HomeMy WebLinkAboutPermit Plumbing 2009-12-23
CITY OF SPRINGFIELD'
Building/Combination Permit
.
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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
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Owner:
Address:
......... ,;....'""""
MARTHA j'EAN FRANK REVOCABLE TRUST
2511 LILY AVE' .
EUGENE OR '97408
Contractor Type
Plnmbing
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~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~~~\"- .....'"" :""
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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 ,
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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:
;'::;'.
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...;
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