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Home My WebLink AboutPermit Plumbing 2007-01-04-Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00026ISSUED: 0110412007APPLIEDz 0110412007EXPIRES: 0710412007 VALUE: SITE ADDRESS: 1875 MOHAWK BLVD ASSESSOR'S PARCELNO.: 1703251300702 PROJECT DESCRIPTION: Modify sanitary sewer. Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration Commercial Owner: Address: VILLAGE INN SPRINGFIELD LLC 1111 MAIN ST STE 7OO VANCOUVER WA 98660 \'c o Contractor TION Contractor Type General DELTA License 62971 Expiration Date 12t07t2008 Phone 541-228-1509 q\# of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paved Drive Rqd: oh oILot Coverage: rport REQUIRED PARKING Total: Handicapped: Compact: ,tt".dsto$ .*.\' + .fl, $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated s$ # of Units: Primary Occupancy Secondary Occupancy Primary Construction Type .o$).t Other: Load: f:(\ #,c^ Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00026ISSUED: 0110412007APPLIEDz 0110412007EXPIRES: 0710412007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Total Amount Paid Amount Paid Total Value of Project Date Paid t/4t07 U4t07 y4t07 u4/07 Receipt Number 22007000000000000r8 2200700000000000018 2200700000000000018 2200700000000000018 $4.50 $2.25 $3.60 $45.00 $55.Jt Fees Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the Cify of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure th street, that the permit card at all required inspections are requested at the proper time, that each address is readable from the is located at the front of the property, and the approved set of plans will remain on the site at all times du d /* (*{'**"? Owner or Contractors Signature Paee 2 of 2 Date h 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cif- of Springfield Official Receipt lopment Services Department Public Works Department RECEIPT#: 2200700000000000018 Date: 0110412007 t:39:24Pt{t Job/Journal Number coM2007-00026 coM2007-00026 coM2007-00026 coM2007-00026 Description Sanitary Sewer - lst 50 Feet + 5% Technology Fee + 8% State Surcharge + lDoh Administrative Fee Amount Due 45.00 2.2s 3.60 4.50 Item Total:$ss.3s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check MCKENZIE COMMERCIAL Jmp 67686 In Person Payment Total: $5s.35 -ffi cReceintl Page I of I I1412007 .DffiF*S