HomeMy WebLinkAboutPermit Plumbing 2010-1-25
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00100
ISSUED: 01/25/2010
APPLIED: 01/25/2010
EXPIRES: 0712512010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 417 A ST
ASSESSOR'S PARCEL NO,: 1703353105500
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
P~OJECT -DESCRIPTION: Water line replacement & Encroachment permit
Commercial
Owner:
Address:
KIT AND KAREN CHAN FAMILY LLC
2222 MARTIN LUTHER KING J~ BLV
EUGENE OR 97401
I CONTRACTOR INFORMATION 1
Contractor Type
Plumbing
Contractor ".,: License
'y- .'
ACE EQUIPMENT & SPECIALTY SERVICE 154093
BUILDING INFORMATION 1
Expiration Date
01124/2011
Phone
541-729-6221
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
SecondaryConstrnction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occnpant Load:
n/a
I DE':ELOPMENT INFORMATION 1
REQUIRED PARKING
Overlay Dist:
#Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverag"'TTEN
f6110 TlON: Ore
," w rul,,~ ^~. gan laIC' "'_
,NOTICE' I PUBLIC IMPROVEMirs.i's:!;on Ceni;;"'-r:hoy the O;;;g";nYou~ to
Tl-llc. " vc'" · . 'li2-Oo;@' ase rules IiIIty
Street Impro)'eme.RfRMIT SHALL E ,", U" Yau ma ' PJ~~h O.areS8lfortlt
,P,UTHOP/7E XPIRE IF T ' " Callmg the tam co' "R 952-00
Storm Sewer:6~~iJil!'Il!: D UNDER THIS P H~ WORK nUmber far CE'fJOs-m~!JfiIjA'fi1Mhe rUles t!.:
Spec"llnstr~~S'~"ci-NCED OR IS ABAN ERMIT IS NOT Cen/h~ Oregan ui-/he telephon v,
. ' J ',0 DAY PERIOD DONED FOR er IS 1'800_33;}ty NO/ificati 8
Notes:' 2344). 011
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I Valuation Descriotion I
De'scription
Type of Construction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Value
Date, Calcnlated
Page 1 of 2
Shltus
Issued
CITY OF ~rKH~GFIELD
Building/Combination Permit
PERMIT NO: COM2010-00100
ISSUED: 01/25/2010
APPLIED: 01/25/2010
EXPIRES: 07/2512010
VALUE:
225 Fifth Strcet, Springfield, OR
541-726-3753 Phone
.541-726-3676 Fax
54'-726-3769 Inspection Line
.. ..~
Tofal Value of Project
Fees Paid 1
Fe~ Description
+ U% State Snrcharge
+ 5% Technology Fee
+ 5% Technology Fee
E~croachment Permit
Sidewalk Permit
Water Line - 1st 100'
i
Amonnt Paid
Date Paid
Receipt Number
$9,12
$3,80
$7,75
$139,50
$15,50
$76,00
1/25/10
1/25/10
1/25/10
1/25/10
1/25/10
1/25/10
1201000000000000070
1201000000000000070
1201000000000000070
1201000000000000070
1201000000000000070
1201000000000000070
Total Amonnt Paid
$251.67
Plan Reviews I
,.\
To Request an inspection call the 24 hour ~ecording 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.
Renuired In,snections ,
Water Line: Prior to filling trench and including reqnired testing,
Sidewalk - Curbside: After forms are erected but prior to placement of concret~.
Encroachment: After item(s) bave been removed to inspect condition of pnblic right of way,
By signaturc, I state and agree, that I have carefnlly examined thc completed application 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 and the Laws of the Statc of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Building Safety,
I fOrther certify that only contractors and employees who are in compliance with ORS ,701.005 will be nsed on this project.
I further agree to ensnre that all reqnired inspections are reqnested 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 wiil remain on the site at all
,
ti~es during construction.
Sff.{",,~J.:
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Dati /
Paee 2 of2
. ~
225 Fiftn Street
Springfield, Oregon 97477
541-726-3759 Phone
Job(Journ3:1 Number
COM2010-00100
COM20 I 0-00 I 00
COM20 I 0-00 I 00
COM20 I 0-00 I 00
COM20 1 0-00 I 00
,
COM2010-00100
Payments:
Type of Payment
Check
RECEIPT #:
Destription
Water, Line 0 1st 100',
+ 12% State Surcharge
+ 5% Technology Fee
Sidewalk Permit
Encroachment Permit
+ 5% Technology Fee
Paid By
~1
~i
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000070
Date: 01125/2010
"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ACE EQUIPMENT SPECIALTY Ikw
cReccintl
6104
I n Person
Payment Total:
Page I of 1
1O:05:49AM
Amount Due
76,00
9,12
3,80
15,50
139,50
7,75
$251.67
Amount Paid
$251.67
$251.67
1/25/20 I 0