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Home My WebLink AboutPermit Plumbing 2009-5-12 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00655 ISSUED: 05/12/2009 APPLIED: 05/12/2009 ,EXPIRES: 11/1212009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1410 Mohawk Blvd ASSESSOR'S PARCEL NO,: 1703253310004 Springfield TYPE OF WORK: Plnmbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace approx 40lfsanitary line, relocate sink, add grease trap Commercial Owner: JAMES M BROWN REVOCABLE TRUST Address: PO BOX 165 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor A, HANNAMAN License , 178662 I BUlLDI~G,~f"tORMATION. , , , on laW reC\u.',--~' UtiliW # 01 UllltS: 'TlE-NIION, ore?8d b'i tM 0i!.~1 WJ~~~lth Primary Occupancy Gr1oup:'ules adoPB "-hOSe rul8fi.\'il!l t<of.Sfr'Utture , \9'li)" . ter II' 01\1'1 o~- Secondary Occupancqay.n\',~p:)[\ cen.~'~ 0 thrOUgh !r~8El'h..Flell~'i Primary Constrnctio'il T-yP'!\ 95Z-0OVI rta'\[\ CopleSWate.;:!1v'pll!3 '11 v'" a'i 0 ' tl:\? 1~'UI'V , I) Secondary Constrnctlot/;i!iYpj<:,u m [\ter, lNote"I:RJllAAt1:\yp\iP # of Bedrooms: V calling the ~~e Olegon Ut~~2s~lQ',path:, , number lor t r '\S 1_800-33-Spnnkled BmldUlg: nla r.en e I 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 Coverage: Expiration Date 1010212009 Phone 541-653-9750 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: bUiI'~ IMPROVEMFr)TU~~'N~~~ . N S" DERWI\1 Stll-\l.~ '-1/~\S \'ER~\'t'~'!lValk Type: 1\-\\ r \lNDEn ONE\) 'tt:l'", JI,\lI\-\ORIIED OR \S Jl,BJI,N\) DownspoutslDrains: COWl\'J\ENCDi~ PERIOD. Jl,N"1 i SO Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount '...........- Pa~e I of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00655 ISSUED: 05/12/2009 APPLIED: 05/12/2009 EXPIRES: 11112/2009 VALUE: 225 Fiflh SII'eel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inslleclion Line TOlal Value of Projecl F,ees Paid I Fee Description + 12% Slale Surcharge + 5% Technology Fee Fixtu re Sanilary Sewer - IsI 100 Feel Amount Paid Dale Paid Receipt Number $18,24 $7.60 $76,00 $76,00 5/12109 5/12/09 5/12/09 5!12/09 1200900000000000401 1200900000000000401 1200900000000000401 1200900000000~00401 Total Amounl Paid $177.84 I Plan Reviews ,I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m, win be made the same working day, inspections requested after 7:00 a.m.'win be made the following work day. I Relllli~e~ 1~:~llections I Rougb Plumbing: Prior t? cover and including required lesling. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Grease Trap: Prior to Cover. By signa lure, 1 slale and agree, Ihal I have carefully examined the completed applicalion and do hereby certify Ihal all information hereon is true and correct, and I further certify that any and all work performed sha~1 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 thaI NO OCCUPANCY will be made ofauy structnre 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 ti:f~ -:ttI r~/~9 ,/ .,-,-- ~(./".. "I ' ;' / / Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street Spri-..gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-006SS COM2009-006SS COM2009-006SS COM2009-006SS Payments: Type of Payment Check cRcccinll RECEIPT #: Description Sanitary Sewer - 1 st 100 Feet Fixture + 5% Technology Fee + 12% State Surcharge Paid By A HANNAMAN City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000401 Date: 05/12/2009 Item Total: Check Number Authorization Received By Batch Number Number How,Received djb 1103 In Person Payment Total: Page 1 of 1 10:55:42AM Amount Due 76.00 76,00 7,60 18,24 $177,84 Amount Paid $177.84 $177,84 SIl2/2009