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HomeMy WebLinkAboutPermit Plumbing 2009-12-23 CITY OF SPRINGFIELD' Building/Combination Permit . '1" ;\! 'r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-01829 ISSUED: 12/23/2009 APPLIED: 12/23/2009 EXPIRES: 06/23/20 I 0 VALUE: SITE ADDRESS: 4405 MAIN ST ASSESSOR'S PARCEL NO,: 1702323105300 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Repair internal supply!ine TYPE OF USE: Repair Commercial -0\.',' Owner: Address: ......... ,;....'"""" MARTHA j'EAN FRANK REVOCABLE TRUST 2511 LILY AVE' . EUGENE OR '97408 Contractor Type Plnmbing " ~4""..",.\tf' Allt:NIIUI'l: VI"'~V" ._..~. ' . Ilfr!)! follOW rules adoPt~,lIfJ'!P.MATlON i Notification Center. .. h' h' OAR 952-001- t'\AO~,o01'0010t roug. . <ihllm'a ~~,In copies of the rules by License ~R ~~Mi\lCil\l6UII: tN&:telephone 4231 ....JIAS G~" number for the OI"'BtllL~"FORMA T10N. Center 18 . ~!\', ' ,. # of Stories: .. , H'eigl1t of Strncture ,Type of Heat: Water Type: Range Type: Enel'gy Path: Sprillkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: ... .. . ......'~r'.". Primary Construction Type . Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INfORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Expiration Date 11/19/2010 Phone 54 I -689-6177 n/a Lot Size: Sq ft 1 st floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq ft Other: Occupant Load: REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: NO'li~.tDrive R<jd: RE lfTHE WORK '\:~Compact: TH~ ~E!rnt\Q'oG!~~ ~~~ PERMIT IS NOTf AUTHORIZED U_ n ",,,"~Il:n FOR .,.",..,., IPUlfbl:(!ilwho:ViM~~~\"- .....'"" :"" "'~' .-- - Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construc'tion $ Per SqFt' or multiplier Square Footage or Bid Amount Paee 1 of 2 Valne Date Calculated . Status Issued '0:'1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01829 ISSUED: 12/23/2009 APPLIED: 12/23/2009 EXPIRES: 06/23/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541"726,3676 Fax 541-726-3769 Inspection Une Total Value of Project Fees P~hl I Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $6.96 $2.90' $19.00 $39.00 12/23/09 12/23/09 12/23/09 12/23/09 1200900000000001356 1200900000000001356 1200900000000001356 1200900000000001356 Total Amount Paid $67.86 Pla~ Reviews , ,~, " 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, inspec'tions requested after 7:00 a.m. will be made the following work day. Reouired Tnsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. "By signature, I state and agree, that' have, carefully examined the completed ~pplication and do hereby certify that 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 iiod 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 employces wh~ are in compliance with ORS 701.005 will be used on this project. I further agree to ensure th~lt 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, and the approved set of plans will remain on the site at all tim~. ion. 'rtl23 ~ f Own~r or'Contractors Si D~te { I Pace 2 01'2 225"Ftfth Street Springfield, Oregon 97477 541- 726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1829 COM2009-0 1829 COM2009-0 1829 COM2009-0 1829 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 12/23/2009' 12009000~0000001356 Description Fixture' Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge Paid By EHLERS CONSTR INC Item Total: Check Number Authorization Received ':JY, Batch Number Number How Received djb 6727 In Person Payment Total: ;'::;'. " " ...; Pap;e 1 of I 11 :04:52AM Amount Due , 19.00 39,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 12/23/2009