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HomeMy WebLinkAboutPermit Plumbing 2009-5-18 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00682 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: ,990 W L ST ASSESSOR'S PARCEL NO.: ]70327340]812 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Com"mercial PROJECT DESCRIPTION: Fixture - Hose Bib Owner: ~\\~~o..ro...\ ~ <7" \.~ cj'\ Address:~b \ ~a....r-J ~ Y' ~1P' ~\nIo4 n" J(1.Vla: ~.~. 'h455 ~ I CONTRACTOR INFORMA TION I Contractor Type Plumbing Contractor OWNER 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARK]NG Front yard Setback: Side I Selback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: ATTENTION: Oregon law requires youto fnllnw rules adopted by the Oregon Utility , 'f" t' C ter I nose rUles dlt::: ~ta lUlU. I PUBLIC IMPROVEMENTS'lotllca Ion en " " OAR 952-001-0010 through OAR 952-001- , 0090, Side~val~lT.ype!n copies of the rules by callina the center. (Note: the telephone Downsp.ou tslDrams :Ut'II'lty N ol'lf'lcatlo n numDer IUI lilt;: Vl't:; tj VI , Center is 1-800-332-2344). Storm Sewer Available: Special Instructi<{~OTICE: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: AUTHORIZED UNDER THIS PERMIT IS NOT _ _... .~............... I"\r-, 1('1 ^OJ\t\InrHdt:n I=nR VVIYlIVIL-l\lV......... .........- ..- ANY 180 DAY PERIOD, I Valuation Descriotion J Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee ] of 2 CITY OF ~rlUl~tJl'lJ!,LD Status Issued Building/Combination Permit PERMIT NO: COM2009-00682 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~Fm P~id I Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing " Amount Paid Date Paid Receipt Number $6.96 5/] 8109 2200900000000000534 $2.90, 5/18/09 2200900000000000534 $19.00 5/18/09 2200900000000000534 $39.00 5/]8/09 2200900000000000534 Total Amount Paid $67.86 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. .:p,e~nd r~ I Reouired InsnectionsJ Final Plumbing: When all plumbing work is complete. By signatnre, I state and agree, tbat I have carefully examined toe completed application and do hereby certify that all information hereon is true nod correct, and I further certify that any and all work performed shall be done jn accordance with the Ordinances of the City of Springfield and tbe 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 streel, that tbe permit card is located at tbe front of the property, and the approved set of plans will remain on the site at all times during co~struction. Owner Or Contractors Signature, Date Paee 2 of 2 225 Fifth Strcet Springfield, Oregon 97477 541-726-3759 Phonc Job/Journal Number COM2009-00682 COM2009-00682 COM2009-00682 COM2009-00682 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000534 Date: 05/18/20,09 Description Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge Paid By MARTHA JASON Item Total: Check Number Authorization Received By Batch Number Number How Received njm J 439 In Person Payment Total: Page I of I 9:44:03AM Amount Due 19,00 39,00 2,90 6,96 $67.86 Amount Paid $67,86 ' $67.86 5/18/2009