HomeMy WebLinkAboutPermit Plumbing 2008-10-27
Status
Iss u ed
,CITY OF SPRINGFIELD
II
Building/Combination Permit
PERMIT NO: COM2008-01581
ISSUED: 10/27/2008
APPLIED: 10/2712008
EXPIRES: 04/2712009
VALUE:
225 Fifth Street, Springfield, OR
54f-726-3753 Phone
54 f -726-3676,Fax
54f-726-3769.Jnspection Line
SITE ADDRESS: 1396 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363203501
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Add hand sink
Owner: SKILLERN INV L TD PTRSHP
Address: PO BOX 711
DALLAS TX 75221
Contractor Type
Plumbing
I CONTRACTOR INFORMATION 1
Contractor License
ACE EQUIPMENT & SPECIALTY SERVICE ]54093
BUILDING INFORMATION'
Expiration Date
01124/2009 .
Phone
541-729-622]
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
. ~~
,~," # of-Stories:
B Height of Structure
Type of Heat:
Water Type:
ATTENT1~ng}tifg-pll:laW requires yt~,~w
follow rul~a.OOpl\llllli:lY the ,~~ea~~~ed~.rth
Notifica~i~rI'~~~~~~f~ OAR 95t-001-
n. ~"'(':(,:. '= , '. X'fffft\"'\l' UJ
oaa"lj~~nf~ -"'T'Qle
calling ne the'O;~~~n Utiiity Notification
number68~rel'lllljlifAl0-332-2344). ,
f~treet Trees Rqd: "
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:'
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/qarport
Sq Ft Other:,
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total: '
Handicapped:
Compact:
,
,",,'.
I PUBLIC IMPROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
NO"'Cf~ f)G'IRI: ,pHI: WOR~
THIS PER~\! ~~,~~~ 1111S PER~\1 ~oNOi
':'U1\\'.r"~~ IS T>.B"'NUUI''-L r-
I Valuation ~~li\m~E O~R\OD. '
AN'I18U Ui'I P ,
$ Per Sq Ft Square Footage
or multiplier or Bid Am,2~nt"
-. ...~.,
Value
Date Calculated
Notes:
Paee 1 of2
SP-AIN,OF.Im.i.DI'
- ";;;;;-""f-" r\'0.'""'~iNS;+'~,"":';'''~
2.'..'._--' . 'J- .,
u.,'" --
Status
Issued
CITY OF ~rKmGFIELD
-Building/Combination Permit
PERMIT NO: COM2008-01581
ISSUED: 10/27/2008'
APPLIED: 10/27/2008
EXPIRES: 04/2712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769;lnspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/~djustment Plumhing
Sanitary Sewer - Improvement
Sanitary Se~er - Reimbursement
SDC SanitarylStorm Admin
Amount Paid
Date Paid
$5.20
$6.24
$2.60
$17.00
$35.00
$63.11
$83.00
$7.3]
10/27/08
10/27/08
10/27/08
10/27/08
10/27/08
. 10127108
10/27/08
10/27/08
Receipt Nnmber
1200800000000001090
1200800000000001090
120080000000000]090
1200800000000001090
]200800000000001090
]200800000000001090
1200800000000001090
1200800000000001090
Total Amonnt Paid
$2]9.46
I Plan Reviews I
To Request an 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.
Relluired In~nect!o~,~, 1
Rough Plumbing: ~rior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereOJ~ is true and correct, and I further certify that any and all work performed shallbe 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 OCC;UP ANCY 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.
_AL-t2Ll%
/~/z.7/~
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
'Development SerVices Department
Public'Works Department
Job/Journal ~umb'er
COM2008-D1581
COM2008-0 1581
COM2D08-D158l
COM2D08-D158 I
COM2DD8-0158l
COM20D8-0 1581,
COM20D8-0 1581
COM2008-01581'
Payments:
Type of rayment
Check
cRcceintl
RECEIPT #:
1200800000000001090
Date: 10/27/2008
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
'+ 10% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC SanitarylStonn Admin
Paid By
ACE EQUIPMENT
Item Total:
(;heck Number Authorization
Received By . Batch Number Number How Received"
djb
5279
In Person .1
Payment Total:
Page 10f 1
II :52:52AM
Amount Due
17,00
35,00
2,60.
6,24
5,20
83,00
63,11
7,31
$2] 9.46
Amount Paid
$219.46
$2]9.46
10./27/2008