HomeMy WebLinkAboutPermit Building 2000-11-7
.
.
.
Page 1 of2
Job# 00-01468-01
225 North Fifth Street
Springfield, OR 97477
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01468-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1625 HENDERSON AVE Spr
Assessors Map#: 00000000
Lot: Block: Addition:
Owner:
Tax Lot #: 00000
Subdivision:
Ken Garchow
Phone Number: 503- -
10144 SW Washington Square Roa
Address:
City/State/Zip:
Repair
Tigard, OR 97223
Value: $0
Scope Of Work: Site Work
Work to hook up to city sewer
Contractor Type
General Contr
Engineer
Quad Area: 5CSW
# Of Units:
Constr. Type:
Water Heater:
Contractor
McKenzie Excavating Inc.
28568 Bodenhamer Rd., Eugene, OR
97402
Poage Engineering
PO Box 2527, Eugene, OR 97402
Registration #
126290
Expiration Date
11/21/2001
Phone
541-689-3085
541-485-4505
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections 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
working day.
Underground Electrical
Rough Electrical
Electrical Service
Final Electrical
Water Line
Sanitary Sewer Line
Backflow Device
Septic Tank Pumped
Final Plumbing
Required Inspections
Electrical
-Prior to cover.
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbin!l
- Prior to filling trench.
-Prior to filling trench.
-After device is installed but before backfilling trench.
-After septic tank has been pumped and filled. Please provide the inspector with receipt and vel
- When all plumbing work is complete.
.
I Job# 00-01468-01 I
.
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plan Check
09/28/2000 3334
11/07/2000 3732
Value/Quantity
Fee Amount
Commercial Plan Check
Additional Plan Check
Total Plan Check
316,000
-41
$597.35
$-40.62
$556.73
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Miscellaneous Plumbing
Plumbing Administrative Fee
Total Plumbing
Plumbinll
11/07/2000 3732
11/07/2000 3732
11/07/2000 3732
11/07/2000 3732
857
$.00
$59.96
$856.50
$25.70
$942.16
Sanitary Sewer
Total System Development
Grand Total
System Development
11/07/2000 3732
201
$10,000.00
$10,000.00
$11,498.89
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-C/I/P
Engineering-C/I/P
Bob Barnhart
Pam Ownby
09/29/2000
10/17/2000
There is no air injection system as required by
DEQ. The pumps are oversized. The 3"
pressure line, instead of 4" as required by
DEQ, may cause clogging problems.
Structural-CII/P Lorne Pleger 10/11/2000
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time; that the project 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.
Signature
Date
DupmATE RELEIPT DUPLICATE RECEIPT
I
.
_._------------------------ ----------- ---
----------------------------------------
CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 )726-3753
----------------------------------------
------------ -- ------ ---------- ---- -------
WELCOME TO OEUELOPMENT
SERUICES ANO PUBLIC WORKS
----------------------------------------
__ _________ _0._____--- ___ _________ _______
I' REG-RECEIPT:OI-0003732 C:NOV 07 2000
CASHIER 10:061 4:00 pm A:NOV 07 2000
====~===================================
1005 PLUMBING PERMIT $B56.50
JDB~:00-01468-01
1099 STATE SURCHARGE(7X) $59.96
JOB~:00-01468-01
1098 ADMIN FEE(3%) $25.70
JOB~:00-01468-01
1060 PLAN CHECK/COMM -$40.62
JOB~:00-01468-01
1071 SDC/SANITARY SEWERS $10,000.00
J08~:00-01468-01
TOTAL DUE
RECEIVED FROM:
COMMERCIAL PROPERTY MGT
CHECK:
$10,901.54
$10,901.54
fOTAL TENDERED
$10,901.54
CHANGE DUE $0.00
__________________________________u_____
-- ------- ---------- - .-- --~---- ---- - - - -----
*Pay Name :COM~lRCIAL PROPERTY MGT
>Mai 1 Addr :71\ EAST MAIN SfREET
*Cty /St/Z : MEDFORD OR 97504
*Site Addr :1625 HENDERSON AVE
------ --------- .--------- ---- ---_..-------
-------- ------- ------- ---- -- ------- --- ---
- ------- - --- --- - -----.._- --- ------- ------
------ - ---- ---------.. - -----.--- ------ - ---
THANK YOU!!!!!!
-------.----.. ---- ------- ..---- ----- - ------
______________ - _____ -_0--_--- __ _______ ___
OUPLICATE RECEIPT DUPLICATE RECEIPT