
Date Calcutated
Pa!!e I 01 2
Status
Issued
225 FIfth Street, Splmgfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fee DescriptIOn
+ 10% AdmmlStrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Lme - 1st 50 Feet
Watel Lme - Each Addtl1 00'
Total Amount PaId
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO. COM2008-00012
ISSUED: 01/03/2008
APPLIED. 01/03/2008
EXPIRES. 07/03/2008
VALUE
Total Value of ProJect
I fees PaId I
_1111
Amount PaId Date PaId RecClpt Number
$660 113/08 2200800000000000001
$792 1/3/08 2200800000000000001
$330 113/08 2200800000000000001
$50 00 113/08 2200800000000000001
$1600 113/08 2200800000000000001
$83 82
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00
a.m. wTlI be made the same workmg day, mspectlOns requested after 7:00 a m will be made the followmg
work day
I R,enlJlrecl rns,n,e~tlO~s I
Water Lme PrIOr to filhng trench and mc\udmg I equlI ed testmg
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certlf} that all
mformatlOn hereon IS true and correct, and I furtber certJfy that any and all work performed shall be done m accordance wIth
the Ordmances of the CIty ot Sprmgfield and the Laws of tbe State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY wIll be made of allY structure wIthout permISsIOn of the Commulllty ServIces DIVISIOn, BUlldmg Safety
Ilurther certJfy that ollly contractors and employees who are m comphance wltb ORS 701 005 wIll be used 011 thIS proJect
I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable from the
str that the permIt cal d IS located at the front ot the property, and tbe approved set of plans WIll remam on tbe SIte at all
(es dUrl Jhon
~t;ar3-b-'"'-~
/- j-Orr-
Date
Paee 2 of2
225 FIfth Street
Spfll~gfieJd, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-000 12
COM2008-00012
COM2008-00012
COM2008-00012
COM2008-000 12
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #
DescriptIOn
Water Line - 1st 50 Feet
Water Line - Each AddtlIOO'
+ 12% State Surcharge
+ 5% Technology Fee
+ 10% Admllllstrat.ve Fee
PaId By
DA VID NICHOLS
~~1iI
C'ty of Sprmgfield OffiCIal ReceIpt
Development Serv'ces Department
Pubhc Works Department
2200800000000000001
Date: 01/03/2008
Item Total
Check Number AuthonzatwR
Received By Batch Number Number How Rel..elved
dJb
01503B In Person
Payment Total
Page 1 of 1
11 11 lOAM
Amount Due
5000
1600
792
330
660
$83 82
Amount Paid
$83 82
$83 82
1/3/2008