HomeMy WebLinkAboutPermit Plumbing 2009-5-22
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CITY OF SPRINGFIELD'
. Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00721
ISSUED: OS/22/2009
APPLIED: 05/22/2009
EXPIRES: 11/22/2009
VALUE:
225 Fifth Street, Springlield, OR
541"726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspectioll Line
SITE ADDRESS: 3150 MAIN ST
ASSESSOR'S PARCEL NO.: 1702310000400
Springfield TYPE OF WORK: Plumbillg Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Relocate and add fixture
Owner: OREGON ST A TE10FiBO!\:RD-'OF~EORESllRJI'1ires you to
Address: 2600 STATE ST follow rules adopted by the Oregon Utility
SALEM OR 97310ilcation Center, Those rules are set lorth
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Contractor Type
Gelleral
Plumbing
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0090" You may Qi;CON1'R~CTOR-INF'O'RMATlON I
call1flg the cen, '"" " 'c'
C number lor the Oreg'on Utility Notification L'
ontract~enter is 1-800-332-2344). Icense
NORWEST BUILDERS INC 157044
CHAPIN ENTERPRISES INC 81994
~UlLDlNG INFORMATION I
Expiration Date
09/15/2011
05/06/2010
Phone
541-513-6476
541-485-1146
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constructioll Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rallge 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:
Occupallt Load:
Vlhr
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICE:
Inl~ fF!fu~IllI,~PRMATlON I
~UTHulld:1J UNDER TH ..~" J Ht WORK
A~~rENCED 6~ffi1)'J,g}f~:nERMIT IS NOT
80 DAY JlIBRfOOTrees~&\WD FOR
Paved Drive Rqd:
% of Lot Coverage:
II/a
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Downspouts/Draills:
Storm Sewer Available:
Speciallllstrllction:
Notes:
Paee I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioll Lille
1 Valuation Oescrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
fpl,'~ P~irl ·
, I If. ..
Fee 1;>escription
.+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustmellt Plumbing
Sanitary Sewer ~ Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Amollnt Paid
Date Paid
$6.96
$2.90
$57.00
$1.00
$105.18
$138.33
$12.18
5/22/09
5/22/09
5122/09
5122/09
5/22/09
5/22/09
5/22/09
Total Amount Paid
$323.55
I Plan Reviews I
Public Works Review
OS/22/2009
APP EW
OS/22/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00721
ISSUED: 05/22/2009
APPLIED: 05/22/2009
EXPIRES: 11122/2009
VALUE:
Value'
Date Calculated
Receipt Nllmber
2200900000000000555
2200900000000000555
2200900000000000555
2200900000000000555
2200900000000000555
2200900000000000555
2200900000000000555
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, ~P~'gp~ti~~
ROllgh Plumhing: Prior to cover and including required testillg..
Final Plumbing: When all plumbing work is complete.
Paee 2 of 3
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Status
Issued
225 Fifth Street, Sprillglield, OR
541-726-3753 Pholle
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00721 '
.ISSUED: 05/2212009
APPLIED: 05/2212009
EXPIRES: 11/2212009
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatioll hereoll 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 Sprillgfield and the Laws of the State of Oregon pertailling to the work described hereill, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I fllrther certify that only cOlltractors and employees who are in compliance with ORS 701.005 will be IIsed on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from th,e
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.
lh&~
f{.,r or Contractors SignVZ-
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,Paee 3 of 3
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City ,of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Jourml) Number
COM2009-0072I
COM2009"0072I
COM2009-00721
COM2009-00721
COM2009-00721
COM2009-00721
COM2009-00721
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: OS/2212009
2200900000000000555
Description
Fixture
Millimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Sanitary Sewer - Reimbursement
S~nitary Sewer - Improvement
, SDC Sallitary/Stonn Admin
Paid By
CASTLE ROCK CONSTR
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
047100' In Person
i Payment Total:
Page I of I
1:38:15PM
Amount Due
57,00
1.00
2,90
6,96
138,33
105,18
12,18
$323.55
Amount Paid
$323,55
$323.55
5/22/2009