HomeMy WebLinkAboutPermit Plumbing 2005-4-13
'j
Status
Issued
.
. CITY OF ~rK1j'\ju..mLD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
PERMIT NO: COM2005-00417
ISSUED: 04/1312005
APPLIED: 04/13/2005
EXPIRES: 10/1312005
VALUE:
SITE ADDRESS: 4227 Main St B
ASSESSOR'S PARCEL NO.: 1702323201900
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Add fixtures.
Owner: PFEIFER DONALD V TE
Address: 326 MAIN ST
SPRINGFIELD OR 97477
.1
I CONTRACf.QR INFORMATION I
~ ~ 'i'~
Contractor S< ",'0 ~ 0 i<- License
G & C VENTURES.:~tq#.<, \~ 157056
0' '1:-.BuIEniNG INFORMATION I
.j>' Q:o~' ~- ,0
# of Units: . ~ 9" '!;)'X; s ~ # of Stories: "",0" ~Thl$6ize:
Primary Occupancy Group~> ~ ';:J -0~\J<<:-" {;J\;;)' Height of Structure ,$-\e;<O 0~\S I-Slh:.ust Floor:
Secondary Occupancy ,Gfciup.:'8' .f$ <j) 'I.~<<:' Type of Heat: \e;<s'O\e;<:$ ~e; <oeiS{F't~d Floor:
Primary Construction'-Type' ~ <;:J<<:' _,,, "" Water Type: ,\'1>~ ~e nc' '1l' .... C!SmFi'!!gsement:
- ., .,~ ~ (;)" ~ ~. :"" ~' \'> 0:
Secondary Construction Typ!: ~ <;:J Range Type: Q,o '0"'" e \V ~ 0 ",'SqJf.~~ge/Carport
# of Bedrooms: '(" '.J\J~ ~ ,~ Energy Path: .O\ei I-l>-\,<:,OCj 0,,<:$ s 0' ,~.ii',&~her:
"'~ Sprinkled Bdiiding:~ ~ ,,'!!i1/afP ",e ok~pant Load:
r ..'\'..... ..._'t:t-. ...,-0 '_,,-v c}>'.():. ...~,.. ..bi.\"
I DEVELOP.M~N}\iNFORM~~"''';;' \.'~~-0\.;']:~~
,0''': . ",7>' ,,'0'" A'o'1>'l ~'- ,etS <;:,1)''0
.0-',<(-.-.) ,),. ",ei 0 ~
OverlafDist: ...1.0 ",e; ",e.{o "-
# Street\tr~e~nd-;; < ,0\ ^,e\
Paved DriW RQJ:~e' cF
,\'
% of Lot CoveJ'lige:
Contractor Type
Plumbing
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Expiration Date
11103/2005
Phone
541-544-5258
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
I Valuation DescriDtion I
Tvpe of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
Page I of2
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Amount Paid
$7.00
$4.90
$70.00
Total Amount Paid
$81.90
Total Value of Project
Fee.. Pairll
Date Paid
I Plan Reviews I
4/13/05
4/13/05
4/13/05
. CITY OF ~rtuNGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00417
ISSUED: 04/13/2005
APPLIED: 04/13/2005
EXPIRES: 10/1312005
VALUE:
Receipt Number
1200500000000000443
1200500000000000443
1200500000000000443
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.
I ~nnllirerl I'Isoertiw
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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 ofany 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
:;:::~ ~-
Owner or Contractors Signature
Page 2 of2
Date
~~;-
~
. 225 Fifth Street
Springfield, Oregon 97477
~ 541-726-3759 Phone
Job/Journal Number
COM2005-00417
COM2005-00417
CpM2005-00417
Payments:
Type of Payment
CreditCard
"
"
4113/2005
.
RECEIPT #:
Description
Fixture
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GLENN K WHITE
GPAl~. NQF.III,U), .
Wi..-......~...--.-...,...............
~' . . . -'
",_..~ ..
~. .~~.._;:
1IilY of Springfield Official Receipt
"elopment Services Department
Public Works Department
1200500000000000443
Date: 04/13/2005
Item Total:
Check Number Authorization
Received By Batch Numher Numher How Received
jmp 110333 In Person
Payment Total:
Page 1 of I
1:44:58PM
Amount Due
70.00
4.90
7.00
$81.90
Amount Paid
$81.90
$81.90