HomeMy WebLinkAboutPermit Plumbing 2006-5-11
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00553
ISSUED: 05/11/2006
APPLIED: 05/11/2006
EXPIRES: 11/11/2006
VALUE:
~
SITE ADDRESS: 4090 MAIN ST
ASSESSOR'S PARCEL NO.: 1702314100200
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install grease trap for Fins Restaurant
^ TTr:~lTInM' nrpnnn law reauires you to
jollow P ,1M ~rl""t"rl hlf the Oreaon UlIlIlY
N t'j' t' J._CONTRACT,OR.INFORMA>TJON1i
o Ilca 10
in OAR 952-001-0010 through OAR 95.2-001-
Contrac~l?,~Qn Vnll mav obtain copies of the ~Icens~
TWIN RIVEJ!~J~!N.lYI,~ll'!!~ING,lntp: the telet!7.ll953
n'umber IICBUIWING.INFORMA'TION:"n
Center IS t-ouV.vvc..-G"-'"'T""TJo
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Owner:
Address:
J WAYNE HOOTON
PO BOX 7216
EUGENE OR 97401
Contractor Type
Plnmbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Phone Number: 541-741-3467
Expiration Date
03/11/2007
Phone
541-688-1444
n/a
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: 'oonBd 1--\:10 mn I--N~Total:
# Street Trees Rqd: \:1\1\:1 SI 'tlO Qj:)N:lW\fI\O /andicapped:
Paved(PJ!~'Rq'd0N 'tl:lONf1 O:lII'tlO\-\1.f1 Compact:
% oftt~t, <\w'.e!i~ge:Sl\-\1. l\:l\-\S 1 \\fI\'tl:ld SI\-\\.
~~nr-tl :1\-\1. :II :I'tlldY.:! 1 ",:\:)110'"
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
I Valuation Descriotion' I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 on
.
.CITY VI' ~rIuN\Jt< I~LD
Building/Combination Permit
PERMIT NO: COM2006-00553
ISSUED: 05/11/2006
APPLIED: 05/11/2006
EXPIRES: 11/11/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$4,50
$3,60
$14,00
$31.00
5/11/06
5/11/06
5/11/06
5/11/06
Receipt Number
1200600000000000636
1200600000000000636
1200600000000000636
1200600000000000636
Total Amount Paid
$53,10
I Plan Reviews I
To Request aD inspection call the 24 hour recording at 726-3769. All inspection 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 RenlJirpd I~
Grease Trap: Prior to Cover,
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 1 further certify that any and all work performed shall be done in accordance wilh
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 wilh 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 permil 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,
~~~
5'/lllc,
Dati !
Owner or Contractors Signature
Paee 2 of 2
225 Fifth Street
SpriDgfteld; Oregon 97477
541-726-3759 Phone
.j7~
~'.
Caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00553
COM2006-00553
COM2006-00553
COM2006-00553
Payments:
Type of Payment
Check
cReceinl1
RECEIPT #:
1200600000000000636
Date: 05/11/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Fixture
Minimum/Adjustment Plumbing
Paid By
TWIN RIVERS PLUMBING
INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
24406
In Person
Payment Total:
Page I of I
8:58:50AM
Amount Due
3,60
4.50
14.00
31.00
$53,10
Amount Paid
$53,10
$53.10
5/11/2006