HomeMy WebLinkAboutPermit Building 2010-2-22 (2)
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00226
ISSUED: 02/22/2010
APPLIED: 02/22/2010
EXPIRES: 08/22/2010
VALUE:
Status
Issued
SITE ADDRESS: ]890 M ST APT]
ASSESSOR'S PARCEL NO.: 170325430]500
Springfield TYPE OF WORK: Plumbiug Only
TYPE OF USE: New
PROJECT DESCRIPTION: Two fixtures (Water heater/replumb water liue) Apartment 12
Commercial
Owner: KINGS COURT/BIRD LLC
Address: 2677 WILLAKENZIE RD STE 003
EUGENE OR 97401
Contractor Type
Plumbing
I CONTRAeTOR INFORMATION ~
Contractor License
RIGHT WAY PLUMBING 49561
BUILDING INFORMATION ~
Expiration Date
12/]6/20]0
Phone
541-484-3787
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy Path: "
Spriukled Buildiug:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of.Lot Coverage:
Total:
Handicapped:
Compact:
,.;,t
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
I PUBLlCIMt~~VE~NTS~~Pe~n ~~~h~6~~~~~~tility
Notification Center. ThSllIeMlI$llffi&et forth
, in OAR 952-001-0010 twough OAR'9~2.-001-
0090. You may obtain !!8/liS~IIf@IIil1~by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is HlOO-332-2344).
Notes:
NOTICE:
I HiS PERMIT SHALL EXPIRE IF TH~ i
AUTHORIZED UNDER THIS PERMIT tion Description
~~.MfV!ENCED OR IS ABAND,ONED FlSlfer S Ft S uare Foota e
DescmHlOn' 80 D,<r,yne:nfll'>t>nstructlOn I ql' q B'd A g
. " ril Il.:HULJ. or rou tip IeI' or J mount
Value
Date Calculated
Page I 01'2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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'~'''-'.
1..:. "
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00226
ISSUED: 02/22/2010
APPLIED: 02/22/2010
EXPIRES: 08/22/2010
VALUE:
Status
Issued
Total Valne of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimnm/Adjnstment Plumbing
Amonnt Paid
Date Paid
Receipt Number
$6.96
$2.90
$38.00
$20.00
2/22/1 0
2/22/10
2/22/10
2/22/10
2201000000000000159
2201000000000000159
2201000000000000159
2201000000000000159
Total Amount Paid
$67.86
Plan Reviews I
'! ~~
c. ..:~:'
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 Reauired Insoections ~
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Special: See Plan Review and/or Inspector Notes.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informMion 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 State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made Many structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and 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, tbat the permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all
times during construction. .' .
~~ ;2~. ;)~~'l--(c)
Owner or Contractors Signature
Date
Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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WiL....
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000159
Date: 02/22/2010
11 :03:59AM
Job/Journal Number
COM20 I 0-00226
COM20 I 0-00226
COM20 I 0-00226
COM20 I 0-00226
Payments:
Type of Payment
CreditCard
cReceintl
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
Check Number
Rec~.jved By Batch Number
nJm
RIGHT WAY PLUMBING
", ,j"
Page I of I
Item Total:
Authorization
Number How Received
Amount Due
38.00
20.00
6.96
2.90
$67.86
Amount Paid
004785 In Person
Payment Total:
$67.86
$67.86
2/22/20 I 0