HomeMy WebLinkAboutPermit Plumbing 2009-8-14
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
PERMIT NO: COM2009-01182
ISSUED: 08/]4/2009
APPLIED: 08/]4/2009
EXP]RES: 02/]4/2010
. '<J VALUE:
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SITE ADDRESS: 1396 MAIN ST ';I'tl'<J '3\ '0 p6ngpJllt-\1\YPE OF WORK: Plnmbing Only
ASSESSOR'S PARCEL NO.: 170338~~~~!IlC\~ \-\1. 'tI3C\~("\ \.\::I;i'tl3a '3\\-\1..
'0 ~'03a '3\ -(I'<J\-\'3l-\ ''''l'J\lWlE OF USE: Repair
PROJECT DESCRIPTION: Rtl.!f;tc~j;~\\t"wt!!'6-t1~er line .;)
'J>loN\. :; .
Issued
Status
Commercial
Owner: SKILLERN INV L TD PTRSHP
Address: PO BOX 711
DALLAS TX 75221
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
ContraCtor -License Expiration Date
ACE EQUIPMENT & SPECIALTY SERVICE 154093 01124/2011
'I BUILDlNGINFORMATIONI a\0aCl ao,\)}\\0
1\ 0\\ :eP
,:roo \ ., a\l,\ \ \i01\\d)\)
# of Stories: 1.,~!t:\)0"'e\O .,~') e\l,:"cLot-Size:
c~u'tJ u.,\,J :,\'v.o \,J'_q,~.
Height of.~tr~c~~re\ 0"'\\ .\a 0 ~-e\)}_1,,,~q;~t(I.~t!Floor:
Type ofJleat:~ ~'I\ '.a:io~ \J.,-e~OI,,,_\O\) .,Sq'Ft\2ndFloor:
~-oJ'" \ Q'" L> - \\)v Cl v-. .,.,
WaterJxpe:\e \0 se,\\O\\l,\\) .\e\I.,e s~,qjF!~~aJement: ,
Range"i;ypefll.\~O.\l,\i ~so\l,\.. ,c}o?-e ~,S<i,nGarage/Carport
?ii' >C" \\\ Q ';la, '",~
Energy~I\.aSl):, .,,-e sa, 0.\ ~o, l')e\O' Sq Ft Other:
SprinkI'eU\Building:O e , f'i'-e\ 'h9a Occupant Load:
,\\}V '..... tiOv .,^\n'CJ.
Phone.
541-729-6221
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
VB
I DEVELOPMENT 'INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total: .
; Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
. Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01182
ISSUED: 08/14/2009
APPLIED: 08/1412009
EXPIRES: 02/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.Total Value of Project
Fees Paid I
$9.12
$3.80
$76.00
8/14/09
8/14/09
8/14/09
Receipt Number
]200900000000000927
1200900000000000927
1200900000000000927
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
Total Amount Paid
$88.92
I Plan Revi.ews 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.'
I Rellui"red I nsnections I
Sanitary Sewer Line: Prior to filling trench and including req uired testing.
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
":;;~;2;;; K Da!?,te;ir: 10 ;7
Owner or Contractors Signature I v
Pa2e 2 01'2
22S^FifthStreet
Springfield, Oregon 97477
.S41=72(j=37S9-Phone
City of Springfield Official Receipt
Development Services Department
Public Works Departmenf
RECEIPT #:
1200900000000000927
Date: 08/14/2009
II :29:35AM
Paid By
ACE EQUIPMENT SPECIALTY
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
Amount Due
76,00
3,80
9,12
$88.92
Job/Journal Number
COM2009-01182
COM2009-0ll82
COM2009-0] 182
Description
Sanitary Sewer - 1 st 100 Feet
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Check
Amount Paid
djb
5802
In Person
Payment Total:
$88,92
$88. 92
cReceintl
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8/14/2009