HomeMy WebLinkAboutPermit Plumbing 2009-1-8
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00029
ISSUED: 01/0812009
APPLIED: 01/08/2009
EXPIRES: 07108/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1124 MAIN ST
ASSESSOR'S PARCEL NO.: . 1703354104400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
PROJECT DESCRIPTION: Emergency replacement of Water Line, approx 130' line
Commercial
Owner: RANS PROPERTY MANAGEMENT
Address: 2473 DALE A VENUE
EUGENE OR 97408
Phone Number: 541-683-4622
I. CONTRACTOR INFORMATION ~
Contractor Type
Contractor
License
Expiration Date Phone
, BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
II/a
1 DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverag~:
REQUIRED PARKING
Total:
Handicapped:
Compact:
;..'
I PUBLIC IMPROVEMENTS I
Street Improvemellts: QuireSYOU,tO AnE~Jdewalk Type:
on laW re on Utility to' IUI~:Ure~OI) law
Storm Sewer Available:Ol't ore9 db" tne ore9 setlorth I/OW'OJJ8'S.....Hli{ lAlllS: 'equl',,~ yv.',_
~, \ \:.\'" d pte , \ are 'J 1'(" <'''''}~ U oy the 0
Special IIIStruCtiOIl:, rules a 0 l~ose ru eS p.,R 95'2.001- 0 I Icalion Center Th' ragon U;jiil'
, ~~~~\ca\iOn ce~:~~t 0 tnroUgn ~I the rules b'1 In OAR 952-<101-001 0 t~se rules are set fo,
Notes: in Op.,R 95'2-00 obtain eOP\~~ne telep\1one 0090. You /\'lay obta' ro~gh OAR 952-oC
. "AN, ' You may ,_'n' INote. ".., "",lilieatlOn calli"" ...~ __._. In CopIes of the rlllA", ;
calling 1\1~ the oregon u'~t2:;i-\'t). "t",bet forti,'-' o~.. ,,"ule: me telephone
nu",ber lor t r is ,_800-33; ~aluation Descriotion ~ reg on Utility Notificatio
cen e 'S 1-800-832-2344\ n
. $ Per Sq Ft Square Footage .'
Type ofCollstructlOn It' I' B'd At Value Date Calculated
or mn Ip ler or I moun,
. Description
Paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line,- 1st 100'
Amount Paid
Date Paid
$9,12
$3.80
$76,00
Total Amount Paid
$88,92
. I' Plan Reviews I
1/8/09
1/8/09
1/8/09,
LIIl' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00029
ISSUED: 01108/2009
APPLIED: 01108/2009
EXPIRES: 07/08/2009
VALUE:
Receipt N umher
3200900000000000010
3200900000000000010
3200900000000000010
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
I,
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I, Reouired Insnectioris I
Water 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 herehy 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 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 contra-ctors and employees who are in compliance with ORS 701.005 will he 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. .
~6
Owner or Contractors Signature
/(/ "'---,
~/~ ')
- c...---"
Page 2 of2
/....1 ~ o-r
Date
225 Fifth Street .
Springfield, Oregon 97477
541-726-3'159 Ph'one
Job/Journal Numb~r
COM2009-00029 .
COM2009-00029
COM2009-00029
Payments:
Type of Payment
CreditCard .
cReceintl
RECEIPT #:
Description
Water Line - 1 st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid.By
STEVEN SHIRTCLlFF
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000010.
Date: 01108/2009
1O:46:09AM
Item Total:
Check Number Authorization.
Received By Batch Number Number How Received
llh 45478 In Person
Payment Total:
Amount Due
76,00
HO
9,12
$88. 92
Amount Paid
$88.92
$88.92
Page I of 1
1/8/2009