HomeMy WebLinkAboutPermit Plumbing 2009-10-22
CITY OF SPRINGFIELD
"
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2009-01550
ISSUED: 10/22/2009
APPLIED: 10/22/2009
EXPIRES: 04/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
5~1-726-3769 Inspection Line
SITE ADDRESS: ]]00 SHELLEY ST
ASSESSOR'S PARCEL NO.: 1703270000902
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Commercial'
PROJECT DESCRIPTION: Add hand wash sink and pump
Owner: MCKAY COMMERCIAL PROPERTIES LLC
Address: 76 CENTENNIAL LOOP STE D
EUGENE OR 97401
ICONTRACTOR lNFO~MATlON .
Contractor Type
Plumbing
Contractor
JOHN L RILEY
License
160615
Expiration Date
07/06/2010
Phone
541-998-2812
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INF?RMATl~N.1 U\a
,eqU\feS -iO '\\W
l\~ tl~tI laW Ofegon Ut\'M 'Lot Size:
~iTEN't\~~I1~tdea.\l~frolesale~~01. Sq Ft 1st Floor:
'0110.... ~ el'tJllfl&\;0Il9t1 O~ lel'O'l Sq Ft 2nd Floor:
Notilicat\ ~_~~ COllieloHtle~one Sq Ft Basement:
\n O~ 'f 'Ii\&.,._\n lNote: the \ele.~tion Sq Ft Garage/Carport
0090", l\~~uIIlhig9n ll\\I~~) Sq Ft Other:
cal'bn IW\titim,Q{I!saiJ1.Il32'~ on/a.., Occupant Load:
num _ ,:::;\A \
v-' -
I DEVELOPMENT I~FORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Haudicapped:
Compact: ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
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IPUBLICIMPROVEMENTSI", .. \~t~~i~~i:i~ '
~O't\C'C.oo ~~ S~t>.~lS~~Q ~Q" '
, i\'\\S ?t.~"t.Q \l~Qfl~'l(~Jl.~\)~rains:
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Notes:
I V aIuation Descri~tion I
Descrip~ion
Type of Construction
$ Per S'q Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
" '
CITY OF :SYKll'll,d' lELD
Building/Combination Permit
PERMIT NO: COM2009-0I550
ISSUED:, 10/22/2009
APPLIED: 10/22/2009
EXPIRES: 04/22/2010
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-367,6 Fax
541-726-3769 Inspection Line
Total Value of Project
!:~~~ Paid.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee .
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$6.96
$2.90
$38,00
, $20,00
10/22/09
10/22/09
10122/09
10/22/09
Receipt Number
2200900000000001209
2200900000000001209
2200900000000001209
2200900000000001209
Total Amount Paid
$67.86
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I, Reo~ired Ins.neftions ,
Rough Plumbing: Prior to cover and including required testing"
Final Plumbing: When all plumbing work is complete.-
,
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereou is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordina~ces of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
1 further certify tbat only coutractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the frout of the property, and the approved set of plans will remain on the site at all
times during construction.
~~.,
owne$ Coutractors Signature
,
Date
Page 2 of2
225 Fifth Street' ,
r c , ., ". ",
Springfield,OregOli97477 ..,
541-726-3759 Phone
Job/Journal Number'
COM2009"0 1550
COM2009-0 1550
COM2009-0 1550
COM2009-0 1550
Payments:
Type of Payment
Check
cReceintl
RECEIPT'#:
2200900000000001209
De~crjption
Fixture
:Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By , " ,
JOHN RILEY PLUMBING
Received By
djb
Page 1 of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/22/2009
Item Total:
Check Number Authorization
Batch Number Number How Received
351 In Person
Payment Total:
IO:47:20AM
Amount Due
38,00
20,00
2,90
6,96.
$67,86
Amount Paid'
$67,86
$67,86
10/22/2009