HomeMy WebLinkAboutPermit Plumbing 2004-3-18
Status
Issued
.
. CITY OF SPRINGFu'Lu .
Building/Combination Permit
PERMIT NO: COM2004-00301
ISSUED: 03/18/2004
APPLIED: 03/18/2004
EXPIRES: 09/18/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2116 Main St
ASSESSOR'S PARCEL NO.: 1703364202700
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Water line replacement, plus water heater.
TYPE OF USE:
Owner: PARAMOUNT CENTER LLC
Address: PO BOX 26125 EUGENE OR 97402
, BUlLDIN" mruKJvlATlON I
# of Units: # OfStorie~'It\<;:)~\
Primary Occupancy Group: Heig"'l;~ 1(51~
Secondary Occupancy Group: :t~'6-~ :fc~~
Primary Construction Type ~\. f.&R .
Secondary Construction Type: ~f{;. " ~'?-~ fc.~ 1<~1l..~
# oC Bedrooms: ~<::i't\:'\ ~~~ ~ ~v.<:;j \~ ~rgy Path:
'\'?-\~~~(\~~j~ <;:)i_o.\~Ii).
~~<:)~~'tl~~~EVELOPM"'''l mrORMATION ,
\J ~" \'ij
~ Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
v\O
% oC Lot \~Y~JS;\\'l
eo.v 0(1 \0\
..N \ ~,e~ c.e\_f'
.
-.- -..... -\.... ......-
C1.,e.l:!BLJQ INll.'ROYf,MI!INtS.., '
. . \ I
~('i\0~' 609'\.'Oi'(lOSYovQ,'(I "'0\ \'(113 ~'(Io(l~ (I Sidewalk Type:
A~\~ 13'0 ?J ~e\' oiS'\ WS eW'<'. '1>\\0
1'-\ ' >tl \v\ Ge(l r::f::'\~ r;,09. \'(Ie"'~o'i.\WV DownspoutslDralns:
\O\~~\r;,'1J.'i.\~~'2..I)I)\' 0'0\'1>\(1 ~O\~'i.\~\\'l"n.o.t.'\.
~O\\ "'~ g ~'1>'l (1\13\' ,,0(1 n""
Or .IOV r;,e 0\13... ,,"
\(1 I). " \'(113 e ,0('"
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(lv~~-I Valuation Descriotion I
Contractor Type
Plumbing
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vanable:
Special Instruction:
Notes:
Description
I CONTRACTOR INFORMATION ,
Contractor
DICK BAILEY PLUMBING CO
License
107255
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value oC Project
Paee I oC2
Alteration
Commercial
Expiration Date
06/29/2004
Phone
541-344-6996
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious SurCace Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
e
. \...11 l' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00301
ISSUED: 03/18/2004
APPLIED: 03/18/2004
EXPIRES: 09/18/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
l;'!"
I Ff'f'~ P.~id ,
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Water Line - 1st 50 Feet
Amount Paid
Date Paid
Receipt Numher
$5.90
$4.13
$14.00
$45.00
3/18/04
3/18/04
3/18/04
3/18/04
1200400000000000343
1200400000000000343
1200400000000000343
1200400000000000343
Total Amount Paid
$69.03
I Plan Reviews I
'c' 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 Reouired uection~ I
I Rough Plumbing: Prior to cover and including required testing.
2 Final Plumbing: When an plumbing work is complete.
3 Water Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I have careCuny examined the completed application and do hereby certlCy that an
inCormation hereon is true and correct, and I Curther certiCy that any and an work perCormed shan be done in accordance with
the Ordinances oC the City oC Springfield and the Laws oC the State oC Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made oC any structure without permission oC the Community Services Division, Building SaCety.
I Curther certiCy 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 an required inspections are requested at the proper time, that each address is readable Crom the
street, that the permit card is located at the Cront oCthe property, and the approved set of plans will remain on the site at an
~~, times during construction.
/7..-.\',~
a...Lt
'3-) "')>-ov/
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth ~treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0030 1
COM2004-0030 1
C0M2004-0030 I
COM2004-0030 I
Payments:
Type or Payment
Check
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Receipt#: 1200400000000000343
Description
Fixture
Water Line - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ILO CONSTRUCTION
Received By
Check Number
Batch Number Authorization Number
Jmp
5962
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/18/2004
1l:18:34AM
Amount Paid
14.00
45.00
4.13
5.90
$69.03
Item Total:
How Received
Amount Paid
In Person
Payment Total:
$69.03
$69.03
.
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