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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