The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2007-9-6 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01138 ISSUED: 09/06/2007 APPLIED: 08/0112007 EXPIRES: 03/06/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3771 Olympic St ASSESSOR'S PARCEL NO.: 1702300002105 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Addition PROJECT DESCRIPTION: Encroachment permit and sanitary/storm line permits Commercial Owner: Address: Phone Number: 541-747-5413 BFD INVESTMENTS LLC 5729 MAIN ST PMB 242 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor PACIFIC EXCAVATION License 135018 Expiration Date 04/23/2011 Phone 541-726-7380 BUILDING INFORMATION I # 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: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: /k ~~~ ./1. 1."0 V"" 'v l' JV' ",' CQh/0 (01).4: . I PUBLIC IMPROVEMENTS I ~/.;I % ~.> ''7/)' Ii I rr:, Street Improvement:y: ~,<""<<,O ~,(~ . fo'/ I..::i':nc~i~~~alk Type: 0(;,' ~<S .~'lAl N 1.0W~'jr . ,,10''''0 Storm Sewer Availablt:Ofi G> /) ~/)'" <':(", . O{lfic::.t',.~.e.sD'o~ns3o.Gt~~t.lliDS:' '//- v, ~',c <.~ I J., .l'f) C Iv<t!O b -,-/utre Special Instruction: rA ::s:> /t t9 ~ ~ on OAR 95,2 enter, Ih Y the Ore JS You to ~ (Sl ~ IS)-~::S:><<- 090, You -001-0010 t' aSe rUles q gOn Utility Notes: (/<::? ~-1~ A~ '*' ~ Calling th:ay Obtain ~rO~9h OA~e Set forth ~OA, t94?"IY<<- ':. nUmber f".. ?enter. I^/ ~Ples Ofth".. ~5~-001.. ."., ,\ ".- i 1.\0 UfO '>., mo t l ''''~.s 011 ....0' v: . enter' gOn U '. e e , r ~t4tfrtoescri~tion . 18 1-80o.aa~~o/:a~: $ Per Sq Ft Square Footage It' I' B'd A t Value Date Calculated or mu Ip ler or I moun D~scription Type of Construction Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01138 ISSUED: 09/06/2007 APPLIED: 08/0112007 EXPIRES: 03/06/2008 VALUE: Receipt Number 3200700000000000520 2200700000000001400 2200700000000001400 2200700000000001400 2200700000000001400 2200700000000001400 2200700000000001400 2200700000000001400 2200700000000001400 2200700000000001400 BRC took in AC deposit for McKenzie Taylor Center from Ron Rice (GeoMax Eng.) 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description Encroachment Permit + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge Fixture Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid 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. Q~u:. Owner or Contractors Signature Pal!e 2 of 2 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 of the property, and the approved set of plans will remain on the site at all times during construction. $135.00 $64.40 $6.75 $32.20 $51.52 $224.00 $50.00 $144.00 $50.00 $176.00 8/1/07 9/6/07 9/6/07 9/6/07 9/6/07 9/6/07 9/6/07 9/6/07 9/6/07 9/6/07 Total Amount Paid $933.87 Public Works Review Plan Reviews I 10 08/01/2007 L Reouired Insoections I Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Li~e: Prior to filling trench. 1 . /r O:J- Date 22~ Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01138 COM2007-01138 COM2007-01138 COM2007-01138 COM2007-01138 COM2007-01138 COM2007-01138 COM2007-01138 COM2007-01138 Payments: Type of Payment Check cReceint J City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001400 Date: 09/06/2007 Description + 5% Technology Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' Fixture + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MCKENZIE TAYLOR CONSTR Item Total: Check Number Authorization Received By Batch Number Number How Received llh 3582 In Person Payment Total: Page I of I 10:39:54AM Amount Due 6.75 50.00 144.00 50.00 176.00 224.00 32.20 51.52 64.40 $798.87 Amount Paid $798.87 $798.87 9/6/2007