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HomeMy WebLinkAboutPermit Plumbing 2005-1-18 --e . CITY OF SJ?IUNGFIELD Building/Combination Permit PERMIT NO: cOM200S-00065 ISSUED: 01/18/2005 APPLIED: 01/18/2005 EXPIRES: 07/18/2005 VALUE: .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4197 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344300100 Eugene TYPE OF WORK: Store TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Install backtlow. Owner: SHELL OIL PRODUCTS US INC Address: PO' BOX 4369 HOUSTON TX 77210 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor TWIN RIVERS PLUMBING INC License 17695 Expiration Date 0311112005 Phone 541-688-1444 I BUILDING INFORMATION I "'~v s ,- # of Units: 'f.v ~ # '\ ~;PfStories: Lot Size: Primary Occupancy Group: ;{3.~ <:(x.."<' ~'\) <;; Height of Structure Sq Ft 1st Floor: Secondary Occupancy Group: 'v\: ,*,"0 '1;)'0"" Type of Heat: ,:,,0 :\ Sq Ft 2nd Floor: Primary Construction Type ':0~\; ~ "\:?-"" Water Type: '" ~o \)~~ ~Sq Ft Basement: Secondary Construc':e,n T~P~~~'\)\:S ~ Range Type: &~e; 0<::- e;"O(~JfF;t Garage/Carport # of Bedrooms: ~\'\J :X,,~~ ~ '\)~ '\ 'fJ'\)' Energy Path: ~ \e; O\e;C$?!>e; \<;,'1: ~,g(Ft Other: ~~ ,"0 <:( ~,,\:,Yv'\) <:(x.."<' Sprinkled Buildi!!.t~ >:s-e; ~rtn/af?:" \JOc~UI)ant Load: ,0.'\ . ,('\ _,(, .j ^O ..-.1 <v () .." ..0 _<\ '~~~~\<:::, \)'- I DEVELOPMENl'W~ORM:iitON~'10'~,~e.1cr' " ~ '\ ~\V '/>v ~J. <;) v 0"1 . 'S' ~O. REQUIRED PARKING ~~ vt<-'S' ,~:t:Je;<:< ~<;)" .~ v_,o'e.',~~-.I, r1'...... el'!-V'IJ~V!::l' ~,'I> ~ ~ '-' ~'!; .~...o;~t$ee~'R <1;0 ^,e;\' n~O ",,:>':> iP'~.~.C 01~ "e;" 0\" S)v P~'(e!i'~veo :e;v e; ,~ %'ii~~tS~e~ge:\'S' i{'.> \1 (;)<;)<1l &.-$' \,0 ~,e; v~ ,(''Oe; (,e; I PUBLIC IMPROVEMENTS I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: . Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: . Downspoutsffirains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or. Bid Amount Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00065 ISSUED: 01/18/2005 APPLIED: 01/18/2005 EXPIRES: 07/18/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectlon Line Total Value of Project Fee~, P3W Fee Description + 10% Administrative Fee + 7% State Surcharge BackOow Device Minimum/Adjustment Plumbing Amount Paid $4.50 $3.15 $14.00 $31.00 Date Paid 1118/05 1118105 1/18/05 1118/05 Receipt Number 3200500000000000022 3200500000000000022 3200500000000000022 3200500000000000022 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. ~red In'illP~tiomJ BackOow. Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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. ~6~ tjff/os Da, I Owner or Contractors Signature Paee 2 of2 225 Fifth Street ,Springfield, Oregon 97477 '541-726-3759 Phone Job/Jonraal Number COM2005-00065 COM2005-00065 COM2005-00065 COM2005-00065 Payments: Type of Paymeut Check 1/18/2005 . RECEIPT #: ~ --. -~ JIily of Springfield Official Receipt "elopment Services Department Public Works Department 3200500000000000022 Date: 01/18/2005 1:57:46PM Description Backflow Device Minimum! Adjustment Plumbing + 7% State Surcharge + 10% Administrative Fee Paid By TWIN RIVERS PLUMBING, INC, Received By jmp Page 1 of I Item Total: Check Number Authorization Batch Number Number 25298 Amount Due 14,00 31.00 3.15 4,50 $52.65 How Received In Person Amount Paid $52.65 Payment Total: $52.65