HomeMy WebLinkAboutPermit Plumbing 2008-6-12
Lll t VI' 1)rK.ll~ul'lJ'.,L1J .
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2008-00845
ISSUED, 06/12/2008
APPLIED: 06/12/2008
EXPIRES: 12/12/2008
VALUE'
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
SITE ADDRESS 2705 PHEASANT BLVD
ASSESSOR'S PARCEL NO 1703220002707
SPRINGFIETYPE OF WORK SIte Work Only
TYPE OF USE AlteratIOn Pubhc
PROJECT DESCRIPTION Catch Bas," & dram hne for fire equIpment wash
Owner CITY OF SPRINGFIELD
Address 225 FIFTH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electncal
Contractor
MIGSON CONTRACTING LLC
CHRISTENSON ELECTRIC INC
License
159500
458
Expiration Date
04/13/2010
05/01/2009
Phone
541-998-6456
541-688-6121
BUILDING INFORMATION I
# of Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones'
HeIght of Structure
Type of Heat
Water Type'
Range Type
Energy Path
Spnnkled BuIldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basemen t
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback
S,de I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd.
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
SpeCIal InstructIOn
ATTENTION' Oregon law requires you to
Notes follow rules adopted by the Oregon Ullllty
Notification Center Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090, You may obtain caples of the rules by
calling the center, (Note the telephone
number for the Oregon Utility Notification
Center is 1-800-332.2344).
S,dewalk Type
DownspoutslDrams
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Paee I of2
~-_....
Status
Iss u ed
CITY OF ~rK.lNGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00845
ISSUED 06/12/2008
APPLIED: 06/12/2008
EXPIRES: 12/12/2008
VALUE.
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlUe
I Valuation DeSCrIDtIOn ,
DescnDtlOn
Tyoe of Construchon
$ Per Sq Ft
or mulllpher
Square Footage
or BId Amount
Value
Date Calculated
Total Value of Project
Fees PaId I
Fee DescnotlOn
+ 10% Admmlstrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
FIXture
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each Addtll 00'
Amount PaId
Date PaId
ReceIpt Number
$980
$11 76
$490
$1600
$50 00
$32 00
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
3200800000000000400
3200800000000000400
3200800000000000400
3200800000000000400
3200800000000000400
3200800000000000400
Total Amount Paid
$12446
I Plan Reviews .1
To Request an inspectIOn call the 24 hour recording at 726-3769 AlllOspections requested before 7'00
a,m, WIll be made the same worklOg day, inspections requested after 7.00 a m, will be made the followmg
work day,
I RellUlred InsnectJons I
Samtary Sewer Lme PrIOr to filhng trench and IUcludlUg reqUired testlUg
By sIgnature, I state and agree, that I have carefully examlUed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereon .s true and correct, and I further cerllfy that any and all work performed shall be done IU accordance WIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIon of the Commumty ServIces DlVlslOn, BUlldmg Safety
I further cerllfy that only contractors and employees who are IU comphance WIth ORS 701 005 Will be used on thIs project
I further agree to ensure that all rfqUlred mspectlOns are requested at the proper lime, that each address IS readable from the
street, that the permIt card IS l~ at the front of t~, and the approved set of plans wIll remaIU on the sIte at all
limes durmg const 0../ __ -_ __~ ~
~ ~/--: -'">-
~~;:; '--
~ner or contrture
b'~/2 ,.-03
Date
Paee 2 of2
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~l
~
CIty of Sprmgfield Official Receipt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2008-00845
COM2008-00845
COM2008-00845
COM2008-00845
COM2008-00845
COM2008-00845
Payments
Type of Payment
Check
cRecelOt I
RECEIPT #:
3200800000000000400
Date, 06/12/2008
Description
FIxture
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each AddtJ 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrallve Fee
PaId By
MlGSON CONTRACTING
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dim
2725
In Person
Payment Total
Page I of I
111523AM
Amount Due
1600
5000
3200
490
1176
980
$12446
Amount Paid
$124 46
$12446
6/12/2008