HomeMy WebLinkAboutPermit Plumbing 2005-6-28
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Status
Issued
*
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00816
ISSUED: 06/28/2005
APPLIED: 06/28/2005
EXPIRES: 12/28/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 346 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353107200
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Replace water line.
Owner:
Address:
SPFD LODGE #70 IOOF
342 MAIN ST
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION I
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~ontractor ,.J.<:i.%:\-<:i,\-<<'-.,\-<v <.i. License
.. -' READY ROQTF;~:D~IN CLEANING & R SP92524
" . ~ 0>-":"~<<.-<?:- ~i' 'BUILDING INFORMATIO~J~~ t\'
~<t:. ~ ~ ~:~ ~. . eo' ,~ ,o?::l~.
, # of Units: ,~'\~ <<.\-~ 'J.-'<-\') <::::, \S r<.,~\S # of Stories: #' r;"O~ 0,'1,' :1;<:;)<:;) 'O~ Lot Size:
Primary occupancY:<:i.~~IiP~'0<?:-'~I0<<; "" <<. Height of Str~r\1),Qi ?}~~ 0,;'" ",'1,0, 13 Sq Ft 1st Floor:
, Secondary Occupancy Gr€up:~<<; <;:, <V"?'- Type of HeJ!f:' '$''1, -seo, o'?' 'I, ,V -S-O<:.', o<Sq Ft 2nd Floor:
Primary Construction TypeJ~' ,'0 Water JYP'e:'O~ r_e ~ ~ 0!>''S' '}.e<:i., # Sq Ft Basement:
" ,~ "",I:.' ~\J oJ':;'''' ,Qi'~
Secondary Construction Typ'!:' Ran!;.)l vpe:,,'<:.' ~o '.'1,0, 'I, _,0"" Sq Ft Garage/Carport
, .,S,,~ 'S' ^' 'S' ~ ,..,.
# of Bedrooms: E~erlQ}P'\.t\1' ,<:;) <:,0" -""rj,' .~-\ ~, Sq Ft Other:
i~r~ji~d'B!lI1dl'3~ ~O -v~ ,rIP Occupant Load:
...(, ~.::> _ ,....,,"'- _'<"i _" _~
.. ~ ..'" .,:. , . ,!. .,.' \. _~..1
I DEVELOPMJi)Nl-3j',~M~"'A~ION ,
~o""O'?-'" -\.ov '$'''' ~'$'~ ;,{J ,
'(Oveflliy'~D~~:'o e~Qi
#'Str&'{~es ~qd:
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Paved Drive Rqd: .
% of Lot Coverage:
Contractor Type
Plumbing
Expiration Date
02/18/2009
Phone
541-744-7991
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I rUDLI'- mJPROVEMENTS I
, Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paeelof2
fl
.
. CITY OF srK11~uFU<JL1J
Building/Combination Permit
PERMIT NO: COM2005-00816
ISSUED: 06/28/2005
APPLIED: 06/28/2005
EXPIRES: 12/28/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.p.~ P.'iIid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addt1100'
Amount Paid
Date Paid
$5.90
$4.13
$45,00
$14.00
6/28/05
6/28/05
6/28/05
6/28/05
Receipt Number
2200500000000000849
2200500000000000849
2200500000000000849
2200500000000000849
Total Amount Paid
$69.03
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.
RP.nllirp.d In1~~
Water 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 tbe 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 ou the site at all
timrJQnS~ Yt L/211M
- ~,
Owner or Contractors Signature
Date
Paee 2 of2
. 225 Fifth Street
" Springfield, Oregon 97477
,~ 541-726-3759 Phone
Job/Journal Number
COM2005-00816
COM2005-00816
COM2005-00816
. COM2005-00816
Payments:
Type of Payment
CreditCard
:'
'y
)
'y
6/28/2005
.
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line, Each AddtllOO'
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID ALAN NICHOLS
8,,~~!.~a..~~. ,~_' _.'___ '..'
Wir' !
- I
, ~.t J
2200500000000000849
Received By
jmp
Check Number
Batch Number
Page 1 of I
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 06/28/2005
Item Total:
AnthorIzatlou
Nnmber How Received
066003 In Person
Payment Total:
2:25:0IPM
Amount Due
45.00
14.00 '
4.13
5.90
$69.03
Amount Paid
$69.03
$69.03