HomeMy WebLinkAboutPermit Building 2010-1-26
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00083
ISSUED: 01/26/2010
APPLIED: 01120/2010
EXPIRES: 07/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4885 ASTER ST APT I
ASSESSOR'S PARCEL NO.: 1702320000905
Springlield TYPE OF WORK: Kitchen
TYPE OF USE: Addition
PROJECT DESCRIPTION: Conference room suite 106 - Add sink and dishwasher to conference room
Commercial
Owner: JENNA VILLAGE SPRINGFIELD LLC
Address: 426 BROADWAY STE 308
CHICO CA 95928
I C~)NTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
RIGHT WAY PLUMBING
License
49561
Expiration Date
12/1612010
Phone
541-484-3787
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primal}' Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/n
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved D'rive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: .... to
AJ'TENTlON: Oregon law requnee you
follow rules adopiea uYr\\'" . "ii~
Notification Center. Th08.J.J~ .\ID\~ MENTS I
Street ImprovemelitJOAR 952-001-001 0 through 0 1 by- T\CE' Sidewalk TY~: or: If 1\-1E WORK
9000 Youmayobtaincopiesoftherues NOI' ~'~. PI"" T\SN01
Storm Sewer A vailau/:"liJiing the center. (Note: the telephone IS PERNl\5li~ I1jp,S . "~ERNI\ I
Speci:ll Instruction: numbef for the Oregon Utility Notification 1\-11\-10RIZED UN E Jl-NDONED fOR
Center is 1-800-332.2344). Jl-U NlENCtD OR IS Jl-B .
Notes: CONI DW PERIOD.
Jl.N'< 180 "
Total:
H:lndicapped:
Co.mpact:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00083
ISSUED: 01/26/2010
APPLIED: 01/2012010
EXPIRES: 07/26/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pair! I
, h"~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$38.00
$20.00
$375.96
$770.28' '.'
$57.31
1/26/10
1/26/1 0
1/26i10
1/26/10
1/26/10
1/26/10
1/26/10
3201000000000000027
3201000000000000027
3201000000000000027
3201000000000000027
3201000000000000027 .
3201000000000000027
3201000000000000027
.,j
Total Amount Paid
$1,271.41
Plan ~eviews I
Public Works Review
01/20/2010
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 Re(Jllirerllnsnecti~ns 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 I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify thot ony and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure wilhout permission of the Community Services Division, Building Safety.
I further certify that only controctors ond employees who are in compliance with ORS 701.005 will be used 011 this project.
I further agree to ellsure 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, olld the approved set of plans will remain on the site at all
times during construction.
~~O
;:l..{" ,~.... I ()
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
iE.ii,
.....-...' ..,._,
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM20 I 0-00083
COM20 I 0-00083
COM20 I 0-00083
COM20 I 0-00083
COM20 I 0-00083
COM20 I 0-00083
COM20 I 0-00083
Payments:
Type of Payment
CreditCard
cReccintl
RECEIPT #:
3201000000000000027
Date: 01/26/2010
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Stann Admin
Paid By
KURT ARNOLD/RIGHT WAY
PLUMBING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 066256 In Person
Payment Total:
~ }.
';i,.. ')'. !,..
,-
:/, ~;.
Page I of I
9:17:17AM
Amount Due
38.00
20.00
6.96
2.90
770.28
375.96
57.31
$1,271.41
Amount Paid
$1,271.41
$1,271.41
1/26/2010