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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: ;.\/.:i:~~i;~~~~f.-'." .. ..' ,,-,,,,,,,-' " ~.... 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: ~\,\O?\\'" 0\\ \S f'\ ' ~()\JI\JI't.~C't.~ ?t.\\\OQ:. f>.~'{ ,\~Q Q .. ..' .:;-' ;, 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