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HomeMy WebLinkAboutPermit Plumbing 2009-1-13 --,~'''ir!!i~~~;l~" ,,; ~ ~,,', '-d':,' .~, ,.",'t i<";"'j<' ., < Status Issued CITY.OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00054 ISSUED: 01113/2009 APPLIED: 01-/13/2009 EXPIRES: 07/13/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5792 FORSYTHIA ST 5794 ASSESSOR'S PARCEL NO,: 1802041100124 SPRINGFIETYPE OF WORK: Plum~i1lg Only TYPE OF USE: Repair .PROJECT DESCRIPTION: Replace two water lines, each approx 40' each Residential Owner: NICHOLS DAVID & KRISTINE Address: 88608 ERMI BEE RD .sPRINGFIELD OR 97478 Phone Number: 541-744-7991 I CONTRACTOR INFORMATI?N 1 Contractor Type Plumbing Contractor License READY ROOTER DRAIN CLEANING & R SI192524 I BUILDING INFORMATION I Expiration Date 02118/2009 Phone 541-744-7991 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: _. ,oJ Lot Size:, Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Ba~ement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION 1 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: <;ompact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: DownspoutslDrains: Special Instruction: . ou to O n law reqUires Y ATTENTION: rego the Oregon Utility Notes:follow rules adoPte~hb~e rules are set forth ..~tif,,..~tion center.. 0 .,'_ '" ^ 0 Q<';9-001- In OAR 952-001-UU 1\:' "~;pi~~ of the rl-';"o'~i I 0090., You may obtal(Note: the tele~t-~Maluation Descriotion calling the centoer. n Utility Notiflcalloll .. , !l"mber f~the rego ~",0"'44) $ Per Sq Ft' squaretm""""E" ,,""I".UlnQ~ Descno 0'0" Ce YlI/'i!!f-j:lloStililiu9ll' ' , It' I' B'd I ru. HYfllu~P IRE \fijullll:Ulfll1ll ed o. mu 'p ler or I QJlIUERM\1 S ALL!:^ IT IS NO THI::> \" NDER THIS PERM I , AUTHORIZED U IS ABANDONED fOR COMME.NCED OR Paee I of 2 ANY 180 DAY PERIOO. , - G!l!"'!lt',9!il'l!I~~: ..,.~ '1 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00054 ISSUED: 01/1312009 APPLIED: 01/13/2009 EXPIRES: 07i13/2009 VALUE: 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. Fee Description + 12% State Surcharge + 5% Technology Fee Water Line - 1st 100' Amount Paid Date Paid Receipi:Number $18,24 $7,60 $152,00 1/13/09 1/13/09 1/13/09 2200900000000000043 2200900000000000043 2200900000000000043 Total Amount Paid $177.84 Plan Reviews I To Reque'st an inspection call the 24 hour recording at 726-3769, All inspectio,ns 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 Reoll;,'ed InSlJections 1 I rill" Water Line: Prior to filling trench and including required testing, 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 contract~~ and employees who are in compliance with ORS 701.005 will be used on this project, I further agree to ensure that all iequii-edin~pections are requested at the proper time, that each address is readable from the street,.that the permit card is located at the fronjf the property, and the approved set of plans will remain on the site at all ,I d" , {/ times ~urmg construc~on, . l /,1_/( _' ^-1 1--- (}.-C) /' Owner orto tractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone' ~ Job/Journal Number COM2009-00054 COM2009-00054 COM2009-00054 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Water Line - 1st 100' +. 5% Technology Fee + 12% State Surcharge Paid By DAVID NICHOLS City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000043 Date: 01/13/2009 1:19:29PM Item Total: Check Number Authorizatio~ Received By. Batch Number Number How Received Amount Due 152.00 7.60 18.24 $177,84 Amount Paid LLH 015830 In Person Payment Total: $177.84 $177.84 Page I of I 1/13/2009