HomeMy WebLinkAboutPermit Plumbing 2008-10-1
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01489
ISSUED: 10/0112008
APPLIED: 10/0112008
EXPIRES: 04/01/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1460 G ST
ASSESSOR'S PARCEL NO,: ' 1703362204601,
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Reconfigure 14 WC and laves
Owner: MCKENZIE WILLAMETTE REGIONAL MEDICA
Address: PO BOX 190700
SAN FRANCISCO CA 94119
,I CONTRACTOR INFORMA TI,ON .
ContractorType ' Contractor
License
Expiration Date Phone
"",,-''''If~'
I BU~LDING INFORMATION I
''IT!rF' E WOoK
# 'U ' ',.' ,.,.,.. '1fj(1"~&lli,TH n
0,1 Dtts: , ", p,'ni',r:rT.SH~LL ',' s. "T Ie NOT
Pnmary Occupancy Gronp: :"' ;},e,\-"",-, \ li'Wt.Rl-\~rg~tlOf:SlrU.tm>e
Se~ondary Occupancy Group: ;'1 _ '::,~'; , , "Iy,p_(ho~i!;l,~:[t8 FOR
Primary Construction Type ;',' , " ). ,- Water Type:
Secondary Constr'uction Type: ' :' ',I Range Type:
#of Bedrooms: Energy Patb:
Sprinkled Building: n/a
Lot Size:
Sq Ft ') st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setbac'k:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
ATTENtl;!l? ~EMn IWrequlres you,to
rlo:\i'~e ~MWflhe Oregon Ulility
, ~~I~i~i~ati~ i!\'K'6~1l'fuleS are set forth
in OAR 952-001-0010 through ~~~c9~~:~O~I:
OC3U-, ."!I"l(.l\lij"~"""--'---""- . ' ,
It'l,\lft\f~vv~1iQelephone , '
n'~mbe; for the orego\{ UnlUy "'otifigrJ~CU'alk Type:
Center is 1-800-332-2344).
, Downspouts/Drains:
(
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instrnction:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sq uare Footage
or Bid Amount
Value
Date Calculated
Page I of2
';
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lille
Fee Description
Amount Paid
Total Amount Paid
$0.00
Total Value of Project
Fees Paid ~
,,]W
Date Paid
I Plan Reyiews ,I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01489
ISSUED: 10/0112008
APPLIED: 10/0112008
EXPIRES: 04/0112009
VALUE:
Recdpt Number
To Requestan 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
work day, "
I Refil"ired Inspections I
Rough Plnmbing: Prior to cover and including required testing,
Final Plumbing: When aU plumbing work is complete.
By signature, I state and agree, that I have carefuUy examined tbe completed application and do hereby certify that aU
information hereon is trne and correct, and I furtber certify tbat any and aU work performed shaU be done in accordance witb
the Ordinances of the City of Springfield and the Laws of the State of Or,egon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure witbout permission of tbeCommnnity Services Division, Bnilding Safety.
I fnrther certily that only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project.
I further agree to ensnre that aU 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 tbe approved set of plans will remain on the site at aU
times during construction.
Q~.~,~we,;9:'~Ah
Page 2 of2
/0
/- 08
Date
.
225 Fifth Strcet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1489
COM2008-0 I 489
COM2008-0 1489
COM2008-0 1489
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
Description
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
WAYNE JEARLS
~_i
City of Springficld Official Receipt
Developmcnt Scrviccs Dcpartment
Public Works Departmcnt
1200800000000001019
Date: 10/0112008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cJc .459428 In Person
Payment Total:
(
Page I of I
9:36:0IAM
Amount Due
476,00
23,80
57,12
47,60
$604.52
Amount Paid
$604.52
$604.52
10/1/2008