HomeMy WebLinkAboutPermit Building 2004-3-9
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Status
Issued
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00263
ISSUED: 03/09/2004
APPLIED: 03/09/2004
EXPIRES: 09/09/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 347 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353112000
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Shampoo sinks for beauty salon
Owner: LEN KANE LLC
Address: 637 B ST SPRINGFIELD OR 97477
I CONTRA'-lun.lNFORMATION I
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Contractor Type
Plumbing
Contractor
DOUGLAS LEE JONES
License
104606
Expiration Date
02/17/2005
Phone
541-747-1254
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
Frootyard Setback:
Side 1 Setback:
\, Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
ATTENTION:Oregonlaw reqUIres you to
follow rules adopted by the Oregon Utility
.....,_ ___ ....1_... .......... r-n+ f"'....I
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NOTICE' I V t t' " . t' I nOAR952-001-0010throughOAR952-00'
, a Ila lOll, escrm IOn ' " .
THIS PERMIT SHALL EXPIRE", f, (It: "! L ! 0090. You may obtain copies of the rules l
.. AUT'JJ:Hl17~~II~lm:Q .T~IS pE$1R~l1s1\l1faOT Square Footagellling the "p.nter. (Note: the telephone
Descrlptlon "H'peoof,{;lmUtilctibh' . Value UDate tla1cula'ed-n
COMMENCED OR IS ABANDC9n!![\1'1liiJi.er or Bid Amo'!lI!mber for Ilie uregon '''''y i'lvu",v"",lU
" ANY 180 DAY PERIOD, f"M'M:~ Ul()()-~32-2344).
Total Value of Project
Paee 1 of2
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fee~ P,'!id I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$4.50
$3.15
$28.00
$17.00
3/9/04
3/9/04
3/9/04
3/9/04
Total Amount Paid
$52.65
I Plan Reviews I
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00263
ISSUED: 03/09/2004
APPLIED: 03/0912004
EXPIRES: 09/09/2004
VALUE:
Receipt Number
1200400000000000288
1200400000000000288
1200400000000000288
1200400000000000288
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.
I Reouired Insnections I
1 :- R~ugh PI~';;bing: Prior to cover and including required testing.
"" 2 i Final Plumbing: Wh'en all plumbing work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed sball 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.
~&n~ I! - ~~Ldq
Owner or Contractors Signature
Paee 2 of2
3/7/0 y
Date
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00263
COM2004-00263
COM2004-00263
COM2004-00263
Payments:
Type of Payment
Check
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to":
Receipt #: 1200400000000000288
Description
Fixture
Minimum! Adjustment Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dim
l:heck Number
Batch Number Authorization Number
Paid By
MARIA PARADA
1017
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/09/2004
11:01:40AM
Amount Paid
Item Total:
28,00
17.00
3,15
4,50
$52.65
How Received
Amount Paid
In Person
Payment Total:
$52,65
$52.65
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