HomeMy WebLinkAboutPermit Plumbing 2006-4-27
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
.CITY OF SPRIr~\.J1' IELD
Building/Combination Permit
PERMIT NO: COM2006-00499
ISSUED: 04/27/2006
APPLIED: 04/27/2006
EXPIRES: 10127/2006
VALUE:
Status
Issued
SITE ADDRESS: 1978 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Repair drains from bar and kitchen area
Owner:
Address:
EAGLES LODGE
PO BOX 656
SPRINGFIELD OR 97477
0\.1 to
~..oc.. 'oJ ...
.... \?\f>J ~\:J~- _...n" V\\\'~J.
I.CONlfRACTORiINFORMNI1l0N' 'i
j\ 'rl'E.t-. ' <; aclOI"~ - Se l'-"V- '" 9'::lt.-v~ .
Contractor 101IO'J'lI\.l16' ce(l\el. "'i\'\~IO\.lgn O\~ic~i"se \:)':/
OWNER ,,\()\\\iCa.\:O_~_(\O~ _OO~ O~ r.opies 0 ,~\"p\,\one_
in o~,,;'iiUWDlNGJNF0RMA;r'ION'IC'\w"
OO~3i\iIl9 In",:,::" Qlegu~,;'2>'2._'2.'2>~")'
\:)el #_of'Stofles:30
r"'\\Jff\ d:>''f \'0.. 1
" i!le'gtit ot Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date Phone
Contractor Type
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Fronlyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved..,!~~ive Rqd: t i\-\E 'l.JOR\\ Compact:
'%)df'~~R1$~\"Sap,~'LL E'i-\J\~~~Rt<AI\ IS NO\
\\"II~. .M'7m UNOH\ i~. "J'r'lMI'O tOR
'\"'\.'~ ~...- '"\Uf"'-
I PUBLIc;..IMI1,RQYBMEl'tT.S.1.
0\ lJ.
P.N'i '\ BU UI' \ , v ' Sidewalk Type:
DownspoutslDrains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
.
.CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00499
ISSUED: 04/27/2006
APPLIED: 04/27/2006
EXPIRES: 10/27/2006
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
L.Fee~ P~id I
$9.80
$7.84
$98.00
4/27/06
4/27/06
4/27/06
Receipt Number
1200600000000000560
1200600000000000560
1200600000000000560
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Fixture
Amouat Paid
Date Paid
Total Amount Paid
$115.64
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,
L. Renlli~
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 thaI 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, thaI 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.
owne~:.f:l~
qI-27-0b
Date
Pa~e 2 of 2
225 Fifth Street
Springfield, (')regon 97477
541-726-3759 Phone
. 7;Q~~
Wi:.
Caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00499
COM2006-00499
COM2006-00499
Payments:
Type of Payment
Check
cReceioll
RECEIPT #:
Description
Fixture
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
FRATERNAL ORDER OF
EAGLES
1200600000000000560
Date: 04/27/2006
9:53:48AM
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
Amount Due
98.00
7.84
9.80
$115.64
Amount Pnid
djb
$115.64
2110
In Person
Payment Total:
$115.64
Page I of I
4/27/2006
.
eLll i OF ~rKll'\i\.Jl'l.t.LU'
Status
Issued
.
Building/Combination Permit
PERMIT NO: COM2006.00499
ISSUED: 04/27/2006
APPLIED: 04/2712006
EXPIRES: 11/12/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1978 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Repair drains from bar and kitchen area
Owner:
Address:
Contractor Type
Plumbing
Contractor
OWNER
'i'J\U'</) o.l)}{'ou
_\ s\ j jO\ j'i'J I\\-e':)
~c'<:()()~"jO 'i'J~~ 'i'Ju,\ \)~, .()'O()().,
.t1011Q\'<: ~,\...(\ \)..." .~~\V- t"u.} \'-:'\\"<IU ~
I CONTRA(;:TOR:INFORMA TION''I'I\-e':)\\I:>O
1\"" " 'i'J\ U '. IOU" ,\)U'" u", ,,0\\0\
uO, 0,c'i'J~ o S'i'J , 0,\()> ..,u'i'J..J {'ol'" .',1 ,
'i'JUO 'i'J0,\ ~ 0,\){'oOj 0,'..l}lcense'i'J~ Expiration Date Phone
<r\ s'i'J\{'o~~ \o\~O _,(II 'i'Js? ~ o'i'J\cov,.,~,~O\'.."""-
EAGLES LODGE
PO BOX 656
SPRINGFIELD OR 97477
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:~()~~
'I'- 'I ,'fI'
I DEVELOPMENT INFORMATION I ~\:. \'<: ~~~ \'0 ~
\:.i-\''\ ~ii:o.~R<ED PARKING
~\. y..{:> ('\~
Overlay Dist: ~,Sy..~ &.~ '\ ~total:
# Street Trees Rqd:\),\\~ ,?-~'0 '0~\j S 'r-~~ Handicapped:
Paved Drive Rqd~ ,>,\S ",<;; ~\1..\:.\) ()~ '\ ~()\). Compact:
% of Lot Coverage:\,~,\\\\j &.~,,\:.~'\ ,,\:.~
~('(\~~ o.~ \)'f.
I PUBLIC IMPROVEMENTS 'f'~'\
Sidewalk Type:
BUlLDINGINFORMA'l'ION I
u,l('- - v..... \JO;,V
r,\\\\\\ [ -::a).\t'
# of "tones:
,t{-
H~ight of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
1 Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 on
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006.00499
ISSUED: 04/27/2006
APPLIED: 04/27/2006
EXPIRES: 11/12/2006
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Tolal Value of Project
[..Ff'f'S Pllid I
$9.80
$7,84
$98,00
$4.50
$3.60
$45.00
4/27/06
4/27/06
4/27/06
5/12106
5/12/06
5/12/06
Receipt Number
1200600000000000560
1200600000000000560
1200600000000000560
1200600000000000642
1200600000000000642
1200600000000000642
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Fixture
+ 10% Administrative Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Amount Paid
Date Paid
Total Amount Paid
$168,74
I Plan Reviews ,
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,
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete.
Water Line: Prior to filling trench and including required 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 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
I furtber agree to ensure that all required inspections are requested at the proper time, tbat 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
limes during conslruction.
own~:mf.J::=-
i' -1"2 -tJ-'
Date
. Pa~e 2 of2
225 Fifth Street
Springfie1t!, Oregon 97477
541.726-3759 Phone
.
Job/Journal Number
COM2006-00499
COM2006-00499
COM2006-00499
Payments:
Type of Payment
Check
cReceint 1
.
RECEIPT #:
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
FRATERNAL ORDER OF
EAGLES
~
~...
~.
<Aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
1200600000000000642
Date: 05/12/2006
Item Totat:
Check Number Authorization
Received By Batch Number Number How Received
djb
2124
In Person
Payment Total:
Page I of I
11:11:58AM
Amount Due
3.60
4.50
45.00
$53.10
Amount Paid
$53.10
$53.10
5/12/2006