HomeMy WebLinkAboutPermit Plumbing 2006-12-13
.
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769 Inspection Line
'*
SITE ADDRESS: 4124 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323201200
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01S96
ISSUED: 12/13/2006
APPLIED: 12/13/2006
EXPIRES: 06/13/2007
VALUE:
Spriugfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: lustall3 compartmeut siuk and supply
Owuer: SHELL OIL PRODUCTS US INC
Address: PO BOX 4369
HOUSTON TX 77210
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
TWIN RIVERS PLUMBING INC
License
17695
Expiration Date
03/11/2007
Phone
541-688-1444
I h"lLlJll,G INFORMATION I
# of Stories: Lot Size:
Heigbt of Structure ' Sq Ft 1st Floor:
Type of Heat: ~q Ft 2ud Floor:
Water Type: I \-It. '-NQ\'!.S'g Ft Basement:
~01\~bge Typ~:1\1..1.. t.~I'I\'!.t. If 1'/111 \S ~csq Ft Garage/Carport
,t;:neflgi'Wlilli: p. 1\-11S I't.\'!. Q\\ Sq Ft Other:
1~~~1.l~~~\?~~~~lli~ulfRf>.~.mQWDTh I' Occupaut Load:
n'" -,.. ,,,,I.
I DE.V-EUOPMENT.lNt@RMATlON I
,I\~'i ~\)\J Uf" ' REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Ha~pped:
Paved Drive Rqd: fequlfe~~~l(~\t<J:
% of Lot Coverage: Qfe\)OO Ia.v.l OfeC}OO . ~ tortt
t\t'1'r.~'\"Io.~'nQO\edb~:~~u\65 ~~ ~:'2..oo~
- -,
I PUBLIC IMPRQ~ii4:tf~eo\~~o"'toUC}n~,\\-;e tu\e'6e~
NoON;~ 9S2.w~' ~1!~'Wu'ii?I:'~\e \e\6~~~t\
In "toU I1I9:J ...f ~~o "It" ~O\i.
0090, , \ne ceDO"'i\~~."tS/Ijrai~).
C6\110g 10ftne Qfe 800.332.2:
nl.ll1lb6f centef IS ~-
# of Uuits:
Primary Occupaucy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Constructiou Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Tvpe of Coustruction
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
.' CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01596
ISSUED: 12/13/2006
APPLIED: 12/13/2006
EXPIRES: 06/13/2007
VALUE: '
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769Iuspectiou Liue
Total Value of Project
L.Fee~ PaW
Fee Description
+ 10% Admiuistrative Fee
+ 5% Techuology Fee
+ 8% State Surcbarge
Fixture
Minimum/Adjustmeut Plumbing
Amouut Paid
Date Paid
$4,50
$2.25
$3.60
$14,00
$31.00
12/13/06
12113/06
12113/06
12113/06
12113/06
Receipt Number
1200600000000001748
1200600000000001748
1200600000000001748
1200600000000001748
1200600000000001748
Total Amount Paid
$55.35
I Plan Reviews I
To Request an 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.
Rougb Plumbiug: Prior to cover and including required testing.
Fiual Plumbiug: Wbeu all plumbing work is complete.
By siguature, I state and agree, tbatl bave carefully examined the completed application and do bereby certify that all
iuformatiou bereou is true and correct, and I further certify tbat any and all work performed sball be done iu accordauce witb
tbe Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaiuing to tbe work described hereiu, and
tbat NO OCCUPANCY will be made of any structure witbout permissiou of the Commuuity Services Division, Building Safety,
I furtber certify tbat only'contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project,
I further agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe
streel, tbattbe permit card is located attbe front of tbe property, and tbe approved set of plans will remain ou tbe site at all
times duriug construction.
~ I, -:f,.. , - '
Owner or Contractors Siguature
{2-/13 /oh
Date I I
'Paee 2 of 2
225 Fifth Street
Sprjo,gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1596
COM2006-0 1596
COM2006-01596
COM2006-01596
COM2006-0 1596
Paymeuts:
Type of Payment
Check
cReceintl
.
RECEIPT #:
...........irii' _.....!',~.-- ..'.., '.
Wit! "
~.; . I
^ "1. i
_. ',-
"', ~". ..., ,,' ~,
a of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200600000000001748
Date: 12/13/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Fixture
Minimum/Adjuslment Plumbing
Paid By
TWIN RIVERS PLUMBING
INC
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb
24575
In Person
Payment Total:
Page I of I
8:44:08AM
Amount Due
2.25
3,60
4.50
14,00
31.00
$55,35
Amount Paid
$55.35
$55.35
12/13/2006