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Home My WebLink AboutPermit Plumbing 2009-7-24 i ;,..~ -~j:!~,!,"~,~,!f6,~; f,\ CITY OF SPRINGFIELD Building/Combination Permit Status Issued , /. / / PERMIT NO: COM2009-01054 ISSUED: 07/2412009 APPLIED: 0712212009 EXPIRES: 0112412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3150 MAIN ST ASSESSOR'S PARCEL NO.: 1702310000400 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: _ Repair Commercial PROJECT DESCRIPTION: Water line replacement - 700lf Owner: STATE BOARD OF FORESTRY Address: 2600 STATE ST SALEM OR 97310 I CONTRACTOR INFORMA nON I Contractor Type Plumbing Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B B~ILDING ,~EOI\-MAOfJON"lIires yauto '" ,'--,, ,,-.,- - - d by the Oregan Utility 1 II'" ,'.I,,~ adapte tfC\ilh a :~,\o~~~rcjri~~:(ller. Thase rules are se -ko~ Size: Nalifelgh't9>f.1Structu~ehrallgh OAR 952-0S~-Ft 1st Floor: . r~~~h:;_IUI-VUIV~ h lec:'7Y In ~I y ~'of Heatbblain capies .of 1 e rll -Sq Ft 2nd Floor: 002{J.ia &ljTiWJ:nter (Nate: the telephanSQ Fl Basement: c"ilmQ "0 v~. -' N tlcatlQrl Range IXl1e:e Oregan Utility a II ~q Ft Garage/Carport nl,,'110~1 1'-'1 ... 2344) "Ener~fl~I!!.' is 1.800-332- . Sq Ft Other: . Sprinkled Building: . n/a Occupant Load: VB I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: - Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMI!\l'IT~I~/C: '-- EXI'1RE IF 1\--1'E 'NO\'\!f ' lHIS PER~~J;';~~il'1\S I'ERM\1 \S NO AU1\-\ORII1U ~!ri ~~. ^f\II\\\DpNED FOI' CO M M ENu&'UJ-IO.UT9I1'Jtllllis. . ANY 180 DAY PERIOD. Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Dale Calculated Page I of 2 . ~;. _"ii~Bl"~tg~!~t!!P th. ... , ' . ,,' Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Not Covered Plumbing _ Water Line - 1st 100'- Water Line - Each AddU 100' Amount Paid $29.76 $12.40 $58.00 $76.00 $114.00 Total Amount Paid $290. I 6 Total Value of Project Fe~s Pai~ J Date Paid 7/24/09 7/24/09 7/24/09 . 7/24/09 7/24/09 I Plan Reviews I - CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2009-01054 ISSUED: 07/24/2009 APPLIED: 07/22/2009 EXPIRES: 01124/2010 VALUE: Receipt Number 2200900000000000842 2200900000000000842 2200900000000000842 2200900000000000842 2200900000000000842 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. R~fJuir~rllnsl'e~tions .1 Water Line: Prior to filling trench and including required testing. Undertloor Plumbing: Prior to insulation or decking. By signature, I state and agree, that I have carefully examined the completed application and do hereby 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 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 times during construction. (;rL~/;J [(c/~,?'l b frAA'.l Owner or Co';tractors SinatuJ'e Paee 2 of 2 . '7 .- .;l c./-O 7' Date f' . ,.. 225 FIfth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01054 COM2009-0 1 054 COM2009-0 1 054 COM2009-0 1 054 COM2009-0 I 054 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #; Description Water Line - 1st 100' Water Line - Each Addtl 100' Not Covered Plumbing + 5% Technology Fee + 12% State Surcharge Paid By OR DEPT OF FORESTRY City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000842 Date: 07/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 012132 In Person Payment Total: Page 1 of 1 10:51:07AM Amount Due 76.00 114.00 58:00 12.40 29.76 $290.16 Amount Paid $290.16 $290.16 7/24/2009