HomeMy WebLinkAboutPermit Miscellaneous 2009-11-9
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01637
ISSUED: 11/09/2009
APPLIED: 11/0912009
EXPIRES: 05/09/2010
VALUE: $ 2,500.00
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Status Issued :,,:;, ,,<.,~t;j~h;'';:'':i ,
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225 Fifth StreetiSpringfield; OR":":~' '
541-726-3753 Ph,ooer ,.'
541-726-3676 F't,,:,i; ::- , ::.
541-726-3769 IrispectionLine.'Y'{ .u.
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SITE ADDRESS: 3383 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
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PROJECT DES.CRlfT~ON:' Add '(2) Floor Drains
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Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE:
Commercial
. Owner: .
Address:
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, .., " I.CONT,RACTOR INFORMATION I
Contractor Tf~e~'(\!f~oiiir~~T'CE:' ' License
Plumbing i, < ROB1N~1lIt:1 STIr.r _ 107!24
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# of Units: ANY 180 DAY pdtll ones:
Primary Occupancy Group: U 'tiJ. t of Structure
Secondary Occupancy Group:., ,,' Type of Heat:
Primary Construction Type J:. :~~ " Water Type:
Secondary Construction':Type:' .~, '... ". Range Type:
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# of Bedrooms: ~ ' r ,.. ' Energy Path:
.l .." ;. Sprinkled Building:
Expiration Date
07/1312011
Phone
541-345-6909
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
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I DEVELO~.ME~T INFORMATION I
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REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback: ':
Rearyard Setback: ;;
Solar Setbacks:', ' 1
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Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Overlay Dist;
# Street Trees Rqd:
Paved Drive Rqd:
ATTENTla,tJ;,Pi!~99'),~~ ~ulres yoU to
follow rules adoptea by t~li Oregon Utility
Notification Center. Those rules are set forlll
In03~~1VJ(!,~ab2-UU1.
o 1 rules br
calling the center. (Nole:\the telephQtlli\ewalk Type:
number for the Oregon Utility Ntrtifklallalt .
o Center i111~0-a2.2344~"--rrownspoutsmralDs:
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Notes:
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I V~luation Descriotion I
Description
Type of Construction
$ Per Sq.Ft
"or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Page 1 of2
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Status Issl!!ld' ' .
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225 Fifth Street;:Springfield, OR,>,'
541-726-3753 pli'One" . ,>, ,\;:~C);;<;:
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541-726-3676 Fax, :: ;F '
541-726-37691nspection Line
Estimate
Estima~e..!A ~~~~~D/~4~'!:;::
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, Amount Paid
Date Paid
Fee Description
+ 12% State Surcharge , ,.,.
+ 5% Technology Fee ",'i'
Fixture-} .~t
Minimum/Adjustment Plumbiug '~
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,TotalAmount Paid
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$1,00
Total Value of Project
Fees Paid I
$6.96
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$2,90
$38,00
$20,00
$67,86
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I Plan Reviews I
11/9/09
11/9109
11/9/09
1l/9/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01637
ISSUED: 11/09/2009
APPLIED: 11/09/2009
EXPIRES: 05/09/2010
VALUE: $ 2,500,00
2,500.00
$2,500.00
$2,500,00
11/09/2009
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Receipt Number
1200900000000001248
1200900000000001248
1200900000000001248
1200900000000001248
To Request an i.nspection 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
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work day;' ,qifi "1::1;:",
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I ~e(]~irl'd 1 ~speftions I
Rough Plumbing: Prior to cover and'including required testing,
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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 her~on i~ tr'ue and correct, and I further certify that any and all work performed shall be doue in accordance with
the Ordinances ofthe City' of Springfield and the Laws ofthe 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 aud 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, aud the approved set of plans will remain on the site at all
times during c tr,!,ction, ' ,- '
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Ow eror Contractors Sig"'ature'~ I
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Paee 2 of 2
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Date
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225 Fifth Street,
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SprlngfiCld, Or~gon 97~77
541~72'6~3759-Plione
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RECEIPT #: 1200900000000001248
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COM2009-0 1637 ,:\:',:~:0Mi~im~lnJAdj~~irnenl Plumbing
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COM2009-0l637 .':\,'+ 5% Technology Fee
COM2009-0 1637 :;j;'; ;"i::;,cfi2'ro. Slale~,ur,charge
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Payments:
Type of Payment
Check
Paid By .
LEECONSTRUQIION
:C OMP' A'NY, ,.:. :''.iSD/2';:<''
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City of Springfield Official Receipt
Development Services Department
Pu~lic Works Department
Date: 11/09/2009
II:Il:09AM
Amount Due
38,00
20,00
2,90
6,96
$67.M6
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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9975
Amount Paid
klk In Person
$67,86
Payment Total:
$67.M6