HomeMy WebLinkAboutPermit Plumbing 2008-10-27
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01582
ISSUED: 10/27/2008
APPLIED: 10/27/2008
EXPIRES: 04/27/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-3769,'Inspection Line
SITE ADDRESS: 5808 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334102301
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Install hand sink
Owner: MONK E M TR
Address: PO BOX 711
DALLAS TX 7522]
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
ACE EQUIPMENT & SPECIALTY SERVICE 154093
,BUILDING INFORMATION'
Expiration Date
01/24/2009
Phone
541-729-6221
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
, Type of Heat:
Water Type:
Range Type:
Energy Path: . 5 'IOU to
's rinl'Jf~l'jldlligeqUlle on \!YIilit'lj
__..."r'\\~t"1'. . ~_\' "'nP. Qreg .. ~........\h
...... ,,..-' -...---. 1'<'...... .-. 1-"" '-'l'J' ........
f ,DBYE'U0PffiEN;f t~F0RM~,ieff5'-00~-
l'Io\\llc,,"'"v" -'1~OO1U ur.J!!I ,'the IU'es b'lj ,
in Qi'R 95'2..00" Hflin caples 0 telephOne
90 'I!?.reflllly<D\SI: ~ote', the ffcation
00 iline S,1l'e..i>T;~"~~ !IiJtilit'lj 1'104)1 1
ca R ,. '!I\O'" I .!' 33'2.~'2.34 .
numbJ~ve r\ e1_ "'-
'YoClJfiIlot ('overage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occupant Load:
VB
Front yard Se,tback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQuiRED PARKING
Total: "
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidew,ilk Type:
Description
Type of Construction
DownspoutslDrains: O<r-v..
~ \t i\\'C '1'J ~
t\O"{\Ct: i S\\~\..\.E'f,.?~ ?E<r-,,^I\ IS ~O"
\:~~.~~;.~:\)\)\}~~~; ~~~~\)O~E~ ~OR:
1 Valuation D~tjffM~t~ \lE<r-IO\).
p..N{ tUJ.
$'Per Sq Ft Square Footage'
or multiplier or Bid Amount'
Valne
Date Calculated
Notes:
Paee 1 of 2
-~Fl,~!'l"'!l'lI!!li!;~I'
l
/'''
CITY OF SPRIN(jJ:<l~LD .
. Building/Combination Permit
,
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
PERMIT NO: COM2008-01582
ISSUED: 10/27/2008
APPLIED: 10/27/2008
EXPIRES: 04/27/2009
VALUE:
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ ]2% State Surcharge
+ 5% Technology Fee
Fixture'
MinimumlAdjustment Plumbing
Sanitary Sewer - Improvement
SDC SanitarylStorm Admin
Amount Paid
Date Paid
$5.20
$6.24
$2.60
$17.00
$35.00
$63.11
$7.3]
10127/08
10127/08
10/27/08
10127108
]0127/08
10127/08
10/27/08
Receipt Number
i
1200800000000001091
1200800000000001091
1200800000000001091
]200800000000001091
]200800000000001091
1200800000000001091
1200800000000001091
Total Amount Paid
$]36.46
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.
I ,.~~fil.?ire.~ '.~soectIo.~s 1
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work.Is complete.
By signature,.I state and agree, that I h.vec.refully examined the completed application aud 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 City of Springlield 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.
4LdL~ /~~,k
Owner or Contractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
SpringfieldrOregon97477
541-726-3759 Phone
~
City of Springfield Official Receipt
Development Services Department
Public W"rks Department
Job/Journal Number
COM2008-0l582
COM2008-0 1582
COM2008-0 1582
COM2008-0 1582
COM2008-0 1582
COM2008-0 1582
COM2008-0 15 82
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
Date: 10/27/2008
II :53:42AM
1200800000000001091
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administnitive Fee
Sanitary Sewer - Improvement
SDC Sanitary/Stonn Admin
! .
Amount Due
17,00
35,00
2,60
6.24
5,20
63,]]
7,31
$136,46
Paid By
ACE EQUIPMENT
Item Total:
{':heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
In Person
Payment Total:
$136.46
$]36.46
5279
Page I of I
10/27/2008