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