HomeMy WebLinkAboutPermit Plumbing 2005-3-7
CITY OF SPRINGFIELD'
Building/Combination Permit.
PERMIT NO: COM2005-00262
ISSUED:' 03/07/2005
APPLIED: 03/07/2005
EXPIRES: 09/07/2005
VALUE:
Status
Issued
'!i
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 392 Q ST
ASSESSOR'S PARCEL NO.: 1703262402100
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Relocation of drainage.
TYPE OF USE: Alteration
Commercial
Owner: ENDICOTT FAMILY LLC
Address: 392 Q ST
SPRINGFIELD OR 97477
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,\\l~CON~-RACTOR INFORMATION I
X-~ ~\\ ~
Contractot~ 'Q<V~ \-'\> \\) License
BIN~~.4.~ ~t>~~l)ROCTION . 76336
~~. ~'\ S~~'\><v~ 'i(-.~~\~ I BUILDING INFORMATION.
~'\~ <:(<v<:0 <v'\> \j~ \. ~,\>. 0
# of Units: ~ 0S \<;j~\:. ~<v'\> <:(<v~ . # of Stories: o~~.~
Primary Occu~ncy~Grou~: ("\\.:::\ Height of Sttu~i~~~lO~
1:>.,'0 ,,~\\'" r. ,y" uat!J.~' ~\ ~-
Secondary Occupa~cy'..Gr'Ulp. Type of ~~ eC!JO c:,e' !0~
Primary Construchbn~ype Wat~~P\ ~ ~e C?J~~ ec:, 'O~ .
Secondary Constructfon Type: ~~~~~t!{J-e; O~~ e \~ o~e
# of Bedrooms: . ~~.O~~~k~~<r o\~ ~e~~ ~o~
~\O'\"" ~~~\~1Me~iL.4iR~e ,e o~,Q n/a
,~ _c:. ;.... . II ~ ,.()~ . ~ ~.
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\0 ~'v C?J~ ~'O- e~~ ~e~ 'i:);O
~o O~~ ~o~x&~~~s.!~~CS
.~ ~~C?J~'~,~~~\t~~es Rqd:
v?}~<<Grc6rive Rqd:
~:.s % of Lot Coverage:
Contractor Type
General
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: .
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
10/24/2005
Phone
541-484-9405
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicappe~:
Compact:
Sidewalk Type:
Downspouts/Dr:ains:
Notes:
. . I. Valuation Description I
Description
$ Per Sq Ft
. or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
. ,
Paee 1 of2
Value
Date Calculated
._~""'N""'''~ iii
lair-
, .." "~ -~ .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005~00262
ISSUED: 03/07/2005
APPLIED: 03/07/2005
EXPIRES: 09/07/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid-l
., Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Storm Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$5.90
$4.13
$14.00
$45.00
3/7/05
3/7/05
3/7/05
3/7/05
1200500000000000300
1200500000000000300
1200500000000000300
1200500000000000300
Total Amount Paid
$69.03
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
L Reouired Insoections .
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on me.
Storm Sewer Line: Prior to filling trench.
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 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 of any 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, that the permit card is located at the front ofJhe property, and the approved set of plans will remain on the site at all
times during construction.
'5 It ('L-OTfS'--
I I
Owner or Contracto~Signature
Date
Pal!e 2 of 2
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
~ Job/Journal Number
COM2005-00262
COM2005-00262
COM2005-00262
COM2005-00262
Payments:
Type of Payment
CreditCard
3/7/2005
RECEIPT #:
Description
Fixture
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
RUSSEL J PIERSON
r'i.ty of Springfield Official Receipt
~velopment Services Department
Public Works Department
1200500000000000300
Date: 03/07/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 717000 In Person
Payment Total:
Page 1 of 1
3:00:40PM
Amount Due
14.00
45.00
4.13
5.90
$69.03
Amount Paid
$69.03
$69.03